A woman has requested an epidural for her pain. She is 5 cm dilated and 100% effaced. The baby is in a vertex position and is engaged. The nurse increases the woman’s IV fluid for a preprocedural bolus. The nurse reviews her laboratory values and notes that the woman’s hemoglobin is 12 g/dl, hematocrit is 38%, platelets are 67,000, and white blood cells (WBCs) are 12,000/mm3. Which factor would contraindicate an epidural for this woman?

An 18-year-old pregnant woman, gravida 1, para 0, is admitted to the labor and birth unit with moderate contractions every 5 minutes that last 40 seconds. The client states, “My contractions are so strong, I don’t know what to do.” Before making a plan of care, what should the nurse’s first action be?

The nurse caring for a newborn checks the record to note clinical findings that occurred before her shift. Which finding related to the renal system would be of increased significance and require further action?

The exact cause of preterm labor is unknown but believed to be multifactorial. Infection is thought to be a major factor in many preterm labors. Which type of infection has not been linked to preterm birth?

In planning for home care of a woman with preterm labor, which concern should the nurse need to address?

The Yuan Empire under Qubilai marked the first time all of China had

The proliferation of madrasas between the tenth and thirteenth centuries

Prior to the Song dynasty, China’s imperial governments recruited their officials mostly through

The ______ bone is composed of small needlelike pieces of bone and lots of open space.

The skull and vertebrae would included in the ________skeleton