Nurs

A nurse in a provider's office is assessing a client at her first antepartum visit. The client states that the first day of her last menstrual period was March 8. Use Nagele's rule to calculate the estimated date of delivery. Use MMDD format with four numerals and no spaces)

12/15

A charge nurse is teaching a group of staff nurses about fetal monitoring during labor. Which of the following findings should the charge nurse instruct the staff nurses to report to the provider? a. Contraction frequency of 2 to 3min apart b. Fetal heart rate is 140/min c. Contraction durations of 95 to 100 seconds. d. Absent early decelerations of fetal heart rate

C. Contraction durations of 95 to 100 seconds.

A nurse is caring for a client who is experiencing preterm labor and has a prescription for 4 doses of dexamethasone 6mg IM every 12 hr. Available is dexamethasone 10mg/mL. How many mL of dexamethasone should the nurse administer per dose? (Round the answer to the nearest tenth. Use a leading zero if it applies. Do not use trailing zero.)

Med Math .....

A nurse is caring for a client who has active genital herpes simplex virus type 2. Which of the following medications should the nurse plan to administer? a. Acyclovir b. Metronidazole c. Penicillin d. Gentamicin

a. Acyclovir

A nurse is planning care for a newborn who is scheduled to start phototherapy using a lamp. Which of the following actions should the nurse include in the plan? a. Ensure the newborns eyes are closed beneath the shield b. Dress the newborn in thin layer of clothing during therapy c. Apply a thin layer of lotion to the newborn's skin every 8 hr d. Give the newborn 1 oz of glucose water every 4 hr

a. Ensure the newborns eyes are closed beneath the shield

A nurse manager on the labor and delivery unit is teaching a group of newly licensed nurses about maternal cytomegalovirus. Which of the following information should the nurse manager include in the teaching? a. "Transmission can occur via the saliva and urine of the newborn." b. "Lesions are visible on the mother's genitalia." c. "This infection requires that airborne precautions be initiated for the newborn." d. "Mother will receive prophylactic treatment with acyclovir prior to the delivery."

a. "Transmission can occur via the saliva and urine of the newborn."

A nurse is caring for a client who is receiving prenatal care and is at her 24-week appointment. Which of the following laboratory tests should the nurse plan to conduct? a. 1-hr glucose tolerance test b. Blood type and R c. Group B strep culture d. Rubella titer

a. 1-hr glucose tolerance test

A nurse on the labor and delivery unit is assessing four clients. Which of the following clients is a candidate for an induction of labor with misoprostol.? a. A client who has gestational diabetes mellitus b. A client who was active genital herpes c. A client who has placenta previa d. A client who has previous uterine incision

a. A client who has gestational diabetes mellitus

A nurse on an antepartum unit is reviewing the medical records for four clients. Which of the following clients should the nurse assess first? a. A client who has hyperemesis gravidarum and a sodium level of 110 mEq/L b. A client who as preeclampsia and a creatinine level of 1.1 mg/dL c. A client who has diabetes mellitus and an HbA1c of 5.8% d. A client who has placenta previa and a hematocrit of 36%

a. A client who has hyperemesis gravidarum and a sodium level of 110 mEq/L

A nurse is caring for a client who is in labor and requests nonpharmacological pain management, Which of the following nursing actions promotes client comfort? a. Assisting the client into a squatting position b. Applying fundal pressure during contractions c. Encouraging the client to void every 6 hr d. Having the client lie in a supine position

a. Assisting the client into a squatting position

A nurse is planning care for a full- term newborn who is receiving phototherapy. Which of the following actions should the nurse include in the plan of care? a. Avoid using lotion or ointment on the newborn's skin b. Dress the newborn in lightweight clothing c. Keep the newborn supine throughout treatment d. Measure the newborn's temperature every 8 hr

a. Avoid using lotion or ointment on the newborn's skin

A nurse is assessing a newborn upon admission to the nursery. Which of the following findings should the nurse expect? a. Chest circumference 2cm (0.8 in) smaller than the head circumference b. Bulging fontanels c. Length from head to heel of 40 cm (15.7 in) d. Nasal flaring

a. Chest circumference 2cm (0.8 in) smaller than the head circumference

A nurse is reviewing the electronic medical record of a postpartum client. The nurse should identify that which of the following factors places the client at risk for infection? a. Midline episiotomy b. Meconium- stained fluid c. Placenta previa d. Gestational hypertension

a. Midline episiotomy

A nurse is admitting a client to the birthing unit who reports her contractions started 1 hr ago. The nurse determines the client is 80% effaced and 8 cm dilated. The nurse realizes that the client is at risk for which of the following conditions? a. Postpartum hemorrhage b. Ectopic pregnancy c. Incomplete cervix d. Hyperemesis gravidarum

a. Postpartum hemorrhage

A nurse is caring for a newborn who is 6 hours old and has a bedside glucometer reading of 65 mg/dL. The newborn's mother has type two diabetes mellitus. Which of the following actions should the nurse take? a. Reassess the blood glucose level prior to the next feeding b. administer 50 mL of dextrose solution IV c. feed the newborn immediately d. obtain a blood sample for a serum glucose level

a. Reassess the blood glucose level prior to the next feeding

A nurse is providing teaching about terbutaline toy client who is experiencing preterm labor. Which of the following statements by the client indicates an understanding of the teaching? a. This medication could've caused me to experience heart palpitations. b. this medication could cause me to experience a ringing in my ears c. this medication could cause me to experience blurry vision d. this medication can cause me to experience frequent urination

a. This medication could've caused me to experience heart palpitations.

A nurse is monitoring a client who has preeclampsia and is receiving magnesium sulfate by continuous IV infusion. Which of the following findings should the nurse report to the provider? a. Urinary output 20 mL/hr b. Blood pressure 148/94 mmHg c. 2+ deep tendon reflexes d. Respiratory rate 14/min

a. Urinary output 20 mL/hr

A nurse is assessing a client who is 6 hr postpartum and has endometritis. Which of the following findings should the nurse expect? a. Uterine tenderness b. WBC count 9,000/mm^3 c. Temperature 37.4 C (99.3 F) d. Scant lochia

a. Uterine tenderness

Nurses planning to teach a group of clients who are pregnant about breastfeeding after returning to work. Which of the following information should the nurse include in the teaching? a. "Thawed breast milk can be refrigerated for up to 72 hours" b. "Breast milk can be stored in deep freezer for 12 months" c. "Breast milk can be stored at room temperature for up to 12 hours" "Thawed breast milk that is unused can be refrozen"

b. "Breast milk can be stored in deep freezer for 12 months"

A nurse is caring for a client following a vaginal delivery of a term fetal demise. Which of the following statements should the nurse make? a. "You should name the baby so she can have an identity" b. "You can bathe and dress your baby if you'd like to" c. "If you don't hold the baby, it will make letting go much harder" d. "I'm sure you will be able to have another baby when you're ready."

b. "You can bathe and dress your baby if you'd like to"

A nurse is assessing a newborn immediately following a vaginal birth. For which of the following findings should the nurse intervene? a. Acrocyanosis b. Sternal retractions c. Molding d. Vernix caseosa

b. Sternal retractions

A nurse is teaching a parental class regarding false labor. Which of the following information should the nurse include? a. you'll have bloody show b. your contractions will become temporary regular c. you will have dilation and effacement of the cervix d. your contractions will become more intense when walking

b. your contractions will become temporary regular

A nurse on a labor and delivery unit is providing teaching to a client who plans to use hypnosis to control labor pain. Which of the following information should the nurse include? a. "Focusing on controlling body functions will be helpful during hypnosis" b. "Synchronized breathing will be required during hypnosis" c. "Hypnosis can be beneficial if you practiced it during the prenatal period." d. "Hypnosis does not work for controlling pain associated with labor."

c. "Hypnosis can be beneficial if you practiced it during the prenatal period."

A nurse is providing teaching to a client who has mild preeclampsia and will be caring for herself at home during the last 2 months of pregnancy. Which of the following statements by the client indicates an understanding of the teaching? a. "I will check my urine for protein daily." b. "I will alternate the arm I use to check my blood pressure." c. "I will consume 50 grams of protein daily." d. "I will count my baby's kicks every other day."

c. "I will consume 50 grams of protein daily."

A nurse is providing discharge teaching to a client following tubal litigation. Which of the following statements by the client indicates an understanding of the teaching? a. "Premenstrual tension will no longer be present" b. "My monthly menstrual period will be shorter" c. "Ovulation will remain the same." d. "Hormone replacements will be needed following this procedure."

c. "Ovulation will remain the same."

A nurse is caring for four newborns. Which of the following newborns should the nurse assess first? a. A newborn who has rust-stained urine b. A newborn who has overlapping suture lines c. A newborn who has nasal flaring d. A newborn who has subconjunctival hemorrhage of the left eye

c. A newborn who has nasal flaring

A nurse is caring for a client who has maternal hypotension following the placement of an epidural. Which of the following actions should the nurse take? a. Giver terbutaline subcutaneously b. Apply oxygen via nonrebreather face mask at 2 L/min c. Administer a bolus infusion of lactated ringer's d. Position the client in a knee-chest position

c. Administer a bolus infusion of lactated ringer's

A nurse is caring for newborn who is 1 hr old and has a respiratory rate of 50/min, a heart rate of 130/min, and axillary temperature of 36.1 C (97 F). Which of the following actions should the nurse take? a. Obtain an oxygen saturation level b. Give the newborn a warm bath c. Apply a cap to the newborn's head d. Reposition the newborn

c. Apply a cap to the newborn's head

A nurse is preparing to administer methylergonovine 0.2mg orally to a client who is 2 hr postpartum and has a boggy uterus. For which of the following assessment findings should the nurse withhold the medication? a. Respiratory rate of 14/min b. Pulse 58/min c. Blood pressure 142/92 mm Hg d. Urine output 100 mL in 3 hr

c. Blood pressure 142/92 mm Hg

A nurse is caring for a client who is experiencing a sore nipple from breastfeeding. Which of the following actions should the nurse take? a. Encourage the client to limit the newborn's feedings to 10 min on each breast b. Instruct the client to begin feeding with nipple that is most tender c. Ensure the newborn's mouth is wide open before latching to the breast. d. Place a snug dressing on the client's nipples when not breastfeeding

c. Ensure the newborn's mouth is wide open before latching to the breast.

A nurse is providing prenatal teaching to a client who practices a vegan diet and is trying to increase intake of vitamin B12. Which of the following foods should the nurse recommend? (the answer is fortified milk but the soy part is throwing me off) a. Fresh citrus fruits b. Brown rice c. Fortified soy milk d. Raw carrots

c. Fortified soy milk

A nurse is caring for a 2-day old newborn who was born at 35 weeks of gestation. Which of the following actions should the nurse take? Click on the exhibit button for additional information about a newborn there are three tabs that contain separate categories of data. a. Administer nitric oxide inhalation therapy to the newborn. b. Provide the newborn with an iron rich formula containing vitamin B12 every two hours. (MIGHT BE THIS ONE?) c. Measured abdominal circumference at the level of the newborns umbilicus every 12 hours. d. Insert an ostrich plastic decompression tube with low wash suction

c. Measured abdominal circumference at the level of the newborns umbilicus every 12 hours.

A nurse is providing teaching about increasing dietary fiber to an antepartum client who reports constipation. Which of the following food selections has the highest fiber content per day? a. Lentils b. Cabbage c. Oatmeal d. Asparagus

c. Oatmeal

A nurse on a labor and delivery unit is reviewing infection control standards with a newly licensed nurse. The nurse should instruct the newly licensed nurse to don gloves for which of the following procedures ? a. Performing a newborns initial bath b. Administering the measles, mumps, rubella vaccine c. Performing umbilical cord care d. Assisting with breastfeeding

c. Performing umbilical cord care

A nurse is reviewing laboratory results for a client who is pregnant. The nurse should expect which of the following laboratory values to increase? a. Bilirubin b. Fasting blood glucose c. RBC count d. BUN

c. RBC count

A nurse is assisting the provider to administer a dinoprostone insert to induce labor for the client. Which of the following actions should the nurse take? a. Allow the medication to reach room temperature prior to administration. b. Instruct the client to avoid urinary elimination until after administration. c. Verify that informed consent is obtained prior to administration. d. Place the client in a semi-fowlers position for 1 hr after administration.

c. Verify that informed consent is obtained prior to administration.

A nurse is assessing a preterm newborn who is at 32 weeks of gestation. Which of the following findings should the nurse expect? a. creases over the entire sole b. popliteal angle of less than 90° c. minimal arm recoil d. spares lanugo

c. minimal arm recoil

A nurse is providing teaching about expected changes during pregnancy to a client who is at 24 weeks of gestation. Which of the following information should the nurse include? a. your stomach will empty rapidly b. you should anticipate nasal stuffiness (MIGHT BE THIS ONE) c. you should expect your uterus to double in size d. your nipples will become lighter in color.

c. you should expect your uterus to double in size

A nurse in a provider's office is caring for a 20-year-old client who is at 12 weeks of gestation and requests an amniocentesis to determine the sex of the fetus. Which of the following responses should the nurse make? a. "Your provider will schedule a chorionic villus sampling to determine the sex of your baby." b. "You cannot have an amniocentesis until you are at least 35 years of age." c. " We can schedule you for the procedure for later today if you'd like" d. "This procedure determines if your baby has genetic or congenital disorders."

d. "This procedure determines if your baby has genetic or congenital disorders."

A nurse on the postpartum unit is caring for four clients. For which of the following clients should the nurse notify the provider? a. A client who reports abdominal cramping during breastfeeding. b. A client who reports lochia rubra requiring changing perineal pads every 3 hr c. A client who has a urinary output of 300 mL in 8 hr d. A client who is receiving magnesium sulfate and has absent deep tendon reflexes

d. A client who is receiving magnesium sulfate and has absent deep tendon reflexes

A nurse on the postpartum unit is caring for four clients. Which of the following clients should receive Rho(D) immune globulin to prevent Rh-isoimmunization? a. An Rh-positive mother who has an Rh-positive infant b. An Rh-negative mother who has an Rh-negative infant c. An Rh-positive mother who has an Rh-negative infant d. An Rh-negative mother who has an Rh-positive infant

d. An Rh-negative mother who has an Rh-positive infant

A nurse is planning care for a client who is pregnant and has HIV. Which of the following actions should the nurse include in the plan of care? (I found 2 different answers for this one a. Instruct the client to stop taking the antiretroviral medications at 32 weeks of gestation b. Use a fetal scalp electrode during labor and delivery c. Administer a pneumococcal immunization to the newborn within 4 hr following birth d. Bathe the newborn before initiating skin-to-skin contact

d. Bathe the newborn before initiating skin-to-skin contact

A nurse is teaching about clomiphene citrate to a client who is experiencing infertility. Which of the following adverse effects should the nurse include? a. Chills b. Tinnitus c. Urinary frequency d. Breast tenderness

d. Breast tenderness

A nurse in a women's health clinic is obtaining a health history from a client. Which of the following findings should the nurse identify as increasing the client's risk for developing pelvic inflammatory disease (PID) ? a. Frequent alcohol use b. Use of oral contraceptives c. Recurrent cystitis d. Chlamydial infection

d. Chlamydial infection

A nurse is assessing a newborn following a forceps-assisted birth. Which of the following clinical manifestations should the nurse identify as a complication of this birth method? a. Polycythemia b. Hypoglycemia c. Bronchopulmonary dysplasia d. Facial palsy

d. Facial palsy

A nurse is performing an initial assessment of a newborn who was delivered with a nuchal cord. Which of the following clinical findings should the nurse expect? a. Periauricular papillomas b. Telangiectatic nevi c. Erythema toxicum d. Facial petechiae

d. Facial petechiae

A nurse is caring for a client following an amniocentesis. The nurse should observe the client for which of the following complications? a. Hyperemesis b. Hypoxia c. Proteinuria d. Hemorrhage

d. Hemorrhage

A nurse is assessing a newborn who was born postterm. Which of the following findings should the nurse expect? a. Thin covering of fine hair on shoulders and back b. Large deposits of subcutaneous fat c. Pale, translucent skin d. Nails extending over tips of fingers

d. Nails extending over tips of fingers

A nurse is planning care for a newborn who has neonatal abstinence syndrome. Which of the following interventions should the nurse include in the plan of care? a. Discourage parental interaction until after a social service evaluation b. Increase the newborn's visual stimulation c. Weigh the newborn every other day d. Swaddle the newborn in a flexed position

d. Swaddle the newborn in a flexed position

A nurse is assessing a client who is at 37 weeks of gestation. Which of the following statements by the client requires immediate intervention by the nurse? a. my feet are really swollen today b. I didn't have lunch today but I had breakfast this morning c. I have been seeing spots this morning (MIGHT BE THIS ONE) d. it burns when I urinate

d. it burns when I urinate