A nurse in the labor and delivery unit is caring for a 32-ye…

A nurse in the labor and delivery unit is caring for a 32-year-old client at 36 weeks’ gestation who arrives with sudden onset of abdominal pain and vaginal bleeding. She reports that “the pain doesn’t go away between contractions.”Vital signs show BP 90/60 mmHg, HR 118 bpm, and fetal heart rate 90 bpm.The uterus is firm and board-like to palpation. Which nursing interventions should the nurse initiate immediately? Select all that apply.

Client is a 41-year-old Gravida 4 Para 3 .History of gestati…

Client is a 41-year-old Gravida 4 Para 3 .History of gestational diabetes mellitus, preeclampsia with previous pregnancy, and chronic hypertension for 5 years. Admitted to antepartum unit from provider’s office with elevated blood pressure, 3 + edema in lower extremities, 3+ proteinuria.Temperature: 98.8° F (37.1° C) OralBP: 170/104 mm HgRespirations: 20/min Pulse: 89/minOxygen saturation: 97% room airAdminister betamethasone 12 mg IM now and repeat in 24 hrMagnesium sulfate loading dose: 4 g IV bolus over 30 min, maintenance dose 2 g/hrHydralazine 10 mg IV nowWhat two Priority ACTIONS would you take in caring for this client?

Danielle Carter, 24 years old, G2P1, is 18 weeks pregnant an…

Danielle Carter, 24 years old, G2P1, is 18 weeks pregnant and presents for a prenatal visit. She reports:Daily cigarette smoking (½ pack per day)Occasional alcohol use on weekendsRecent cocaine use “a few times this month”Reports decreased appetiteVital Signs:BP 148/92 mm HgHR 110 bpmFundal height consistent with gestational ageFetal heart rate 165 bpmIdentify the Condition the Fetus Is Most at Risk For?

A 28-year-old woman at 36 weeks gestation presents to the la…

A 28-year-old woman at 36 weeks gestation presents to the labor and delivery unit with complaints of a persistent headache and blurred vision. Her blood pressure is 165/110 mmHg, and she has 3+ proteinuria on urinalysis. The nurse suspects worsening preeclampsia and begins a focused neurological assessment. As part of the assessment, you check for clonus. Click on the body part where clonus is typically assessed.