Maternal ATI Mastery Practice

A nurse is providing teaching to a client who is at 40 weeks of gestation and has a new prescription for misoprostol. Which of the following instructions should the nurse include in the teaching?

"I can administer oxytocin 4 hours after the insertion of the medication"

A nurse is teaching a client about a nonstress test. Which of the following statements by the client indicates an understanding of the teaching?

"I should press the button on the handheld marker when my baby moves."

A nurse is teaching a client who has pregestational type 1 DM about management during pregnancy. Which of the following statements by the client indicates an understanding of the teaching?

"I will continue taking my insulin if I experience N/V."

A nurse is teaching a client who is in preterm labor about Terbutaline. Which of the following statements by the client indicates an understanding of the teaching?

"I will have blood tests because my potassium might decrease."

A nurse is speaking with an expectant father who says that he feels resentful of the added attention others are giving his wife since the pregnancy was announced several weeks ago. Which of the following responses should the nurse make?

"These feelings are common to expectant fathers in early pregnancy."

A nurse is assessing a client who gave birth vaginally 12 hours ago and palpates her uterus to the right above the umbilicus. Which of the following interventions should the nurse perform?

Assist the client to empty her bladder

A nurse is caring for a client who is at 41 weeks gestation and has a positive contraction stress test. For which of the following diagnostic tests should the nurse prepare the client?

Biophysical profile

A nurse receives report on a client who is in labor and is experiencing contractions 4 minutes apart. Which of the following patterns should the nurse expect on the fetal monitoring tracing?

Contractions that last for 60 seconds each with a 3-minute rest between contractions

A nurse is planning care for a client who is 2 hours postpartum. Which of the following interventions should the nurse plan to implement during the taking-hold phase of postpartum behavioral adjustment?

Demonstrate to the client how to perform a newborn bath.

A nurse is caring for a client who is at 35 weeks of gestation and has placenta previa. Which of the following actions should the nurse take?

Initiate continuous external fetal monitoring

staff nurse on obstetric unit is caring for client who is scheduled for induced abortion. The nurse informs the manager that she has a moral issue with the patient's decision. Which action should be done by the manager?

Reassign the client to another nurse

A nurse is developing a plan of care for a newborn who is to undergo phototherapy for hyperbilirubinemia. Which of the following actions should the nurse include in the plan?

Remove all clothing from the newborn except the diaper.

A nurse is assessing a client who is at 36 weeks of gestation. Which of the following findings should the nurse report to the provider?

Report of visual disturbances

A nurse is caring for a client who is at 22 weeks of gestation and is HIV positive. Which of the following actions should the nurse take?

Report the client's condition to the local health department.

A nurse is assessing a client who has gestational diabetes mellitus and is experiencing hyperglycemia. Which of the following findings should the nurse expect?

Reports increased urinary output

A nurse is an antepartum clinic is assessing a client who is at 32 weeks of gestation. Which of the following findings should the nurse report to the provider?

Reports of decreased fetal movement

A nurse is teaching a client who is at 10 weeks of gestation about nutrition during pregnancy. Which of the following statements by the client indicates an understanding of the teaching?

"I should take 600 micrograms of folic acid every day"

A nurse is caring for a client who is at 8 weeks of gestation with twins and primigravida. The client states that even though she and her husband planned this pregnancy, she is experiencing many ambivalent feelings about it. Which of the following responses should the nurse make?

"These feelings are quite normal at the beginning of pregnancy."

A nurse is caring for a client who has trichomoniasis and a prescription for metronidazole. Which of the following instructions should the nurse provide to the client about the treatment plan?

"You and your partner need to take the medication and use a condom during intercourse until your cultures are negative."

A nurse is teaching a client who is at 37 weeks of gestation and has a prescription for a non-stress test. Which of the following instructions should the nurse include?

"You should press the handheld button when you feel your baby move."

A nurse is preparing to administer azithromycin to a client who is 16 weeks and has a positive chlamydia culture. The prescription states "administer azithromycin 1g orally now." Available is 250 mg tablets. How many tablets should you give?

4

A nurse is preparing to administer magnesium sulfate 2g/hr IV to a client who is in preterm labor. Available is 20 g magnesium sulfate in 500 mL of dextrose 5% in water (D5W). The nurse should set the IV infusion pump to administer how many mL/hr?

50 mL/hr

A nurse is caring for a client who is anemic at 32 weeks of gestation and is in preterm labor. The provider prescribed bethamethasone 12 mg IM. Which of the following outcomes should the nurse expect?

A reduction in respiratory distress in the newborn

A nurse in a prenatal clinic is caring for a client who is within the recommended guidelines for weight. The client asks the nurse how much weight is safe for her to gain during her pregnancy. Which of the following responses should the nurse make?

A weight gain of about 25-35 pounds is good.

A nurse is planning care for a client who has a prescription for oxytocin. Which of the following is a contraindication for the use of this medication?

Active genital herpes

A nurse is assessing a client on the first postpartum day. Findings include fundus firm and one fingerbreadth above and to the right of the umbilicus, moderate lochia rubra with small clots, temperature 37.3 C (99.2 F), and pulse rate 52/min. Which of the following actions should the nurse take?

Ask the client when she last voided

nurse is performing vaginal exam for patient in active labor. client is 8/100/-2. fetus is in occiput posterior position. which action should the nurse take

Assist clients to hands and knees position

A nurse is admitting a client to the labor and delivery unit when the client states, "My water just broke". Which of the following interventions is the nurse's priority?

Begin FHR monitoring

A nurse is reviewing lab results of a newborn who is 4 hours old. Which of the following findings should the nurse report to the provider?

Bilirubin 9mg/dL

A nurse is caring for a client who is at 36 weeks of gestation and has a positive contraction stress test. The nurse should plan to prepare the client for which of the following diagnostic test?

Biophysical profile

The nurse is reviewing the medication records on a client who is one day postpartum. Client had a vaginal delivery with a 4th degree repair. The nurse should contact the provider regarding which prescription?

Bisacodyl rectal suppository daily for constipation

A nurse is reviewing the lab report of a newborn who is 24 hours old. Which of the following results should the nurse report to the provider?

Blood glucose 30mg/dl.

A nurse is caring for a client who is experiencing preeclampsia and has a new prescription for IV magnesium sulfate. Which of the following medications should the nurse anticipate administering if the client develops magnesium toxicity?

Calcium Gluconate

A nurse is caring for a client who is at 39 weeks of gestation and is in active labor. Which of the following actions should the nurse include in the plan of care?

Check the cervix prior to analgesic administration

A nurse is caring for a newborn who has neonatal abstinence syndrome. Which of the following clinical findings should the nurse expect?

Exaggerated reflexes

A nurse is preparing to administer oxytocin to a client who is postpartum. Which of the following findings is an indication for the administration of the med?

Flaccid uterus Excess vaginal bleeding

A nurse in an antepartum clinic is providing care for a client who is at 26 weeks of gestation. Upon reviewing the client's medical record, which of the following findings should the nurse report to the provider?

Fundal Height Measurment

A nurse is caring for a client who has preeclampsia and is receiving a continuous infusion of magnesium sulfate IV. Which of the following actions should the nurse take?

Have calcium gluconate readily available

A nurse is caring for a client who is at 25 weeks of gestation and is undergoing a nonstress test that reveals a variable deceleration in the FHR. Which of the following actions should the nurse take?

Have the client change positions

A nurse is teaching a client who is at 35 weeks gestation about manifestations of potential pregnancy complications to report to the provider. Which of the following manifestations should the nurse include?

Headache that is unrelieved by analgesia

A nurse is performing a physical assessment of a newborn. Which of the following clinical findings should the nurse expect?

Heart rate 154/min Respiratory rate 58/min Weight 2,600g (5 lb 12oz)

A nurse is reviewing the prenatal laboratory value for a client who is at 12 weeks of gestation following an initial prenatal visit. Which of the following laboratory findings should the nurse report to the provider?

Hemoglobin 10g/dL

A nurse is assessing a client who received carboprost for postpartum hemorrhage. Which of the following findings is an adverse effect of this medication?

Hypertension

A nurse is caring for a client who is in labor and has an epidural for pain relief. Which of the following is a complication from the epidural block?

Hypotension

A nurse is preparing to administer naloxone to a newborn. Which of the following conditions can require administration of this medication?

IV narcotics administered to the mother during labor

A nurse is assessing a newborn 12 hours after birth. Which of the following manifestations should the nurse report to the provider?

Jaundice

A nurse is assessing a newborn for manifestations of hypoglycemia. Which of the following findings should the nurse expect?

Jitteriness

A nurse is observing a new parent caring for her crying newborn who is bottle feeding. Which of the following actions by the parent should the nurse recognize as a positive parenting behavior?

Lays the newborn across her lap and gently sways.

A nurse is caring for a client following an amniocentesis at 18 weeks of gestation. Which of the following findings should the nurse report to the provider as a potential complication?

Leakage of fluid from the vagina

A nurse is assessing fetal heart tones for a client who is pregnant. The nurse has determined the fetal position as left occipital anterior. To which of the following areas of the clients abdomen should the nurse apply the ultrasound transducer to assess the point of maximum intensity of the fetal heart?

Left lower quadrant

A nurse is caring for a client who desires an intrauterine device (IUD) for contraception. Which of the following findings is a contraindication for the use of this device?

Menorrhagia

A nurse is assessing a newborn who was born at 26 weeks of gestation using the New Ballard Score. Which of the following findings should the nurse expect?

Minimal arm recoil

A nurse is caring for a client who is at 15 weeks gestation, is Rh-negative, and has just had an amniocentesis. Which of the following interventions is the nurse's priority following the procedure?

Monitor the FHR

A nurse is developing a plan of care for a client who has preeclampsia and is receiving magnesium sulfate via a continuous IV infusion. Which of the following interventions should the nurse include in the plan?

Monitor the FHR continuously

A nurse is planning care for a client who is in labor and is requesting epidural anesthesia for pain control. Which of the following actions should the nurse include in the plan of care?

Monitor the client's BP every 5 mins following the first dose of anesthetic solution.

The nurse is reviewing the medical record of a newly admitted client who is at 32 weeks of gestation. Which of the following conditions is an indication for fetal assessment using electronic fetal monitoring?

Oligohydraminos

A nurse is preparing to collect a blood specimen from a newborn via a heel stick. Which of the following techniques should the nurse use to help minimize the pain of the procedure for the newborn?

Place the newborn skin to skin on the mothers chest

nurse is planning care of 24 week and reports daily mild headaches. which instructions should the nurse include in the plan of care

Recommend that the client perform conscious relaxation techniques daily

A nurse is teaching a client who has a new prescription for combined oral contraceptives about adverse effects of the medication. For which of the following findings should the nurse instruct the client to notify the provider?

Shortness of breath (SOB)

nurse is providing prenatal teaching to client that is 26 weeks. which position should the nurse recommend the client to increase circulation to the placenta

Side-lying

A nurse is teaching a new mother how to use a bulb syringe to suction her newborn's secretions. Which of the following instructions should the nurse include?

Stop suctioning when the newborns cry sounds clear

A nurse is assessing a newborn who is 16 hours old. Which of the following findings should the nurse report to the provider?

Substernal Retractions

A nurse is assessing a newborn who is 12 hours old. Which of the following manifestations requires intervention by the nurse?

Substernal chest retractions while sleeping

A nurse is assessing a client who is at 30 weeks of gestation during a routine prenatal visit. Which of the following findings should the nurse report to the provider?

Swelling of the face

A nurse is preparing to perform Leopold maneuvers for a client. Identify the sequence the nurse should follow:

The first step the nurse should take when performing Leopold maneuvers is to palpate the clients fundus to identify the fetal part. Second, the nurse should determine the location of the fetal back. Third, the nurse should palpate for the fetal part presenting at the inlet. Finally, the nurse should palpate the cephalic prominence to identify the attitude of the head.

A nurse is providing teaching for a client who gave birth 2 hours ago about the facility policy for newborn safety. Which of the following client statements indicates an understanding of the teaching?

The person who comes to take my baby's pictures will be wearing a photo identification badge.

A nurse is speaking with a client who is trying to make a decision about tubal ligation. The client asks, "what effects will this procedure have on my sex life?" Which of the following responses should the nurse make?

This procedure should have no effect on your sexual performance or adequacy.

A nurse is caring for a client who is in labor and reports increasing rectal pressure. She is experiencing contractions 2 to 3 minutes apart, each lasting 80 to 90 seconds, and a vaginal examination reveals that her cervix is dilated to 9 cm. The nurse should identify that the client is in which of the following phases of labor?

Transition

A nurse is caring for a client whose membranes have ruptured and is in active labor. The fetal monitor tracing reveals late decelerations. Which of the following actions should the nurse take first?

Turn the client onto her left side

A nurse is providing discharge teaching to a client who is postpartum. For which of the following manifestations should the nurse instruct the client to monitor and report to the provider?

Unilateral breast pain

A nurse is assessing a client who is receiving magnesium sulfate as treatment for preeclampsia. Which of the following clinical findings in the nurse's priority?

Urinary output 40mL in 2 hours

A nurse is caring for a client who is at 16 weeks of gestation and has severe iron deficiency anemia. The provider prescribes an injection of iron dextran IM. Which of the following methods should the nurse use to administer the medication?

Use a 20-guage needle, and administer the medication using the Z track method

A nurse is caring for a client who is in labor. A vaginal examination reveals the following information: 2cm, 50%, +1, right occiput anterior. Based on this information, which of the following position should the nurse document in the medical record?

Vertex

A nurse is assessing the newborn of a client who took a selective serotonin reuptake inhibitor (SSRI) during pregnancy. Which of the following manifestations should the nurse identify as an indication of withdrawal from an SSRI?

Vomiting

A nurse is assessing a client who is at 38 weeks of gestation during a weekly prenatal visit. Which of the following findings should the nurse report to the provider?

Weight gain of 2.2kg (4.8lb)

A nurse is demonstrating to a client how to bathe their newborn. In which order should the nurse perform the following actions?

Wipe eyes Wash neck Cleanse skin around the umbilical stump Wash legs and feet Clean diaper area

A school nurse is providing teaching to a adolescent about levonorgestrel contraception. Which of the following information should the nurse include in the teaching?

You should take the medication within 72 hours of having unprotected sex

A nurse is teaching a client who is at 35 weeks gestation and has a -description for a nonstress test. Which of the following statements should the nurse include in the teaching?

You will be offered orange juice to drink during the test.

charge nurse on postpartum unit observing newly licensed nurse whose administering pain meds. you should intervene when the new nurse uses which secondary identifier

the client's room number

The nurse is caring for full term newborn immediately after birth. Which action should the nurse take?

Dry the newborn

Nurse is teaching client that is pregnant about managing nausea and vomiting. Which instructions should you include?

Eat high-carbohydrate foods

A nurse in the antepartum clinic is assessing a clients adaption to pregnancy. The patient states that she is, "happy one minute and crying the next." The nurse should interpret the patients statement as indication of which of the following?

Emotional lability

A nurse is planning care for a newborn who requires phototherapy for hyperbilirubinemia. Which of the following actions should the nurse include in the plan of care?

Ensure the newborns eyes are closed before applying the eye shield.

Nurse is reviewing labs on a client that's 24 hours postpartum following vaginal delivery. Which lab results should indicate an infection?

Erythrocyte Sedimentation Rate 26mm/hr

A nurse is performing a routine assessment on a client who is at 18 weeks of gestation. Which of the following findings should the nurse expect?

FHR 152/min

The nurse is assessing client who is in labor and notes early decelerations on fetal monitor. Which findings should the nurse identify as possible cause of early decelerations?

Fetal head compression

A nurse is caring for a newborn who was born to a client who has a narcotic use disorder. Which of the following nursing actions should the nurse identify as a contraindication for the care of the newborn?

Frequent stimulation

A nurse is providing discharge teaching to a client who had a cesarean birth 3 days ago. Which of the following instructions should the nurse include?

"You can still become pregnant if you are breastfeeding"

A nurse is caring for four newborns. Which of the following newborns is at greatest risk for hypoglycemia?

A newborn who is large for gestational age

A nurse is teaching a client who is 24 weeks regarding a 1 hour glucose tolerance test. Which of the following statements should the nurse include in the teaching?

"A blood glucose of 130 to 140 is considered a positive screening result."

A nurse is discussing epidural anesthesia with a client who is receiving oxytocin for induction of labor. Which of the following statements should the nurse make?

"An epidural given too early can prolong labor."

A nurse is providing discharge teaching to a client following the removal of a hydatidiform mole. Which of the following statements should the nurse include in the teaching?

"Do not become pregnant for at least 1 year."

A nurse is teaching a newly licensed nurse about collecting a specimen for the universal newborn screening. Which of the following statements should the nurse include in the teaching?

"Ensure that the newborn has been receiving feeding for 24 hours prior to obtaining the specimen"

nurse is caring for a client who has recently experienced a perinatal death. which statement should the nurse make to the client

"I am sad for you"

nurse is teaching group of parents about newborn safety. Which statement by the parent indicates an understanding?

"I will dress my baby in flame retardant clothing."

A nurse is providing dietary teaching to a client who has hyperemesis gravidarum. Which of the following statements by the client indicates an understanding of the teaching?

"I will eat foods that taste good instead of balancing my meals."

A nurse is providing teaching to a client about the physiological changes that occur during pregnancy. The client is at 10 weeks of gestation and has a BMI within the expected reference range. Which of the following client statements indicates an understanding of the teaching?

"I will likely need to use alternative positions for sexual intercourse".

A nurse is teaching a client who is Rh negative about Rho(D) immune globulin. Which of the following statements by the client indicates an understanding of the teaching?

"I will need this medication if I have an amniocentesis."

A nurse is caring for a client who is at 34 weeks of gestation and has a prescription for terbutaline for preterm labor. Which of the following statements by the client is the priority?

"My heart feels as if it is racing."

A nurse is teaching a postpartum client about steps the nurses will take to promote the security of the client's newborn. Which of the following statements should the nurse make?

"Staff members who take care of your baby will be wearing a photo identification badge."

A nurse is caring for a client who is pregnant and reports nausea and vomiting. Which of the following instructions should the nurse provide the client?

"You should eat some crackers before rising from bed in the morning."

A nurse is caring for a client who is experiencing preterm labor at 29 weeks of gestation and has a prescription for betamethasone. Which of the following statements should the nurse make about the indication for medication administration?

"This medication stimulates fetal lung maturity."

A nurse is caring for a client who is in labor. The client questions the application of an internal fetal scalp monitor. Which of the following responses should the nurse make?

"We need to observe your baby more closely."

A nurse in a prenatal clinic is caring for a client who reports that her menstrual period is 2 weeks late. The client appears anxious and asks the nurse is she is pregnant. Which of the following responses should the nurse make?

"You can miss your period for several other reasons. Describe your typical menstrual cycle."

A nurse is teaching a new parent about newborn safety. Which of the following instructions should the nurse include in the teaching?

"You can share your room with your baby for the next few weeks."

The nurse is teaching client who is 8 weeks about exercise. Which instructions should you include?

"You should exercise 30 minutes each day."

Nurse is providing discharge instructions to a client who is postpartum and taking insulin for Gestational Diabetes Mellitus. Which instructions should the nurse include?

"You should get a 2 hour glucose test in 6-12 weeks."

Nurse is providing teaching about comfort measures to client breastfeeding and is experiencing engorgement. What nonpharmacological measures should the nurse include in teaching?

"You should use cold compresses after each feeding."

A nurse is teaching a client who has active genital herpes simplex virus, type 2. Which of the following statements should the nurse include in the teaching?

"You will have a cesarean birth prior to the onset of labor."

Client is 24 weeks and asks the nurse how she will know if she is in labor. What is the nurses response?

"You will notice blood tinged discharge from your vagina."

nurse is teaching about effective breastfeeding to client that is 3 days postpartum. Which information should you include?

"Your newborn should appear content after each feeding."

A nurse is caring for a client who is in active labor and has had no cervical change in the last 4 hours. Which of the following statements should the nurse make?

"Your provider will insert an intrauterine pressure catheter to monitor the strength of your contractions."

A nurse in a prenatal clinic is assessing a group of clients. Which of the following clients should the nurse see first?

A client who is at 11 weeks of gestation and reports abdominal cramping.

A nurse on an antepartum unit is caring for 4 patients. Which of the following patients should the nurse identify as a priority?

A client who is at 34 weeks of gestation and reports epigastric pain.

A nurse is assessing four newborns. Which of the following findings should the nurse report to the provider?

A newborn who is 18 hours old and has an axillary temperature of 99.9 degrees F.

A nurse is planning discharge for a client who is 3 days postpartum. Which of the following nonpharmacological interventions should the nurse include in the plan of care for lactation suppression?

Apply cabbage leaves to the breasts

A nurse is admitting a client who is in labor. The client admits to recent cocaine use. For which of the following complications should the nurse assess?

Abruptio placenta

A nurse is performing a physical assessment of a newborn upon admission to the nursery. Which of the following manifestations should the nurse expect?

Acrocyanosis Positive Babinski reflex Two umbilical arteries visible.

A nurse is reviewing the medical record at 1800 for a client who is at 34 weeks. Based on the chart findings and documentation, the nursing plan of care should include which of the following actions?

Administer Terbutaline

A nurse is caring for a client who is at 26 weeks of gestation and has epilepsy. The nurse enters the room and observes the client having a seizure. After turning the client's head to the side, which of the following actions should the nurse take immediately after the seizure?

Administer oxygen via a nonrebreather mask

A nurse on the postpartum unit is caring for a patient following a cesarean birth. Which of the following assessments is the nurse's priority.?

Amount of lochia

A nurse is performing a vaginal examination on a client who is in labor and observes the umbilical cord protruding from the vagina. Which of the following actions should the nurse take?

Apply internal upward pressure to the presenting part using two gloved fingers.

A nurse is caring for a client who is in labor and who's fetus is in the right occiput posterior position. The client is dilated to 8cm and is reporting back pain. Which of the following actions should the nurse take?

Apply sacral counterpressure

nurse is providing discharge teaching to parent whose newborn just had a circumcision. which instructions should the nurse include

Apply slight pressure with sterile gauze pad for mild bleeding

A nurse is planning care for a client who is pregnant and is Rh-negative. In which of the following situations should the nurse administer Rh(D) Immune Globulin?

At 28 weeks of gestation

nurse is caring for client whose 40 weeks and is in early labor. platelet count is 75,000 and wants pain relief. which treatment modalities should the nurse anticipate

Attention focusing

A nurse is caring for a client who has hyperemesis gravidarum and is receiving IV fluid replacement. Which of the following findings should the nurse report to the provider?

BUN 25 mg/dL

A nurse is caring for a client who has a prescription for naloxone. Which of the following is the intended action of the medication in relation to the central nervous system?

Blocks effects of narcotics on the CNS

A nurse is assessing a client who has severe preeclampsia. Which of the following manifestations should the nurse expect?

Blurred vision

A nurse is assessing a newborn following a circumcision. Which of the following should the nurse identify as an indication that the newborn is experiencing pain?

Chin quivering

A nurse in a family planning clinic is caring for a client who requests an oral contraceptive. Which of the following findings in the client's history should the nurse recognize as a contraindication to oral contraceptives?

Cholecystitis Hypertension Migraine headaches

A nurse is providing teaching about nonpharmacological pain management to a client who is breastfeeding and has engorgement. The nurse should recommend the application of which of the following items?

Cold cabbage leaves

nurse is developing an education program for adolescents about nutrition during third trimester. which statement should the nurse include in the program

Consume 3-4 servings of dairy a day

nurse is assessing client who is in active labor and notes early decelerations. Client is 39 weeks and receiving continuous IV of oxytocin. What action should the nurse take?

Continue monitoring the patient

A nurse is caring for a newborn who has irregular respirations of 52/minute with several periods of apnea lasting approximately 5 seconds. The newborn is pink with acrocyanosis. Which of the following actions should the nurse take?

Continue to routinely monitor the newborn

nurse is discussing differences between true/false labor. which characteristics should the nurse include when discussing true labor

Contractions become stronger with walking

A nurse is caring for a newborn who is undergoing phototherapy to treat hyperbilirubinemia. Which of the following actions should the nurse take?

Cover the newborns eyes while under the therapy light

nurse is performing assessment on newborn upon admission to the nursery. which manifestations should the nurse expect

Creases over 2/3 of soles of feet Molding of the head Lanugo on shoulders

A nurse administers betamethasone to a client who is at 33 weeks gestation to stimulate fetal lung maturity. Which planning care for the newborn, which of the following conditions should the nurse identify as an adverse effect of this medication?

Decreased blood glucose

A nurse is assessing a client who is postpartum and has idiopathic thrombocytopenia purpura (ITP). Which of the following findings should the nurse expect?

Decreased platelet count

nurse is assessing client whose 26 weeks. which manifestations should the nurse report to the provider

Decreased urinary output

A nurse is providing teaching for a client who has a new prescription for combined oral contraceptives. Which of the following findings should the nurse include as an adverse effect of this medication?

Depression

A nurse is caring for a client who becomes unresponsive upon delivery of the placenta. Which of the following actions should the nurse take first?

Determine respiratory function

A nurse is caring for a client who is 22 seeks and reports concern about the blotchy hyperpigmentation on her forehead. Which of the following actions should the nurse take?

Explain to the client this is an expected occurence.

The nurse in antepartum clinic is providing care for client that is 26 weeks. Upon reviewing medical records, which findings should you report to the provider?

Fundal height measurement of 30 cm

A nurse is planning care for a client who is at 35 weeks of gestation. Which of the following laboratory tests should the nurse obtain?

Group B Streptococcus B-Hemolytic

A nurse is reviewing the lab results for a client who is 10 weeks. Which of the following lab findings should the nurse report to the provider?

Hemoglobin 10g/dL

A nurse is performing a vaginal exam on a client who is in labor and observes the umbilical cord protruding from the vagina. After calling for assistance, which of the following actions should the nurse take?

Insert two gloved fingers into the vagina and apply upward pressure to the presenting part.

A nurse in an antepartum clinic answers a phone call from a client who is at 37 weeks of gestation and reports, "I became very dizzy while lying in bed this morning, but the feeling went away when I turned on my side." Which of the following actions should the nurse take?

Instruct the client about vena cava syndrome and measures to prevent it

A nurse is planning care for a client who is to undergo a NST. Which of the following actions should the nurse include in the plan of care?

Instruct the client to press the button provided each time fetal movement is detected.

A nurse is providing teaching about nutritional intake to a client who is at 8 weeks of gestation. The nurse should instruct the client to increase her daily intake of which of the following nutrients?

Iron

A nurse is caring for a client who is pregnant and is at the end of her first trimester. The nurse should place the Doppler ultrasound stethoscope in which of the following locations to begin assessing for the fetal heart tones?

Just above the symphysis pubis

A nurse is caring for a client who is at 24 weeks of gestation and has a suspected placental abruption. Which of the following laboratory tests should the nurse expect the provider to prescribe?

Kleihauer-Betke test

A nurse is caring for a client who is to receive oxytocin to augment her labor. Which of the following findings contraindicates the infusion of the oxytocin infusion and should be reported to the provider?

Late decelerations

A nurse is caring for a postpartum client who is receiving heparin via a continuous IV infusion for thrombophlebitis in her left calf. Which of the following actions should the nurse take?

Maintain the client on bed rest

A nurse is caring for a client who has uterine atony and is experiencing postpartum hemorrhage. Which of the following actions is the nurse priority?

Massage the client's fundus

A nurse on a postpartum unit is caring for a client who is experiencing hypovolemic shock. After notifying the provider, which of the following actions should the nurse take next?

Massage the clients fundus

A nurse is caring for a client who is 2 hours postpartum. The nurse notes the client's perineal pad has a large amount of lochia rubra with several clots. Which of the following actions should the nurse take first?

Massage the fundus

A nurse is assessing a client who is receiving morphine via IV bolus for pain following a C. section. The nurse notes a respiratory rate of 8/min. Which of the following medications should be administered?

Naloxone

nurse is teaching a client in prenatal class about folic acid. nurse should instruct client to consume folic acid to prevent what abnormalities

Neural tube defects

A nurse is caring for a client who is at 36 weeks of gestation and has preeclampsia. Which of the following findings should the nurse identify as the priority?

Nonreactive nonstress test

A nurse is caring for a client who has clinical manifestations of an ectopic pregnancy. Which of the following findings is a risk factor for an ectopic pregnancy?

Pelvic inflammatory disease (PID)

A nurse is providing education about family bonding to parents who recently adopted a newborn. The nurse should make which of the following suggestions to aid the family's 7-year-old in accepting the new family member?

Obtain a gift from the newborn to present to the sibling

A nurse is assessing a newborn who is 12 hours old and notes mild jaundice of the face and trunk. Which of the following actions should the nurse take?

Obtain a stat prescription for a bilirubin level

A nurse is caring for a client who is at 38 weeks of gestation. Which of the following actions should the nurse take prior to applying an external transducer for fetal monitoring?

Perform Leopold Maneuvers

A nurse is assessing a newborn who was delivered vaginally and experienced a tight nuchal cord. Which of the following findings should the nurse expect?

Petechiae over the head

A charge nurse on a labor and delivery unit is teaching a newly licensed nurse how to perform Leopold maneuvers. Which of the following images indicates the first step of Leopold maneuvers?

Picture of nurse palpating top of belly; where bottom is

The nurse is providing discharge teaching to the parents of a newborn about carseat safety. Which of the following instructions should the nurse include?

Place the retainer clip at the level of the newborns armpits.

A nurse is reviewing the medical record of a client who is postpartum and has preeclampsia. Which of the following laboratory results should the nurse report to the provider?

Platelets 50,000/mm3

nurse is providing discharge teaching about car seat safety. what instructions should you include

Position rear facing in the back seat

A nurse in a provider's office is reviewing the medical record of a client who is in the first trimester of pregnancy. Which of the following should the nurse identify as a risk factor for the development of preeclampsia?

Pregestational Diabetes Mellitus

A nurse is caring for a client who is at 32 weeks of gestation and has gonorrhea. The nurse should identify that the client is at an increased risk for which of the following complications?

Premature rupture of membranes

A nurse is creating a plan of care who is postpartum and adheres to traditional Hispanic cultural beliefs. Which of the following cultural practices should the nurse include in the plan of care?

Protects the client's head and feet from cold air.

nurse is assessing full term newborn 15 minutes after birth. which findings requires intervention

Respirations 18/min

A nurse is caring for a newborn whose mother received magnesium sulfate to treat preterm labor. Which of the following clinical manifestations in the newborn indicates toxicity due to the magnesium sulfate therapy?

Respiratory depression

A nurse is assessing a late preterm newborn. Which of the following manifestations is an indication of hypoglycemia?

Respiratory distress

A nurse is caring for a client who is at 30 weeks of gestation and has a prescription for magnesium sulfate IV to treat preterm labor. The nurse should notify the provider of which of the following adverse effects?

Respiratory rate 10/min

A nurse is caring for a preterm newborn who is receiving oxygen therapy. Which of the following findings should the nurse identify as a potential complication from the oxygen therapy?

Retinopathy

A nurse is caring for a prenatal client who has parvovirus B19 (fifth disease). Which of the following actions should the nurse take?

Schedule an ultrasound examination.

A nurse is calculating a client's expected d.o.b using Nagele's rule. The client tells the nurse that her last menstrual cycle started on Nov. 27th. Which of the following dates is the client's expected d.o.b.?

September 3rd

Nurse caring for client and partner who experiences a fetal death. Which action should the nurse take?

Take photos of the newborn to give to the parents

A nurse is planning care for a client who is in labor and is to have an amniotomy. Which of the following assessments should the nurse identify as the priority?

Temperature

A nurse is caring for a client who is at 36 weeks of gestation and has a prescription for an amniocentesis. For which of the following reasons should the nurse prepare the client for an ultrasound?

To locate the pocket of fluid

A nurse is assessing a client who is 1 day postpartum and has a vaginal hematoma. Which of the following manifestations should the nurse expect?

Vaginal pressure

A nurse is transporting a newborn back to the parent's room following a procedure. Which of the following actions should the nurse take?

Verify that the parent's identification band matches the newborn's identification band.

A nurse is caring for a newborn who has transferred to the nursery 30 min after birth because of mild respiratory distress. Which of the following actions should the nurse take first?

Verify the newborn's identification.

The nurse is providing teaching about family planning to a client who has a new prescription for a diaphragm. Which of the following statements should the nurse include in the teaching?

You should leave the diaphragm in place for at least 6 hours after intercourse.