The client reports to the birthing unit at 39 weeks gestation with painless, bright red vaginal bleeding, and a Category 1 fetal heart rate (FHR) pattern. Which of the following actions does the nurse anticipate next in the plan of care?

Questions 78 – 81 are based on the following case study. Mandy Davidson is a​ 34-year-old G2 T1 P0 A0 L1 presenting to the​ birthing unit at 42 weeks’ gestation for evaluation for possible induction of labor. The client’s first delivery was post term at 43​ weeks’ gestation which resulted in shoulder dystocia and a second-degree perineal laceration. The client appears increasingly anxious upon assessment. The last ultrasound showed the neonate to be macrosomic or large for gestational age​ (LGA) but is also not in an optimal position. Her husband is with her. Mrs. Davidson is sent for a biophysical profile and testing to evaluate fetal wellbeing. The nurse hypothesizes that which of the following cues indicate that a change in the labor plan needs to be implemented for the safety of the​ fetus? Select all that apply

The prenatal nurse assesses the 14-week gestation G4 T1 P2 A0 L3 client and notes a fetal heart rate of 148, the fundal height is 1 cm above the symphysis pubis, and the client denies experiencing quickening. The nurse recognizes which of the following as the correct hypothesis?

Match the nursing intervention with the appropriate cue in providing labor support. Use each answer only once.

The nurse assesses the fundal height for multiple pregnant clients. For which client should the nurse conclude that a fundal height measurement is most accurate?

The 23-year-old client comes to a community clinic for an annual Pap smear. Which infection is suspected with an abnormal result of this diagnostic test?

When preparing the client for a serum pregnancy test, the nurse should include which information?

Match the fetal heart rate cues with the appropriate pathophysiology causing these changes in the FHR monitor tracing. Use each answer only once.

The full-term newborn is admitted to the nursery with a blood glucose of 36 mg/dL. Which of the following actions should the nurse perform first based on these cues?

The pregnant primigravid client asks the nurse, who is teaching a prepared childbirth class, when she should expect to feel fetal movement. The nurse responds that fetal movement usually can first be felt during which time frame?