A nurse is educating a pregnant client about the hormonal changes that support her pregnancy.  Which hormone is primarily responsible for increasing vascularization of the uterus, promoting breast tissue growth, and contributing to hyperpigmentation during pregnancy?

A laboring client at 6 cm dilation has contractions occurring every 6–8 minutes, lasting 30 seconds, and are mild on palpation.  The cervix has not changed for over two hours.  The nurse suspects hypotonic uterine contractions.  What is the priority nursing action? 

A labor and delivery nurse performs a sterile vaginal exam (SVE) on a client in labor and feels a pulsating structure.  Which of the following actions should the nurse take first? 

The nurse has an order to give a woman who is 26 weeks pregnant, and being evaluated for preterm labor, Betamethasone.  What education would the nurse provide to the client regarding this medication?

The nurse is taking vital signs on a pregnant client at a prenatal clinic: Temperature  37 C Pulse  98 Respirations  16 P  112/68 The client states, “Why is my heart rate so high? It was never that high before I got pregnant.”  Which response by the nurse is best?

A nurse is teaching a Childbirth Education Class to first time parents and is explaining what Precipitous Labor means.  One mother states, “Fast labor, what’s so bad with that?”  Which response would be the nurse’s best reply? 

A 27-year-old primigravida at her 28-week prenatal visit asks the nurse if she is gaining weight appropriately.  Her pre-pregnancy BMI was within the normal range.  So far, she has gained a total of 18 pounds.  Which of the following responses by the nurse is most appropriate?

A nurse is assisting with a vaginal delivery and notices the fetal head is “turtling” which leads the nurse to suspect shoulder dystocia.  Which interventions should the nurse implement to help with the delivery (select all that apply)?

A woman with a history of repeated spontaneous abortions is prescribed progesterone suppositories.  Which of the following is the most appropriate teaching point for the nurse to provide? 

You are caring for a laboring woman, she uses her call light and states, “I have this sudden ripping sensation in my abdomen and my pain is 10/10.”  She sounds panicked.  What would the nurse suspect?