The nurse is monitoring a client at 39 weeks' gestation receiving oxytocin for labor induction. What finding requires the nurse to stop the infusion?

Correct Answer: B

Rationale: Contractions lasting longer than 90 seconds indicate uterine hyperstimulation and can compromise fetal oxygenation.

Correct Answer: B

Rationale: hCG is a hormone secreted by the fertilized egg shortly after implantation. It signals the body to maintain the corpus luteum, which produces progesterone essential for sustaining the early stages of pregnancy.

Correct Answer: C

Rationale: Newborns are born with low levels of vitamin K, essential for blood clotting.

Correct Answer: C

Rationale: The nurse should notify the provider for the client who is receiving magnesium sulfate and has absent deep tendon reflexes. Absent deep tendon reflexes are a sign of magnesium toxicity, which can lead to serious complications such as respiratory depression, cardiac arrest, and death. Prompt intervention by the provider is necessary to adjust the magnesium sulfate dosage and prevent further harm to the client.

Correct Answer: B

Rationale: Bright red bleeding and sudden pain suggest abruptio placentae, requiring urgent intervention.

Correct Answer: B

Rationale: Folic acid is essential for preventing neural tube defects like spina bifida during early fetal development.

Correct Answer: B

Rationale: Rho(D) immune globulin prevents the mother's immune system from attacking Rh-positive fetal red blood cells.

Correct Answer: A

Rationale: Frequent urination and back pain at 36 weeks may indicate preterm labor and require further assessment.

Correct Answer: C

Rationale: