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SATA: Which are contraindications of breastfeeding in the U.S? 

Case Study: Question 5 You are the nurse caring for a 35 y/o G2P1001 here at 39 weeks gestation for an induction of labor due to poorly controlled GDMa2. Additionally, her pregnancy has been complicated by polyhydramnios and suspected fetal macrosomia, with estimated fetal weight in the 97th percentile.  The provider ordered her induction to be started with pitocin. It is currently infusing at 4 mu and she is beginning to become uncomfortable. Her last cervical exam was 3/50/-4.  Her water is broken and the fetus demonstrated a prolonged deceleration. You performed a cervical exam and palpated an umbilical cord. You have called the provider and your charge nurse. What do you anticipate next? 

Case Study 4.1 You are the OB clinic RN seeing a college age female here for her first OB visit at 7 weeks gestation. She describes having multiple sexual partners and does not use condoms or birth control.  When asked what symptoms she is having she describes being nauseous, constipated, having night sweats, mouth ulcers, swollen lymph nodes, and a rash.  SATA: Which of these symptoms are abnormal for early pregnancy?

You are a NICU RN caring for a term 12 hour neonate transferred to the NICU immediately after birth due to poor APGARs and abnormal neurological signs and symptoms. You notice a “blueberry muffin” appearance of the neonate, meaning the neonate has lesions on his face and trunk. Which infectious disease do you suspect the pregnant person was exposed to during pregnancy? 

You are the nurse caring for a 37 y/o G5P4004 at 32 weeks gestation. The patient was admitted due to a placenta previa for occasional contractions with periods of bright red vaginal bleeding. The bleeding is minimal and the fetus is demonstrating adequate oxygenation. The provider made the decision to postpone a Cesarean section for now, but may need a Cesarean at any time if the bleeding continues or if the fetus demonstrates stress.  What priority assessments do you need to implement in the plan of care? Indicate whether each is a priority, not necessary, or contraindicated. 

What is the diagnostic lab for preeclampsia? 

Case Study 3.5 You are the nurse working in a gynecologic clinic. You are providing contraceptive counseling for a 36 year old G3P2012. She hasn’t been sexually active for the past year, but has met someone and is interested in starting contraceptives again.   The patient decides that she would like the Copper IUD. The provider will be in to place it within 10 minutes. What priority action should you perform? 

You are a L&D RN caring for a pregnant person on the antepartum unit. The patient is a 27 y/o G1P0 at 27w0d admitted for preterm labor. While on the monitor, she has a prolonged deceleration. What is your next action? 

You are the primary L&D RN caring for a 36 y/o G1P0 at 39w2d. Her medical history is significant for advanced maternal age and GDMa2. The growth ultrasounds have been within normal limits. She has been pushing for almost 4 hours and the fetus is crowning. What do you ensure is at the bedside for this delivery? 

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