1. A 26-week gestation primigravida who is carrying twins is seen in the clinic today. Her final height is measured at 29 cm. Based on these findings, what action should the nurse implement? • notify the HCP of the finding • schedule the client for a biophysical profile • document the finding in the medical record • request another nurse measure the fundus 2. A client at 34 weeks gestation is scheduled to travel for business using a commercial airline. Which instruction is most important for the nurse to provide this client? • explore the availability of medical care at the destination site • request an aisle seat in a row that is not designated as an exit row * • perform ankle flexion and extension several times throughout the trip • wear non-constricting clothing to prevent edema of the feet and hands 3. Following a precipitous labor, a postpartum client has a continuous trickling of bright redblood from her vagina. Her uterus is firm, and her vital signs are within normal limits. The nurse determines that this sign may indicate which condition? a. expected course in the fourth stage of labor b. a full urinary bladder c. early postpartum hemorrhage d. the laceration on the cervix * 4. The nurse is caring for a newborn who is 18 inches long, weighs 4 pounds, 14 ounces, has a head circumference of 13 inches and a chest circumference of 10 inches. Based on these physical findings, assessment for which condition has the highest priority? • Hyperthermia • polycythemia • hyperbilirubinemia • hypoglycemia 5. A postpartum client who is Rh-negative refuses to receive Rho(D) immune globulin (RhoGAM) after delivery of an infant who is Rh-positive. Which information should thenurse provide this client? • RhoGAM is not necessary unless all her pregnancies are Rh-positive • RhoGAM prevents maternal antibody formation for future Rh-positive babies • the mother should receive RhoGAM when the baby is Rh-negative