OB2 contd

Where would the nurse expect the fundus to be located on the secondary postpartum day?

1 or 2 fingers beneath the umbilics

which anatomic abnormalities are found in tetralogy of Fallot

The disorder consists of right ventricular hypertrophy, ventricular septal defect, pulmonic stenosis, and overriding aorta

What assessment finding would the nurse recognize as a common finding in infants with down syndrome?

abnormal heart sounds

What is the optimal nursing intervention to minimize perineal edema after an episiotomy? 1. applying ice packs 2. offering warm sitz baths 3. administering aspirin as needed 4. elevating the hips on a pillow

applying ice packs

The nurse is assessing the perfusion and circulatory status of a postpartum client 3 hours after the birth of her child. Which clinical finding would the nurse expect 1. Irregular heartbeat 2. thready peripheral pulses 3. capillary refill less than 3 seconds 4. urinary output of less than 20 mL

capillary refill less than 3 seconds

Which assessment would the nurse prioritize for a newborn with down syndrome 1. reflex responses for hypotonicity 2. eye examination for congenital cataracts 3. sensory examination for muscle flaccidity 4. cardiac irregularities for congenital heart disease

cardiac irregularities for congenital heart disease

Which postpartum client would the nurse assess FIRST 1. client who vaginally delivered a 7lb baby 1 hour ago 2. client who vaginally delivered a 9lb baby 1 hour ago 3. client who vaginally delivered a preterm baby 4 hours ago 4. client who had a planned cesarean delivery of an 8lb baby 2 hours ago

client who vaginally delivered a 9lb baby 1 hour ago

Which nursing action would the nurse perform to promote maternal newborn bonding in the hospital? 1. suggesting that the mother choose breastfeeding instead of formula 2. advise the mom to call for the newborn to be taken to the nursery when she's tired 3. encouraging the mom to perform simple aspects of her newborns care 4. observing the mother infant interaction unobtrusively to evaluate to relationship

encouraging the mom to perform simple aspects of her newborns care

Which factor puts a client at increased risk for postpartum hemorrhage? 1. breast feeding in the birthing room 2. receiving a pudendal block for the birth 3. having a third stage of labor that lasts 10 min 4. giving birth to a baby weighing 9lb

giving birth to a baby weighing 9 lb

What plan of care would the nurse provide a newborn with hypospadias?

giving the parents reasons why circumcision should not be performed

Which postpartum complication would the nurse monitor for in a client with hydramnios?

hemorrhage

risk factors for developing jaundice

infection, prematurity, breast feeding, maternal diabetes

Which complication of prematurity would the nurse monitor for in a 6 day old preterm infant in the neonatal intensive care unit? 1. meconium ileus 2. duodenal atresia 3. imperforate anus 4. necrotizing enterocolitis

necrotizing enterocolitis

Which hypothalamic hormone would the nurse identify as helping treat post partum uterine atony and hemorrhage?

oxytocin

What condition would the nurse suspect as the cause of a third day postpartum client who's breast feel warm, firm, and tender? The skin is also shiny and trought

physiological engorgement

Before d/c which suggestion would the nurse give to a non nursing mother to help limit breast engorgement?

place raw cabbage leaves over the breast

Which nutrients are required in greater quantities in a preterm infant than a full term?

protein

The nurse is caring for a preterm infant who is receiving oxygen therapy. Which would the nurse do to prevent retinopathy of prematurity (ROP)? 1. cover the neonates eyes with a shield 2. place the neonate in an elevated side lying position 3. assess the neonate every hour with pulse oximeter 4. support the neonates oxygen saturation while providing minimal fiO2

support the neonates oxygen saturation while providing minimal FiO2

Which is the nurses MOST critical assessment for a client with preeclampsia during the immediate postpartum period? 1. vital signs 2. emotional status 3. fundal height 4. signs of hypovolemic shock

vital signs

The nurse is assessing a postpartum client for signs of hemorrhage by evaluating the degree of perineal pad saturation. How else can you measure

weigh blood filled pads