You are monitoring a 26-week pregnant woman’s fetal heart rate (FHR) during a nonstress test (NST). The baseline FHR is 145–155 bpm. Over 20 minutes, the FHR accelerates to 165 bpm six times, each lasting 10 to 15 seconds. How should you interpret these findings?

A labor nurse is caring for a patient with gestational diabetes mellitus (GDM) managed with blood sugar monitoring, diet and exercise. The nurse knows that newborns born to patients with GDM are at an increased risk for which of the following complications? Select all that apply

Chandra is a 42-year-old G1 P0 at 35 weeks gestation, sent to labor and delivery for evaluation after a blood pressure reading of 160/95 mm Hg during a routine prenatal visit. Her previous blood pressures were within normal limits during the first and second trimesters. What additional assessment data should the nurse prioritize collecting at this time?

You are caring for a woman admitted to the emergency department with a suspected ectopic pregnancy. Which finding requires immediate notification of the physician?

You are caring for a woman receiving a magnesium sulfate infusion. Her vital signs are: fetal heart rate 148–158 bpm, maternal pulse 88 bpm, respirations 9 breaths per minute, oxygen saturation 96%, and blood pressure 158/96 mmHg. The patient appears drowsy and is difficult to arouse. What is your priority nursing action?

Piper is being seen for her 12 week routine prenatal appointment. She is a 19 year old, G1P0 who asks the nurse, “What’s the big deal with unpasteurized milk in pregnancy? I see so many people on social media promoting raw milk. Is it safe during pregnancy?”What is the nurse’s best response?

A 32-year-old primigravida is admitted with a diagnosis of ectopic pregnancy. Which nursing consideration is the highest priority when planning her care?

A client at 38 weeks’ gestation presents to the labor and delivery unit in active labor. Her prenatal records indicate a positive Group B Streptococcus (GBS) culture in her urine earlier in pregnancy. As the nurse prepares to administer IV antibiotics, the client asks, “Why do I need antibiotics during labor?” What is the most appropriate response by the nurse?

The nurse is caring for a pregnant patient in hypertensive crisis with a current blood pressure of 194/124 mmHg.The orders state:For BP ≥ 160/110, give labetalol 20 mg IV push.Recheck BP in 10 minutes.If BP remains ≥ 160/110, give labetalol 40 mg IV push.Recheck BP in 10 minutes.For persistent hypertension after the second dose, notify the MD.After administering the initial 20 mg dose, the patient’s blood pressure is 178/110 mmHg.Based on the orders, what is the combined total dose of labetalol (in milligrams) the patient will receive?

Bailey, a 27-year-old G4P1 woman at 12 weeks’ gestation, reports several episodes of nausea and vomiting. Which nursing recommendation is most appropriate to help manage her symptoms?