Maternal Newborn Practice B

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

Use a firm mattress in the newborn's crib.

A nurse in a clinic is collecting data from a client who is at 12 weeks of gestation. Which of the following actions should the nurse take?

Use an ultrasound stethoscope to listen to fetal heart tones.

A nurse is collecting data from a client who is 1 day postpartum. Which of the following findings should the nurse identify as an indication of infection?

WBC 35,000 /mm3

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

Warm the newborn's heel.

A nurse is reinforcing education about the prevention of newborn abduction with a client who recently delivered. Which of the following statements should the nurse identify as an indication that the client understands the instructions?

"An alarm will sound if someone removes my baby's safety device."

A nurse is reinforcing teaching about newborn home safety precautions with a group of new mothers. Which of the following instructions should the nurse include?

"Crib slats should be no more than 2.25 inches apart."

A nurse is reinforcing discharge teaching about home care with the parent of a newborn. Which of the following instructions should the nurse include?

"Ensure the water temperature during your newborn's bath is maintained at 100 F."

A nurse is reinforcing teaching with a client who has a new prescription of medroxyprogesterone acetate injection for contraception. Which of the following statements by the client indicates understanding of the teaching?

"I am likely to gain weight while taking this medication."

A nurse is reinforcing teaching with a client who is at 8 weeks of gestation. Which of the following responses by the client indicates an understanding of the teaching?

"I should expect to have a white vaginal discharge during pregnancy."

A nurse is reinforcing teaching about brestfeeding with a client who has a 12-hr-old newborn. Which of the following statements should the nurse identify as an indication that the client understands the instructions?

"I should wake up my baby to feed during the night."

A nurse is reinforcing teaching about car seat safety with the guardian of a newborn. Which of the following statements by the guardian indicates an understanding of the teaching?

"I will position the retainer clip at the level of the baby's armpits."

A nurse is reinforcing teaching about newborn umbilical cord care with a client who is postpartum. Which of the following statements should the nurse identify as an indication that the client understands the instructions?

"I will report any drainage from my baby's umbilical cord."

A nurse is reinforcing teaching with a client who has an intrauterine device (IUD). Which of the following statements by the client indicates an understanding of the teaching?

"If I have pain during intercourse, I will notify my doctor."

A nurse is reinforcing teaching with a client who is at 16 weeks of gestation, has diabetes mellitus, and has a BMI of 31. Which of the following statements should the nurse identify as an indication that the client understands the teaching?

"My intake should be 25 calories per kilogram of my body weight or less per day."

A nurse is caring for a client who is postpartum and is receiving carboprost. Which of the following statements should the nurse identify as an indication that the client understand the purpose of this medication?

"This medication will slow down my bleeding."

A nurse is reinforcing teaching about preventing urinary tract infections with a client who is at 25 weeks of gestation. Which of the following instructions should the nurse include?

"You should empty your bladder before you go to bed at night."

A nurse is reinforcing teaching with a client who has a bacterial infection. Which of the following statements should the nurse include int he teaching?

"You should suspend breastfeeding for 8-10 days."

A nurse is reinforcing teaching about a nonstress test with a client who is at 33 weeks of gestation. Which of the following statements should the nurse include?

"You will press a button when you feel the baby move."

A nurse is caring for a client who is 18 hr postpartum and has a fourth-degree perineal laceration. The client reports a pain rating of 4 on a scale from 0-10. Which of the following should the nurse take? (SATA)

-Promote the use of witch hazel pads -Give the client ice packs -Have the client take a cool water sitz bath -Encourage the client to practice relation techniques

A nurse is caring for a client who is 48 hr postpartum following a vaginal delivery. Which of the following findings should the nurse report to the provider? (SATA)

-Reddened area on the calf -Dysuria -Cracked nipples

A nurse is reinforcing teaching with a client who is trying to become pregnant. Which of the following foods should the nurse recommend as the best source of folate?

1 cup cooked spinach

A nurse is assisting with the care of a client who is postpartum and is receiving lactated Ringer's 1,500 mL IV to infuse over 10 hr. The nurse should verify that the IV pump's settings will deliver how many mL/hr?

150 mL/hr

A nurse is collecting data from a client who is receiving magnesium sulfate. Which of the following feedings should the nurse report to the provider?

Absent deep-tendon reflexes

A nurse is contributing to the plan of care for a client who has eclampsia. Which of the following interventions should the nurse identify and plan to include as the priority immediately following a seizure?

Administer oxygen via facemask at 10L/min.

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 instructions 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 locates the client's fundus 2 cm above the umbilicus, with displacement to the right of the midline, and notes it is boggy. The nurse should identify which of the following complications as the likely cause of these findings?

Bladder distention

A nurse is collecting data from a client who is at 37 weeks of gestation. Which of the following findings should the nurse report to the provider?

Blurred vision

A nurse is collecting data from the parent of a newborn immediately following birth. The parent states, "She is so tiny. We don't know how to pick her up without hurting her." Which of the following actions should the nurse take first to promote parent-newborn attachment?

Demonstrate to the parent how to hold the newborn.

A nurse is monitoring a client who is in the first stage of labor and received IV fentanyl citrate 10 min ago for pain. The client has slurred speech and an altered mental status. Which of the following actions should the nurse take first?

Determine the client's oxygen saturation level.

A nurse is collecting data from a client who is primigravida and has hyperthyroidism. Which of the following findings should the nurse expect?

Diaphoresis

A nurse is contributing to the plan of care for a client who is pregnant and has intermittent constipation. Which of the following interventions should the nurse recommend in the plan?

Drink 2 L of water per day.

A nurse is contributing to the plan of care for a client who is postpartum and follows kosher dietary laws. Which of the following indicates a meal the nurse should offer this client?

Foods that avoid eating meat and dairy products together.

A nurse is collecting data from a 28-year-old client who is requesting a prescription for an oral contraceptive. Which of the following information in the client's history should the nurse identify as a contraindication for the use of oral contraceptives?

Frequent headaches with visual changes.

A nurse is collecting data from a client who gave birth 18 hr ago. Which of the following findings should the nurse identify as an indication of a postpartum complication?

Fundus is palpable at 2cm above the umbillicus.

A nurse is collecting data from a client who is at 38 weeks of gestation. Which of the following findings should the nurse report to the provide?

Glycosuria

A nurse is assisting with the care of a client who is in the active phase of the first stage of labor. Which of the following findings should the nurse report to the charge nurse?

Green fluid from the vagina.

A nurse is caring for a client following a cesarean birth. Which of the following actions should the nurse take to decrease the client's risk of developing thrombophlebitis?

Have the client ambulate several times each day.

A nurse in a postpartum unit is caring for a client who has endometritis and is 48 hr postpartum following a cesarean birth. Which of the following findings should the nurse anticipate?

Heart rate 110/min

A nurse in an antepartum clinic is reviewing laboratory test results for multiple clients. The nurse should notify the provider of which of the following results?

Hematocrit 31%

A nurse is caring for a client who gave birth to a newborn who is large for gestation age (LGA) 16 hr ago. Which of the following findings should the nurse identify as a complication of the birth of a newborn who is LGA?

Hemorrhage

A nurse is caring for a client who is in preterm labor and is receiving betamethasone. Which of the following actions should the nurse take?

Inject the medication into the client's vastus lateralis muscles.

A nurse is preparing to administer phytonadione to a newborn. The nurse should plan to administer this medication by which of the following routes?

Intramuscular

A nurse is contributing to the plan of care for a client who has hyperemesis gravidarum. Which of the following interventions should the nurse recommend?

Monitor intake and output

A nurse is caring for a client who is receiving oxytocin. Which of the following manifestations should the nurse report to the provider?

More than 5 contractions in 10 min.

A nurse is reinforcing teaching about formula preparation with the mother of a newborn. Which of the following information should the nurse include?

Overdiluted formula can result in inadequate growth.

A nurse is planning to reinforce discharge teaching about formula feeding with the guardian of a newborn. Which of the following instructions should the nurse plan to include?

Provide the newborn with six to eight feedings during a 24-hr period.

A nurse is reinforcing discharge teaching with a client who has mastitis of the left breast. Which of the following instructions should the nurse include?

Pump the affected breast frequently

A nurse is collecting data from a client who is receiving magnesium sulfate IV for preeclampsia. The nurse should identify which of the following findings as an indication of toxicity to report to the provider?

Respiratory rate 10/min

A nurse is reviewing the medical record of a client who is at 26 weeks of gestation. Which of the following findings should the nurse identify as a risk factor for the development of preeclampsia?

Rheumatoid arthritis

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.