Obstetrics 5

A 28-year-old pregnant woman at 32 weeks gestation presents to the labor and delivery unit with complaints of abdominal cramping and lower back pain. On examination, her cervix is dilated 2 cm, 50% effaced, and she is experiencing contractions every 8 minutes. Fetal monitoring reveals regular uterine contractions and a fetal heart rate of 140 beats per minute. Which of the following interventions should the nurse prioritize?

A 34-year-old pregnant woman at 30 weeks gestation is diagnosed with preterm premature rupture of membranes (PPROM). The patient is stable and not experiencing contractions. What is the most appropriate nursing intervention for this patient

A 32-year-old pregnant woman at 32 weeks gestation presents to the labor and delivery unit with a complaint of a gush of fluid from her vagina. Upon examination, it is confirmed that her membranes have ruptured, and she is diagnosed with preterm premature rupture of membranes (PPROM). The patient is not experiencing contractions, and fetal monitoring shows no signs of distress. What is the most appropriate nursing intervention for this patient?

A 29-year-old pregnant woman at 34 weeks gestation presents to the labor and delivery unit with a complaint of abdominal cramping and contractions every 6 minutes. Upon examination, it is determined that she has preterm premature rupture of membranes (PPROM). Fetal monitoring shows a reassuring fetal heart rate pattern. What is the most appropriate nursing intervention for this patient?

A 26-year-old pregnant woman at 30 weeks gestation is admitted to the labor and delivery unit with a diagnosis of preterm premature rupture of membranes (PPROM). The patient is not experiencing contractions, and fetal monitoring shows a reassuring fetal heart rate pattern. What should be included in the patient's plan of care?

A 30-year-old pregnant woman at 39 weeks gestation is admitted to the labor and delivery unit with a fever, uterine tenderness, and foul-smelling amniotic fluid. The fetal heart rate is elevated, and the patient is diagnosed with chorioamnionitis. Which nursing intervention should take priority for this patient?

A 28-year-old pregnant woman at 36 weeks gestation presents to the labor and delivery unit with abdominal pain, fever, and a foul-smelling vaginal discharge. After assessment, the nurse suspects chorioamnionitis. What laboratory finding is most consistent with this diagnosis?

A 32-year-old pregnant woman at 41 weeks gestation is admitted to the labor and delivery unit in active labor. Her vital signs are stable, but she has a fever of 101.5°F (38.6°C). The fetal heart rate tracing is reassuring. The nurse suspects chorioamnionitis. What additional clinical manifestations should the nurse assess for in this patient?

A 32-year-old pregnant woman presents to the labor and delivery unit at 38 weeks gestation with a fever of 101.5°F (38.6°C), uterine tenderness, and foul-smelling amniotic fluid. Her vital signs are stable, and fetal heart rate monitoring reveals a baseline heart rate of 140 bpm with reassuring variability. Which of the following interventions is the priority for the nurse to implement?

A 24-year-old primigravida at 39 weeks gestation is admitted to the labor and delivery unit with suspected chorioamnionitis. Which maternal and fetal assessments should the nurse prioritize when caring for this patient?

A postpartum nurse is providing discharge instructions to a new mother who had chorioamnionitis during labor. Which statement by the mother indicates a need for further education?

A pregnant patient with a history of incompetent cervix is at 24 weeks gestation. She reports a sensation of pelvic pressure and mild low back pain. On examination, the nurse observes cervical dilation to 2 cm. What is the nurse's most appropriate action?

A pregnant patient with a history of incompetent cervix is admitted to the labor and delivery unit with contractions and cervical dilation at 4 cm. The healthcare provider has decided to perform a cervical cerclage. What should the nurse monitor for during and after the procedure?

A pregnant woman at 30 weeks gestation is expecting twins. She presents to the antenatal clinic with complaints of uterine contractions. On examination, the nurse observes that the cervix is effaced and dilated to 2 cm. The fetal heart rates are within the normal range. What is the nurse's priority action?

A woman pregnant with quadruplets is scheduled for a cesarean section at 34 weeks gestation due to concerns about fetal well-being and limited uterine space. What nursing intervention is essential to prevent respiratory distress syndrome (RDS) in the quadruplets after birth?

A pregnant woman at 10 weeks gestation presents to the antenatal clinic with complaints of severe nausea and vomiting, which has resulted in significant weight loss and dehydration. She is unable to keep any food or fluids down. What is the nurse's initial priority when caring for this patient?

A pregnant woman with hyperemesis gravidarum is admitted to the hospital for treatment. Which interventions should the nurse include in the plan of care to manage this condition? Select all that apply.

A pregnant woman with hyperemesis gravidarum has been hospitalized for several days and is receiving IV fluids and nutrition. She reports feeling weak and dizzy when sitting up or standing. Her blood pressure is 90/60 mm Hg, and her heart rate is 110 bpm. What is the nurse's priority action?

A 28-year-old pregnant woman with a history of a previous preterm birth is at 18 weeks gestation. She presents with a sensation of pressure in the pelvic area and mild lower abdominal cramping. On examination, her cervix is found to be dilated 2 cm and effaced. What is the most appropriate nursing intervention for this patient?

A 30-year-old pregnant woman with a history of cervical incompetence is at 20 weeks gestation. She presents to the obstetric clinic with vaginal pressure and intermittent spotting. On examination, her cervix is dilated 3 cm and effaced. The provider determines that a cerclage is necessary. What instructions should the nurse provide to the patient before and after the cerclage procedure?

A 32-year-old pregnant woman at 33 weeks gestation presents to the labor and delivery unit with a complaint of a gush of fluid from her vagina. Upon examination, it is confirmed that her membranes have ruptured, and she is diagnosed with preterm premature rupture of membranes (PPROM). The patient is not experiencing contractions, and fetal monitoring shows no signs of distress. What is the most appropriate nursing intervention for this patient?

A 26-year-old pregnant woman at 28 weeks gestation is admitted to the labor and delivery unit with abdominal pain and regular contractions. Fetal monitoring reveals a non-reassuring fetal heart rate pattern, and it is confirmed that her membranes have ruptured. The patient is diagnosed with preterm premature rupture of membranes (PPROM). What is the priority nursing action in this situation?

A 28-year-old pregnant woman is pregnant with triplets and is at 28 weeks gestation. She is experiencing severe abdominal pain and uterine contractions. On examination, the nurse notes that the patient's uterus is tense and contracting regularly. The fetal heart rates of all three fetuses are within the normal range. What is the most appropriate nursing action in this situation?

A 25-year-old pregnant woman, at 12 weeks gestation, is admitted to the hospital with severe nausea and vomiting. She has lost 5% of her body weight since the beginning of her pregnancy and reports difficulty keeping any food or fluids down. Her vital signs are stable, and laboratory tests show elevated urine ketones. What is the most appropriate nursing intervention for this patient

A 29-year-old pregnant woman at 10 weeks gestation presents to the clinic with complaints of persistent nausea and vomiting. She has lost 3% of her body weight since becoming pregnant and reports difficulty eating and drinking. The provider diagnoses her with hyperemesis gravidarum. Which nursing action is most appropriate for managing this patient's symptoms?

A 28-year-old pregnant woman with gestational diabetes mellitus (GDM) is at 32 weeks gestation. She has been monitoring her blood glucose levels as instructed by her healthcare provider. Today, she reports consistently elevated fasting blood glucose levels despite adhering to her dietary and exercise regimen. What should the nurse recommend as the next step in managing the patient's GDM?

A 34-year-old pregnant woman with pre-existing type 1 diabetes mellitus is at 26 weeks gestation. She has been diligently managing her diabetes throughout pregnancy. During a routine prenatal visit, the provider notes that her hemoglobin A1c level is within the target range. What is the significance of achieving target hemoglobin A1c levels in pregnant women with diabetes?

A 28-year-old pregnant woman at 32 weeks gestation presents to the labor and delivery unit with a blood pressure of 160/100 mm Hg, proteinuria, and severe headache. She is diagnosed with preeclampsia with severe features. What is the most appropriate nursing intervention for this patient?

A 30-year-old pregnant woman at 36 weeks gestation is admitted to the labor and delivery unit with elevated blood pressure, proteinuria, and edema in her lower extremities. She is diagnosed with gestational hypertension. What nursing assessment should be a priority for this patient?

with painless, bright red vaginal bleeding. Fetal monitoring shows no signs of distress, and the patient's vital signs are stable. On examination, the healthcare provider suspects placenta previa. What is the most appropriate nursing intervention for this patient?

A 28-year-old pregnant woman at 30 weeks gestation is admitted to the labor and delivery unit with abdominal pain and contractions. On examination, the healthcare provider diagnoses her with placental abruption. The fetal heart rate tracing shows late decelerations. What is the priority nursing action in this situation?

A 28-year-old woman with a positive pregnancy test comes to the emergency department with sudden, severe right lower abdominal pain and vaginal spotting. She has a history of previous ectopic pregnancy. On examination, she appears pale, and her vital signs are stable. What is the priority nursing action for this patient?

A pregnant woman carrying triplets is at 32 weeks gestation and reports excessive weight gain, swelling in her legs, and shortness of breath. On assessment, the nurse notes elevated blood pressure, proteinuria, and generalized edema. What complication should the nurse suspect, and what should be the initial action?