Question 1 of 5.

Extract:The nurse in the antepartum clinic is caring for a 32-year-old female at 30 weeks' gestation. Item 5 of 6 Nurses' Note 1128: Client reports that she is ‘looking forward to her delivery.' She reports occasional foot and ankle swelling while on her legs for prolonged periods. This has become bothersome because her shoes feel tight at the end of the day. She has occasional backache, which is relieved by her doing shoulder circles. She reports that she has been constipated on occasion, and straining causes her to notice little spots of bright red blood after she wipes. She denies any trouble with sleep, but about two weeks ago, her legs became restless at night. Over the past two weeks, she noticed that she had become more tired than usual and that someone mentioned that she looked unusually pale. She also began noticing daily headaches that lasted for a few hours. She also had to stop going to the gym because of what she describes as intense fatigue. Upon assessment, the client appeared pale and had dry skin. She is alert and fully oriented. Clear lung fields bilaterally. S1/S2/S3 heart tones auscultated. Peripheral pulses 2+. Fundal height is 30 cm. Fetal heart rate via Doppler was 134 bpm. She reports that the fetus moves about 10 times per hour. Denies having any vaginal discharge or burning with urination. Vital Signs 1129: • 97.8° F (36.6° C) • P 93 • RR 19 • BP 133/79 • Pulse oximetry reading 98% on room air Progress Notes 1215: Client showing evidence of iron-deficiency anemia. Point of care laboratory test showed a hemoglobin of 8.5 g/dL [10.5 g/dL - 14 g/dL] and low serum ferritin. This is supported by the client's restless legs, headache, fatigue, and pallor.

Which of the following actions should the nurse take?

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.