OB quiz 3

Vitamin K 0.5 IM is ordered for a new baby. Which needle should the nurse choose for the injection?

5/8 inch, 25 gauge

The nurse notes that a newborn, who is 5 minutes old, exhibits the following characteristics: heart rate 108 ppm, respiratory rate 29 ppm with lusty cry, pink body with bluish hands and feet, some flexion. What does the nurse determine the baby's Apgar scare is?

8

A woman asks the nurse about the function of the amniotic fluid. which is the correct?

-the fluid cushions the fetus from injury -the fluid enables the fetus to grow -the fluid provides the fetus with a stable thermal environment -the fluid enables the fetus to practice swallowing

The nurse is caring for a client who delivered two hours ago and has a second degree perineal laceration. Which intervention should the nurse perform?

Apply an ice pack to perineum

A client has been diagnosed with severe preeclampsia is being administered magnesium sulfate via IV pump. Which medication must the nurse have immediately available in the clients room?

Calcium gluconate

To prevent infection, the nurse teaches the postpartum client to preform which task?

Change the peripad at each voiding

A 40 wk gestation neonate is in the first period of reactivity. Which of the following actions should the nurse take at this time?

Encourage the parents to bond with the baby.

A nurse reads the neonatal mortality rate in the U.S. for a given year was 5. The nurse interprets the information as

5 babies less than 28 days per 1,000 live births died

A mother, who gave birth 5 minutes ago, states that she would like to breastfeed. The baby's Apgar score 9/9. Which of the following actions should the nurse perform first?

Assist the woman to breastfeed.

A nurse has brought a 2 hours old baby to a mother from the nursery. The nurse is going to assist the mother to breast feeding. Which of the following actions should the nurse perform?

Compare the mother's and baby's ID bands

A baby has just been admitted to the nursery. Before taking the newborn's vital signs, the nurse should warm his or her hands and the stethoscope to prevent heat loss resulting from which of the following?

Conduction

A baby has just delivered. Which of the physiological changes is of higher priority?

Spontaneous respirations

A mother ask whether or not she should be concerned that her baby never opens his mouths to breathe when his nose is so small. Which of the following is the nurse's best response?

"Babies usually breathe in and out through their noses so they can feed without choking."

A client asks the nurse, "Could you explain how the baby's blood and my blood separate at delivery?" Which response is appropriate?

"The blood actually never mixes. Your blood supply and the baby's blood supply are completely separate."

A mother questions why the ophthalmic medication is given to the baby. Which of the following responses by the nurse would be appropriate to make at this time?

"The medication helps to prevent eye infections."

A woman is carrying dizygotic twins. She asks the nurse about the babies. Which explanation is accurate?

"When the woman ovulated, she expelled two mature eggs."

Which of the following behaviors are known characteristics of infant abductors?

-Create a diversion on the unit -Ask questions about the routine of the unit -Choose rooms near the stairwell -Wear over-sized clothing

A client just spontaneously ruptured membranes. Which of the following factors makes her especially at high risk for a prolapsed cord?

-breech presentation -station -3 -transverse lie

During the postpartum assessment, the nurse assesses a client's calves. The nurse is checking for:

-pain -warmth -redness

A nurse is performing postpartum assessment on a delivered client. Which actions will be included?

-palpate the breasts -check the vaginal discharge -assess the extremities -inspect the perineum

The nursery nurse is careful to wear gloves when admitting neonates into the nursery. Which of the the following is the scientific rationale for this action?

Amniotic fluid may contain harmful viruses

The nursing diagnosis-risk for suffocation-is included in a standard care plan in the nursery. Which of the following outcome goals should be included in relation to this diagnosis?

Baby will be placed supine for sleep.

The nurse monitors her postpartum client carefully in the early postpartum period due to which physiological change that occurs?

Decreased blood volume

A mucous baby is being left with the parents for the first time after devilry. Which of the following should the nurse teach the parents regarding use of the bulb syringe?

Dispose of the drainage into a tissue or cloth. *Always suction mouth first

A woman with severe preeclampsia at 38 wks gestation is being induced with IV oxytocin (pitocin). Which of the following would warrant the nurse to stop the infusion?

Duration of contractions 130 seconds

Why is it essential that woman of childbearing age be counseled to plan their pregnancies?

Much of the organogenesis occurs before the missed menstrual period.

A woman tells the nurse that she would like alternate suggestions for Vitamin C sources because she doesn't like citrus fruit. Which suggestions are appropriate?

strawberries and potatoes

Which of the following is the priority nursing action during immediate postpartum period?

Palpate the fundus

A breast feeding mother states that she has sore nipples. The nurse recommends the client

Rotate the baby's position at each feed

It has just been discovered that a newborn is missing from the maternity unit. The nursing staff should be watchful for which of the following individuals?

Visitor of the same race

The nurse is caring for a laboring gravid who is 43 weeks pregnant. For which of the following should the nurse carefully monitor this client and fetus for?

late decelerations- poor placenta perfusion (old)

The nurse is assessing a client one day postpartum. The fundus is firm and flow is stable but the woman complains of excessive urination. The best nursing response to this is

Inform the client that polyuria is normal

A pregnant woman informs the nurse that her last normal menstrual period was sept. 20, 2012. Using Nagele's rule, the nurse calculates the clients estimated date of delivery as:

June 27, 2013

A client is scheduled for an external version. The nurse would expect to prepare which of the following medications to be administered prior to the procedure?

Terbutaline (Brethrine)

The health care provider writes the following order for a term newborn: Vitamin K 1mg IM. Which of the following responses provides a rationale for this order?

The neonatal gut is sterile.

The nurse is assessing the midline episiotomy on a postpartum client. Which finding should the nurse expect to see?

Well-Approximated edges

The nurse is assessing the funds of a client during the immediate postpartum period. Which actions should the nurse include in the assessment?

Stabilize the base of the uterus with dependent hand

A gravida's fundal height is noted to be at the xiphoid process. The nurse is aware that which of the following fetal changes is likely to be occurring at the same time in pregnancy?

Surfactant is formed in the fetal lungs

Which of the following developmental features would the nurse expect to be absent in a 41 week gestation fetus?

Lanuago

A client is 6 hours post-birth from a spontaneous vaginal delivery. The nurse assesses the funds is firm at the umbilicus with a heavy lochia rub and perineal sutures are intact. Which is the priority action?

Notify the woman's primary health care provider

A woman 24 hours postpartum complaints of profuse diaphoresis. The nurses best action is

Reassure the woman that this is normal

A full term newborn was just born. Which nursing intervention is important of the nurse to perform?

Remove wet blankets