RN Maternal Newborn Online Practice 2023 A

A nurse is caring for a newborn who is 70 hr old. Which of the following findings should the nurse report to the provider?

-CNS -GI findings

A nurse is teaching a client who is at 10 weeks gestation about nutrition during pregnancy. Which of the following statements by the client indicates an understanding of the teaching/

" I should take 600 mcg of folic acid each day"

A nurse is teaching a client who has pregestaiton type 1 diabetes mellitus about mangement during pregnancy. Which of the following statements by the client indicates an understanding of the teaching?

" I will continue taking my insulin if I experience N/V"

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 school nurse is providing teaching to an adolescent about levonorgestrel contraception. Which of the following information should the nurse include in the teaching?

" you should take the medication within 72 hours following unprotected sexual intercourse"

A nurse is providing dietary teaching to a client who has hyperemisis gravid arum. Which of the following statements by the client indicates an understanding of the teaching?

"I will eat foods that taste good instead of balancing my meals"

A nurse is teaching a client who is 37 weeks of gestation and has a prescription for a non stress test. Which of the following instructions should the nurse include?

"You should press the handheld button when you feel your baby move."

A nurse in a clinic is caring for a 16 year old adolescent. Which of the following findings should the nurse report to he provider? SATA

-Abdominal discharge -vaginal discharge -temp -dyspareunia -condom usage

A nurse in a family planning clinic is caring for a Clint who requests an oral contraceptive. Which of the following findings in the client's hx should the nurse recognize as a contraindication to oral contraceptives? SATA

-Cholecystitis -htn -migriane headaches

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? SATA

-Flaccid uterus -Excess vaginal bleeding

A nurse is preparing to perform Leopold maneuvers for a client. Identify the sequence the nurse should follow

-Palpate the client's funds to identify the fetal part -determine the location of the fetal -palpate for the fetal part presenting at the inlet -palapte the cephalic prominence to identify the attitude of the head

A nurse is caring for client who is pregnant in an antepartum clinic Which of the following findings should the nurse report to the provider? Chose 3

-uterine contractions -gestational age -vaginal examination

A nurse is caring for a client who is in labor and reports increasing rectal pressure. They are expereincing contractions 2 to 3 min apart, each lasting 80 to 90 seconds and a vaginal examination reveals that their cervis is dilated to 9 cm. The nurse should identify that the client is in which of the following phases of labor?

Active

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 are 250mg tabs. How many tabs should the nurse administer?

4

A nurse in a prenatal clinic is assessing a group of clients. Which of the following clients should the nurse see first?

A client who is at 11 weeks of gestation and reports abdominal cramping

A nurse on an antepartum unit is caring for four clients. Which of the following clients should the nurse identify as the priority?

A client who is at 34 weeks gestations and reports epigastric pain

A nurse in a clinic is caring fro a 16 year old adolescent. Which of the following conditions should the nurse identify as being consistent with the adolescent's assessment findings? For each finding, click to specify if the assessment findings are consistent with trichomoniasis, gonorrhea, or candidiasis. Each findings may support more than one ideas process

Abdominal pain- gonorrhea Greenish discharge-gonorrhea, trichomoniasis Diabetes- candidiasis Pain on urination-trichomoniasis, gonorrhea, candidiasis Absence of condom use- trichomoniasis, gonorrhea

A nurse is assessing a client who gave birth vaginally 12 hr ago and palpates their uterus to the right above the umbilicus. Which of the following interventions should the nurse perform?

Assist the client to empty their bladder

A nurse is admitting a client to the labor and delivery unit when the client states, " my water just broke. " which of the following interventions is the nurse's priority?

Begin FHR monitoring

A nurse is caring for a client who is at 41 weeks 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 caring for a client who has hyperemsis gravid arum and is receiving IV fluid replacement. Which of the following findings should the nurse report to the provider?

Blood pressure 105/64

A nurse is assessing a client who is postpartum and has idiopathic thrombocytopenia purport (ITP). which of the following findings should the nurse expect?

Decreased platelet count

A nurse is caring for a newborn. For each assessment finding, click to specify if the finding is consistent with hypoglycemia, hyperbilirubinemia, or sepsis. Each finding may support more than one disease process

Decreased temperature is associated with hypoglycemia and sepsis. Yellow sclera and oral mucosa are associated with hyperbilirubinemia and sepsis. Poor feeding is associated with hypoglycemia, hyperbilirubinemia and sepsis. Ecchymotic caput succedaneum is associated hyperbilirubinemia. Respiratory distress is associated with hypoglycemia and sepsis.Lethargy is associated with hypoglycemia and sepsis. Ecchymotic caput succedaneum is associated with hyperbilirubinemia

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 function

A nurse In the antepartum clinic is assessing a client's adaptation to pregnancy. The client Staes that they are " 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 is transporting a newborn back tot he parent's room following a procedure. Which of the following actions should the nurse take prior to leaving the newborn with their parent?

Ensure that the parent's identification band number matches the newborn's identification band number

A nurse is performing a routine assessment on a client who is at 18 wks gestations. Which of the following findings should the nurse expect?

FHR 152

A nurse is caring for a client who is at 10 weeks gestation. Which of the following findings should the nurse report to the provider?

Frequent vomiting with wt loss of 3lb in 1 week

A nurse is caring for a client who has preeclampsia and is receiving a continuous infusion of magnesium sulfate IV. Which of the following actions should the nurse take ?

Have calcium gluconate readily available

A nurse is teaching a client who is at 35 weeks of gestation about manifestation of potential pregnancy complications to report to the provider. Which of the following manifestations should the nurse include?

Headache that is unrelieved by analgesia

A nurse is caring for a client who is to receive oxytocin to augment their labor. Which of the following findings contraindicates the initiation of the oxytocin infusion and should be report to the provider?

Late deceleration

A nurse is caring for a newborn. Which of the following actions should the nurse plan to implement?

Indicated- educate the parents to being ROM exercise, assess for grasp reflex, immobilize the arm across the abdomen by pinning the newborns sleeve to their shirt. Contraindicated-instruct parents to limit physical handing for 2 weeks

A nurse on an antepartum unit is caring for a client. Which of the following nursing actions should the nurse plan to take?

Indicated- insert large bore IV, weigh perineal pads Contraindicated- administer methotrexate, assess cervical dilation

A nurse is reviewing the provider's prescription in the adolescent's medical chart. The nurse has just reviewed discharge instructions with the adolescent. Which of the following indicates whether the adolescent understands the teaching or requires further education? For each of the statements made by the adolescent, click to specify whether the statement indicates an understand or queries further education?

Indicates understanding= - "I should continue taking all may medications even if I don't show any symptoms.", -" If I continue to ge this type of infection, it can affect my ability to have kids in the future." - I'm more likely to ge ta sunburn while taking these meds" Requires further reducation= -" I should go to the ED if my urine turns dark" -As long as I keep my iUD, I don't need to use condoms"

A nurse is planning care fora client who is to undergo a non stress 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 delta movement is detected

A nurse is assessing a newborn 12 hr after birth. Which of the following manifestations should the nurse report to the provider?

Jaundice

A nurse is caring for a client following an amniocentesis at 18 weeks gestation. Which of the following findings should the nurse report to the provider as a potential complications?

Leakage of fluid from the vagina

A nurse is caring for a postpartum client who is receiving heparin via a continuous IV infusion for thrombophlebitis in their left calf. Which of the following actions should the nurse take?

Maintain the client on bed rest

A nurse is assessing a newborn who was born at 26 weeks of gestation nursing the New Ballard score. Which of the following findings should the nurse expect?

Minimal arm recoil

A nurse is caring for a client who is at 15 weeks of gestation, is Rh negative, and has just had an amniocentesis. Which of the following interventions is the nruses' priority following the procedure?

Monitor FHR

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 BP q 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

A nurse is caring for a client who is at 38 weeks gestation. Which of the following actions should the nurse take prior to applying an external transducer for fetal monitoring?

Perform lepold maneuvers

A nurse is caring for a newborn who is 48 hr old. Complete the diagram by dragging from the choices below to specify what condition the Clint is most likely experiencing ...BOWTIE

Potential complication - cold stress monitor-temp and glucose levels Actions- place newborn skin to skin, parent to breastfeed???

A nurse is developing a plan of care for a newborn who is to undergo phototherapy for hyperbilirunemia. Which of the follow actions should the nurse include in the plan?

Remove all clothing from the newborn except for the diaper

A nurse is assessing a late pretor newborn. Which of the following manifestations is an indication of hypoglycemia?

Respiratory distress

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 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 an SSRI?

Vomiting

A nurse is assessing 4 newborns. Which of the following findings should the nurse report to the provider?

a newborn who is 18hr old and has an axillary temp of 99.9

The nurse is reviewing laboratory results in the adolescent's medical record? The nurse is reviewing the adolescent's medical record. Which of the following conditions is the client most likely developing?

a. pelvic inflammatory disease f. c-reactive protein Pelvic inflammatory disease (PID) is an infection that involves the pelvic reproductive organs. There are several causative agents that lead to infection, including Neisseria gonorrhoeae and C. trachomatis. PID occurs as a result from untreated infections ascending from the vagina.. Manifestations include fever, increased C-reactive protein, nausea, and vomiting; therefore, the nurse should suspect the adolescent

The nurse is reviewing lab results in the adolescent's medical record. The nurse suspects the adolescent is experiencing pelvic inflammatory disease and is planning care. Which of the following prescriptions should the nurse expect the provider to prescribe?

ceftriaxone and doxycycline

A nurse is assessing a newborn following a circumsision. Which of the following findings should the nurse identify as an indication that the newborn is experiencing pain?

chin quivering

A nurse is providing teaching for a client who has a new prescription for combined oral contraceptives. Which of the following findings should the nurse include as an adverse effect of this medication?

depression

A nurse in an antepartum clinic is providing care for a client who is at 26 weeks of gestations. Upon reviewing the client's medical record, which o the following findings should the nurse report to the provider? ) click on the exhibit button for additional info about the client. There are3 tabs...

fundal height measurement

A nurse is observing a new guardian caring for their crying newborn who is bottle feeding. Which of the following actions by the guardian should the nurse recognize as a positive parenting behavior?

lays the newborn across their lap and gently sways

A nurse is reviewing the provider's prescription in the adolescent's medical chart.. The nurse should first implement...

providing education on medications and administering ceftriaxone

A nurse is caring for a client who is 22 wks gestation and is HIV positive. which of the following actions should the nurse take?

report the client's condition to the local health department

A nurse is assessing a newborn who is 16 hr old. Which of the following findings should the nurse report to the provider?

substernal retractions

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 is caring for a newborn who has 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 idenfication