An Rh-negative patient at 28 weeks of gestation asks why she needs RhoGAM now when the baby has not yet been born. Which explanation is most accurate?

A patient with epilepsy who is taking valproic acid wants to conceive. Which pre-conception counseling point is the most critical priority?

A patient at 9 weeks with Graves disease has free T4 3.1 ng/dL (elevated) and TSH

A patient at 33 weeks who uses cocaine presents with sudden severe constant abdominal pain, bright red vaginal bleeding, and a board-like uterus. FHR shows late decelerations. Which is the immediate priority?

A patient at 26 weeks has right flank pain, fever 101.8°F, WBC 18,000, nausea, and anorexia. She says, ‘The pain is not in the right place for appendicitis.’ Which nursing concern is most important?

A 34-year-old gravida 4 para 3 at 26 weeks’ gestation has a history of three prior cesarean births and is diagnosed with placenta percreta after MRI demonstrates placental invasion through the myometrium and into the bladder wall. The client asks the nurse what to expect regarding delivery. Which response by the nurse is most appropriate?

A patient at 39 weeks has a biophysical profile (BPP) : breathing=2, movement=2, tone=0, amniotic fluid=2, NST=2. Total score 8. Which interpretation and action are most appropriate?

A patient who did not breastfeed asks how her newborn received any immunity at all. Which explanation is most accurate?

A nursing student asks why gestational diabetes develops more commonly in the second and third trimesters rather than the first. Which physiologic explanation is most accurate?

A nurse is assessing a client who is 16 weeks pregnant during a routine prenatal visit. Which finding should the nurse expect when measuring fundal height?