Maternal A

A nurse in a providers office is reviewing laboratory results for a group of clients

1 hr oral glucose tolerance tset results of 145 mg/dL

A nurse is reinforcing teaching about food sources that are high in folate with group of pregnant women. Which of the following foods should the nurse recommend to this group as the best source of folate

1/2 cup dried peas

A nurse is preparing to administer ferrous sulfate 1,200 mg PO daily in three divided doses to a client who is unable to swallow tablets. The amount available is ferrous sulfate oral solution 220 mg/5mL. round to whole #

27 Step 1- what is the unit of measurement to calculate? --> mL Step 2- what is the dose to administer? Dose to administer = desired --> 1,200 mg Step 3- what is the dose available? Dose available= have --> 220mg Step 4- should the nurse convert the units of measurement? --> no Step 5- What is the quantity of the dose available? --> 5mL Step 6- set up equation and solve for X. Have over quantity = desired over X 220 mg/5mL = 1200mg/XmL X= 27.3 Step 7- round if necessary

A nurse is caring for four newborns. Which of the following newborns should the nurse plan for the provider to see first.

A newborn who was born 36 hr ago and has nasal flaring Greater risk of respiratory distress bc nasal flaring is a sign of respiratory distress.

A nurse is reinforcing education about the prevention of newborn abduction with a client who recently delivered. Which of the following statements by the client indicates an understanding of the teaching

An alarm will sound if my babys safety device is removed

A nurse is caring for a client following a cesarean birth. Which of the following actions should the nurse take

Have the client ambulate several times each day

A nurse is reinforcing teaching with a client who is pregnant and will undergo a 1 hr oral glucose tolerance test. Which of the following should the nurse include

Avoid caffeine the morning of the test

A nurse is caring for a client who is 2 hr postpartum. The nurse notes that the clients fundus is located 2 fingerbreadths above the umbilicus, deviated to the right of the midline. and is less firm than previously noted. The nurse should anticipate that this finding is due to which following

Bladder distention

A nurse is collecting data from a newborn who was born to a mother who had gestational diabetes mellitus

Blood glucose 30 mg/dL

A nurse is collecting data from a client who is at 36 weeks of gestation during a prenatal examination.

Blurred vision

A nurse in a providers office is caring for a client who is at 28 weeks of gestation and is to start therapy using nifedipine. Which of the following information should the nurse include when reinforcing teaching with this client

Change positions slowly when taking this medication The use of calcium channel blocker, such as nifedipine, can increase orthostatic hypotension and dizziness

A nurse is caring for a client who is in labor and experiencing respiratory depression following administration of an opioid. Which of the following actions should the nurse take first

Check the clients oxygen saturation first action the nurse should take using the process is to collect data. Therefore, the first action the nurse should perform is to check the client's oxygen saturation.

A nurse is caring for a newborn who is large for gestational age and is exhibiting jitteriness

Check the newborns blood glucose level

A client in the second trimester of pregnancy tells the nurse that she has been very constipated. Which of the following should the nurse recommend

Consume 28 g of fiber per day

A nurse is reinforcing teaching aout newborn safety precautions with a group of a new mother.

Crib slats should be no more than 6.4 cm (2 1/4 in) apart

A nurse is assisting with the care of a client who is postpartum and receiving magnesium sulfate IV by continuous infusion for preeclampsia. Select all that apply

Decreased respiratory rate Decreased level of consciousness Double vision

A nurse is collecting data from client who is primigravida and has hyperthyroidism

Diaphoresis

A nurse is reinforcing teaching with a client who has preeclampsia and is prescribed a 24 hr urine collection for protein

Discard the first urine specimen when beginning the test

A nurse is caring for a client who has a new diagnosis of deep vein thrombosis DVT.

Elevate the clients affected limb

A nurse is caring for a client who has a new prescription for carbopost. Which of the following adverse effects should the nurse monitor for and report to the provider

Fever

A nurse is collecting data from 28 year old client who is requesting a prescription for an oral contraceptive. Which of the following in the clients history is a contraindication for the use of oral contraceptives

Frequent headaches with visual changes

A nurse is collecting data from a client who is in her second trimester. Which of the findings should the nurse report to the provider

Frequent uterine contractions

A nurse is caring for a client who is at 20 weeks of gestation and is in the clinic for a routine prenatal visit. Based on the chart data, which of the following findings should the nurse report to the provider

Fundal height 25 cm (9.8 in)

A nurse is caring for a client 6 hr after vaginal birth who is going to breastfeed her newborn. The client reports perineal pain of 6 on a scale from o to 10. The nurse also notes mild perineal edema and ecchymosis, with fundus that is 2 c above the umbilicus and deviated to the right. Which of the following actions is the nurses highest priority

Help the client ambulate to the toilet

A nurse is monitoring a 1 hr old newborn for hypoglycemia. Select all that apply

Hypothermia Twitching Tachypnea

A nurse is reinforcing teaching about breastfeeding with a client who has a 12 hr old newborn.

I should wake up my baby to feed during the night

A nurse is reinforcing discharge teaching about methods to prevent engorgement during lactation suppression with a client who is bottle feeding her newborn

I will apply cold cabbage leaves to my breasts throughout the day

A nurse in the prenatal clinic is collecting dat from a client who is at 14 weeks of gestation. The nurse should recognize that the client will receive an immunization for which of the following infectious disease

Influenza

A nurse is contributing to the plan of care for a client who has new prescription for medroxyprogesterone

Instruct the client to increase calcium intake while taking this medication

A nurse is preparing to administer phytonadione to a newborn. What is the route of administration for this medication

Intramuscular

A client who is pregnant presents to the prenatal clinic with reports of frequent vomiting. What additional finding should cause the nurse to suspect that this client is experiencing hyperemesis gravidarum

Ketonuria Persistent vomiting and ketonuria indicate development of hyperemesis gravidarum

A nurse is reinforcing teaching with a client who is 30 weeks of gestation and has iron deficiency anemia. Which of the following foods should the nurse indicate as primary sources of iron. Select all that apply

Lentils Oyster Beef liver

A nurse is reinforcing teaching related to air travel with a client in her second trimester of gestation.

Maintain increased hydration with water

A nurse is reinforcing teaching to a client who is breastfeeding a 6 day old newborn

My baby should have at least one stool per day

A client has just completed a nonstress test. The nurse notes 2 FHR accelerations of 15/min over a 20 min period, lasting at least 15 seconds. The nurse recognizes that this indicates which of the following results

Reactive

A nurse is contributing to the plan of care for a client who is postpartum. Which of the following is an indication to administer Rho(D) immune globulin to the client

Rh-negative mother who has an Rh-positive newborn

A nurse is caring for a 12 hr old male newborn who was delivered from a breech position. Which of the following findings should the nurse report to the charge nurse

Skin appears jaundiced nurse should report jaundice within the first 24 hrs of life to the charge nurse. Physiologic jaundice can lead to severe cognitive disorders or hearing loss.

A nurse is assisting with collecting data from a newborn who was born 2 hr ago and has respiratory distress. Which of the following should the nurse report to the provider. Select all that apply

Tachypnea- respiratory rate greater than 60/min and is a clinical manifestation associated with respiratory distress in the newborn. Coarse crackles- associated with respiratory distress. Retractions- substernal retractions are a clinical manifestation associated with respiratory distress in newborns. Expiratory grunting-

A nurse is collecting data from a client who is postoperative following a cesarean birth 24 hr ago. Which of the following findings should the nurse report to the provider

The client has a 2 cm (0.8in) separation of the margins of the incision

A nurse is observing a client bathe her 1 day old newborn. Which of the following actions indicates that the client understands how to bathe her newborn.

The client washes the newborns hair before unwrapping her

A nurse is reinforcing teaching with a client who has a prescription for a triple marker screening at 16 weeks of gestation.

This screening can detect fetal chromosomal abnormalities

A nurse is collecting data from a client who is 32 hr postpartum

Urine output of 3,ooo mL in 24 hr

A nurse on a postpartum unit is contributing to the discharge teaching plan for a client. Which of the following instructions should the nurse include in the plan

Use firm mattress in the crib

A nurse is collecting data from a client who is 1 day postpartum. Which of the following findings should the nurse expect

Voiding spontaneously

A nurse is performing a heel stick on a newborn for blood glucose monitoring. After washing her hands and donning gloves, which of the following actions should the nurse perform next

Warm the newborns heel

A nurse is reinforcing teaching with an adolescent client who is pregnant. The client reports that she drinks 48 oz of caffeinated diet soft drinks a day.

Your caffeine intake may contribute to a miscarriage Consuming more than 200 mg of caffeine per day increases the risk of a miscarriage and intrauterine growth restriction.

A nurse is collecting data from a client who is at 9 weeks of gestation and reports frequent episodes of nausea and vomiting

consume small, frequent meals per day

A nurse is preparing to administer erythromycin ointment to a newborn. Which of the following actions should the nurse plan to take

place a ribbon of medication in the lower conjunctive of each eye

A nurse is reinforcing discharge teaching with a client who has a new diagnosis of mastitis of the left breast. Which of the following interventions should the nurse include in the teaching

pump the affected breast frequently