The nurse is caring for a client who has five cesarean deliveries and is gravida 6, para 5, at 32 weeks gestational age. The client is diagnosed with morbidly adherent placenta on the placenta accreta spectrum. Because of the risk for catastrophic bleeding, the nurse anticipates the client to be delivered surgically at 34 to 36 weeks of gestation

The nurse must draw up 0.25 ml of a medication and administer it. Which syringe will the nurse use to draw up and give the medication? A         B          C            D     

A nurse receives orders from a healthcare provider for an elective labor induction. The provider orders dinoprostone (Cervidil) for cervical ripening. For which client should the nurse question this order?

A client presents to the walk-in travel clinic to receive vaccinations. The client thinks that she may be pregnant. Which vaccine can the client not receive?

Using the Maternal Early Warning Criteria (MEWS System), postpartum nurses look for early warning signs for hemorrhage, sepsis, hypertensive crisis, venous thromboembolism, and heart failure and identify “triggers” found in their assessments that indicate the client may have a serious condition that needs to be acted on immediately. Please name one assessment finding “trigger” and the associated serious postpartum condition that a nurse would validate within 5 to 10 minutes and then call the provider to initiate early treatment. An early assessment MEWS trigger is [assessment_finding] and may be related to [serious_postpartum_condition].

The nurse is working at an obstetrical provider’s outpatient clinic. One of her clients experiences a stillbirth at 38 weeks gestational age and is discharged from the acute care facility. The office nurse expects to initially

A client presents to the triage unit of labor & delivery. Her first birth was by cesarean section at 24 weeks gestational age. The client is contracting every two to three minutes and is 4 cm dilated and 100% effaced. The nurse assesses her abdomen and notes a vertical skin incision from below the umbilicus to the pubic symphysis. What question does the nurse ask to assure a safe delivery?

You are taking goniometric measurements of the wrist and note that on passive motions the patient has full range of motion. However, when the patient moves the wrist into radial deviation, the patient is quite limited. You suspect weakness due to involvement of which spinal segments?

In what joint position does the bicep brachii long head become actively insufficient?In what joint position does the bicep brachii long head become passively insufficient?Please label your answer to indicate which is active and passive insufficiency.

The next 8 questions are Rollover Questions.  All points (35) earned are extra credit (i.e. they add to a score but do not change the total points/denominator – 120 – of the exam per the syllabus)