A nurse suspects concealed abruption in a patient with minimal vaginal bleeding. Which finding supports this?

A client at 37 weeks with gestational hypertension suddenly reports visual halos. Which complication is emerging?

A patient on magnesium sulfate has DTRs 0 and respirations 10. What is the immediate priority?

A client with placenta previa begins heavy bleeding. What is the nurse’s FIRST action?

A newborn of a diabetic mother becomes cyanotic after feeding. Which complication is suspected?

A nurse notes late decelerations despite repositioning. What is the next action?

Which postpartum finding suggests retained placental fragments?

A client at 34 weeks with preeclampsia has platelets 58,000. Which intervention is CONTRAINDICATED?

Fetal tachycardia with minimal variability most likely indicates:

A diabetic pregnant client has polyhydramnios. What is the fetus at highest risk for?

A client in active labor has sudden chest pain and dyspnea. What is suspected?

Priority assessment after artificially rupturing membranes:

A client receives terbutaline. Which finding requires immediate reporting?

A laboring patient has persistent variable decelerations. What is the next action after repositioning?

A postpartum client with saturated pad in 10 minutes and cool, clammy skin requires which FIRST?

A client with suspected uterine rupture may exhibit:

A patient with severe preeclampsia is receiving magnesium and becomes unresponsive. Vital signs stable. Next action?

A laboring patient with epidural suddenly develops profound hypotension. Priority?

A newborn of diabetic mother with jitteriness and weak cry should receive:

Maternal O-negative, infant O-positive. When must Rhogam be administered?

Which fetal strip requires immediate delivery?

The presence of meconium in amniotic fluid with late decelerations indicates:

A client has persistent right upper quadrant pain and increasing AST/ALT levels. This is consistent with:

Which medication should NOT be used for PPH in a hypertensive client?

Which labor position best improves fetal oxygenation?

Which newborn assessment suggests maternal magnesium exposure?

A prolapsed cord is suspected when:

Which action is PRIORITY when late decelerations appear?

A client reports decreased fetal movement at 38 weeks. First action?

A diabetic pregnant client has an A1C of 10%. The newborn is MOST at risk for:

The nurse notes an FHR baseline of 170 with minimal variability. Priority?

A patient in transition phase begins hyperventilating. What should the nurse do?

A postpartum mother with firm uterus and bright red spurting blood requires evaluation for:

A laboring client suddenly reports intense fetal movement loss. Priority?

A fetus at +3 station with variable decels requires:

A nurse notes absent variability. Which is the PRIORITY assessment?

MgSO4 should be discontinued if respirations fall below:

A laboring client on Pitocin develops tetanic contractions. First action?

A newborn is pale, tachycardic, and has poor perfusion after birth to a diabetic mother. This suggests:

A patient with suspected PREVIA arrives with stable vitals. What diagnostic confirms it safely?

Which sign suggests impending seizure in preeclampsia?

A laboring client’s cervix stops dilating for 4 hours despite strong contractions. Priority?

A patient with epidural is unable to move legs and BP is 78/42. First action?

A fetus with recurrent variable decels needs:

A postpartum patient develops a boggy uterus despite massage. Next action?

Which medication is appropriate for uterine inversion?

Which prenatal sign requires immediate reporting at 30 weeks?

A fetus with no variability and recurrent lates requires:

Patient in second stage suddenly develops severe abdominal pain, loss of contractions, and fetal bradycardia. Suspect:

A client receiving magnesium sulfate has a level of 9 mg/dL. Which assessment finding is MOST concerning?

A patient with preeclampsia begins to have epigastric pain radiating to the shoulder. What should the nurse anticipate?

A laboring client with epidural anesthesia shows a prolonged deceleration. First action?

Which newborn assessment warrants immediate intervention?

A patient with abruptio placentae is at high risk for:

A nurse notes fetal late decelerations after epidural placement. What is the likely cause?

A postpartum client reports severe perineal pain and a firm uterus. Suspect:

A newborn has a high-pitched cry, tremors, and poor feeding. Which maternal condition is likely?

A nurse observes a sinusoidal fetal pattern. Priority action?

Which maternal condition increases risk of shoulder dystocia?

A patient at 36 weeks reports gush of fluid followed by greenish discharge. First priority?

A postpartum client with tachycardia, hypotension, and clear lungs is likely experiencing:

A laboring client states, “My contractions suddenly stopped.” Fetal station rises. Suspect:

A nurse palpates a boggy fundus shifted to the left. Intervention?

A diabetic mother’s newborn with hematocrit 74% is at risk for:

Which finding indicates fetal distress?

A nurse notes the umbilical cord emerging from the vagina. Immediate action?

A client with preeclampsia has a urine protein of +3. Which other symptom strongly correlates with severe disease?

A postpartum client’s fundus is firm but above umbilicus. What is the likely cause?

A nurse must intervene when a student nurse does which action during a postpartum hemorrhage?

A laboring client is 10 cm dilated but refuses to push. Priority?

Which maternal condition increases risk of PPH?

A newborn of diabetic mother presents with respiratory distress. Suspect:

A client receiving Pitocin develops late decels. Which action takes priority?

Which finding requires immediate intervention in a newborn?

A client in labor suddenly develops chest pain, dyspnea, and cyanosis. The nurse suspects:

A client at 40 weeks has oligohydramnios. The fetus is at risk for:

A high-risk patient is on continuous magnesium infusion. Which is the BEST indicator therapy is effective?

A client in labor with HIV should avoid:

Which situation requires immediate delivery?

Patient reports decreased fetal movement at 32 weeks. The nurse first:

A diabetic mother’s newborn is at greatest risk for:

Which maternal BP requires immediate intervention?

A postpartum patient reports dizziness while standing. What is the nurse’s FIRST action?

A client with PROM has temp 100.8°F, fetal tachycardia, and foul fluid. Suspect:

A newborn presents with poor muscle tone, low RR, and lethargy after maternal magnesium infusion. Initial action?

While assessing a prolapsed cord, the nurse should avoid:

A nurse notes blood pressure 90/50, pulse 140, and firm fundus. Priority?

Which newborn is at highest risk for hypoglycemia?

A patient in active labor suddenly complains of severe periumbilical pain. FHR drops to 70. Suspect:

A patient with preeclampsia reports sudden swelling of face and hands. Priority assessment?

Which medication is safest for PPH in an asthmatic patient?

A postpartum client unable to void and with fundus 2 cm above umbilicus likely needs:

A newborn’s blood glucose is 28 mg/dL. Priority?

The nurse notes variable decelerations every contraction. Immediate action?

A patient with placenta previa begins contracting every 2 minutes. Priority?

A postpartum patient develops tachycardia and faintness 6 hours after birth. Fundus firm. Suspect:

A newborn born through meconium-stained fluid is apneic. Priority?

A client with diabetes has polyuria, polydipsia, and ketones in urine at 34 weeks. First action?

Which fetal tracing requires immediate maternal repositioning?