When late decelerations are noted by the nurse, the first action is to:

• Notify the physician STAT

• Position the client on her left side

• Administer O2 via face mask

• increase the drip rate of the intravenous

In assessing a client with potential eclampsia, which cardinal sign symptom will the nurse assess for?

• weight gain of one pound per week

• concentrated urine

• hypertension

• feeling of lassitude and fatigue

If a client experiences a ruptured ectopic pregnancy, an expected sign or symptom would be:

• elevated blood glucose levels

• sudden excruciating pain in lower abdomen

• sudden hypertension

• Extensive external bleeding

An eclamptic client has been receiving magnesium sulfate IV 8g q 4 hours. What symptom would indicate that the current dose can be continued?

• Absence of deep tendon reflexes

• a respiratory rate of 16 bpm

• urine output of 50 mL over the last 4 hours

• heart skipping a beat

A client is gravida 3 para 2 and is in a labor room. it is determine that the presenting head is at station +3. the appropriate nursing action is to:

• Continuous to observe the client's contractions.

• Check the fetal heart rate for a prolapse cord.

• Prepare for delivery of the baby.

• Check with the physician to see if an oxytocin is warranted.

Pelvic inflammatory disease (PID) is an inflammatory condition of the pelvic cavity and may involve the ovaries, tubes, & vascular system. The nurse explains to the client that the common cause of PID is:

• M. tuberculosis

• Streptococcus

• Staphylococcus

• Gonorrhea

A primigravida, age 36, delivered an 8 lb. 6 oz baby girl by ceasarean section. which one of the following nursing actions would not be included in the client's immediate postoperative care?

• Taking vital signs q 15 minutes for 2 hours

• Checking lochia for amount and color q 15 minutes for 2-3 hours

• Assisting the client to turn, cough, and deep breathe.

• Offering oral fluids q 15 minutes for 2-3 hours.

A client is brought to the maternity unut by her husband. she went into labor at home and, when when the contractions were 4 minutes apart and regular, her physician told her to come to the hospital. Her membranes ruptured spontaneously. all of the following actions are appropriate; the first nursing action is to:

• Check the fetal heart rate

• Check the color of fluid.

• Assess the quantity of fluid.

• Notify the physician

A new mother of a 4-week old infant comes to the clinic complaining of feeling down, sad, having no energy and wanting to cry. The priority intervention is to:

• Notify the family that the mother needs more support.

• Spend extra time talking to the mother to help her express her feelings.

• Notify physician for medication.

• Identify postpartum depression so that appropriate interventions may be made.

An appropriate nursing intervention to help a nursing mother care for cracked nipples would be:

• Applying benzoin to toughen the nipples.

• keeping the nipples covered with warm, moist packs.

• Offering to give the baby a bottle.

• Rub hind milk on nipples.