Question 1 of 5.

Extract:The nurse is caring for a 31-year-old female client. Item 5 of 5 Nurses' Notes 1300 Client is a 31-year-old G2P2 who delivered a healthy female infant (7 lb 14 oz) at 39 weeks gestation via spontaneous vaginal delivery. Labor was augmented with oxytocin, and the estimated blood loss at delivery was 400 mL. She was GBS positive and received appropriate antibiotic treatment during labor. Her obstetric history includes anemia during pregnancy and a prior vacuum-assisted delivery complicated by a retained placenta. At approximately one hour postpartum, the fundus is firm and midline at the level of the umbilicus, and lochia is moderate rubra. A second-degree perineal laceration was repaired with 2-0 vicryl. However, the client reports feeling light-headed, appears pale, and her peripad is saturated within 20 minutes. 1315 Client appears diaphoretic and states “I feel dizzy and something is wrong.” On assessment, fundus is boggy, above the umbilicus, lochia is heavy, with large clots noted. 1350 Foley catheter placed without complication, pt tolerated well. Fundus remains boggy with moderate rubra bleeding. 1430 The fundus remains boggy, 2cm above the umbilicus despite massage and initiation of oxytocin. Lochia is heavy and rubra with persistent large clots. Client reports “I am starting to see stars!” Urine output at 20 mL in the last hour. Orders 1445 • Lactated ringers 250 mL/hr, x 1 liter • Oxytocin 10 units IM x 1 STAT, then start Oxytocin infusion: 20 units in 1,000 mL Lactated Ringer's IV, run initially at 200 mL/hr

The nurse recognizes that the next action to take is to

Question 2 of 5.

The nurse is caring for a client in the third trimester of pregnancy. Which of the following assessment findings would be expected? Select All That Apply.

Question 3 of 5.

Your pregnant client has been hospitalized with hyperemesis gravidarum. She is given ondansetron to treat this illness. What serious side effects should the hospital nurses be watching for?

Question 4 of 5.

The nurse is performing an obstetrics history on a client who is pregnant at 25 gestational weeks. The client reports giving birth to twins at 31 weeks of gestation. She had a stillborn infant at 23 weeks gestation and a spontaneous abortion at 12 weeks gestation. The nurse is correct in documenting her GTPAL as

Question 5 of 5.

The nurse is caring for a pregnant client who has a rubella infection. Which of the following issues is the client's fetus at risk of developing? Select all that apply.