A pregnant client is at her first prenatal appointment. She has a 2-year-old son born at 39 weeks, a fetal demise at 19 weeks, a 5-year-old daughter born at 38 weeks, and 7-year-old twin daughters born at 34 weeks. She had an elective abortion 2 years ago at 8 weeks. How does the nurse, using the GTPAL format, document the client’s obstetric history?

A 32-year-old woman at 23 weeks of gestation presents to the labor and delivery unit in preterm labor. It is found upon examiniation that the patient has a fundal height greater than 3 cm than the expected gestational age. An ultrasound reveals excessive amniotic fluid. Which of the following pharmacologic agents is appropriate for this patient?

What would be the appropriate action for a multipara client whose 1-hour, 50-gram glucose tolerance test result is 165?

A nurse is assessing a client with a positive pregnancy test. The physician has documented a positive Hegar’s sign. The nurse determines this sign indicates which of the following physiologic change?

Your client has positive vaginal and rectal cultures for group B streptococcal bacteria at 36 weeks’ gestation. She has just been admitted at 38 weeks gestation in labor. The nurse will anticipate which order by the healthcare provider? 

A pregestational diabetic patient is to receive 5 units Regular insulin and 15 units NPH insulin with breakfast at 0800. In order to develop a teaching plan for the patient to administer the medication appropriately, what should the nurse include?

A nurse educator is conducting a review course on tocolytic therapy for a new group of perinatal nurses. After teaching the group, the nurse determines that the teaching was successful when they can identify which drugs as being used for tocolysis? Select all that apply.

Which of the following would the nurse schedule for a client who is 24 weeks pregnant? Select all that apply

A 32-year-old woman at 36 weeks of pregnancy undergoes a prenatal non-stress test. After 20 minutes the NST is nonreassuring and shows decreased fetal movement. A biophysical profile is planned for the patient. Which of the following is utilized in this investigation?

A 38-week gestation multigravida presents in the labor and delivery unit reporting decreased fetal movement. Which of the following would be an appropriate initial evaluation in this situation?