The nurse reviews the electronic medical record of a client newly transferred from Labor and Delivery to the postpartum unit.  The client’s vital signs in labor had ranges of heart rate (HR) 80-100 bpm, blood pressure 100/70-120/80 and respiratory rate 16-18.  Upon assessment, the nurse notes a heart rate of 60, BP of 98/68, and RR of 18.  Which of the following should the nurse implement?

The United States ranks approximately 50th in the world for maternal mortality and 41st among industrialized nations for infant mortality rates.  When developing programs to assist in decreasing these rates, which factor would likely have the greatest impact?

The RN is delegating care of a post-partum client to the UAP (unlicensed assistive personnel).  Which of the following duties would not be appropriate to delegate?

A client has just delivered their second infant vaginally and a nurse is caring for the client. Which of the following situations would be most concerning for the nurse?  

Reviewing a fetal monitor strip, the nurse notes a fetus has experienced periods of hypoxia. After delivery, which of the following symptoms would indicate that the baby has experienced meconium aspiration syndrome? (Select all that apply)

A pregnant client is requesting a home birth. After educating the client on the advantages and disadvantages, which statement by the nurse would indicate that the client understood the information?

A group of nursing students are learning about gestational trophoblastic disease in the complications of pregnancy lecture.  Which of the following statements regarding this condition is correct?

A client with hyperemesis gravidarum is admitted to the health care facility after being cared for at home without relief of symptoms.  Regarding the client’s diet, which HCP order would the nurse anticipate?

On day of delivery, the primipara client has an IV running with oxytocin on the post-partum unit.  The nurse performs an assessment and finds a boggy uterus not responding to massage, and heavy lochia rubra.  The nurse initiates the Post-Partum Hemorrhage Team and continues to massage the fundus. The second nurse prepares medications they anticipate the HCP will order.  Select the group of medications that will most likely be administered to the client.

During the initial obstetric appointment, the client questions if there are any danger signs to be aware of and call the HCP.  The nurse educates the client on which of the following danger signs in pregnancy that must include a call to HCP or visit to the emergency department?   (Select all that apply)