Exam 2: Maternity

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The nurse is monitoring a pregnant client admitted to a healthcare center who is in the latent phase of labor. The nurse demonstrates appropriate nursing care by monitoring the fetal heart rate with the Doppler at least how often?

Every hour

When caring for a newborn, the nurse observes that the neonate has developed white patches on the mucus membranes of the mouth. Which condition is the newborn most likely experiencing?

Thrush

During the assessment go a laboring client, the nurse learns that the client has cardiovascular disease. Which assessment would be priority for the newborn?

Respiratory function

A client who has given birth a week ago reports discomfort when defecating and ambulating. The birth involved an episiotomy. Which suggestions should the nurse provide to the client to provide local comfort? Select all that apply.

Use of warm sitz baths Use of anesthetic sprays Use of witch hazel pads

A nurse is assigned to conduct an admission assessment on the phone for a pregnant client. Which information should the nurse obtain from the client? Select all that apply.

Estimated due date Characteristics of contractions Appearance of vaginal blood

A pregnant client is admitted to a maternity clinic for birth. Which assessment finding indicates that the clients fetus is in the transverse lie position?

Long axis of fetus is perpendicular to that of client

A nurse is required to obtain the fetal heart rate for a pregnant client. If the presentation is cephalic, which maternal site should the nurse monitor to hear the FHR clearly?

Lower quadrant of the maternal abdomen

Which important instruction should the nurse give a pregnant client with tuberculosis?

Maintain adequate hydration

Upon assessment, a nurse notes the client has a pulse of 90 beats per minute, moderate lochia, and a boggy uterus. What should the nurse do next?

Massage the clients fundus

When caring for a client with premature rupture of membranes, the nurse observes an increase in the clients pulse. What should the nurse do next?

Monitor the client for premature labor

The nurse is caring for a pregnant client with fallopian tube rupture. Which intervention is the priority for this client?

Monitor the clients vital signs and bleeding

A pregnant client has been diagnosed with gestational diabetes. Which are risk factors for developing gestational diabetes? Select all that apply.

Obesity Hypertension Previous large for gestational age infant

A nurse is caring for a client undergoing treatment for ectopic pregnancy. Which symptom is observed in a client is rupture or hemorrhaging occurs before the ectopic pregnancy is successfully treated?

Phrenic nerve irritation

During assessment of the mother during the postpartum period, what sign should alert the nurse that the client is likely experiencing uterine atony?

Boggy or relaxed uterus

A client who gave birth 5 days ago reports profuse sweating during the night. What should the nurse recommend to the client in this regard?

"Be sure to change your pajamas to prevent you from chilling."

A nurse is caring for a pregnant client with asthma. Which intervention would would the nurse perform first?

Assessing oxygen saturation

A pregnant client in her 12th week of gestation has come to a healthcare center for a examination of her abdomen. Where should the nurse palpate for the fundus in this client?

At the symphysis pubis

A pregnant client in labor has to undergo a sonogram to confirm the fetal position of a shoulder presentation. For which condition associated with shoulder presentation during a vaginal birth should the nurse assess?

Fetal anomalies

A nurse is monitoring a client with PROM who is in labor and observes meconium in the amniotic fluid. What does this indicate?

Fetal distress related to hypoxia

Which should the nurse identify as a risk associated with anemia during pregnancy?

Preterm birth

The assessment of a pregnant client, who is toward the end of her third trimester, reveals that she has increased prostaglandin levels. For which factors should the nurse assess the client? Select all that apply.

Reduction in cervical resistance Myometrial contractions Softening and thinning of the cervix

A client in the third stage of labor has experienced placental separation and expulsion. Why is it necessary for a nurse to massage the woman's uterus briefly until it is firm?

To constrict the uterine blood vessels

A client who had a vaginal delivery 2 days ago asks the nurse when she will be able to breathe normally again. Which response by the nurse is accurate?

"Within 1 to 3 weeks, your diaphragm should return to normal and your breathing will feel like it did before your pregnancy."

The nurse is required to assess a pregnant client who is reporting vaginal bleeding. Which nursing action is the priority?

Assessing the amount and color of the bleeding

A nurse has been assigned to assess a pregnant client for abruptio placenta. For which classic manifestation of this condition should the nurse assess?

"Knife-like" abdominal pain with vaginal bleeding

A nurse is examining a client who underwent a vaginal birth 24 hours ago. The client asks the nurse why her discharge is such a deep red color. What explanation is most accurate for the nurse to give to the client?

"The discharge consists of mucus, tissue debris, and blood; this gives it the deep red color."

A client experiencing contractions presents at a healthcare facility. Assessment conducted by the nurse reveals that the client has been experiencing Braxton Hicks contractions. The nurse has to educate the client on the usefulness of Braxton Hicks contractions. Which role do Braxton Hicks contractions play in aiding in labor?

These contractions help in softening and ripening the cervix

A pregnant client has come to a healthcare provider for her first prenatal visit. The nurse needs to document useful information about the past health history. What are goals of the nurse in the history taking process? Select all that apply.

To prepare a plan of care that suits the client's lifestyle To develop a trusting relationship with the client To prepare a plan of care for for the pregnancy

A nurse caring for a pregnant client in labor observes that the fetal heart rate is below 110 beats per minute. Which interventions should the nurse perform? Select all that apply.

Turn the client on her left side Administer oxygen by mask Assess client for underlying causes

A client who gave birth about 12 hours ago informs the nurse that she has been voiding small amounts of urine frequently. The nurse examines the client and notes the displacement of the uterus from the midline to the right. What intervention would the nurse perform next?

Urinary catheterization

A client in her 39th week of gestation reports swelling in the legs after standing for long periods of time. The nurse recognizes that this factor increases the client's risk for which condition?

Venous thrombosis

A client in the third trimester of pregnancy has to travel a long distance by car. The client is anxious about the effect the travel may have on her pregnancy. Which instruction should the nurse provide to promote easy and safe travel for the client?

Always wear a three-point seatbelt

A nurse is caring for a pregnant client. The initial interview reveals that the client is accustomed to drinking coffee at regular intervals. For which increased risk should the nurse make the client aware?

Anemia

Which nursing intervention should the nurse perform when assessing fetal well-being through abdominal ultrasonography in a client?

Instruct the client to refrain from emptying her bladder

A pregnant client reports an increase in a thick, whitish vaginal discharge. Which response, made by the nurse, would be most appropriate?

"This discharge is normal during pregnancy."

A client in her second trimester of pregnancy is anxious about the blotchy, brown pigmentation appearing on her forehead and cheeks. She also reports increased pigmentation on her breasts and genitalia. Which statement, by the nurse, is most appropriate?

"This is called facial melanoma and should fade after your delivery."

A nurse is caring for a 45 year old pregnant client with a cardiac disorder, who has been instructed by her physician to follow class I functional activity recommendations. The nurse correctly instructs the client to follow which instructions?

"You do not need to limit your physical activity unless you experience any problems such as fatigue, chest pain, or shortness of breath."

A client has been discharged from the hospital after a cesarean birth. Which should the nurse include in the discharge teaching?

"You should be seen by your healthcare provider if you have blurred vision."

A client who delivered a baby 36 hours ago informs the nurse that she has been passing usually large volumes of urine very often. How should the nurse explain this to the client?

"Your body usually retains extra fluids during pregnancy, so this is one way it rids itself of the excess fluid."

A client in her third trimester of pregnancy wishes to sue the method of feeding formula to her baby. Which instruction should the nurse provide?

Serve the formula at room temperature

A nurse is caring for a newborn with fetal alcohol spectrum disorder should the nurse assess for in the newborn?

Small head circumference

A pregnant client requires administration of an epidural block for management of pain during labor. For which condition should the nurse check the client before administering the epidural block? Select all that apply.

Spinal abnormality Hypovolemia Coagulation defects

What is the role of the nurse during the preconception counseling of a pregnant client with chronic hypertension?

Stressing the positive benefits of of a healthy lifestyle

While caring for a client for following a lengthy labor and birth, the nurse notes that the client repeatedly reviews her labor and birth and is very dependent on her family for care. The nurse is correct in identifying the client to be in which phase of maternal role adjustment?

Taking-in

A nurse is caring fro a pregnant client with sickle cell anemia. What should the nursing care for the client include? Select all that apply.

Teach the client meticulous hand-washing Assess hydration status of the client at each visit Urge the client to drink 8 to 10 glasses of fluid daily

A nurse is caring for the client who gave birth a week ago. The client informs the nurse thatch experiences painful uterine contractions when breastfeeding the baby. Which should the nurse do next?

Tell the client to take an NSAID orally

Which client should the postpartum nurse assess first after receiving shift report?

The 2-day postpartum client who has a blood pressure of 138/90

A pregnant client wants to know why the labor of a first-time-pregnant woman usually lasts longer than that of a woman who has already delivered once and is pregnant a second time. What explanation should the nurse offer the client?

The cervix takes around 12-16 hours to dilate during the first pregnancy

The nurse is caring for a pregnant client who is in her 30th week of gestation and has congenital heart disease. Which should the nurse recognize as a symptom of cardiac decompensation with this client?

Swelling of the face

A nurse is caring for a client with CVD who has just delivered. What nursing interventions should the nurse perform when caring for this client? Select all that apply.

Assess for shortness of breath Assess for edema and note any pitting Auscultate heart sounds for abnormalities

A nurse is caring for a pregnant client with heart disease in a labor unit. Which intervention is most important in the first 48 hours postpartum?

Assessing for cardiac decompensation

A client in her third month of pregnancy arrives at the healthcare facility fro a regular follow up visit. The client reports discomfort due to increased urinary frequency. Which instruction should the nurse offer the client to reduce the clients discomfort?

Avoid consumption of caffeinated drinks

A nurse is caring for a client who has just received an episiotomy. The nurse observes that the laceration extends through the perineal area and continues through the anterior rectal wall. How does the nurse classify the laceration?

Fourth-degree

A client in her 39th week of gestation arrives at the maternity clinic stating that earlier in her pregnancy, she experienced shortness of breath. However, for the past few days, she's been able to breath easily, but she has also begun to experience increased urinary frequency. A nurse is assigned to perform the physical examination of the client. Which observation is most likely?

Fundal height has dropped since the last recording

A pregnant client with a history of spinal injury is being prepared for a cesarean birth. Which method of anesthesia is to be administered to the client?

General anesthesia

A nurse is assessing pregnant clients for the risk of placenta previa. Which of the following clients faces the greatest risk for this condition?

A client who had a myomectomy to remove fibroids

When assessing the uterus os a 2-day postpartum client, which finding would the nurse evaluate as normal?

A moderate amount of lochia alba

A nurse is assessing a client during the postpartum period. Which findings indicate normal postpartum adjustment? Select all that apply.

Active bowel sounds Passing gas Nondistended abdomen

A nurse is caring for a client with hyperemesis gravidarum. Which nursing action is the priority for this client?

Administer IV NS with vitamins and electrolytes

The nurse caring for a client in preterm labor observes abnormal fetal heart rate patterns. Which nursing intervention should the nurse perform next?

Administration of oxygen by mask

A pregnant client has come to a clinic for a pelvic examination. What assessments should the a nurse perform when examining external genitalia?

Any infection due to hematomas, varicosities, and inflammation

During an admission assessment of a client in labor, the nurse observes that there is no vaginal bleeding yet. What nursing intervention is appropriate in the absence of vaginal bleeding when the client is in the early stage of labor?

Assess amount of cervical dilation

A client with preeclampsia is receiving magnesium sulfate to suppress or control seizures. Which nursing intervention should a nurse perform to determine the effectiveness of therapy?

Assess deep tendon reflexes

A nurse is caring for a pregnant client with gestational diabetes. Which meal should the nurse recommend for this client?

Baked turkey, brown rice, and strawberries

A pregnant client in her first trimester of pregnancy reports spontaneous, irregular, painless contractions. What does this indicate?

Braxton hicks contractions

A nurse is to care for a client during the postpartum period. The client reports pain and discomfort in her breasts. What signs should a nurse look for to find out if the client has engorged breasts? Select all that apply.

Breasts are hard Breasts are tender

A pregnant client wishes to know if sexual intercourse would be safe during her pregnancy. Which should the nurse confirm before educating the client regarding sexual behavior during pregnancy?

Client does not have an incompetent cervix

A nurse is caring for a pregnant client with eclamptic seizure. Which is a characteristic of eclampsia?

Coma occurs after seizure

A nurse is caring for a pregnant client during labor. Which methods should the nurse use to provide comfort to the pregnant client? Select all that apply.

Hand holding Massaging Acupressure

A 28-year old client states she did not have her menses for the past three months and suspects she is pregnant. What should the nurse do next?

Have the client take a pregnancy test

A nurse is educating a client about the various psychological feelings experienced by a woman and her partner during pregnancy. Which feeling is experienced by the expectant partner during the second trimester of pregnancy?

Confusion when dealing with the partners mood

A nurse is caring for a client administered general anesthesia for an emergency cesarean birth. The nurse notes the clients uterus is relaxed upon massage. What would the nurse do next?

Continue to massage the clients fundus

A client in her third trimester of pregnancy arrives at a healthcare facility with a report of cramping and low back pain; she also notes that she is urinating more frequently and that her breathing has become easier the past few days. Physical examination conducted by the nurse indicates that the client has edema of the lower extremities, along with an increase in vaginal discharge. What should the nurse do next?

Continue to monitor the client

A pregnant clients last menstrural period was March 10. Using Naegele's rule, the nurse estimates the date of birth to be:

December 17

A nurse is caring for a client in labor who is delivering. For which fetal response should the nurse monitor?

Decrease in circulation and perfusion to the fetus

A pregnant client arrives at the maternity clinic reporting constipation. Which factors could be the cause of constipation during pregnancy? Select all that apply.

Decreased activity level Use of iron supplements Intestinal displacement

A nurse is assessing a pregnant client with preeclampsia for suspected dependent edema. Which description of dependent edema is most accurate?

Dependent edema may be seen in the sacral area if the client is on bed rest

A 39-week gestation client presents to the labor and birth unit reporting abdominal pain. What should the nurse do first?

Determine if the client is in true or false labor

A client is Rh negative and has given birth to her newborn. What should the nurse do next?

Determine the newborns blood type and rhesus

The nurse explains Leopold's maneuvers to a pregnant client. For which purposes are these maneuvers performed? Select all that apply.

Determining the presentation of the fetus Determining the position of the fetus Determining the lie of the fetus

A nurse is caring for a pregnant client in labor in a healthcare facility. The nurse knows that which sign marks the termination of the first stage of labor in the client?

Dilation of cervix diameter to 10 cm

The nurse observes a 2in lochia stain on the perineal pad of a 1 day postpartum client. Which of the following should the nurse do next?

Document the lochia as scant

A nurse is monitoring a client with spontaneous abortion who has been prescribed misoprostol. Which symptoms are common adverse effects associated with mosoprostol? Select all that apply.

Dyspepsia Hypotension Tachycardia

The nurse is caring for a pregnant client who indicates that she is fond of meat, works with children, and has a pet cat. Which instructions should the nurse give this client to prevent toxoplasmosis? Select all that apply.

Eat meat cooked at 160 degrees fahrenheit Avoid cleaning the cats litter box Avoid outdoor activities such as gardening

A pregnant client who has hyperemesis gravidarum needs advise on how to minimize nausea and vomiting. What instruction should the nurse give this client?

Eat small, frequent meals throughout the day

A postpartum client is having difficulty stopping her urine stream. Which should the nurse do next?

Educate the client on how to perform Kegal exercises

A breastfeeding client informs the nurse that she is unable to maintain her milk supply. What instruction should the nurse give to the client to improve milk supply?

Empty the breasts frequently

A client is seeking advice for his pregnant wife, who is experiencing mild elevations in blood pressure. In which position should a nurse recommend the pregnant client rest?

Lateral recumbent position

A client in her second trimester arrives at a healthcare facility for a follow up visit. During the exam, the client reports constipation. Which instruction should the nurse offer to help alleviate constipation?

Ensure adequate hydration and bulk in the diet

A nurse is applying ie packs to the perineal area of a client who has had a vaginal birth. Which intervention should the nurse perform to ensure that the client gets the optimum benefits of this procedure?

Ensure ice pack is changed frequently

The nurse is required to assess a client for HELLP syndrome. Which are the signs and symptoms of this condition? Select all that apply.

Epigastric pain Upper right quadrant pain Hyperbilirubinemia

A pregnant client states she was unable to breastfeed her last child because her breasts did not produce milk. She desires to breastfeed this child. Which hormones would the nurse monitor during pregnancy?

Estrogen and human placental lactogen (hPL)

A nurse has been assigned to the care of a client who has just given birth. How frequently should the nurse perform the assessments during the first hour after birth?

Every 15 minutes

A nurse is caring for a pregnant client who is in the active phase of labor. At what interval should the nurse monitor the clients vital signs?

Every 30 minutes

The nurse is assessing the laboring client to determine fetal oxygenation status. What indirect assessment method will the nurse likely use?

External electronic fetal monitoring

A concerned client tells the nurse that her husband, who was very excited about the baby before its birth, is apparently happy but seems to be afraid of caring for the baby. What suggestion should the nurse give to the clients husband to resolve the issue?

He begin by holding the baby frequently

When teaching the new mother about breastfeeding, the nurse is correct when providing what instructions? Select all that apply.

Help the mother initiate breastfeeding within 30 minutes of birth Encourage breastfeeding of the newborn infant on demand Place the baby in uninterrupted skin-to-skin contact with the mother

The nurse is caring for a client of Asian decent 1 day after she has given birth. Which foods will the client most likely refuse to eat when her meal tray is delivered? Select all that apply.

Ice cream Raw carrots and celery Orange slices

A nurse is documenting a dietary plan for a pregnant client with pregestational diabetes. What instructions should the nurse include in the dietary plan for this client?

Include complex carbohydrates in the diet

The nurse is caring for a client who had been administered an anesthetic block during labor. For which risk should the nurse watch in the client? Select all that apply.

Incomplete emptying of the bladder Bladder distention Urinary retention

A nurse is caring for a pregnant client who is in labor. Which maternal physiologic responses should the nurse monitor for in the client, as the client progresses through birth? Select all that apply.

Increase in heart rate Increase in blood pressure Increase in respiratory rate

A client in labor is administered lorazepam to help her relax enough so that she can participate effectively during her labor process rather than fighting against it. For which adverse effect of the drug should the nurse monitor?

Increased sedation

A 28-year old client in her first trimester of pregnancy reports conflicting feelings. She expresses feeling proud and excited about her pregnancy while at the same time feeling fearful and anxious of its implications. Which action should the nurse take next?

Inform the client this is a normal response to pregnancy that many women experience

A nurse is teaching a couple about patterned breathing during their birth education. Which technique should the nurse suggest for slow-paced breathing?

Inhale slowly through the nose and exhale through pursed lips

A pregnant client has opted for hydrotherapy for pain management during labor. Which should the nurse consider when assisting the client during the birthing process?

Initiate the technique only when the client is in active labor

A 28-year old client who has just conceived arrives at a healthcare facility fro her first prenatal visit to undergo a physical examination. Which intervention should the nurse preform to prepare the client for the physical examination?

Instruct the client to empty her bladder

A nurse who has been caring for a pregnant client understands that the client has pica and has been regularly consuming soil. For which condition should the nurse monitor the client?

Iron-deficiency anemia

A client who is in her 6th week of gestation is being seen for a routine prenatal care visit. The client asks the nurse about changes in her eating habits that she should make during her pregnancy. The nurse informs the nurse that she is vegetarian. The nurse knows that she has to monitor the client for which risks arising from her vegetarian diet? Select all that apply.

Iron-deficiency anemia Decreased mineral absorption low gestational weight gain

A pregnant client is admitted to a maternity clinic for birth. The client wishes to adopt the kneeling position during labor. The nurse knows that which to be an advantage of adopting a kneeling position during labor?

It helps to rotate fetus in a posterior position

The nurse is caring for a pregnant client with severe preeclampsia. Which nursing interventions should a nurse perform to institute and maintain seizure precautions in this client?

Keep the suction equipment readily available

A nurse is caring for a client who has had a vaginal birth. The nurse understands that pelvic relaxation can occur in any woman experiencing a vagina birth. Which should the nurse recommend to the client to improve pelvic floor tone?

Kegal exercises

A nurse is caring for a pregnant adolescent client, who is in her first trimester, during a visit to the maternal child clinic. Which important area should the nurse address during assessment of this client?

Knowledge of child development

A nurse is caring for a client who is in the first stage of labor. The client is experiencing extreme pain due to the labor. The nurse understands which to be causes of the extreme pain in the client? Select all that apply.

Lower uterine segment distinction Stretching and tearing of structures Dilation of the cervix

A client reports pain in the lower back, hips, and joints 10 days after the birth of her baby. What instruction should the nurse give the client after birth to prevent low back pain and injury to the joints?

Maintain correct posture and positioning

A client in her second trimester of pregnancy reports discomfort during sexual activity. Which instruction should a nurse provide?

Modify sexual positions to increase comfort

A nurse is assigned to educate a pregnant client regarding the changes in the structures of the respiratory system taking place during pregnancy. Which conditions are associated with such changes? Select all that apply.

Nasal and sinus congestion Nosebleeds Thoracic rather than abdominal breathing

A 29-week-gestation client is admitted with moderate vaginal discharge. The nurse performs a nitrazine test to determine if the membranes have ruptured. The nitrazine tape remains yellow to olive green, with pH between 5 and 6. What should the nurse do next?

Notify the healthcare provider

The nurse is caring for an Rh-negative nonimmunized client at 14 weeks gestation. What information would the nurse provide to the client?

Obtain RhoGAM at 28-weeks gestation

A nurse is caring for a pregnant client suspected substance use during pregnancy. What is the priority nursing intervention for this client?

Obtain a urine specimen for a drug screening

A client who has a breastfeeding newborn reports sore nipples. Which intervention can the nurse suggest to alleviate the clients condition?

Offer suggestions based on observation to correct positioning or latching

During a prenatal visit, a client in her second trimester of pregnancy verbalizes positive feelings about the pregnancy and conceptualizes the fetus. Which is the most appropriate nursing intervention when the client expresses such feelings?

Offer support and validation about the client's feelings

The nurse is caring for a 2-day old newborn whose mother was diagnosed with cytomegalovirus during the first trimester. On which healthcare provider order should the nurse place the priority?

Perform a hearing screen test

A client in her 29th week of gestation reports dizziness and clamminess when assuming supine position. During the assessment, the nurse observes there is a marked decrease in the clients blood pressure. Which intervention should the nurse implement to hep alleviate the clients condition?

Place the client in the left lateral position

A pregnant client has come to a healthcare facility for a physical examination. Which assessments should a nurse perform when doing a physical examination of the head and neck? Select all that apply.

Previous injuries and sequelae Limitations in range of motion Thyroid gland enlargement

A pregnant client is brought to the healthcare facility with signs of premature rupture of the membranes. Which conditions and complications are associated with PROM? Select all that apply.

Prolapsed cord Abruptio placenta Preterm labor

A client in her 20th week of gestation expresses concern about her 5 year old son, who is behaving strangely by not approaching her anymore. He does not seem to me taking the news of a new family member very well. Which of the following strategies can a nurse discuss with the mother to deal with the situation?

Provide constant reinforcement of love and care to the child

A client administered combined spinal epidural analgesia is showing signs of hypotension and associated fetal heart rate changes. What intervention should the nurse perform to manage the changes?

Provide supplemental oxygen

A nurse is assigned the task of educating a pregnant client about birth. Which nursing interventions should should the nurse perform as a part of prenatal education for the client to ensure a positive birth experience? Select all that apply.

Provide the client clear information on procedures involved Encourage the client to have a sense of mastery and self control Encourage the client to have a positive reaction to pregnancy

A first-time mother is nervous about breastfeeding. Which intervention would the nurse perform to reduce maternal anxiety about breastfeeding?

Reassure the mother that some newborns "latch on and catch on" right away, and some newborns take more time and patience.

A client in her 10th week of gestation arrives at the maternity clinic reporting morning sickness. The nurse needs to inform the client about the body system adaptations during pregnancy. Which factors correspond to the morning sickness period during pregnancy? Select all that apply.

Reduced stomach acidity Elevated human chorionic gonadotropin (hCG) Increased estrogen levels

A nurse is caring for a client in her second trimester of pregnancy. During a regular follow up visit, the client reports varicosities of the legs. Which instruction should the nurse provide to help the client alleviate varicosities of the legs?

Refrain from crossing legs when sitting for long periods

A nurse caring for a client in labor has asked her to perform Lamaze breathing techniques to avoid pain. Which should the nurse keep in mind to promote effective Lamaze method breathing?

Remain quiet during the clients period of imagery

A nurse is caring for a client who has been administered an epidural block. Which should the nurse assess next?

Respiratory rate

A pregnant client is admitted to a maternity clinic after experiencing contractions. The assigned nurse observes that the client experiences pauses between contractions. The nurse knows that which event marks the importance of the pause between contractions during labor?

Restoration of blood flow to the uterus and placenta

A client who has given birth is being discharged from the healthcare facility. She wants to know how safe it would be for her to have intercourse. Which instructions should the nurse provide to the client regarding intercourse after birth?

Resume intercourse if bright red bleeding stops

A nurse is caring for a pregnant client who is human immunodeficiency virus positive. What is a priority issue that the nurse should discuss with the client?

The need for the client to avoid breastfeeding

The nurse is monitoring a clients uterine contractions. Which factors should the nurse assess to monitor uterine contractions? Select all that apply.

Uterine resting tone Frequency of contractions Intensity of contractions

A nurse is caring for a pregnant client in her second trimester of pregnancy. The nurse educates the client to look for which danger sign of pregnancy needing immediate attention by the physician?

Vaginal bleeding


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