A 42-year-old G4P3 at 31 weeks of gestation presents with painful vaginal bleeding for the last two hours and admits to occasional cocaine use throughout the pregnancy. Her blood pressure is 142/89 mmHg, pulse 90 beats per min, respiratory rate 14 breaths per min, and temperature 37 C (98.6 F). An abdominal ultrasound is requested.On the monitor the baseline fetal heart rate of 150 beats per minute, minimal variability, and no decelerations. What is the most likely cause of bleeding in the patient?

A nurse is caring for a newborn. Nurses Notes Newborn delivered via cesarean birth approximately 1 hr ago. Apgar scores 8 and 9. Vitamin K administered in left vastus lateralis. Weight 4337 grams (9 lb 9 oz), length 52 cm (20.5 in). Gestational age assessment of 39 weeks. Large for gestational age. Newborn noted to be jittery and have decreased muscle tone. Vital Signs Heart rate: 170/min apical Respiratory rate:  68/min auscultation   Temperature: 36.1° C (96.9° F) axillary Diagnostic Results Type: O Rh: Positive What condition is the newborn most likely experiencing?

The transition nursery nurse is evaluating a preterm neonate for neurological maturity. Which of the following is part of this examination?

A 26-year-old woman, after childbirth, complains of severe pain and pressure in the perineal area. The woman should be examined for which of the following?

The nurse prepares to administer the rubella vaccine to a postpartum client. What education would be mandatory upon discharge of this patient?

A nurse is caring for a newborn. Nurses Notes Newborn delivered via cesarean birth approximately 1 hr ago. Apgar scores 8 and 9. Vitamin K administered in left vastus lateralis. Weight 4337 grams (9 lb 9 oz), length 52 cm (20.5 in). Gestational age assessment of 39 weeks. Large for gestational age. Newborn noted to be jittery and have decreased muscle tone. Vital Signs Heart rate: 170/min apical Respiratory rate:  68/min auscultation   Temperature: 36.1° C (96.9° F) axillary Diagnostic Results Type: O Rh: Positive Which two actions should the nurse take to address this newborn’s condition?

A nurse is caring for a client who is at 38 weeks of gestation.Nurses NotesClient is 28-year-old and is Gravida 3. Presents to the labor and delivery unit in the early phase of active labor with contractions occurring every 3 to 4 minutes. #18 gauge IV inserted in the left hand. Oxytocin infusion initiated. Internal examination: Left occipitoanterior (LOA) vertex, 4 cm dilated, complete rupture of membranes (ROM), 40% effaced at 0 station. External fetal monitor applied. Fetal heart rate (FHR) is 140/min with variable decelerations noted. FHR decreases to 100/min with contractions, lasts for 10 seconds, and returns to baseline within 20 seconds.Vital SignsTemperature: 37.1° C (98.7° F) Heart rate: 98/min Respiratory rate: 22/min Blood pressure: 120/90 mm Hg Oxygen saturation: 96% Which 2 parameters should the nurse monitor for the condition the client is experiencing?

You walk into your patient’s room and see this strip on your patient’s monitor. How would you document it?Final Strip.JPG 

A 23-year-old female G1P0 currently pregnant at 12 weeks gestational age presents to the clinic with persistent nausea and vomiting. She denies abdominal pain, pelvic pain, vaginal discharge, and vaginal bleeding. Which of the following would be ordered to help with her symptoms?

A 27-year-old G1P0 at 40 weeks of gestation is in the active phase of labor. Her pregnancy has been uneventful and within normal limits. The fetal heart rate monitor shows an early deceleration pattern with a baseline fetal heart rate at 145 beats per minute and moderate variability. What is the most appropriate management?