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Mr.Smith is a 78 year old man with concerns about pain on inhalation, occasional cough and some shortness of breath upon exertion. Mr. Smith lives alone and is independent in all activities. Mr. Smith states that during a time when he was coughing, he became dizzy and fell. You evaluate Mr. Smith and find some ecchymotic areas to his left hip. What would be considered an objective finding from his history and physical exam?

A nurse is monitoring a postpartum client 2 hours after a vaginal delivery. Which finding requires the most immediate intervention?

A postpartum client is experiencing auditory hallucinations telling her to harm her baby. What is the priority nursing action?

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?