Maternal Newborn Final
A nurse is caring for a client who is 2 hr postpartum. The nurse notes that the client's perineal pad has a large amount of lochia rubra with several clots. Which of the following actions should the nurse take first?
Massage the fundus.
A nurse is caring for a client who desires an intrauterine device (IUD) for contraception. Which of the following findings is a contraindication for the use of this device?
Menorrhagia
A nurse is assisting with caring for a client who is at 36 weeks of gestation and has pre-eclampsia. Which of the following findings should the nurse identify as the priority?
Nonreacttive nonstress test
A nurse is caring for a client who has clinical manifestations of an ectopic pregnancy. Which of the following findings is a risk factor for an ectopic pregnancy?
Pelvic Inflammatory Disease
A nurse is collecting data on a client who is at 8 weeks of gestation. Which of the following findings should the nurse report to the provider?
Small amount of brown vaginal discharge
A nurse is caring for four newborns. Which of the following findings should the nurse report to the provider?
A 12-hr old newborn who has a heart rate of 70/min while sleeping
A nurse is caring for four newborns. Which of the following newborns is at greatest risk for hypoglycemia?
A newborn who is large gestational age
A nurse in a prenatal clinic is caring for a client who is within the recommended guideline for weight. The client asks the nurse how much weight is safe for her to gain during her pregnancy. Which of the following responses should the nurse make?
" A weight gain of about 25 to 35 pounds is good."
A nurse is speaking with an expectant father who says that he feels resentful of the added attention others are giving to his wife since the pregnancy was announced several weeks ago. Which of the following responses should the nurse make?
" These feelings are common for expectant fathers in early pregnancy."
A nurse is reinforcing discharge instructions with a client following the removal of a hydatidiform mole. Which of the following statements should the nurse include in the teaching?
"Do not become pregnant for at least 1 year."
A nurse is reinforcing teaching with a client about a nonstress test. Which of the following statements by the client indicates an understanding of the teaching?
"I should press the button on the hand held marker when my baby moves."
A nurse is discussing diaphragm use with a client. Which of the following statements by the client indicates an understanding of the teaching?
"I should replace my diaphragm every 2 years."
A nurse is reinforcing teaching about formula feeding with a parent of a newborn. Which of the following statements by the parent indicates an understanding of the teaching?
"I will warm the bottle of formula by placing it in a pan of hot water."
A nurse is caring for who is at 34 weeks of gestation and has a prescription for terbutaline for preterm labor. Which of the following statements bythe client is the nurse's priority?
"My heart feels as if it is racing."
A nurse is caring for a client who is at 8 weeks of gestation with twins and is primigravida. The client states that even though she and her husband planned this pregnancy, she is experiencing many ambivalent feelings about it. Which of the following responses should the nurse make?
"These feelings are normal at the beginning of pregnancy."
A nurse is caring for a client who has trichomoniasis and a prescription for metronidazole. Which of the following instructions should the nurse reinforce with the client about the treatment plan?
"You and your partner need to take the medication and use a condom during intercourse until cultures are negative."
A nurse is caring for a client who is pregnant and reports nausea and vomiting. Which of the following instructions should the nurse provide to the client?
"You should eat some crackers before rising from bed in the morning."
A nurse is reinforcing teaching with a client who is pregnant. Which of the following instructions should the nurse include?
"You should use fluoride-based toothpaste to prevent dental caries."
A nurse is reinforcing teaching with a client who has active genital herpes simplex virus, type 2. Which of the following statements by the nurse should be included in the teaching?
"You will have a cearean birth prior to the onset of labor."
A nurse is reinforcing teaching with a client who is breastfeeding. Which of the following information should the nurse include?
"Your baby should have bursts of 15 sucks or swallows at a time."
A nurse is collecting data on a newborn who was born at 43 weeks of gestation. Which of the following findings should the nurse expect?
Absent vernix
A nurse is reinforcing teaching about oxytocin with a client who is in the third trimester of pregnancy and has pre-eclampsia. Which of the following is a contraindication for use of this medication?
Active genital herpes
A nurse is caring for a client who reports that her last menstrual period (LMP) began on July 8. Based on Nagele's rule, which of the following is the client's expected date of birth (EDB)?
April 15
A nurse is collecting data from a client on the first postpartum day. Findings include fundus firm and one fingerbreadth above and to the right of the umbilicus, moderate lochia rubra with small clots, temperature 37.3° C (99.2° F), and pulse rate 52/min. Which of the following actions should the nurse take?
Ask the client when she last voided.
A nurse is assisting the plan of care for a client who is pregnant and is Rf-negative. In which of the following situations should the nurse administer Rh(D)Immune Globulin?
At 28 weeks of gestation
A nurse is caring for a newborn who has irregular respirations of 52/min with several periods of apnea lasting approximately 5 seconds. The newborn is pink with acrocyanosis. Which of the following actions should the nurse take?
Continue to routinely monitor the newborn.
A nurse administers betamethasone to a client who is at 33 weeks of gestation to stimulate fetal lung maturity. When assisting with the plan of care for the newborn, which of the following conditions should the nurse identify as an adverse effect of this medication?
Decreased blood glucose
SHOW HINT A nurse is assisting in the plan of care for a newborn who requires phototherapy for hyperbilirubinemia. Which of the following actions should the nurse include in the plan of care?
Ensure the newborn's eyes are closed before applying the eye shield.
A nurse is caring for a newborn who has neonatal abstinence syndrome. Which of the following clinical findings should the nurse expect?
Exaggerated reflexes
A nurse is caring for a newborn who was born to a client who has a narcotic use disorder. Which of the following nursing actions should the nurse identify as a contraindication for the care of the newborn?
Frequent stimulation
A nurse is assisting with the plan of care for a client who is at 35 weeks of gestation. Which of the following laboratory tests should the nurse obtain?
Group B streptococcus B-hemolytic culture
A nurse is contributing to the plan of care for a client who plans to formula feed her newborn. Which of the following actions should the nurse include in the plan?
Have the client place ice packs on her breasts four times per day.
A nurse is assisting with the care of a newborn who has a myelomeningocele. Which of the following actions should the nurse take?
Initiate a latex free environment
A nurse in an antepartum clinic answers a phone call from a client who is at 37 weeks of gestation and reports, "I became very dizzy while lying in bed this morning, but the feeling went away when I turned on my side." Which of the following actions should the nurse take?
Instruct the client about vena cava syndrome and measures to prevent it.
A nurse is assisting with the care of a preterm newborn who is receiving oxygen therapy. Which of the following findings should the nurse identify as a potential complication from the oxygen therapy?
Retinopathy
A nurse is preparing a client who is pregnant for an ultrasound. Which of the following information is the most important for the nurse to collect?
The time of the client's last void
A nurse is preparing to elicit the fencing reflex from a newborn. Which of the following actions should the nurse take?
Turn the newborn's head quickly to one side.
A nurse is caring for a client who is at 16 weeks of gestation and has severe iron-deficiency anemia. The provider prescribes an injection of iron dextran IM. Which of the following methods should the nurse use to administer the medication?
Use a 20-gauage needle, and administer the medication using the Z-track method.
A nurse is reinforcing teaching with a client who is postpartum and breastfeeding. Which of the following nutrients should the nurse include in the teaching as a nutrient for the client to increase the intake of while breastfeeding?
Vitamin C
