A 32-year-old G3P2 woman at 38 weeks gestation is being induced for diet-controlled gestational diabetes. The fetus has an estimated weight of 3800 grams (8.37 pounds) on the last growth ultrasound performed at 36 weeks. The induction is started with oxytocin, and a Foley catheter is inserted into her cervix. Her vital signs remain stable during her induction. The foley catheter is removed when the patient is 4 cm dilated, 60% effaced, and -3 station. The patient is comfortable with her contractions and does not request pain medications. Why should an amniotomy be delayed in this scenario?

A 37-year-old G3P2 at 37 weeks and 2 days presents to labor and delivery complaining of a severe headache, epigastric pain, and blurry vision. In triage, her blood pressure is 187/112 mmHg. Urine dip reveals proteinuria. Upon reviewing the patient’s chart, the patient established her prenatal care in the week prior, and her gestational age was found to be approximately 37 weeks with an ultrasound. Which of the following is the best next step in management?

A patient is in the first stage of labor and is experiencing uterine contractions every 3 minutes. Upon reviewing the fetal heart rate pattern, you interpret she is having recurrent late decelerations, and there is moderate variability with some accelerations. What is the classification for this fetal heart rate pattern?

Client’s Chart Laboratory ResultsSodium145 mEq/L Potassium6.3 mEq/L Calcium9 mg/dL Magnesium2.0 mEq/L The nurse is admitting a client to the telemetry unit, and the nurse checks the client’s chart. Based on the laboratory results, which clinical manifestations would the nurse anticipate observing? Refer to chart. Select all that apply.

The nurse has completed teaching with a hemodialysis client regarding the self-monitoring of the fluid status between hemodialysis treatments. The nurse determines that the client understands the information given if the client states the need to record which item(s) on a daily basis?

The calcareous sieve opening into the water vascular system of echinoderms is called the_____________________ but structures that keep the body surface clean of debris and protect the skin gills of sea stars are called __________________________.

The nurse has given instructions about site care to a hemodialysis client who had an implantation of an arteriovenous (AV) fistula in the right arm. Which statement by the client indicates a need for further teaching?

The nurse is administering medications on a cardiac unit. Which medication should the nurse question administering?

The client is in the cardiac intensive care unit on a dopamine infusion and their blood pressure is 210/130. Which intervention should the intensive care nurse implement first?

The charge nurse is assessing morning ABGs from patients admitted to the surgical floor. Which patient should the nurse assess first? Screenshot 2025-11-10 080441.png