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Scenario: A 32-year-old woman at 39 weeks gestation is undergoing labor induction with oxytocin due to gestational diabetes. After two hours of oxytocin administration, the nurse notices that the patient is experiencing contractions lasting 80 seconds with less than 30 seconds between them. The fetal heart rate shows late decelerations, and the patient is feeling lightheaded and having difficulty catching her breath.   Question: What is the most likely cause of these symptoms, and what action should the nurse take?

Scenario: A nurse is educating a 25-year-old pregnant woman about sexually transmitted infections (STIs) during her prenatal visit. The woman expresses concern about human papillomavirus (HPV) infection, as she has been diagnosed with HPV in the past. She asks about how this infection may affect her pregnancy.   Question: What is the most appropriate response for the nurse to give regarding the potential effects of HPV infection during pregnancy?

Scenario: A 26-year-old pregnant woman at 26 weeks gestation is scheduled for a glucose screening test. She expresses concerns about the procedure and asks the nurse why this test is necessary.   Question: Which of the following is the most important reason for performing glucose screening between 24 and 28 weeks of pregnancy?

Scenario: A pregnant woman who had a modified radical mastectomy on one breast asks the nurse if she will be able to breastfeed her baby. Question: How should the nurse respond?

Scenario: A 34-year-old woman, G2P1, is in the first stage of labor. She is experiencing discomfort with contractions but has been lying on her back for the past hour. The nurse encourages her to change positions to help relieve discomfort and improve labor progress.   Question: Why is it important for the nurse to encourage the patient to change positions during the first stage of labor?

Scenario: A pregnant client at 28 weeks gestation reports frequent urination and is considering reducing her fluid intake to manage the symptom. She asks the nurse if this is a good idea.   Question: What is the best nursing response regarding fluid intake during pregnancy?

Scenario: A 28-year-old woman comes to the clinic reporting nausea, breast tenderness, and frequent urination. She suspects she may be pregnant but has not taken a pregnancy test. The nurse explains the different categories of pregnancy signs.   Question: Which of the following is considered a subjective (presumptive) sign of pregnancy?

Scenario: A 32-year-old pregnant client at 28 weeks gestation tells the nurse she has been experiencing constipation despite taking her prenatal vitamins and eating regularly. She is concerned about how to relieve this discomfort safely during pregnancy.   Question: What should the nurse include in the client’s education to help prevent constipation during pregnancy?

Scenario: A 30-year-old pregnant woman, currently in her first trimester, comes to her prenatal visit and tells the nurse she has been feeling fatigued and has difficulty concentrating. She asks the nurse why her doctor recommended taking a folate supplement along with her prenatal vitamins.   Question: What is the primary reason folate is recommended during pregnancy?

Scenario: A nurse is caring for a laboring woman with a non-reassuring fetal heart rate (FHR) pattern. The FHR shows a baseline of 100 bpm, with absent variability, and frequent late decelerations with each contraction. The patient is in the second stage of labor.   Question: What category does this FHR pattern fall under, and what is the appropriate nurse’s response?