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A nurse is reinforcing teaching with a client who is at 38 weeks of gestation and has a positive group B streptococcus B-hemolytic screening.

Which of the following medications should the nurse discuss as the prophylaxis treatment during labor for this client?

A nurse is contributing to the plan of care for a client who is in early labor and reports low-back pain during contractions. Which of the following interventions should the nurse include in the plan?

A nurse is reinforcing teaching about perineal care to a client who is 2 hours postpartum and has an episiotomy and hemorrhoids. Which of the following statements by the client indicates understanding of the teaching?

A nurse is reinforcing teaching with a client who is in the first trimester of pregnancy about increasing their intake of foods that are high in folate. Which of the following should the nurse recommend as the food with the highest folate content?

Which of the following symptoms should the nurse recognize as a manifestation of neonatal abstinence syndrome?

A nurse is contributing to the plan of care for a client who is postpartum and has mastitis. Which of the following actions should the nurse plan to take?

A nurse is assisting with the care of a postpartum female client who delivered vaginally 8 hours ago in the maternity unit.

Exhibit 1: Vital Signs

0700:

• Temperature: 36.2°C (97.2°F)
• Heart rate: 80/min
• Respiratory rate: 16/min
• Blood pressure: 136/82 mm Hg

1100:

• Temperature: 37.2°C (99.0°F)
• Heart rate: 85/min
• Respiratory rate: 18/min
• Blood pressure: 136/86 mm Hg
• Pulse oximetry: 99%

Exhibit 2: Nurses' Notes

0700: The client's breasts were soft, and nipples were intact. The uterus was palpated as firm, midline, and at the level of the umbilicus. There was a moderate amount of lochia rubra. The episiotomy site was well approximated with mild edema and ecchymosis. The client reported pain as 2 on a scale of 0 to 10. She was able to void spontaneously, with no bladder distention. Deep tendon reflexes were 1+. Peripheral edema was 2+ in bilateral lower extremities.

1100: The client's breasts remained soft, and nipples were intact. The uterus was palpated as soft with lateral deviation and 1 cm above the umbilicus. There was a large amount of lochia rubra. The episiotomy site was well approximated with mild edema and ecchymosis. The client reported pain as 3 on a scale of 0 to 10. Deep tendon reflexes were 1+. Peripheral edema was 2+ in bilateral lower extremities.

Querry

Select the 3 findings that require immediate follow-up.

A nurse is reinforcing discharge teaching with a client who is pregnant and was treated for a urinary tract infection. Which of the following should the nurse include in the discharge instructions? (Select all that apply.)

A nurse is caring for a client who is postpartum and has inverted nipples. Which of the following actions should the nurse take?

A nurse is reinforcing teaching about risk factors for preeclampsia with a group of clients who are pregnant. Which of the following risk factors should the nurse include in the teaching?

A nurse is assisting with the care of a 30-year-old female client who is scheduled to receive a dose of dinoprostone in the maternal newborn unit.

Exhibit 1: Vital Signs

• Heart rate: 88/min
• Temperature: 37.1°C (98.8°F)
• Respiratory rate: 16/min
• Blood pressure: 122/78 mm Hg

Exhibit 2: Provider Prescriptions

• Levothyroxine 100 mcg PO once daily in PM
• Acetaminophen 325 mg PO every 6 hr PRN
• Dinoprostone 10 mg intravaginally x one dose now
• Terbutaline 2.5 mcg/min intravenous per provider's instructions

Exhibit 3: Laboratory Results

• WBC count: 9,500/mm³ (Normal: 5,000 to 15,000/mm³)
• Hgb: 10.5 mg/dL (Normal: greater than 11 mg/dL)
• Hct: 31% (Normal: greater than 33%)
• Platelets: 225,000/mm³ (Normal: 150,000 to 400,000/mm³)
• Blood Type/Rh: O+

Exhibit 4: Assessment

The fetal heart rate is 140/min with moderate variability, and mild uterine irritability is noted. The abdomen is soft and nontender upon palpation. Cervical examination reveals dilation of 1 cm, thickness, and no presenting part palpable. An ultrasound shows a footling breech presentation. There are clusters of lesions noted on the vaginal introitus and labia majora.

Exhibit 5: History and Physical

The client is gravida 2 para 1, with a previous vaginal delivery. She has a history of hypothyroidism and Herpes simplex virus type 2. She is currently undergoing labor induction at 39 weeks and 3 days of gestation.

Querry

For which of the following findings should the nurse anticipate a provider's prescription to withhold the dinoprostone? Select all that apply.