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The nurse is caring for a client with twins at 28 weeks gestation. She has had cervical shortening and has a pessary in place. The provider has ordered corticosteroids for fetal lung maturity. The nurse is aware that inflammation can cause preterm birth and expects the provider to order

The nurse is preparing to administer methotrexate intramuscularly to a client with an ectopic pregnancy. For safety reasons, when administering the drug, the nurse

The nurse is preparing to teach a client newly diagnosed with monoamniotic-monochorionic twins. Which statement by the client indicates a lack of understanding?

The nurse is caring for a client in the third trimester. She presents to the triage area complaining of itchy skin on the palms and soles of the feet and increasing fatigue. She left a urine specimen in the bathroom, and the nurse noted it was dark amber. She also tells you that lately, her stools have been clay-colored. She has no rash on her palms or the soles of her feet. The nurse suspects the client may have

A client at 32 weeks’ gestation is admitted in preterm labor. On the nurse’s admission assessment, which finding causes the nurse to question the administration of a tocolytic agent?

A woman with a diagnosis of ectopic pregnancy is to receive medical treatment rather than a surgical approach. Which of the following medications would the nurse expect to administer? 

A client at 28 weeks gestation is being seen in the triage area of labor and delivery. She complains of right upper quadrant pain and has crackles in her lungs. Her laboratory results are as follows: Lab value Result Reference Value Hemoglobin 9.5 g/100 mL 11-12 g/100 mL Hematocrit 28.5 % 36-46% Alanine aminotransferase (ALT) 64 units/L 7-30 units/L Aspartate aminotransferase (AST) 52 units/L 9-25 units/L Platelets 48,000/mm 150.000-450,000/mm The nurse prepares the client for a cesarean section. The blood products the nurse would expect to transfuse are

The nurse is conducting a community-based class with pregnant women and partners and is focusing on the prevention of preterm birth. Which of the following topics will the nurse educate her class on?

The nurse in a public health clinic reviews a client’s first-trimester prenatal lab work. Lab Result Reference Value Rubella Immune Immune Hepatitis B Negative Negative RPR/VDRL Negative Negative Blood type A+, antibody screen negative Negative Gonorrhea Negative Negative Chlamydia Negative Negative Hemoglobin 9.8 g/dL 11-12 g/100 ml Hematocrit 28% 36-46% Platelets 322,000 platelets/mL 150,00-450,000 mm Urine dip Ketones/Protein/Glucose Negative Negative Nitrites/Leukocytes/Blood Positive Negative The nurse anticipates the provider will comment

A 25-year-old woman at 35 weeks’ gestation is brought to the labor and delivery unit by her husband. She is lethargic and complains of low abdominal pain. Her husband states she started vomiting the previous day and has not eaten anything since. He checked her blood glucose at home, and it was 320 mg/dL. She is gravida 1 para 0. Her medical history includes type 1 diabetes for two years. The client’s vital signs are temperature 98.6 F (37 C), heart rate 110 beats per minute, respiratory rate 24 breaths per minute, and blood pressure 106/70. Her electronic medical record indicates her fundal height was 36 cm one week ago, with a weight of 180 lb. The fetal heart rate monitor shows the fetal heart rate at 120 beats per minute with minimal variability and no decelerations with irregular contractions every 5 to 7 minutes, lasting 30 to 45 seconds, which are mild on palpation. Urinalysis Result Reference value Glucose 4+ Negative Ketones 4+ Negative Protein Negative Positive Specific gravity 1.035 1.001-1.035 What client information requires immediate follow-up? (Select all that apply)