OB test!

A nurse is caring for a client who has hyperemisis Gravidarum. Which of the following laboratory tests should the nurse anticipate?

Urine ketones

A nurse is assisting a provider to administer a dinoprostone insert to induce labor for a client. Which of the following actions should the nurse take?

Verify that informed consent is obtained prior to admission

A nurse is assessing a client following an amniocentesis. Which of the following findings should the nurse recognize as complications? (select all that apply)

a. Amnionitis d. Leakage of amniotic fluid e. Preterm labor

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 cup?

oatmeal

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?

one hour glucose tolerance test

A nurse is caring for a client who has active general herpes simplex virus type two. Which of the following medication should the nurse plan to administer?

Acyclovir

A nurse is providing teaching to a client about exercise safety during pregnancy. Which of the following statements by the client indicates an understanding of the teaching? (select all that apply)

"I should consume three 8-ounce glasses of water after I exercise." "I should limit exercise sessions to 30 minutes when the weather is humid." "I should rest by lying on my side for 10 minutes following exercise."

A nurse is providing discharge teaching to a new parent about car seat safety. Which of the following statements by the parent indicates an understanding of the teaching?

"I should place the car seat rear facing until my baby is 12 months old"

The nurse is providing teaching about terbutaline to a client Who is experiencing preterm labor. Which of the following statement by the client indicates an understanding of the teaching?

"The medication could cause me to experience heart palpitations"

A nurse is reviewing the medical record of a client who had a vaginal delivery three hours ago. Which of the following findings places the client at risk for a postpartum hemorrhage? (Select all that apply)

-Labor induction with oxytocin -history of uterine atony

A nurse is providing nutritional guidance to a client who is Pregnant and follows a vegan diet. The client asks the nurse which foods she should eat to ensure adequate calcium intake. The nurse should instruct the client that which of the following foods has the highest amount of calcium?

1 cup of cooked broccoli

A nurse is caring for a client who is at 20 weeks of gestation and has trichomoniasis. Which of the following findings should the nurse expect?

1. Malodorous discharge med:metronidazole

A nurse is Assessing a client who is at 27 weeks of gestation and has preeclampsia. Which of the following findings should the nurse report to the provider?

1. Platelet count 60,000 2. Help syndrome

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?

1. Urinary output 20mL/hr

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?

1. You can bathe and dress your baby is you'd like to

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?

1. it burns when I urinate

A nurse is caring for four clients. For which of the following clients should the nurse also take the fetal heart rate during the prenatal visit?

A client who has felt quickening for the first time

A nurse on the labor and delivery unit is assessing for clients. Which of the following clients is a candidate for an induction of labor with misoprostal?

A client who has gestational diabetes mellitus

A nurse is receiving report on for postpartum client. Which of the following clients should the nurse plan to attend to first?

A client who has hyporeflexia while receiving IV magnesium sulfate

A nurse on an antepartum unit is reviewing the medical records for four clients. Which of the following client should the nurse assess first?

A client who has pre-eclampsia and a creatinine level of 1.1 mg/dL

A nurse in a prenatal clinic is caring for a group of clients. Which of the following clients should the nurse recommend for an interdisciplinary care conference?

A client who is 35 weeks of gestation and has a biophysical profile of six

A nurse on the postpartum unit is caring for four clients for which of the following clients should the nurse notify the provider?

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

A nurse is assessing a full term newborn. Which of the following findings should the nurse report to the provider?

A heart rate of 72 bpm

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

A newborn who has a high-pitched cry with exaggerated Moro reflex

A nurse manager in a newborn nursery is reviewing infection control procedures with a group of newly hired nurses. Which of the following Instructions should the nurse manager include in the teaching?

A. Place newborn bassinets at least 3 feet apart.

A nurse is providing discharge instructions to a client was breast-feeding her newborn. Which of the following instructions should the nurse include?

Allow the baby to feed at least every three hours

A nurse is on a postpartum unit caring for four clients. Which of the following clients should receive Rh, D immune globulin to prevent Rh negative immunization?

An Rh negative mother who has an Rh positive invent

A nurse is caring for a newborn who has won our old and has a respiratory rate of 50, a heart rate of 130/min, and an axillary temperature of 36.1°C (97°F). Which of the following action should the nurse take?

Apply a cap to the newborns head

A nurse is providing discharge instructions to a client who is 24 hours postpartum and has decided not to breast-feed. Which of the following instructions should the nurse include in the teaching?

Apply ice packs to your breasts using a 15 minute on, 45 minute off schedule

A nurse is caring for a client who has bladder distention following a vaginal birth. Which of the following actions should the nurse take first?

Assist the client to the bathroom

A nurse is caring for a client who is in the transition phase of labor and reports a pain level of seven on a scale of 0 to 10. Which of the following actions should the nurse take?

Assist the client with patterned paced breathing

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?

Assisting the client into 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?

Avoid using lotion or ointment on the newborn skin

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?

Bathe the newborn before initiating skin-to-skin contact

A nurse is caring for a client who is receiving an epidural block with an opioid analgesic. The nurse should monitor for which of the following findings as an adverse effects of the medication?

Bilateral crackles

A nurse is reviewing laboratory findings for a client who is at 20 weeks of gestation period which of the following findings should the nurse report to the provider?

Blood glucose 180 mg/dL

A nurse is preparing to administer methylergonovine 0.2 mg Orally to a client who has two hours postpartum and has a boggy uterus. For which of the following assessment findings should the nurse withhold the medication?

Blood pressure 142/92 mm Hg

A nurse is planning to teach a group of clients who are about breast-feeding after returning to work. Which of the following instructions should the nurse include in the teaching?

Breastmilk can be stored in a deep freezer for 12 months

A nurse is caring for a client who is receiving magnesium sulfate by continuous IV infusion. The nurse notes a respiratory rate of 8/min And absent DTRs. Which of the following medication should the nurse administer?

Calcium gluconate

A nurse is assessing a newborn upon admission to the nursery. Which of the following should the nurse expect?

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

A nurse in a woman's health clinic is obtaining a health history from a client. Which of the following findings should the nurse identify as increasing the clients risk for developing pelvic inflammatory disease (PID)?

Chlamydia infection

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 members to report to the provider?

Contraction durations of 95 to 100 seconds

A nurse is caring for a client who is postpartum and experiencing hypovolemic shock. Which of the following findings should the nurse expect?

Cool, clammy skin

A nurse is observing an adolescent client who is offering her newborn a bottle while he is laying in the bassinet. When the nurse office to pick the newborn up and place them in the clients arms, the mother states, no, the baby is too tired to be held. Which of the following actions should the nurse take?

Demonstrate how to hold a newborn and allow the client to practice

A nurse is caring for a client who is at 20 weeks of gestation and reports constipation. Which of the following recommendations should the nurse make to help relieve this common discomfort of pregnancy?

Drink 2 to 3 L of water each day

A nurse is assessing the fetal heart rate for a client who is at 38 weeks of gestation. When using an ultrasound device, the nurse hears blood rushing through the umbilical vessels in synchronization with the fetal heartbeat. Which of the following terms should the nurse used to document this finding?

Funic soufle

A nurse is receiving laboratory results for a term newborn who is 24 hours old. Which of the following results requires intervention by the nurse?

Glucose 20 mg/dL

A nurse is caring for a client who is experiencing sore nipples from breast-feeding. Which of the following actions should the nurse take?

Ensure the newborns mouth is wide open before latching to the breast

A nurse is monitoring a newborn who is mother reports reason opiate use for neonatal abstinence syndrome. Which of the following findings indicates narcotic withdrawal?

Excessive crying

A nurse is teaching a prenatal class about immunizations that newborns receive following birth. Which of the following immunizations should the nurse include in the teaching?

Hepatitis B

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?

Hypnosis can be beneficial in you practiced it during the prenatal period"

A nurse is assessing a client who has two days postpartum. Which of the following findings indicate a complication?

Hypotonic uterus

A nurse is assessing a client who is at 37 weeks of gestation period which of the following statements by the client requires immediate intervention by the nurse?

I have been seeing spots this morning

A nurse is providing teaching to a client who has mild preeclampsia and will be caring for herself at home during the last two months of pregnancy. Which of the following statements by the client indicates an understanding of the teaching?

I will consume 50 g of protein daily

A nurse is caring for a client who has four hours postpartum and is experiencing hypovolemic shock. Which of the following actions should the nurse take?

Insert an indwelling urinary catheter

A nurse is assessing medication years with a client who is at six weeks of gestation period the nurse should recognize that pregnancy is a contra indication to the administration of which of the following medication?

Isotretinoin

A nurse is admitting a client who is in preterm labor in the labor and delivery unit. The nurse should anticipate which of the following tests to assess for fetal lung maturity?

Letithin/sphingomyelin ratio 2:1

A nurse in a clinic is preparing to measure the Fundal height Of a client who is pregnant. Which of the following actions should the nurse take?

Measure from the upper border of the symphysis pubis to the upper border of the fundus

A nurse is caring for a client who has bacterial vaginosis. Which of the following medication should the nurse expect to administer?

Metronidale

A Nurse is caring for a client who is 14 weeks of gestation. At which of the following locations should the nurse place the Doppler device when assessing the fetal heart rate?

Midline 2 to 3 cm (0.8 to 1.2 in) above the symphysis pubis

A nurse is assessing a preterm newborn who is at 32 weeks of gestation period which of the following findings should the nurse expect?

Minimum arm recoil

A nurse is planning care for a newborn who has to undergo a circumcision using a plastic bell device. Which of the following intervention should the nurse include in the plan of care?

Monitor for bleeding every 15 minutes for the first hour

A client and her partner ask the nurse for information about permanent contraception. Which of the following statements should the nurse include in the counseling?

Most sterilization procedures are considered irreversible

A nurse is caring for for newborns. Which of the following newborn should the nurse assessed first?

Newborn who has nasal flaring

A community health nurse is providing education on gestational diabetes Molite us to a group of clients were pregnant when discussing risk factors, which of the following ethnicities should the nurse identify as having the lowest incidence of gestational diabetes Molite us?

Non-Hispanic white American

A nurse is providing discharge teaching to a client following tubal ligation. Which of the following statements by the client indicates an understanding of the teaching?

Ovulation will remain the same

A nurse and a labor and delivery unit is receiving 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?

Perform umbilical cord card

A nurse is caring for a client who is receiving oxytocin for induction of labor in notes late decelerations of the fetal heart rate on the monitor tracing. Which of the following action should the nurse take?

Place the client in the lateral position.

A nurse is assessing a client who is at 39 weeks of gestation and determined that the fetus is in a left hospital position. On which of the following sides should the nurse placed the external fetal monitor to hear the point of maximum impulse of the fetal heart rate?

Place the fetal monitor on the bottom left

A nurse is assessing a client who is at 27 weeks of gestation and has preeclampsia. Which of the following findings should the nurse report to the provider?

Platelet Count 60.000/ mm3

A nurse is caring for a newborn who is 24 hours old which of the following laboratory findings should the nurse report to the provider?

Platelets 200.000/mm3

A nurse is admitting a client to the birthing unit who reports her contractions started two hours 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?

Postpartum hemorrhage

A nurse is caring for a client who is in labor. Which of the following findings should prompt the nurse to reassess the client?

Progressive sacral discomfort during contractions

A nurse is caring for a newborn was six hours old and has a bedside glucometer reading of 65 mg/dL. The newborns mother has type two diabetes mellitus which of the following action should the nurse take?

Reassess the blood glucose level prior to the next feeding

A nurse is teaching a client who is 28 weeks of gestation and not up-to-date on current immunizations. Which of the following immunizations should the nurse informed the client to anticipate receiving following birth?

Rubella

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

Single transverse Palmer crease bilaterally

A nurse is assisting with precipitous delivery of a term newborn. After the head emerges, the nurse palpates the cord around the Newborns neck. Which of the following actions should the nurse take?

Slip the cord over the newborns head

A nurse is planning care for a newborn who has a neonatal abstinence syndrome. Which of the following intervention should the nurse include in the plan of care?

Swaddle the newborn in a flexed position

A nurse is performing an initial assessment of a newborn who was delivered with a nuchial cord. Which of the following clinical findings should the nurse expect?

Telangiectatic nevi

A nurse is reviewing the immunization status of a client was pregnant the nurse should inform the client that it is safe to receive which of the following immunizations during pregnancy?

Tetanus

A nurse is caring for a client who is in the second stage of labor. which of the following manifestations should the nurse expect?

The client delivers the newborn

A nurse is developing an educational program about hemolytic disease is in a newborn for a group of newly licensed nurses. Which of the following genetic information should the nurse include in the program as a cause of hemolytic disease?

The mother is Rh negative and the father is Rh positive

A nurse is assessing a full-term newborn upon admission to the nursery. Which of the following clinical findings should the nurse report to the provider?

Transient circumoral cyanosis

A nurse is providing teaching about expected changes during pregnancy to a client who is at 24 weeks of gestation period which of the following information should the nurse include?

You should expect your uterus to double in size

A nurse is reviewing signs of affective breathing with a client who is five days postpartum. Which of the following information should the nurse include in the teaching?

You should feel a tugging sensation when the baby is sucking

A nurse is caring for a Client who is at eight weeks of gestation about self-care during pregnancy. Which of the following statements should the nurse include?

You should take 600 mcg of folic acid per day

A nurse is providing teaching to a client who is at 37 weeks of gestation and has a prescription to receive misoprostal Intravaginally. Which of the following statements should the nurse make?

You will need to stay in a side lying position for 30 minutes after each dose

A nurse is teaching a client who is at 41 weeks of gestation about a nonstress test. Which of the following information should the nurse include in the teaching?

a. "This test will determine adequacy of placental perfusion".

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 newborn eyes are closed beneath the shield.

A nurse is planning care for a client who is receiving oxytocin by continuous IV infusion for labor induction. Which of the following interventions should the nurse include in the plan?

a. Increase the infusion rate every 30 to 60 min.

A nurse is assessing a newborn who was born post term. Which of the following findings should the nurse expect?

a. Nails extending over tips of fingers

A nurse is teaching about clomiphene citrate to a client who is experiencing infertility. Which of the following adverse effects should the nurse include?

breast tenderness

The nurse is assessing a newborn following a forceps assisted birth. Which of the following clinical manifestations should the nurse identify as a complication of the birth method?

facial palsy

A nurse is reviewing laboratory results for a client who is pregnant. The nurse should expect which of the following laboratory values to increase?

fasting blood glucose

A nurse is caring for a client following an amniocentesis. The nurse should observe the client for which of the following complications?

hemorrhage

A nurse is caring for an infant who has signs of neonatal abstinence syndrome. Which of the following actions should the nurse take?

initiate seizure precautions

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?

midline episiotomy

A nurse is assessing a newborn immediately following a vaginal birth. For which of the following findings should the nurse intervene?

sternal retractions

A nurse is teaching a prenatal class regarding false labor. Which of the following information should the nurse include?

your contractions will become temporarily regular