39. A 24-year-old primigravid woman at 37 weeks' gestation is admitted because of ruptured membranes and contractions for 6 hours. Contractions occur every 3 minutes and last 45 seconds. The fetal heart rate is 140/min. Clear fluid in the vagina tests positive with nitrazine. Which of the following is the most appropriate next step in management? OA) Determination of the pH of the vaginal fluid OB) Ultrasonography to assess amniotic fluid volume OC) Digital examination of the cervix OD) Internal monitoring of the contractions OE) Amniocentesis for fetal maturity

7. The client continues to have uterine con- tractions, and a new order has been writ- ten: magnesium sulfate 4 g IV bolus over 20 minutes, then 1 g/h. The label on the IV bag states "magne- sium sulfate 40 g in 1,000 mL." - What is the rate of flow in mL/h for the bolus dose? - What is the rate of flow in mL/h for the maintenance dose? The client continues to have contractions and her membranes rupture. The follow- ing orders are written: - Discontinue the magnesium sulfate. · Pitocin (oxytocin) 10 units/1,000 mL RL, start at 0.5 mU/min increase by 1 mU/min q20 minutes. · Stadol (butorphanol tartrate) 1 mg IVP stat.

​A newborn is admitted to the nursery following vaginal delivery to a mother with active vaginal herpes. List at least five (5) nursing measures that should be implemented at this time.

What is the difference between the vaginal ring and the IUD? What category does the vaginal ring fit into?