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1. A client at 37 weeks gestation presents to labor and delivery with contractions every two minutes the nurse observes several shallow small vesicles on her pubis labia and perineum. the nurse should recognize the clients is prohibiting symptoms of which condition? 1. German measles 2. herpes simplex virus 3. syphilis 4. genital warts
15. A primigravida arrives at the observation unit of the maternity unit because she thinks she is
in labor. the nurse applies the external fetal heart monitor and determines she is not in labor.
What makes the nurse realize she is not in labor?
Contractions stop when the client is walking
16. A primigravida client with gestational hypertension and bishop score of 3 is scheduled for
induction of labor. the nurse administers misoprostol at 0700 then observes regular contractions
with cervical changes at 0900 which action should the nurse take?
- Administer oxytocin 4 hours later
17. A multigravida client in labor is receiving oxytocin Pitocin 4mu/minute to help promote an
effective contraction pattern. The available solution is Lactated Ringers 1,000 ml with Pitocin
20 units. The nurse should program the infusion pump to deliver how many ml/hr?
12
18. The nurse is caring for a client whose fetus died in utero at 32 weeks gestation. After the
fetus is delivered vaginally, the nurse implements routine demise protocol and identification
procedures. What action is most important for the nurse to take?
Encourage the mother to hold and spend time with her baby
19. Following a minor vehicle collision, a client 36 weeks gestation is brought to the
emergency center. She is lying supine on a backboard , is awake , denies any complaints. Her
blood pressure is 80/50 mm Hg and heart rate is 13
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