Scenario: Enroute The Paramedic is dispatched to a residence for a 0-day-old patient who is unresponsive at home delivery. The time of the call is 1100. The response time will be 8 minutes.  The Paramedic is partnered with an AEMT, and a BLS fire department engine crew is dispatched with an ambulance. The patient is located inside the residence bedroom. It’s a clear spring afternoon, and the temperature is 88°F (31°C). A small hospital is located 15 minutes away, and the nearest comprehensive medical facility is 30 minutes away. Scenario: Scene The patient (7.8 pounds) is being carried by the mother with umbilical cord still attached. The family member states the patient was just born 5 minutes ago and was not responding. Mother states this her third child being born at home and had no prior complication throughout the pregnancy. The pregnancy history of 39-week gestation, gravida 3, parity 2, and 0 abortions. Mother has no prior medical history, and prenatal care is up to date, and no complications were foreseen until delivery. The newborn was delivered in bed with no visible movement and no crying heard. The patient’s skin has central cyanosis and wet. Patient seems to be unresponsive; does not obey motor commands. Eyes are closed, and the pupils are 3 mm and reactive to light. The vital signs are Pulse 0 and Resp 0. SceneWhat is the priority intervention for the neonate? 

Read the following OB patient histories and match them to the correct Gravida (G), Parity (P), and Abortions (A) classification 

Match the following neonate weights (Column A) with the correct epinephrine dose (Column B) for IV/IO administration. Epinephrine concentration 1mg/10mL

Scenario: Enroute  You are dispatched to a home birth for a 30-year-old woman who has just delivered a healthy baby. Shortly after delivery of the placenta, she begins experiencing heavy vaginal bleeding. She is pale, diaphoretic, and becoming tachycardic.   Scenario: Post scene  Despite fundal massage, the patient continues to bleed. You have started IV fluids. What medication should be administered next to control the hemorrhage?  

A nurse is caring for a pregnant client who reports daily opioid use prior to pregnancy and is now requesting help. Which nursing response is most appropriate?

A nurse is preparing to administer a tocolytic medication to a client at 30 weeks’ gestation experiencing preterm labor. Which assessment finding would contraindicate the use of tocolytics?

When a woman is diagnosed with postpartum depression (PPD) with psychotic features, what is the nurse’s primary concern in planning the client’s care?

A nurse is reviewing the records of four pregnant clients. Which client findings are most consistent with Preeclampsia?

A nurse is reviewing the 3-hour oral glucose tolerance test (OGTT) results for a 28-week pregnant client. The results are: Fasting: 96 mg/dL 1-hour: 182 mg/dL 2-hour: 156 mg/dL 3-hour: 138 mg/dL The provider diagnoses Gestational diabetes mellitus. Which statement by the client indicates a need for further teaching?

Nurses should be aware of the strengths and limitations of various biochemical assessments during pregnancy. Which statement regarding monitoring techniques is the most accurate?