Maternal Newborn Practice B with NGN
Complete the following sentence by using the list of options
assess the client's deep tendon reflexes assess the client for visual disturbances
A nurse is reviewing lab results of a newborn who is 4 hr old. Which of the following findings should the nurse report to the provider?
bilirubin 9 mg/dL
A nurse is preparing to perform Leopold maneuvers for a client. Identify the sequence the nurse should follow.
Palpate the fundus to identify the fetal part determine the location of the fetal back palpate for the fetal part presenting at the inlet identify the attitude of the head
A nurse is performing a vaginal examination 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?
apply internal upward pressure to the presenting part using two gloved fingers
A nurse at a provider's office is caring for a client who is 28 years of age Drag 1 condition and 1 client finding to fill in each blank in the following sentence
ectopic pregnancy right lower quadrant abdominal tenderness
Based on the nurse's assessment findings, which of the following conditions is the client at greatest risk for developing?
preeclampsia Increased blood pressure
A nurse is assessing a newborn for manifestations of hypoglycemia. Which of the following findings should the nurse expect?
Jitteriness
A nurse is assessing a newborn who is 12 hr old. Which of the following manifestations requires intervention by the nurse?
Substernal chest retractions while sleeping
A nurse is teaching a client who is 24 weeks of gestation regarding a 1-hr 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 teaching a client who is pregestational type 1 diabetes mellitus about management during pregnancy. Which of the following statements by the client indicates understanding of the teaching?
"I will continue taking my insulin if I experience nausea and vomiting."
A nurse is teaching a client who is Rh negative about Rh0(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 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 in a prenatal clinical is caring for a client who reports that her menstrual period is 2 weeks late. The client appears anxious and akss the nurse if 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"
A 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."
A school nurse is providing teaching to an adolescent about levonorgestrel contraception. Which of the following information should the nurse include in her teaching?
"You should take the medication within 72 hours following unprotected sexual intercourse."
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 caring for a client who is in labor and whose fetus is in the right occiput posterior position. The client is dilated to 8 cm and reports back pain. Which of the following actions should the nurse take?
Apply sacral counterpressure
A nurse is assessing a client who gave birth vaginally 12 hr ago and palpates her uterus to the right above the umbilic. Which of the following interventions should the nurse perform?
Assist eh client to empty her bladder
A nurse is caring for a client who is at 41 weeks of gestation and has a positive contraction stress test. For which of the following diagnostic tests should the nurse prepare the client?
Biophysical profile (BPP)
A nurse is reviewing the lab report of a newborn who is 24 hr old. Which of the following results should the nurse report to the provider?
Blood glucose 30 mg/dL
A nurse is performing an assessment on the client. Which of the following findings should the nurse report to the provider?
Blood pressure 152/105 mm Hg +2 pitting edema Headache Heartburn
The nurse has reviewed the recent Nurse's Notes and the Diagnostic results
Clonus positive. DTR +4 reports headache as 4 on a 0-10 pain scale platelets AST ALT
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 newborn's eyes while under the phototherapy light
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
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 medication?
Flaccid uterus Excess vaginal bleeding
A nurse is planning care for a client who is 2 hr postpartum. Which of the following interventions should the nurse plan to implement during the taking-hold phase of postpartum behavioral adjustment?
Demonstrating to the client how to perform a newborn bath
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 functions
A nurse is in the antepartum clinic is assessing a client's adaptation to pregnancy. The client states that she is, "happy one minute and crying the next." The nurse should interpret the client's statement as an indication of which of the following?
Emotional liability
A nurse at a provider's office is caring for a client who is 28 years of age. The nurse is preparing the client for surgery. Which of the following actions should the nurse take? Select all that apply
Ensure client is NPO prior to surgery Insert an 18-gauge peripheral IV prior to surgery Obtain a CBC Verify a consent form is signed by the client
A nurse is caring for a client who is 22 weeks gestation and reports concern about the blotchy hyperpigmentation on her forehead. Which of the following actions should the nurse take?
Explain to the client that this is an expected occurence.
A nurse at a provider's office is caring for a client who is 28 years of age. Complete the following sentence by using the list of options
Heart rate Vaginal spotting
A nurse is planning care for a client who is to undergo a nonstress test. Which of the following actions should the nurse include in the plan of care?
Instruct the client to press the provided button each time fetal movement is detected
A nurse in a women's health clinic 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 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 client's abdomen should the nurse apply the ultrasound transducer to assess the point of maximum intensity of the fetal heart?
Left lower quadrant
A nurse on a postpartum unit is caring for a client who is experiencing hypovolemic chock. After notifying the provider, which of the following actions should the nurse take next?
Massage the client's fundus
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 blood pressure every 5 min following the first does of anesthetic solution
A 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?
Oligohydramnios
The nurse is reviewing the client's electronic medical record. Which of the following actions should the nurse take?
Place the client on seizure precautions Administer magnesium sulfate IV bolus Obtain creatinine, platelet, BUN, and liver enzymes Assess for worsening headache and epigastric pain hourly and PRN Monitor level of consciousness, DTRs, and visual disturbances
A nurse is providing discharge teaching to the parents of a newborn about car seat safety. Which of the following instructions should the nurse include?
Place the retainer clip at the level of the newborn's armpits.
A nurse is reviewing the medical record of a client who is postpartum and has preeclampsia. Which of the following lab results should the nurse report to the provider?
Platelets 50,000/mm
A nurse is calculating a client's expected date of birth using Nagele's rule. The client tells the nurse that her last menstrual cycle started on November 27th. Which of the following dates is the client's expected date of birth?
September 3rd
A nurse is teaching a client who has a new prescription for combined oral contraceptives about potential adverse effects of the medication. For which of the following findings should the nurse instruct the client to notify the provider?
Shortness of breath
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 newborn's cry sounds clear
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 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 at a provider's office is caring for a client who is 28 years of age. A nurse is evaluating the client following surgery. Which of the following findings indicate that the client is experiencing a potential complication of the surgery that requires immediate follow-up?
Temperature O2 stat Blood pressure Skin cool and moist to touch 1+ pedal pulses bilaterally
A nurse is caring for a client who is in labor and reports increasing rectal pressure. She is experiencing contractions 2 to 3 min apart, each lasting 80 to 90 seconds, and a vaginal exam 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 newborn who was 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
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 SSRI?
Vomiting
A nurse at a provider's office is caring for a client who is 28 years of age. The nurse is collaborating with another nurse about the client's plan of care. For each potential provider's prescription, click to specify if the potential prescription is anticipated or contraindicated for the client.
transvaginal ultrasound--anticipated Meperidine IM--contraindicated Repeat quantitative betahCG level--anticipated Methotrexate IM--anticipated Blood typing--anticipated
The nurse is planning care for the postpartum client
urinalysis--anticipated Monitor intake and output--anticipated Magnesium sulfate--anticipated seizure precautions--anticipated labetalol--contraindicated draw creatinine and BUN--anticipated
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 teaching a postpartum client about steps the nurses will take to promote the security and safety 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 preparing to administer azithromycin to a client who is at 16 weeks of gestation and has a positive chlamydia culture. The prescription states, "administer azithromycin 1 g orally now." Available is 250 mg tablets. How many tablets should the nurse administer?
4 tablets
A nurse at a provider's office is caring for a client who is 28 years of age. Select the 3 findings that require immediate follow-up
Abdomen assessment Vaginal spotting Menstrual period
A nurse is assessing a newborn following a circumcision. Which of the following findings should the nurse identify as an indication that the newborn is experiencing pain?
Chin quivering
A nurse is 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? Select all that apply
Cholecystitis Hypertension Migraine Headaches