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A nurse on the postpartum unit is caring for a client who delivered vaginally 3 hr ago. Which of the following manifestations is a possible indication of postpartum hemorrhage?

A nurse in a provider's office is reviewing the medical record of a client who is requesting a diaphragm. Which of the following findings in the client's history should the nurse identify as a contraindication for this type of contraception?

A nurse is caring for a client who asks about the purpose of a Papanicolaou test. Which of the following responses should the nurse make?

A nurse is reinforcing teaching with a client who is breastfeeding and reports nipple soreness. Which of the following recommendations 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.

A nurse is collecting data from a newborn who was delivered at 40 weeks of gestation. Which of the following is an expected finding when eliciting reflexes from the newborn?

A nurse is caring for a client who is at 12 weeks of gestation and has hyperemesis gravidarum. Which of the following manifestations should the nurse expect?

A nurse is caring for a client who is at 39 weeks of gestation and is in active labor.

The nurse notes maternal exposure to rubella during pregnancy. After delivery, the nurse should monitor the newborn for which of the following conditions?

A nurse is caring for a client who had a vaginal delivery 1 day ago. The nurse determines that the client's fundus is firm, located 2 fingerbreadths above the umbilicus, and deviated to the left. Which of the following actions should the nurse take first?

A nurse is assisting with a pelvic examination of a client during their first prenatal visit. Which of the following actions should the nurse take?

A nurse is reinforcing teaching with a client who tested positive for group B streptococcus β-hemolytic (GBS) during a prior pregnancy and is at 30 weeks of gestation. Which of the following statements should the nurse make?