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A nurse is monitoring a laboring client at 38 weeks gestation who has been receiving oxytocin for labor augmentation. The FHR tracing shows a gradual decrease in FHR beginning at the peak of contractions and returning to baseline after the contraction ends. The client is lying supine, and her blood pressure is 90/60 mmHg. What type of deceleration is present, and what is the most likely cause?

A nurse is administering magnesium sulfate to a client at 32 weeks gestation for severe preeclampsia. During the hourly assessment, the nurse notes absent deep tendon reflexes, a respiratory rate of 9 breaths per minute, and a urine output of 20 mL/hr. What is the nurses priority action?

What is the purpose of routine newborn screening tests performed before discharge?

A nurse is assessing a client at 30 weeks gestation who reports frequent contractions and lower back pain. What is the priority nursing action?

A nurse performs Leopold maneuvers on a client at 38 weeks gestation. The nurse palpates a soft, irregular mass in the fundal area and a firm, round mass above the symphysis pubis. What is the likely fetal presentation?

A nurse is caring for a pregnant client with a history of cardiac disease. Which statement by the client requires immediate intervention?

A nurse is prioritizing care for a client in active labor with a Category III fetal heart tracing. What is the first action the nurse should take?

A nurse is assisting a client in labor who is using Lamaze breathing techniques. Which technique is most appropriate for managing contractions in the active phase of labor?

A nurse is caring for a laboring client when the umbilical cord prolapses. What is the priority nursing intervention?

A pregnant client at 39 weeks gestation is diagnosed with untreated chlamydia and is planning a vaginal birth. The nurse is developing a care plan to minimize the risk of neonatal infection. What is the most important infection control measure to protect the newborn?