Blog

The nurse is assessing the 34-week gestation client has been admitted to the Emergency Room following a motor vehicle accident (MVA). Which of the following clinical assessment findings require immediate intervention? 

A prescription for Methergine 0.2 mg IM has been ordered for the postpartum client who is hemorrhaging. The client’s vitals are heart rate 99; blood pressure 150/92; SpO2 93% on room air; and a respiratory rate of 21. The nurse understands which of the following when preparing to administer this medication?

The clinic nurse is providing care to the client following insertion of an intrauterine device (IUD). The nurse hypothesizes the client understands the teaching when they make which of the following statements?

The client in labor is fully dilated and the fetal head is at +2 station. The nurse recognizes this as the beginning of the _______ stage of labor.

The 22-year-old client, who is experiencing vaginal bleeding in the first trimester of pregnancy, fears that she has lost her baby at 8 weeks. Which definitive test result should indicate to the nurse that the client’s fetus has been lost?

The full-term newborn is admitted to the nursery with a blood glucose of 36 mg/dL. Which of the following actions should the nurse perform first based on these cues?

The 22-year-old client tells the clinic nurse that her last menstrual period was 3 months ago, which began on November 21. She has a positive urine pregnancy test. Using Naegele’s Rule which date should the nurse calculate to be the client’s estimated date of confinement (EDC)?

The nurse observes on the monitor tracing of the client in the transition phase of labor that the baseline FHR is 160 and that there is moderate variability with V-shaped decelerations unrelated to contractions. What should the nurse do first ?

The laboring client suddenly experiences a significant drop in the FHR from the 150’s to the 110’s. A vaginal exam reveals the presence of the umbilical cord protruding through the cervix. What should be the nurse’s first intervention?

Cortical thickening associated with rising IQ during childhood begins earliest in the: