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A pregnant client presents in labor at term gestation, having no prenatal care.  After birth, her infant is noted to be microcephalic, small for gestational age (SGA) with small eyes and a thin upper lip. Based on the nurse’s assessment, this client’s prenatal history may be positive for which substance?

A patient with acute pancreatitis has a nasogastric (NG) tube to low wall suction and diet order is nothing by mouth (NPO).  What information will the nurse teach the patient regarding the expected outcome of the treatments? (Select all that apply.)

While caring for a postoperative patient on the first postoperative day (POD 1), which information about the patient is most important to communicate to the health care provider?

Which patient is most at risk for placental abruption (abruptio placentae)?

Match the drug to the nursing considerations that are most relevant to this medication. 

The registered nurse (RN) is caring for a patient with a hypertensive crisis they receive an order to start sodium nitroprusside via IV infusion. Knowing that the patient is experiencing a serious medical problem and receiving a high risk medication, which nursing action would an the experienced nurse do to further assess the patients condition throughout the hypertensive crisis while receiving the medication?

Which techniques should the nurse use to assess for respiratory distress? (Select all that apply.)

A client who is 30 weeks pregnant is admitted to the Birthing Center with contractions every 3 to 4 minutes, -1 station, 50% effaced and 3 cm cervical dilation.  After starting an IV, the nurse administers betamethasone sodium phosphate (Celestone Phosphate) 2 ml IM.  The client asks the nurse why she is receiving the betamethasone.  Which response should the nurse offer?  

You are the RN caring for patients awaiting surgery. Which actions will you verify with the patient prior to anesthesia induction and are also confirmed with all members of the surgical team during the Time-Out? (Select all that apply.)

Several hours after being admitted to the acute care, the nurse finds the infant to have increased retractions, now including subclavicular, intercostal, and subcostal retractions along with tracheal tugging and nasal flaring. The infant continues to have wheezing with a respiratory rate of 80 breaths/min, oxygen saturation of 86% on blow by oxygen and a temperature of 102.1 °F. The infant appears dusky, fatigued, and slow to react.  Which nursing actions are indicated for the infant’s care at this time? Select all that apply.