Chapter 1 OB

Which statement by the client indicates she understands how her newly inserted progestin-release intrauterine system (IUS) works? Select all that apply

"It keeps my cervical mucus thick" "I can expect to see a decrease in menstrual bleeding"

The nurse is reviewing the client's admitted to labor and delivery. Which client is at greatest risk for a postpartum hemorrhage after birth?

A woman on magnesium sulfate for the past 36 hours for preeclampsia and receiving oxytocin to induce labor.

at 32 weeks gestation a woman is diagnosed with a mild placental abruption. The fetus is active and the vaginal bleeding and uterine pain have decreased. The nurse will implement which interventions in the care of this client? Select all that apply.

Assess BP, Place an external fetal monitor, Initiate IV fluids

The nurse is performing a nonstress test (NST) on a client at 36 weeks gestation. The fetal heart rate is between 134 and 140, except for the three times the fetus moved. When the fetus moved the heart rate increased to between 155 and 170. The test was completed in 20 minutes. How would the nurse document the results of this client's NST.

Baseline fetal heart rate 134 to 140, with accelerations, nonstress test reactive.

The nurse is educating a client about an upcoming biophysical profile. What behaviors of the fetus will be assessed by ultrasound examination? Select all that apply.

Fetal breathing movement, Fetal activity, Fetal muscle tone

While reviewing standard obstetric care with a newly pregnant client, the nurse informs her that pregnant women are screened for which complication during the second trimester?

Gestational Diabetes

The nurse is reviewing a client's health history. Which risk factors for placental abruption exist during this pregnancy? Select all that apply.

Maternal age 36, Maternal cigarette smoking, Chronic hypertension

After a postpartum hemorrhage the provider orders methylergonovine maleate 0.2 mg PO every 6 hours. The nurse takes the medication to the client. The client refuses to take the medication and tells the nurse, "It makes my uterus cramp really bad and it hurts too much." Which action by the nurse is best in this situation?

Offer the client pain medication with the methylergonovine maleate.

The nurse examines a woman at 34 weeks gestation who presents to L&D with vaginal bleeding and back pain. Which finding would lead to a diagnosis of placental abruption?

Onset of vaginal bleeding was sudden and painful.

A postpartum hemorrhage emergency is called for a woman who gave birth 45 minutes ago. Which medications does the nurse anticipate will be administered in this situation? Select all that apply.

Oxytocin, Misoprostol, Methylergonovine.

The nurse performs a nonstress test (NST) on a client at 36 weeks gestation. What criteria does the nurse look for on the tracing to determine that the NST is reactive?

Presence of 2 accelerations in 20 minutes

The nurse is reviewing a client's history. Which findings would indicate increased risk for postpartum hemorrhage? Select all that apply.

Previous history of postpartum hemorrhage, current diagnosis of low-lying hemorrhage, Polyhydramnios in current pregnancy

The nurse assessed a client for signs of hypovolemic shock. What signs indicate the presence of hypovolemic shock? Select all that apply.

Restlessness, Tachypnea, Urine output of 20 mL/hr

The nurse is collecting the health history on a newly pregnant 37-year-old client. This client is at increased risk for which gene-mediated complication of the pregnancy?

Trisomy