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A preterm labor client at 30 weeks' gestation reported rupture of membranes 4 hours ago. This was confirmed on examination. The nurse prepares to administer IM dexamethasone. When the client asks why she is receiving the drug, the nurse replies:

A preterm labor client at 30 weeks' gestation reported rupture of membranes 4 hours ago. This was confirmed on examination. The nurse prepares to administer IM dexamethasone. When the client asks why she is receiving the drug, the nurse replies:

In which of the following situations should a nurse report a possible deep vein thrombosis (DVT)?

A patient who is pregnant expresses a desire to attempt a vaginal delivery after a cesarean birth 2 years before.
The primary care provider (PCP) initiates trial of labor after cesarean (TOLAC) and vaginal birth after cesarean (VBAC) screening.

While you are taking Monique's vital signs and performing a postpartum assessment 4 hours after delivery, she tells you she is feeling lightheaded. She has a history of chronic hypertension and obesity.

Her vital signs are blood pressure 85/57 mm Hg, pulse 132, respirations 28, oxygen saturation 94%. Her uterus is boggy at midline, 1 cm above the umbilicus.
What would be your next steps and anticipated orders?

The primary healthcare provider for a client at 38 1/7 weeks' gestation calls the labor and delivery suite to schedule an induction for the next day. The client is having no medical or pregnancy complications.
Which of the following responses by the nurse would be appropriate?

Mia is a G7P6 who is 39 weeks and 2 days. She has come to obstetrics (OB) triage complaining of contraction pain every 3 to 5 minutes, has a large amount of bloody show, and tells you her last two deliveries took about 2 hours.
What would you expect her diagnosis to be and what would be your next step?

There are four clients in active labor in the labor suite.
Which of the clients should the nurse monitor carefully for a potential uterine rupture?

When assisting with a vacuum-assisted vaginal delivery, the nurse is aware that adherence to which guidelines for the vacuum device will minimize the nurse's liability in vacuum-assisted vaginal births? Select all that apply.

The nurse is assessing a patient who is a G5P5005 and delivered vaginally four hours ago. The patient's labor history includes a 16-hour oxytocin induction for a macrosomic infant.

Assessment findings include a firm uterus and a completely saturated peri pad with the presence of blood clots.
What does the nurse identify as the most likely cause for the increased bleeding?

Which of the following physical findings would lead the nurse to suspect that a client who has pre-eclampsia with severe features has developed HELLP syndrome? Select all that apply.