Observations include whether parents reach for and name the infant, comment on whom the infant resembles, demonstrate comfort with handling and repositioning, provide verbal or tactile stimulation when the infant is awake, and use soothing strategies such as rocking or swaddling when the infant is fussy.These observations are most accurately identified as an assessment of which nursing focus?

During assessment of uterine activity in labor, several characteristics of contractions are considered. Which description most accurately identifies the physiologic pattern of an effective uterine contraction?

A labor and delivery nurse is preparing a 32-year-old multiparous client of Middle Eastern descent for epidural anesthesia. The client has been experiencing moderate to severe pain, is 6 cm dilated, and nods in agreement when the anesthesia care provider explains the risks and benefits of the procedure. However, the client does not sign the consent form, stating, “I must speak with my husband first.” Her husband is currently en route to the hospital and will arrive in approximately 30 minutes.Which of the following actions is the most appropriate for the nurse to take at this time?

A nurse observes that a first-time father seeks immediate physical contact with his newborn, experiences uncertainty and disrupted sleep during the first weeks at home, expresses concern about decreased attention from his partner, and gradually redefines his role while increasing involvement in infant care.This pattern is most accurately identified as which concept?

A nurse in a high-risk prenatal metabolic clinic is caring for a 26-year-old client at 7 weeks’ gestation with a known history of phenylalanine hydroxylase (PAH) deficiency (maternal PKU). The client reports strict adherence to a low-phenylalanine diet prior to pregnancy but states that persistent nausea and vomiting have significantly limited oral intake over the past two weeks. Laboratory results reveal a maternal phenylalanine level of 8.4 mg/dL (recommended pregnancy target

A 31-year-old client, gravida 4 para 2, presents to the labor and delivery triage unit at 33 weeks’ gestation with a sudden episode of bright red vaginal bleeding noted while at rest. She denies abdominal pain, uterine tightening, recent intercourse, or trauma. Vital signs are stable. On abdominal examination, the uterus is soft and non-tender, and fetal monitoring demonstrates a baseline heart rate of 145 beats/min with moderate variability and no decelerations. No digital cervical examination has been performed. Her obstetric history includes one prior cesarean birth, and she reports daily cigarette use.Which clinical finding most strongly supports placenta previa rather than placental abruption in this client?

A nurse in a prenatal endocrine clinic evaluates laboratory results for a 29-year-old client at 9 weeks’ gestation with a known history of Hashimoto’s thyroiditis. Despite adherence to levothyroxine 112 mcg daily, current laboratory findings reveal a TSH of 7.6 mU/L and a free T4 of 0.7 ng/dL. During the assessment, the client reports taking her thyroid medication each morning at the same time as her prenatal vitamin containing iron and calcium. Based on ATA pregnancy guidelines for first-trimester hypothyroidism management, which nursing intervention is most appropriate to optimize this client’s thyroid control?

A labor and delivery nurse is caring for a primigravida at 7 cm dilation who requests pain relief. The health care provider orders nalbuphine hydrochloride (Nubain) 10 mg IV. The nurse reviews the client’s history and evaluates for any contraindications before administration.Which of the following clinical findings would contraindicate the use of opioid agonist-antagonist analgesics during labor?Select all that apply.

A client develops acute postpartum hemorrhage following a vaginal birth with a boggy uterus and continued heavy vaginal bleeding despite fundal massage. The provider prescribes pharmacologic management. Based on the medication guide provided, which prescribed interventions are most appropriate and safest for this client, assuming no additional contraindications are present?(Select all that apply)

A 34-year-old client, gravida 3 para 1, is in active labor at 9 cm dilation with no fetal descent over the past 3.5 hours despite adequate uterine contractions confirmed by intrauterine pressure catheter. Vaginal examination reveals the fetal head at 0 station in a persistent occipitoposterior, deflexed position. Prenatal assessment previously identified an android pelvic configuration. The fetal heart rate tracing remains reassuring.Which clinical findings or risk factors support the diagnosis of cephalopelvic disproportion (CPD) in this client?Select all that apply.