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While caring for the client in labor, the patient begins to complain of increasing pelvic pressure and states that she feels like she needs to have a bowel movement. The fetal heart rate (FHR) is 140-145 bpm with moderate variability. For the past several contractions, the fetal heart rate gradually declines below the baseline as the contraction intensity is increasing. The lowest point of the FHR drop from baseline is coinciding with the peak of the contraction. Based on this information, select the nurse’s next actions. Select the two options that apply.

A client at 28 weeks’ gestation presents with uterine contractions every 3 to 5 minutes and a vaginal exam of 3/90/-2. Based on the data, which medications would be appropriate for the nurse to administer to this client? Select all that apply.

What pathology is demonstrated by the arrow in the following radiograph? volvulus 2.jpg

A form of chronic inflammation of the spine and the sacroiliac joints characterized by the growth of bony bridges between the vertebral bodies that creates a “bamboo spine” appearance is called:

38. The nurse reviews the laboratory results of a client with a deep vein thrombosis. The client is on warfarin therapy with an INR result is 1.2.  The nurse anticipates what physician order regarding the client’s lab results? (Reference range of a normal INR 0.8-1.1)

A systemic disease of infancy and childhood in which calcification of growing skeletal elements in defective because of a deficiency of vitamin D  in the diet or a lack of exposure to sunshine is called:

Outside of the classroom, you should only communicate with your instructor only through e-mail.

A nurse is preparing to report on a patient in labor to the oncoming shift using the SBAR (Situation, Background, Assessment, Recommendation) format. Which of the following statements exemplifies an effective SBAR communication?

A nursing student is reviewing the physiological adaptations that occur during pregnancy. Which of the following adaptations is primarily responsible for increasing blood volume and improving uteroplacental perfusion during pregnancy?

A nurse is assessing a 30-year-old patient who is in labor. The patient is 6 cm dilated, experiencing strong contractions every 2-3 minutes that last about 60 seconds. She is increasingly anxious and reports significant back pain. The nurse observes that the patient is using breathing techniques and has expressed a desire for pain relief. Based on this assessment, which stage of labor is the patient currently in?