While the nurse is caring for a multiparous client in active labor at 36 weeks’ gestation, the client tells the nurse, “I think my water just broke.”  Which of the following should the nurse do first?

A primigravida is admitted to the labor unit with ruptured membranes. Initially, contractions occur every 2 to 3 minutes and last 45 seconds. After 3 hours of labor, contractions decrease to every 7 to 10 minutes and last 30 seconds. Oxytocin is prescribed to augment labor. Which finding indicates that the medication is having the desired effect?

  Are there contractions noted in this strip?  If so, what is the frequency?

The nurse is caring for a client who is 3 hours postpartum after a vaginal delivery of twins at 38 weeks’ gestation. Which complication is this client at greatest risk for?

The nurse is assessing the fetal pattern of a client in active labor and notes late decelerations on the monitor strip. Which nursing action(s) are most appropriate related to this finding? (Select all that apply)

During a vaginal exam the nurse discovers a loop of umbilical cord protruding from the vagina.  What is the priority nursing intervention at this time?

The patient who is 39 weeks gestation is being induced with oxytocin. She is in active labor.  She is having some early decelerations with a fetal heart rate baseline at 140.  What is the priority action?

A primigravida was admitted in early labor.  Her membranes were intact and her contractions were occurring every 5 minutes and lasting about 45 seconds.  She says that they are very painful, and she is unable to relax between contractions.  Three hours after admission, her cervical status remains unchanged.  Her contractions now are every 5 to 7 minutes and last 30 seconds.  The fetal heart rate is 160 beats per minute.  Of the preceding data, which cue suggests a hypotonic labor pattern?

In assisting with an abdominal ultrasound procedure for determining fetal age, the nurse must first:

A nurse is caring for a client and reviewing the findings of the client’s biophysical profile (BPP). Which of the following variables are included in this test? (Select all that apply)