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A nurse notes a pregnant woman has just entered the second stage of labor. Which interaction should the nurse prioritize at this time to assist the client?

A client who is Rh-negative has an Rh-positive newborn at 39 weeks gestation. The client has a Kleihauer-Betke lab test to determine the number of fetal cells in the maternal blood. The provider orders Rh D immune globulin (RhoGam) 300 micrograms IM. The nurse knows RhoGam must be given before how many hours elapse from the delivery?

A nurse is caring for a client during the fourth stage of labor. Which action should the nurse prioritize at this time for the safety of the maternal client?

The nurse is working in a women’s health center. A client who is at fourteen weeks gestation calls complaining of nonstop vomiting. The nurse is concerned as pregnant clients with this complaint are at risk for (select all that apply)

After the neonate is born, the provider dries her off and places her skin to skin with the mother, covering her with a warm blanket. The newborn seems to be scooting, sniffing, and shifting her way to the client’s nipple over a period of time. The nurse documents this as a 

The following fetal monitoring tracing is from a client at 38 weeks gestation in labor. What is the nurse’s interpretation of this tracing?

A nurse makes the following observations when assessing a full-term baby who nursed for fifteen minutes and is being assessed at forty-five minutes post-birth: 9 lb 2 oz (4,139 grams), 21 inches long, TPR: Temp is 96.6 F (35.9 C), heart rate is 158, respiratory rate is 56, extremities are jittery, acrocyanosis is present, and he is sleepy.  Which of the following nursing actions is of the highest importance? 

The nurse is assessing a 3-day-old infant. The infant’s sclera has a yellow tinge, as does the infant’s forehead and nose, and sternum. What would the nurse do next?

The nurse is describing the fetal heart rate (FHR) tracing of a well oxygenated fetus with a normal acid base balance. What are some components seen in a FHR tracing that is reassuring? Select all that apply.

Question 1 is to assure academic integrity with ethical and honest behaviors. Students at the University of Missouri-St. Louis are expected to adhere to the Student Standard of Conduct as well as to those established University policies and procedures.  I acknowledge that before and while taking this exam, I have not done anything that would give me an unfair advantage and would be counted as cheating, such as discussing with classmates questions on this exam.  Please answer true if this statement describes you. Please answer false if you have spoken to another person about the questions on this exam or are using a different method to gain an unfair advantage.