ATI maternal newborn
a nurse is providing teaching to a client who is 40 weeks of gestation and has a new prescription of misoprostol. which of the following instructions should the nurse include in the teaching?
"i can administer oxytocin 4 hours after the insertion of the medications" explanation: oxytocin can be administered following misoprostol for clients who have cervical ripening and have not begun labor.
a nurse is teaching a client who is 10 weeks gestation about nutrition during pregnancy. which of the following statements by the client indicates an understanding of the teaching? inc protein to 60 g drink 2L of water each day inc overall daily caloric intake by 300 calories i should take 600 micrograms of folic acid each day"
"i should take 600 micrograms of folic acid each day" explanation: protein should be 71g each day during 2nd and 3rd trimester should consume 3L of water a day 340 cal during second and 452 cal during 3rd
Providing education to a client at 32 weeks of gestation who has pruritis gravidarum. which of the following pieces of info should be provided? a. "you should inc your exposure to sunlight" b. will need extensive dermo treatment C. provider will schedule weekly lab testing to monitor your liver function D. will prescribe isotretinon cream
"you should inc your exposure to sunlight" pruritis gravidarum is a cond of preg that causes gen itching without prescence of rash. this is due to the stretching of skin. exposure to sunlight can reduce itching.
what is the following recommended daily calcium intake for a client who is breastfeeding? 800 400 1000 2000
1000mg
expected hemoglobin levels for newborn normal Hct
14-24 44-64%
normal head circumference
32-36.8 cm (12.6-14.5 in)
indication of anemia Hct <
33%
focusing phase
3rd phase of fathers response to pregnancy
is having a male child and expresses concern for possible hemophilia. client is a carrier of the gene mutation 25% 50% 75% 100%
50% x-linked recessive female clients have a 50% chance of giving it to their children male will have the disorder
how much carbs should make up your diet if you are pregnant and has pregestational diabetes?
55% carbs, 20% protein, 25 fat and 10% sat fat .
normal newborn blood glucose
>45
Risk factors for preterm labor? A. UTI B. multifetal preg C. oligohydraminos D. diabetes E. uterine abnormalities
A, B, D,E hydraminos is a risk factor not oligo
what infections should be treated during labor or immediately following? A. gonorrhea B. chlamydia C. HIV D. Group B E. TORCH infection
A, B,C,D A & B are treated with erythromycin C mom is given retrovir during labor D. penicillin G or ampicillin is given
Contraindication for magnesium sulfate? select all A. fetal distress B. preterm labor C. vaginal bleeding D. cervical dilation greater then 6 cm E. severe gestation hypertension
A, D
administering mag sulfate, what are signs of mag sulfate toxicity? A. resp <12 B. Urinary output less then 25/hour C. hyperreflexic deep tendon reflexes D. dec level of consciousness E. flushing and sweating
A, b, d
what medication would be given for a patient with gonorrhea? A. ceftriaxone B. fluconazole C. metronidazole D. zidovudine
A. ceftriaxone or doxycycline are give for 7 days D is used to treat HIV/ AIDS C. bacterial vaginosis B. candidiasis
client is 34 weeks gestation and has a cardiac disorder. Nurse should notify the provider about which of the following assessment findings? A. frequent cough B. shoes do not fit anymore C. weight gain of 2lb in 2 weeks D. leg cramps in the evening
A. frequent cough can be a sign of cardiac decompensation
nurse reviewing lab findings of a 24-hour old newborn. Which of the following should be reported? A. hemoglobin 12 B. plt count 200,000 C. total bilirubin 4mg/dL D. glucose 50 mg/dL
A. hemoglobin 12 below ref rang of 14-24 g/dL
10 weeks gestation what should be reported? A. hemoglobin of 10 B. WBC 15,000/mm3 C. RBC 5.8 million D. hematocrit 34%
A. hemoglobin of 10 normal >11 WBC 5,000-15,000 normal 5-6.25 million inc by 20-30% with pregnancy Hct>33%
prior to receiving a spinal anesthetic what should the nurse do? A. infuse 500 ml bolus of NS B. assess FHR for 10 min prior C. position client upright on edge of bed D. monitor vitals every 15 min after
A. infuse 500 ml bolus of NS offset potential of hypotension
What should be increased in daily diet during pregnancy?
A. iron
what test should be done if there is suspected placental abruption? A. kleihauer-betke test B. progesterone serum level C. L/s ratio d. maternal alpha fetoprotein
A. kleihauer-betke test to test if fetal blood is in maternal circulation also to see if rho gam is needed
Client is in labor and asks her partner to perform effleurage. client has monitor belt on for fetal monitoring. which of the following instructions should the nurse provide to the client's partner. A. lightly stroke the upper thighs B. steadily apply pressure to the sacrum C. gently massage the mid-abdominal area D. firmly squeeze both hips
A. lightly stroke the upper thighs efflurage involves light strokes or massaging the abdomen in rhythm to help breathing and to relieve lbor pain.
client who is 8hr PP and hemorrhaging. which of the following actions should the nurse implement after notifying the provider? A. massage the fundus B. give O2 at 2L/ min via nasal cannula C. administer oxytocin with IV fluids D. insert an indwelling catheter E. place client in lateral position with her legs elevated 30
A. massage the fundus C. administer oxytocin with IV fluids D. insert an indwelling catheter E. place client in lateral position with her legs elevated 30
leopold maneuvers in order A. palpate the fundus to identify fetal part palpate for the fetal part presenting at the inlet determine location of the fetus back identify attitude of the head
A. palpate the fundus to identify fetal part determine location of the fetus back palpate for the fetal part presenting at the inlet identify attitude of the head
client at 33 weeks gestation who has placenta previa and bleeding. which of the following prescriptions should the nurse clarify with the provider? A. perform a vaginal exam B. perform continuous external fetal monitoring C. insert large-bore IV catheter D. obtain a blood sample for lab testing
A. perform a vaginal exam placenta implants in lower part of uterus and obstructs cervical os. any manipulation may cause tearing and inc bleeding
Client is in 2nd stage of labor. FHR indicates multiple variable decels. What action should the nurse take? A. prepare an amnioinfusion B. place client in supine position C. administer oxygen 2L/ min via NC D. give a glucocorticoid steroid
A. prepare an amnioinfusion to decreased cord compression
2 day old newborn with an egg shaped edematous, bluish discoloration that does not cross the suture line. A. resolve in 3 to 6 weeks without treatment B. resolve on its own within 3 to 4 days C. provider might drain area with a syringe D. appearance is expected at birth, so you dont need to worry
A. resolve in 3 to 6 weeks without treatment cephalhematoma, it is a collection of blood between the skull and periosteum. will resolve within 2 to 6 weeks
teaching about levongestrel contraception. which of the following info should the nurse include in the teaching? A. should be taking within 72 hours of unprotected sex B. should avoid taking this if you are on an oral contraceptive C. if you dont start your period within 5 days you will need a pregnancy test D. one dose will prevent you from becoming pregnant for 14 days
A. should be taking within 72 hours of unprotected sex inhibits ovulation to prevent conception
full term newbron and eliciting the moro reflex. which of the following movements are expected? A. thumb and forefinger forming a c B. legs extending before pulling upward C. arms and legs adducting D. arms falling backward after startling E. head turning to the right
A. thumb and forefinger forming a c B. legs extending before pulling upward
Nurse is caring for a client at 37 weeks gestation who is undergoing nonstress test. the FHR is 130/min without accelerations for past 10 min. which of the following actions should the nurse take? A. use vibroacoustic stimulation on the client's abdomen for 3 sec B. report non reactive . test to provider C. request a prescription for internal fetal scalp electrode D. auscultate the FHR with doppler transducer
A. use vibroacoustic stimulation on the client's abdomen for 3 sec fetus may be sleeping
nurse is caring for a client at 34 weeks who presents with vaginal bleeding. what indicates if its placenta previa or abruptio placenta? A. uterine tone B. FHR C. BP D. amount of bleeding
A. uterine tone placenta previa-relaxed soft painless abruptio firm board-like and pain present
Nurse is reviewing for a biophysical test, what varibles are considered? A. fetal weight B. fetal breathing movement C. fetal tone D. fetal position E. amniotic fluid volume
B,C,E
nurse is on an antepartum unit caring for 4 clients. which of the following is a priority. A. gestationaal diabetes BS of 120 B. 34 weeks and epigastric pain C. 28 weeks and hgb of 10.4 D. 39 weeks of gestation and reports urinary freq
B. 34 weeks and epigastric pain
planning care for 4 high risk newborns who were discharged yesterday. which of the following newborns should the nurse plan to care for first? a. 1 week old who needs another phenylketonuria screening B. 4 day old who has elevated bili and requires phototherapy C. 10 day old who is small for gestational age and requires daily weights D. 2 week old born at 35 weeks and weighs 5lb at discharge
B. 4 day old who has elevated bili and requires phototherapy
marginal abruptio placentae, what are the risk factors? A. fetal position B. blunt trauma C. cocaine use D. maternal age E. cigarette smoking
B. blunt trauma C. cocaine use E. cigarette smoking
nurse assessing a client who is 26 weeks and has mild preeclampsia. which finding should the nurse report? A. platelet count 97,000 B. deep tendon relexes 4+ C. urine protein 1+ D. BUN 22mg/dL
B. deep tendon relexes 4+ hyperactive deep tendon reflexes demonstrate mild preeclampsia to sever gestational HTN or preeclampsia with severe features. this is a hospitalization and treatment with mag sulfate to prevent seizures
nurse is assessing a client who is pregnant and reports inc nasal stuffiness. nurse should inform the client which of the following hormones responsible for this discomfort? A. relaxin B. estrogen C. progesterone D. human chorionic somatomammotropin
B. estrogen inc vascularity and connective tissue growth. nasal stuffiness due to inc vascularity of the mucus membranes within the nasal passages
22 weeks of gestation and reports blotchy hyperpigmentation on her forehead. what action should be taken? Aa. follow up with a dermo B. explain this is expected C. instruct client to inc intake of vitamin D D. inform client she may have an allergy to skin products
B. explain this is expected chloasma is "mask of pregnancy" blotchy brown hyperpigmentation of the skin on cheeks nose and forehead. mostly in dark skin women after 16 weeks and inc gradually fades after delivery
client with preeclampsia is getting mag sulfate via IV. adverse effects to educate about? A. elevated blood pressure B. feeling of warmth C. hyperactivity D. generalized pruritis
B. feeling of warmth
Mcroberts maneuver to relieve should dystocia.the nurse should include: A. position client on hands and knees while in bed B. flex client's legs apart and raise her knees to her abdomen C. apply gentle pressure on the client's fundus while she is lying supine D. push the fetus' anterior shoulder under the symphysis pubis externally
B. flex client's legs apart and raise her knees to her abdomen flex knees apart which rotate pubic bone anteriorly which releases the shoulder
client in labor who recieved an epidural analgesia. blood pressure is 88/50 and FHR shows late decels which of the following actions should the nurse take? A. assist client to the bathroom B. inc rate of primary IV infusion C. position in semi fowlers D. provide glucose via oral hydration orIV
B. inc rate of primary IV infusion
13 weeks gestation and hyperemesis gravidarum. which of the following should the nurse identify as the priority? A. bp 90/52 B. ketones 2+ C. specific gravity 1.035 D. sodium 130
B. ketones 2+ malnutrition, serious risk. indicates body is breaking down fat and protein stores for energy and cant provide fetus with nutrients.
nurse is caring for a client who is in preterm labor and is scheduled to undergo an amniocentesis. the nurse should evaluate which of the following tests to assess the fetal lung maturity? A. alpa fetoprotein B. lecithin/sphingomyelin ratio C. kleihauer betke test D. indirect coombs test
B. lecithin/sphingomyelin ratio AFP tests for neural tube defects kleihauer betke is used to detect fetal blood on cord sampling indirect detects Rh antibodies in the mother's blood
what suggests newborn is post mature? a. pale translucent skin B. nails extending over fingers C. weak gag reflex D. thin covering of fine hair on shoulders and back
B. nails extending over fingers
nurse admits client in labor and experiencing moderate bright red vaginal bleeding. which of the following actions should the nurse take? A. perform vaginal exam to determine cervical dilation B. obtain blood samples for baseline C. place spiral electrode on fetal presenting part D. prepare client for transvaginal ultrasound
B. obtain blood samples for baseline no vaginal exam should be completed on a patient who is having vaginal bleeding
L&D nurse is teaching a newly licensed nurse about intermitten auscultation of the FHR. which should be included> A. count FHR for 15 sec after contraction B. palpate and count the maternal radial pulse while listening to the FHR C. place listening device over fetal chest to hear the FHR Percuss the maternal abdomen to verify position of fetus
B. palpate and count the maternal radial pulse while listening to the FHR
fetus is in an occiptal brow presentation. what complications should the nurse anticipate as a result of this fetal presentation? A. precipitous labor B. prolonged labor C. hypertonic uterine dysfunction D. umbilical cord prolapse
B. prolonged labor inc the diameter of the presenting part which may prevent the fetal head from descending into the pelvis.
caring for a client who has oligohydramnios. what fetal anomalies should be expected? A. atrial septal defect B. renal agenesis C. spina bifida d. hydrocephalus
B. renal agenesis oligo occurs when there is a renal system dysfunction or obstructive uropathy absence of fetal kidneys will cause this.
client has oligohydramnios. which of the fetal anomalies should the nurse expect? A. atrial septal defect B. renal agenesis C. spina bifida D. hydrocephalus
B. renal agenesis oligohydramnios is volume of amniotic fluid is <300mL during 3rd semester. occurs when there is a renal system dysfunction or obstructive uropathy. absence. Absence of fetal kidneys will cause oligohydraminos.
Nurse is providing education about the newborn skin care, what should be included? A. gently retract the foreskin to wash the glans with soap and water B. sponge bath the newborn every other day C. use antimicrobial soap D. bathe the newborn between 115 -120
B. sponge bath the newborn every other day
end of 1st trimester where will the nurse place the ultrasound to assess for the fetal heart tones? AA. above umbilicus B.above symphysis pubis C. RL quad D. LL quad
B.above symphysis pubis
teaching about toxoplasmosis. which of the following instructions should the nurse include? A: to prevent get the MMR vaccine B: avoid gardening during pregnancy to dec risk C: will get body rash if you are infected D: transmitted through a bite from an infected mosquito
B: avoid gardening during pregnancy to dec risk explanation: potentially teratogenic to fetus, spread by contact with cat feces which can be in garden areas. transmitted through uncooked meat
nurse caring for a cleint who is at 41 weeks gestation and has a positive contraction stress test. which of the following diagnostic tests should the nurse prepare the client? A. percutaneous umbilical blood sampling B. amnioinfusion C. biophysical profile D. chorionic villus sampling
C, BPP positive contraction stress test means potential uteroplacental insuff. BPP uses real time ultrasound to visualize physical and physiological charaacteristics of the fetus and observe for fetal biophysical responses to stimuli
A nurse is planning care for a client who is at 35 weeks gestation. which of the following lab tests should the nurse obtain? A. rubella titer B. blood type C. Group B strepto D. 1 hour glucose tolerance test
C. Group B strepto done at 35-37 weeks rubella is done at the first visit blood type is done at the first visit 1 hour glucose is done 24-28 weeks
A nurse is caring for an infant who begins displaying manifestations of neonatal abstinence syndrome (NAS). which of the following actions should the nurse take? a. swaddle infant with arms and legs extended B. admin naloxone iM C. avoid eye contact during feedings D. discourage mother from handling the infant during the withdrawal phase
C. avoid eye contact during feedings infants with NAS have difficulty processing multiple forms of stimulation and can quickly become frustrated.
teaching a client in preterm labor about terbutaline. which of the following indicates an understanding? a. i will get injections once daily B. BS may be low C. blood tests because potassium dec D. BP may inc
C. blood tests because potassium dec causes hypokalemia terbutaline is SUBQ q4 hours for no longer then 24 hours may cause hyperglycemia causes hypotension
nurse in prenatal clinic who is caring for a client who is pregnant and experiencing episodes of maternal hypotension. client asks what causes these episodes. what should the nurse say? A. inc in blood volume B. due to pressure from the uterus on the diaphragm C. due to the weight of the uterus on the vena cava D. due to increased cardiac output
C. due to the weight of the uterus on the vena cava occurs when laying in supine position and the weight of the gravid uterus places pressure on the vena cava dec venous blood flow to the heart
Nurse is assessing a newborn at birth delivered at 32 weeks gestation. which of the following findings should the nurse anticipate? A. heel creases over the entire . sole of the foot B. pendulous testes C. extended extremities D. leathery cracked skin
C. extended extremities 32 weeks poorly developed muscle tone and is unable to be maintained the flexed position seen in infants born at full term
nurse is caring for a client who is in labor and is receiving an infusion of oxytocin. nurse should monitor for following potential adverse effects? A. diarrhea B. thromboembolism C. fetal asphyxia D. oliguria
C. fetal asphyxia oxytocin may cause tachysystole, which can lead to uteroplacental insuff. inadequate oxygen transfer to the placenta will result in fetal asphyxia.
nurse in antepartum is caring for a client who is 4 months gestation. client reports nausea and vomitting and scant prune colored discharge. no weight loss and fundal height larger then expected. what following condition? A. hyperemesis gravidarum B. threatened abortion C. hydatidiform mole D. preterm labor
C. hydatidiform mole
teaching about epidural anesthetic for laboring client. which of the following should the nurse include? A. newborn resp depression at birth B. impaired ability of neonate to maintain body temp C. impaired placental perfusion D. dec FHR variability
C. impaired placental perfusion explanation: maternal hypotension can occur when mom receives epidural or spinal can cause dec blood flow to placenta
Nurse is assessing a newborn. which of the following findings should the nurse identify as an indication of recent maternal heroin maternal heroin use? a. large for gestational age b. hypotonicity C. incessant crying D. craniofacial anomalies
C. incessant crying manifestations of neonatal abstinence syndrome due to heroin use includes incessant crying, jitteriness, hyperactivity, poor feeding, tachycardia, and freq yawning, and sneezing.
37 weeks gestation. patient is rubella non immune positive for group A beta-hemolytic streptococci and blood type O neg A. administer rhogam B. prescription for antibiotic until delivery C. obtain a rubella after delivery D. she will need to deliver via c-section
C. obtain a rubella after delivery rhogam given . at 28 weeks and 72 hours after baby if baby is rh pos
nurse is caring for client who is hypotensive following epidural. what following action should be taken? A. dec IV fluids B. give 2L min via NC C. place client in lateral position D. admin indomethacin
C. place client in lateral position increase uterine perfusion to fetus
Nurse caring for a client who experiences a SROM and has prolonged decelerations on the fetal monitor. Which condition should the nurse expect? A. uterine rupture B. placental abruption C. prolapsed umbilical cord D. amniotic fluid embolus
C. prolapsed umbilical cord
nurse providing discharge to a PP client. what should be reported? A. persistent abdominal striae B. temp of 100 C. unilateral breast pain D. brownish/red dishcarge on day 5
C. unilateral breast pain chills, fever, body aches, headaches indicate infection
Nurse is planning care for a client who is PP and has a cardiac disease. which prescription requires clarification? A. monitor I &O B. initiate high fiber diet C. weigh client weekly D. initate bed rest
C. weigh client weekly should be daily to monitor for fluid overload
nurse is providing pp discharge instructions for a client who is breastfeeding. "ive heard that I can't use any birth contorl until i stop breastfeeding" A. you will not get pregnant while breastfeeding B. birth control pill with only estrogen is okay C. condoms are the only method D. A progestin-only pill or injection for use while breastfeeding
D. A progestin-only pill or injection for use while breastfeeding some recommend to wait till 6 weeks to start
A nurse is providing education to a female client of child-bearing age. the nurse should state which of the following structures expels the mature ovum? A. blastocyst B. fallopian tube C. corpus luteum D. Graafian follicle
D. Graafian follicle
nurse teaching a client about vaccum assisted vaginal delivery. which of the following statements should the nurse identify that the client understands the information? A. babys head will be cone shaped B. Dr performed this bc i did not dilate past 6 cm C. performed bc hemoglobin was low D. baby is at a higher risk of developing jaundice
D. baby is at a higher risk of developing jaundice exp: bruises caused by the device dissipate
nurse is planning care for a client who is 2 hours pp. what intervention should the nurse plan to implement during the taking-hold phase of PP behavioral adjustment? A. discuss oral contraceptive B. repeat info C. listen to the client as they reflect D. demonstrate to the client how to perform a newborn bath.
D. demonstrate to the client how to perform a newborn bath.
Nurse is reviewing the medical record for a client who is 39 weeks and has polyhydramnios. what should be expected? A. fundal height of 34cm. B. total pregnancy weight of 3.6kg C. gestational hypertension . D. fetal gastrointestinal anomaly
D. fetal gastrointestinal anomaly explanation: excessive amniotic fluid can cause gastrointenstinal malformations and neurological disorders
meperidine hydrochloride can: A. rise your BP B. cause dry mouth C. urinate excessively D. make you sleepy
D. make you sleepy opioid analgesic used for moderate to severe pain during labor possible adverse effects are hypotension, confusion, sedation, headaches, resp depression, constipation, urinary retention
Client has a soft uterus and inc lochiaa flow. which of the following medications should the nurse plan to administer to promote uterine contractions? A. terbutaline B. nifedipine C. Mag sulfate D. methylergonovine
D. methylergonovine promotes uterine contraction
client at 37 weeks gestation and a biophysical profile with a total score of 4. what should be anticipated? A.DC the client home B. administer betamethasone C. perform an amnioinfusion D. prepare for delivery of the infant
D. prepare for delivery of the infant 6 or < indicates delivery considered
active labor and recieving oxytocin infusion. nurse notes tachysystole with category 1 FHR. A. DC oxytocin infusion and apply oxygen B. inc oxytocin infusion rate by 2mu/min C admin terbutaline 0.25mg Subq D. reposition client in side lying and continue to monitor
D. reposition client in side lying and continue to monitor
nurse assessing a client who took a selective serotonin reuptake inhibitor. what are manifestations of withdrawal? A. LGA B. hyperglycemia C. bradypnea D. vomiting
D. vomitting irritability, agitation, tremos, diarrhea, vomitting. last 2 days
Carboprost for pp hemorrhage may cause A. HTN B. hypothermia C. constipation d. muscle weakness
HTN, vasoconstrictor causes HTN
A nurse is caring for a client who is 24 years old and at 13 weeks of gestation. clients history includes BMI of 31 prior to pregnancy, a prior post-term delivery, and a newborn birth weight of 9lb and 3 oz. Which of the following lab values should the nurse expect to collect? a maternal serum alpha-fetoprotein b preg assoc plasma protein A c chorionic villus sampling d HbA1c
HbA1c measures the average plasma glucose concentration over the 12 weeks preceding the test. at risk for impaired glucose metabolism and should be screened at the end of the 1st trimester.
Nurse caring for PP client 8 hr after delivery. which of the following factors places client at risk for uterine atony? select all that apply A. mag sulfate infusion B. distended bladder C. oxytocin infusion D. prolonged labor E. small for gestational age newborn
Mag sulfaate infusion distended bladder prolonged labor
a nurse is caring for a client who has uterine atony and is experiencing pp hemorrhage the following actions is the nurse's priority?
Massage the clients fundus
gonorrhea puts mom at risk for A. excessive bleeding B. oligohydramnios C. PROM D. proteinuria
PROM chorioamnionitis, preterm birth, neonatal sepsis and IUGR
A nurse is assessing 4 newborn. which of the following findings should the nurse report to the provider.
a newborn who is 18 hr old and has an axillary temp 37.7 degress celsisus (99.9).
a nurse is caring for a client who is at 6 weeks gestation about common discomforts of pregnancy. which of the following findings should the nurse include? select all A. breast tenderness B. urinary frequency C. epistaxis D. dysuria E. epigastric pain
a, b, c
nurse in antepartum clinic is assessing a client with a TORCH infection. what should be expected? A. joint pain B. malaise C. rash D. urinary frequency E. tender lymph nodes
a, b, c, e
contraindication to oral contraceptives A. cholecytitis B. HTN C. HPV D. migraines E. anxiety
a, b, d
Nurse is caring . for a client who is 32 hours PP. client reports nipple soreness and breast engorgement. which of the following recommendations should the nurse provide? a. call me so i can check your baby's latch the next time you breastfeed B. you should reduce the frequency of breastfeeding C. apply expressed breast milk to sore nipples and cover them with nursing pads and a bra D. should apply warm packs in between nursing sessions
a. call me so i can check your baby's latch the next time you breastfeed nipple soreness can be due to a poor latch
cognitive restructuring
accepting the idea of pregnancy anad assimilating into the womans life
client with active herpes should recieve what?
acyclovir
Parents of a child with PKU ask the nurse is their second child could have the same condition. the nurse should base the response on which of the following inheritance patterns responsible for PKU? x-linked recessive x-linked dominant autosomal recessive autosomal dominant
autosomal recessive PKU inherited by autosomal recessive gene patterns. neither parent may have the disorder but both parents are carriers and contribute for the variant gene. other autosomal recessive disorders are cystic fibrosis and sickle cell anemia
a nurse is discussing potential complications of newborn hypothermia. which of the following complications should the nurse include? tachycardia hypoglycemia flushed skin generalized petechiae
b hypoglycemia
metronidazole is given for
bacterial vaginosis
contraindications for administration for hep B vaccine? A. shellfish B. geltin C. baker's yeast D. eggs
bakers yeast
A nurse is assessing a client who has severe preeclampsia. Which of the following manifestations should the nurse expect?
blurred vision explanation: due to dec blood flow to retina severe preeclampsia would have >500 mg proteinuria can have hyperactive reflexes of 3+
Nurse is reviewing the plan of care before assuming the care of a newborn who is prescribed hep B vaccine, vit K, and an antiretroviral regimen. the plan of care indicates the newborns mother is HIV pos and plans to breastfeed. which of the following should be addressed? A. hep B vaccine B. antiretroviral regimen C. vitamin K D. breastfeeding
breastfeeding HIV can be transmitted through breastmilk
Client in 1st stage of labor. which would cause concern? A. pink mucoid vaginal discharge B. brownish vaginal discharge c. contractions lasting 100 seconds D. contractions occurring every 4-5 min
c. contractions lasting 100 seconds contractions should range 45-80 seconds should not exceed 90 sec
a nurse is providing discharge instructions for a client who had a c-section 4 days ago. hemoglobin is 9.2 and the provider prescribed iron supp. Which of the following foods should the nurse recommend to help in the clients iron intake? a spinach b. citrus fruit c. milk d. whole-grain bread
citrus fruit foods high vitamin c help inc the absorption of iron. includes citrus fruits, strawberries, melons, and tomatoes
Preparing to massage the fundus who is PP and experiencing uterine atony. what order? A. ask the client to lie on her back with her knees flexed use slight downward pressure to compress the clients fundus place a hand just about the client's symphysis pubis poisition a hand around the top of the clients fundus rotate the upper hand to massage clients uterus
client lay on back knees flexed place a hand above clients symphysis pubis hand around the top of the clients fundus rotate the upper hand to massage client's uterus slight downward pressure to compress clients fundus
nurse administers betamethasone to a client at 33 weeks gestation to stimulate fetal lung maturity. when planning caare for the newborn, which condition should the nurse identify as an adverse effect of this med? hyperthermia, dec blood glucose, rapid pulse rate, irritability
dec blood glucose causes hyperglycemia in the client, predisposes the newborn to hypoglycemia in the first hours after delivery
Nurse assessing client at 36 W. which of the following is a manifestattion the nurse should recognize as a prenatal complication and report? A. varicose veins B. double vision C. leukorrhea D. flatulence
double vision
human chorionic gonadotropin (hCG)
excreted by placenta and promotes excretion of progesterone and estrogen
nurse is caring for a client who is scheduled to recieve contin IV infusion of oxytocin following vaginal birth. which of the following assessment findings should the nurse monitor to evaluate the effectiveness of the med?
fundal consistency
A nurse in an antepartum clinic is providing care for a client who si at 26 weeks of gestation: 1 hr glucose tolerance of 120 hematocrit 34% fundal height measurement of 30 FHR of 110
fundal height measurement of 30 explanation: not 1 hr normal range, 130-140 or > is a positive test hematocrit normal >33% FHR normal 110-160BPM
nutritional intake at 8 weeks gestation, what should be increased with her daily intake? A. calcium B. vitamin E C. Iron D. vitamin D
iron pregnant 27mg/day and not pregnant 15mg/day
a nurse is caring for a client who is to receive oxytocin to augment her labor. which of the following findings contraindicates the initiation of the oxytocin infusion and should be reported to the provider/
late decelerations
nurse on antepartum unit is caring for a client who is 28 weeks gestation and reports dizziness when laying on her back. what position should the nurse assist the client to? A. lateral B. lithotomy C. trendelenburg D. prone
lateral or side-lying promotes uteroplacental blood flow and helps relieve symptoms of supine hypotension, including faintness, dizziness, and breathlessness.
Fetal position is left occipital anterior. to which of the following areas of the abdomen should the nurse apply the ultrasound transducer to assess the point of max intensity of the fetal HR? A. left upper quad B. right upper C. left lower D. right lower
left lower quad
what is verapamil used for?
maternal and fetal arrhythmias during pregnancy
what is erythromycin given for prophylaxis against?
opthalmia neonatorum prevent gonorrhea and chlamydia in newborns
when the uterus is relaxed, soft, painless the bleeding is caused by
placenta previa
uterine fibroids may cause:
pp hemorrhage
couvade syndrome
preg like manifestations by the expectant father. nausea, weight gain, and others.
nurse is assessing a client who has hyperemisis gravidarum. Which of the following findings should the nurse expect? A. elevated serum potassium level B. rapid weight gain C. peripheral edema D. presence of ketones in urine
presence of ketones in the urine
which of the following hormones plays a key role in preventing miscarriage?
progesterone maintains endometrium and has a relaxant effect on the uterus so that the fetus is not expelled (estrogen levels rise at the end of pregnancy to prepare for the onset of labor)
a nurse is teaching a client who is pp and breastfeeding which of the following statements should the nurse include? a. wait 3 months before sex b. do not need to use contraception until you are 4 months c. overproduction of vaginal lubricant d. reduction in sexual interest could indicate pp depression
reduction in sexual interest could indicate pp depression
a nurse is caring for a client who is 30 weeks of gestation and has a prescription for mag sulfate IV to treat preterm labor. the nurse should notify the provider of which of the following? nausea, urinary output of 40 ml/hr respiratory rate 10/min client reports feeling flushed
resp rate of 10
A nurse is assessing a late preterm newborn. which of the following manifestations is an indication of hypoglycemia? hypertonia inc feeding hyperthermia resp distress
respiratory distress late preterm newborn are at an in risk for hypoglycemia due to dec glycogen stores and immature insulin secretion. Resp distress is a manifestation of hypoglycemia. other manifestations include abnormal cry, jitteriness, poor feeding, apnea, and seizures
A nurse is caring for a preterm newborn who is receiving oxygen therapy. Which of the following findings should the nurse identify as a potential complication of oxygen therapy?
retinopathy o2 therapy can cause retinopathy of prematurity esp in preterm newborns. vessels grow abnormally from the retina into the clear gel that fills the back of the eye, can reduce vision or result in complete blindness.
which of the following findings should the nurse plan to instruct the client to report immediately? A. vaginal leujorrhea B. SOB C. swelling of face and fingers D. lower back pain
swellings of the face and fingers can be a sign of HTN disorder
indomethacin is used for
tocolytic for preterm labor
a nurse is assessing a client who is 1 day PP and has vaginal hematoma. Which os the following manifestations should the nurse expect?
vaginal pressure explanation: due to blood that leaked into the tissues
Nurse is caring for a client who is in labor. Vag exam reveals the following findings 2cm 50% +1 right occiput anterior (ROA). which of the following fetal positions should the nurse document in medical record? A. transverse B. breech C. vertex D. mentum
vertex ROA describes relationship of presenting part of the fetus to client's pelvis. occipital bone is presenting part and located anteriorly on the client's right side. transverse would be shoulder breech would be buttocks or feet mentum would be fully extended the head . and is presenting with the chin.
what will a pregnant women take who has HIV?
zidovudine dec risk of transmission
