NURS 4341 Maternal Newborn Proctored Exam

The nurse is assuming care of a laboring patient receiving Pitocin via 500 milliliters Ringers Lactate with 20 units Pitocin. The pump is set at 16 milliliters per hour. How many milliunits (mu) is th

A nurse is assessing a client with a history of hypertension who is admitted to the labor and delivery unit. Which finding would be most concerning to the nurse?

A nurse is caring for a client with Preterm Premature Rupture of Membranes (PPROM) at 32 weeks gestation. Which medication is the most appropriate to administer to the client to enhance fetal lung mat

A nurse is assisting in a vaginal delivery of a newborn infant. About 8 minutes after delivery, the nurse witnesses the lengthening of the umbilical cord and a gush of blood from the vaginal area. The

A client presents to Labor and Delivery triage stating she is full term and has been having strong, regular contractions for 5 hours at home. The client appears to be shaking, appears anxious and cryi

Nurses should be aware that induction of labor:

A patient presents to the labor unit from the clinic with admission orders. The physician has prescribed an intravenous infusion of Pitocin (oxytocin). The nurse ensures that which of the following is

You are working in Labor and Delivery triage when you receive a phone call from a patient asking about when they should come to the hospital. You recognize the differences between a primigravida and a

When a triage nurse is distinguishing between true and false labor, she recognizes true labor is defined by:

Cervidil (dinoprostone) has been ordered for a pregnant woman at 42 weeks of gestation. The nurse recognizes that this medication will be administered to:

Normal signs that precede labor may include:

A gravida 3, para 2 at term requires labor augmentation with a Pitocin (oxytocin) drip. After initiating and titrating the Pitocin (oxytocin) drip for two hours according to hospital protocol, the nur

You are assuming care of your laboring patient with preeclampsia. She just completed a 4 gm Magnesium Sulfate bolus and now you need to give the following order: maintenance dose of Magnesium Sulfate

Which of the following is the priority nursing action in a plan of care for a 39+5 week patient with premature rupture of membranes (PROM)?

The nurse would be alerted for possible placental abruption during labor when her medical history reveals which of the following?

A G2P1 patient with a history of a previous c-section is undergoing a trial of labor. She has been in labor for 16 hours and her last cervical exam was 7/100%/+1. The client becomes restless, anxious

A woman with preterm labor is receiving magnesium sulfate for neuroprotection of the fetus. Which finding would require the nurse to intervene immediately?

The nurse has received a report about a woman in labor. The woman's last vaginal examination was recorded as 2 cm, 20%, and -2. The nurse's interpretation of this assessment is that:

A pregnant woman came into the triage unit with complaints of bright red bleeding. She is admitted to the hospital with a diagnosis of placenta previa. Which of the following would be the priority for

A woman is receiving magnesium sulfate as part of her treatment for severe preeclampsia. The nurse is monitoring the woman's serum magnesium levels. Which level would the nurse identify as therapeutic

Upon providing education to a woman who underwent a Dilation and Curettage (D&C) for a hydatidiform mole (molar pregnancy), the woman inquires about the rationale for avoiding pregnancy for the next 1

The nurse activates the CODE button when the patient begins exhibiting signs and symptoms of Anaphylactoid Syndrome of Pregnancy (amniotic fluid embolism). Which findings would the nurse most likely a

A nurse is providing care to several pregnant women at the clinic. The nurse would screen for Group B Streptococcus (GBS) infection in a client at:

A 26-year-old pregnant woman, gravida 2, para 1-0-0-1 is 28 weeks pregnant when she experiences bright red, painless vaginal bleeding. She states she has had no prenatal care so far this pregnancy. On

The labor of a pregnant woman with preeclampsia is going to be induced. Before initiating the Pitocin (oxytocin) infusion the nurse reviews the woman's latest laboratory test findings which reveal a p