Maternal Newborn

A nurse in a health clinic is reviewing contraceptive use wit a group of adolescent clients. Which of the following statements by an adolescent reflects an understanding of the teaching?

"A water-soluble lubricant should be used with condoms"

A nurse is assisting with the care of a client who is pregnant and is to undergo a contraction stress test (CST). Which of the following findings are indications for this procedure?

-Decreased fetal movement -Intrauterine growth restriction -postmaturity

A nurse is caring for a client who is 1 day pp. the nurse is checking for maternal adaptation and bonding. For which behaviors should the nurse intervene?

-Demonstrate apathy when newborn cries -Views behavior as uncooperative

A nurse is reinforcing teaching with a client about the benefits of internal fetal monitoring. What should the nutse include?

-Detects abnormal fetal heart tones early -Allows accurate readings despite maternal movement -Measures contraction intensity

A nurse is discussing risks factors for uti with a newly licensed nurse. Which risk factors should be included?

-Epidural anesthesia -Bladder cath -Frequent pelvic exam -UTI history

A nurse is admitting a client who has HIV and is in labor. What interventions are contraindicated?

-Episiotomy -Forceps -Internal fetal monitoring

A nurse is reviewing findings of a client's biophysical profile (BPP) with the charge nurse. Which of the following variables should the nurse expect the test to include.

-Fetal breathing movement -fetal tone -amniotic fluid volume

A nurse is assisting with the care of a client who has a prescription for mag sulf. What are the contraindications?

-Fetal distress -Vaginal bleeding -Dilation >6

A nurse is caring for a client who is in labor. Which infections can be treated during labor or immediately after?

-Gonorrhea -Chlamydia -HIV -Group B strep

A nurses is reviewing the health record of a client who is pregnant. The provider indicated the client exhibits probable signs of pregnancy. Which of the following findings should the nurse expect?

-Goodell's sign -Ballottement -Chadwick's sign

A nurse is reinforcing teaching with a client about potential adverse effects of implantable progestins. Which of the following adverse effects should the nurse include?

-Irregular vaginal bleeding -Weight gain -Breast changes

A nurse is an antepartum clinic is collecting data on a client who has a TORCH infection. Which findings should the nurse expect?

-Joint pain -Malaise -Rash -Tender lymph nodes

Newborn born at 32 weeks and a birth weight of 1,100g. what should the nurse expect?

-Lanugo -Weak grasp reflex -Translucent skin

Expected findings of the postmature newborn?

-Leathery skin -Thin with loose skin -Meconium stained umbilical cord -Long finger nails

A nurse is caring for a client who is 14 weeks gestation and has HG. Which are risk factors?

-Obesity -Multifetal pregnancy -Younger than 30

A nurse is reinforcing teaching with a group of clients about measures to relive backache during pregnancy. Which of the following measures should the nurse include?

-Preform pelvic rock exercise everyday -Use proper body mechanics

A nurse is assisting in the care of a client who has sever preeclampsia and is recieving mag sulf. What are the indications of mag sulf toxicity?

-RR <12/min -Urinary output <30ml/hour -Decreased LOC -Decreased deep tendon reflexes

A nurse is reviewing the medical record of a client who reports indications of preterm labor. What are some risk factors for this condition?

-UTI -Multifetal pregnancy -DM -Uterine abnormalities

Contraindications to circumcision?

-hypospadias -epispadias(defect at location) -history of hemophilia

A sign of a newborn who has abstinence syndrome may have a ?

A continuous high pitched cry

A nurse manager is reviewing ways to prevent TORCH infection during pregnancy with a group of newly licensed nurses. Which statement is an understanding of the teaching?

A woman should avoid consuming undercooked meat during pregnancy

A nurse is reinforcing teaching with a client who is 1 week pp and breastfeeding. Client reports breast engorgement. Which instruction should be given.

Apply cold compress between feedings

A nurse is assisting with the care of a client in active labor. When last examines 2hr ago, dilated 3cm 100% effaced with intact membranes and fetus at -2 station. Client states her water broke and FHR is 80-85/min. The nurse observe clear fluid and a loop of pulsating umbilical cord outside the vagina. What is the priority action?

Apply finger pressure to the presenting part

A nurse is caring for a newborn who was born at 38 weeks weights 3200 g anf is in the 60th percentile. What category would the infant fall into?

Appropriate of gestational age (must fall between 10th and 90th %)

A nurse is caring for a client who has pp psycosis, what is the priority action?

Ask the client is she has thoughts of harming herself or infant.

A nurse is caring for a client who is in active labor and is experiencing late decels. What action should the nurse take?

Assist client to left lying position

A nurse is discussing intermittent fetal heart monitoring with a newly licensed nurse. Which statement should the nurse include?

Auscultate the FHR immediately following the rupture of membranes

A client at 32 weeks gestation is in preterm labor. Which medication should the nurse anticipate to enhance fetal lung maturity?

Betamethasone

A nurse is assisting with the care for a client who is at 32 weeks gestation and has a placenta previa. The nurse notes that the client has been actively bleeding. Which of the following medications should the nurse anticipate being prescribed.

Betamethasone -to promote lung maturity

A nurse is assisting in the care of a client who is receiving mag sulf. What is the antidote?

Calcium gluconate

A nurse is caring for a client who has gonorrhea. What medication should be anticipated?

Ceftriaxone

A nurse is reinforcing teaching with a client who is breastfeeding and has mastitis. Which of the following statements should the nurse make?

Completely empty each breast at each feeding or use a pump

A nurse in a prenatal clinic is reinforcing education with a client who at 8 weeks of gestation. The client states that she does not like milk. Which of the following foods should the nurse recommend as a good source of calcium?

Dark green leafy vegetables

Promoting family bonding with family and siblings.

Encourage the exploration of newborns features

A nurse is assisting with the care of a client in active labor. The nurse detects tachycardia and external fetal monitor. Which condition should the nurse identify as a potential cause

maternal fever

A nurse is reviewing a prescription for iron supplements with a client who is at 8 weeks of gestation and has iron deficiency anemia. Which of the following beverages should the nurse instructs the client to take the iron supplements with?

OJ

A nurse in an obstetrical clinic is reinforcing teaching with a client about using and IUD for contraception. Which if the following statements by the client indicated an understanding of the information?

"I will check to be sure the strings of the IUD are still present after my periods."

A nurse is assisting the charge nurse with reviewing postpartum nutrition needs with a group of new mothers who are breastfeeding their newborns. Which of the following statements by a member of the group indicates an understanding of the teaching?

"I will continue my calcium supplements because I don't like milk."

A nurse is assisting with the care of a client to is pregnant and undergoing a nonstress test. The nurse asks why the charge nurse is using a vibroacoustic stimulation device. Which of the following responses should the charge nurse make?

"It awakens a sleeping fetus."

A client who is at 8 weeks of gestation tells the nurse that she isn't sure she is happy about being pregnant. Which of the following responses should the nurse make?

"It is normal to these feeling during the first few months of pregnancy"

A nurse in a prenatal clinic is caring for a client who is pregnant and experiencing episodes of hypotension. The client asks the nurse what causes these episodes. Which of the following responses should the nurse make?

"This is due to the weight of the uterus on the large blood vessels."

A nurse in a clinic receives a phone call from a client whose period is 1 week late and requests a pregnancy test. Which of the following information should the nurse provide to the client?

"You should collect the urine from your first morning void."

A nurse is reinforcing teaching with a client who is pregnant about the amniocentesis procedure. Which of the follwing statements should the nurse make?

"You should empty your bladder prior to the procedure."

A nurse in a clinic is reinforcing teaching with a client about her new prescription for MEDROXYPROGESTERONE. Which of the following information should the nurse include?

-"You should increase your intake of calcium." -"Irregular vaginal spotting can occur."

A nurse is collecting data from a newborn following birth. Which following findings indicate acceptable adaptation to extrauterine life?

-Apnea for 10 sec periods -Obligate nasal breathing

A nurse is assisting with the care of a client who has marginal abruptio placentae. Which of the following findings are risk factors?

-Blunt abdominal trauma -Cocaine use -Cigarette smoking

A nurse is discussing common discomforts of pregnancy with a client who is at 6 weeks of gestation. Which of the following findings should the nurse include?

-Breast tenderness -Urinary frequency -Epistaxis

A nurse is assisting with the care of a 40 week gestation experiencing contractions 3-5min and becoming stronger. Cervix dilated 3cm, 80% effected and -1 station. Client requests pain medication. Which actions should the nurse take?

-Breathing techniques -Opioid analgesic -Suggest cold application

A nurse in a prenatal clinic is caring for a client who is in the first trimester of pregnancy. The client's health record includes this data: G3 T1 P0 L1. How should the nurse interpret this information.

-Client has delivered one newborn at term -Client has had two prior pregnancies -Client has one living

A nurse in a prenatal clinic is caring for four clinic is caring for four clients. Which of the following clients' weight gain should the nurse report to the provider.

3.6 kg (8lbs) weight gain in the first trimester

A father seems nervous to help with care of the newborn what action should you take to promote bonding?

Reinforce education about newborn care when father is present.

A nurse is reviewing a new prescription for ferrous sulfate with a client at 12 weeks gestation. What statements would understand the teaching?

I plan to drink more oj while taking this pill

A nurse is assisting with the care of a client who is receiving nifedipine for preterm labor prevention. The nurse should monitor for what manifestation?

Dizziness (orthostatic hypotension)

A client who is at 7 weeks of gestation is experiencing nausea and vomiting in the morning. Which of the following information should the nurse include?

Eat crackers or plain toast before getting out of bed

A nurse is collecting data from a newborn and observes small white nodules on the roof of the mouth. What are they called?

Epstein pearls

A nurse is preparing the administer eye ointment. What is the name of the medication?

Erythromycin

A nurse is discussing external monitoring with a client of induction. What should the nurse include in the teaching?

External monitoring doesn't allow for monitoring of contractions intensity

A client has been in labor for 12 hr and her membranes are intact. The MD has decided to preform and amniotomy the nurse needs to ensure what during a vaginal exam?

Fetal engagement

A nurse in the labor and delivery unit is assisting with a laboring client and applies an external monitor and taco transducer. FHR 140/min, contractions every 8 min for 30-40 seconds. 2cm dilated and 50% effected with fetus at -2 station. What phase of labor is the client in?

First stage, latent phase

A nurse is caring for a client who is in early pregnancy and is very talkative The nurse is having difficulty collecting data. How should then nurse handle the situation?

Give the client time to express feelings

Readiness of newborn to feed?

Hands in mouth

A nurse is evaluating the reflexes of a newborn. When looking for a Moro reflex what should the nurse evaluate?

Hold the newborn in a semi-sitting position, then allow the newborns head and trunk to fall backward

A nurse at an antepartum clinic is caring for a client who is at 16 weeks gestation. The client reports continued nausea and vomiting and scant, prune colored discharge. She has experienced no weight loss and a fundal height larger than expected. Which complications should the nurse expect?

Hydatidiform mole -increased fundal height, elevated HCG W/ excessive N/V. Scant dark, discharge

A nurse is reinforcing discharge teaching with a postpartum client who had no immunity yo varicella and received the immunization. What statement indicates an understanding of teaching?

I need a second vaccine at my postpartum visit

A nurse is caring for client who is pregnant and states that her last mensural period was April 1. Which if the following is the client's estimated date of delivery?

January 8

A nurse is reinforcing discharge teaching with a client who had premature ruptured membranes at 26 weeks. What instructions should the nurse include?

Keep a daily record of kick counts

Proper bottle feeding technique?

Keep the nipple full of formula throughout feeding

A nurse is reinforcing discharge teaching with a pp C section client who reports urine leaking every time she sneezes or coughs. Which of the following interventions should the nurse suggest to the client?

Kegel exercises

A nurse is assisting with the care of a client who is in preterm labor and is scheduled to undergo an amniocentesis. the nurse should review which of the following tests to determine fetal lung maturity?

Lecithin/sphingomyelin (L/S) ratio

When returning the baby to the mother how should the nurse confirm she has the right person

Matching ID bands

A nurse on a pp unit is contributing to the plan of care with a client who has thrombophlebitis. What intervention should be recommended?

Measure leg circumference

A nurse is inspecting the perineal pad of a client who is postpartum 24 hr. Pad is saturated 12cm of dark-red discharge. Which of the following blood loss estimates should the nurse report to the charge nurse and document?

Moderate is >10cm

A client experiences a large gush of fluid from her vagina while walking. What action should the nurse take first?

Monitor FHR for distress

A nurse in a clinic is reinforcing instructions with a client of childbearing age about recommended folic acid supplements. Which of the following defects can occur in the neonate as a result of folic acid deficiency?

Neural tube defects

A nurse is collecting date from a pp client who is exhibiting tearfulness, insomnia, lack of appetite, and sadness. What is the client experiancing?

Postpartum blues

A nurse is assisting with the care of a client who has a diagnosis of ruptured ectopic pregnancy. What are the expected findings?

Report of sever shoulder pain

A nurse is reinforcing teaching with a client who is taking an oral contraceptive about danger indications to report to her provider. The nurse determines the client understands the teaching when the client states the need to report which of the following manifestations?

Shortness of breath

A nurse is reinforcing discharge instructions with a 4 week pp. What is a reason to contact MD? -Sore nipples with cracks -scant, nondorous white vaginal discharge -Cramping during breastfeeding -Decreases response to sextual activity

Sore nipples with cracks

A newborn with high bilirubin and undergoing phototherapy. What is an expected finding?

Sunken fontanels

A mother of a newborn has a concern about a blueish mark across the back and butt of the baby. What should the nurse inform the mother of?

This is frequently seen in newborns of African American, Asian, Native American origin.

A nurse is reviewing lab results for a client who had suspected HG. Which results should the nurse identify as a manifestation?

Urine ketones are present

A nurse is caring for a client who is pregnant and reviewing clinical manifestations of complications the client should promptly report to the provider. Which of the following complications should the nurse include?

Vaginal bleeding

How do you visualize a proper latch?

When latched nose, cheek, and chin touching mothers breast

A nurse in the emergency department is caring for a client who reports abrupt , sharp, right lower quadrant abdominal pain bright red vaginal bleeding. The client states she missed one mensural cycle and cannot be pregnant because she has an IUD. The nurse should suspect which of the following?

ectopic pregnancy