A nurse is caring for a client who is at 38 weeks of gestation.Nurses NotesClient is 28-year-old and is Gravida 3. Presents to the labor and delivery unit in the early phase of active labor with contractions occurring every 3 to 4 minutes. #18 gauge IV inserted in the left hand. Oxytocin infusion initiated. Internal examination: Left occipitoanterior (LOA) vertex, 4 cm dilated, complete rupture of membranes (ROM), 40% effaced at 0 station. External fetal monitor applied. Fetal heart rate (FHR) is 140/min with variable decelerations noted. FHR decreases to 100/min with contractions, lasts for 10 seconds, and returns to baseline within 20 seconds.Vital SignsTemperature: 37.1° C (98.7° F) Heart rate: 98/min Respiratory rate: 22/min Blood pressure: 120/90 mm Hg Oxygen saturation: 96% Which 2 parameters should the nurse monitor for the condition the client is experiencing?

You walk into your patient’s room and see this strip on your patient’s monitor. How would you document it?Final Strip.JPG 

A 23-year-old female G1P0 currently pregnant at 12 weeks gestational age presents to the clinic with persistent nausea and vomiting. She denies abdominal pain, pelvic pain, vaginal discharge, and vaginal bleeding. Which of the following would be ordered to help with her symptoms?

A 27-year-old G1P0 at 40 weeks of gestation is in the active phase of labor. Her pregnancy has been uneventful and within normal limits. The fetal heart rate monitor shows an early deceleration pattern with a baseline fetal heart rate at 145 beats per minute and moderate variability. What is the most appropriate management?

When the fetal head is at the level of the ischial spine, it is said that the station of the fetal head is where?

The nurse is caring for a woman who has been admitted for preterm labor at 35 weeks’ gestation. The woman’s husband tells the nurse, “Something happened, my wife’s bed is all wet.” What is the nurse’s priority action?

Which of the following activities has the greatest potential for negative side effects if done within the home health care setting? The patient is a 58-year-old female who has complications of COPD.

Preceding the intubation attempt of a newly born baby, the basic EMT reports that ventilations have become less effective. They suggest ventilations are no longer causing chest rise because a relief valve is popping off. What is the BEST advice for the paramedic to follow?

A newborn patient is being transferred from a rural hospital to a pediatric hospital for further treatment of chronic diarrhea. Which of the following conditions is considered a cause of diarrhea in neonates?

In the home healthcare setting, which is a key component that makes palliative care unique?