PN maternal newborn practice B
a nurse is collecting data from a client who is 1 day postpartum. Which of the following findings should the nurse identify as an indication of infection?
WBC 35,000/mm^3
a nurse is collecting data from a client who is receiving magnesium sulfate. Which of the following findings should the nurse report to the provider?
absent deep-tendon reflexes
a nurse is contributing to the plan of care for a client who has eclampsia. Which of the following interventions should the nurse plan to include as priority immediately following a seizure?
administer 02 via facemask at 10 L/min
a nurse is reinforcing education about the prevention of newborn abduction with a client who recently gave birth. Which of the following statements should the nurse identify as an indication that the client understands the instructions?
an alarm will sound if someone removes the safe baby device
a nurse is reinforcing teaching with a client who is pregnant and will undergo a 1 hour oral glucose tolerance test. Which of the following instructions should the nurse include?
avoid caffeine the morning of the test
a nurse is collecting data from a client who is 37 weeks of gestation. Which of the following finding should the nurse report to the provider?
blurred vision
a nurse is collecting data from the parent of a newborn immediately following birth. The parent states she is so tiny. We dont know how to pick her up without hurting her. Which of the following actions should the nurse take first to promote parent-newborn attachment?
demonstrate to the parent how to hold the newborn
a nurse is collecting data from client who is a primigravida and has hyperthyroidism. Which of the following findings should the nurse expect?
diaphoresis
a nurse is contributing to the plan of care for a client who is pregnant and has intermittent constipation. Which of the following interventions should the nurse recommend for pain?
drink 2 L of water per day
a nurse is reinforcing discharge instructions about home care with the parent of the newborn. Which of the following instructions should the nurse include?
ensure the water temperature during your newborn's bath is maintained at 100 degrees f
a nurse is collecting data form a 28 year old client who is requesting a prescription for an oral contraceptive. Which of the following information in the client's history should the nurse identify as a contraindication for the use of oral contraceptive?
frequent headaches with visual changes
a nurse is collecting data from a client who gave birth 18 hr ago. Which of the following findings should the nurse identify as an indication of a postpartum complication?
fundus is palpable at 2 cm above the umbilicus
a nurse is contributing to the plan of care for a client who is at 18 weeks gestation and has just learned that the fetus has trisomy 21. Which of the following resources should the nurse recommend for the client?
genetic counseling
a nurse is collecting data from a client who is at 38 weeks of gestation. Which of the following findings should the nurse report to the provider?
glycosuria
a nurse is assisting with the care of a client who is in active phase of the first stage of labor. Which of the following findings should the nurse report to the charge nurse?
green fluid from the vagina
a nurse is caring for a client following a cesarean birth. Which of the following should the nurse take to decrease the client's risk of developing thrombophlebitis?
have client ambulate several times a day
a nurse is assisting in the care of a client during the active phase of labor. Which of the following actions should the nurse take to promote the client's comfort?
have the client perform relaxing breathing techniques
a nurse is reinforcing teaching with a client who has a new prescription for medroxyprogesterone acetate injection for contraception. Which of the following statements by the client indicates understanding of teaching?
i am likely to gain weight while taking this med
a nurse is assisting with the care of a client who is at 39 weeks of gestation. Which of the following statements should alert the nurse as a sign of a potential complication?
i have pain in my upper right abdomen
a nurse is reinforcing teaching with a client who is 8 weeks gestation. Which of the following responses by the client indicates an understanding of the teaching?
i should expect to have white vaginal discharge during pregnancy
a nurse is reinforcing teaching about breastfeeding with a client who has a 12 hour old newborn. Which of the following statements should the nurse identify as an indication that the client understands the instructions?
i should wake my baby up to feed during the night
a nurse is reinforcing teaching about seat safety with the guardian of a newborn. Which of the following statements by the guardian indicates an understanding of the teaching?
i will position the retainer clip at the level of the babies armpits
a nurse is reinforcing teaching about newborn umbilical cord care with a client who is postpartum. Which of the following statements should the nurse identify as an indication that the clients understands the instructions?
i will report any drainage from baby's umbilical cord
A nurse is contributing to the plan of care for a newborn following a vaginal birth. What information should the nurse include when developing the newborns plan of care?select all that apply
maternal group b status apgar score type of birth
a nurse is contributing to the plan of care for a client who has hyperemesis gravidarum. Which of the following interventions should the nurse recommend?
monitor i and o
A nurse is assisting with the admission of a newborn who has respiratory distress. While collecting data, which of the following should the nurse report to the provider? select all that apply
nasal flaring intercostal retractions grunting
a nurse is reinforcing teaching about formula preparation with the parent of a newborn. Which of the following information should the nurse include?
overdiluted formula can result in inadequate growth
a nurse is assisting with the neuromuscular assessment of a newborn by eliciting primitive reflexes. Which of the following images indicates a characteristic response of the tonic neck reflex?
picture where baby's face is facing the same side as the extended leg (downward) and arm (more outward); other leg & arm should be bent, should be the first pic
a nurse is planning to reinforce discharge teaching about formula feeding with the guardian of a newborn. Which of the following instructions should the nurse plan to include?
provide the newborn with 6-8 feedings during a 24 hour period
a nurse is caring for a 12 hour old male newborn who was delivered from a breech position. Which of the following findings should the nurse report to the charge nurse?
skin appears jaundice
a nurse is assisting with the care of a client who is pregnant and preclampsia. While the nurse is collecting data the client has a seizure. Which of the following actions should the nurse take first?
turn client on their side
a nurse on a postpartum unit is contributing to the discharge teaching plan of a client. Which of the following instructions should the nurse suggest for the plan?
use a firm mattress in the newborn's crib
a nurse is caring for a client who is 48 hour postpartum following a vaginal birth. Which of the following findings should the nurse report to the provider? Select all that apply
warm tender area on calf dysuria cracked nipples
a nurse is planning to perform a blood collection via heel stick on a newborn. After performing hand hygiene and donning gloves, which of the following actions should the nurse plan to take next?
wrap newborn's heel with a cloth moistened with warm water
a nurse is reinforcing teaching with a client who requests hydrotherapy for pain management during labor. Which of the following statements is true?
you must be at least 37 weeks before hydrotherapy
a nurse is reinforcing teaching about preventing UTIs with a client who is at 25 weeks gestation. Which of the following instructions should the nurse include?
you should empty your bladder before you go to bed at night
a nurse is reinforcing teaching about newborn home safety precautions with a group of guardians. Which of the following instructions should the nurse include?
you should ensure the crib slats are no more than 2.25 inches apart
a nurse is reinforcing teaching about nonstress test with a client who is at 33 weeks of gestation. Which of the following statements should the nurse include?
you will press a button when you feel the baby move
A nurse in a provider's office is reinforcing teaching with a client. Which of the following statements should the nurse include?
"You might experience a metallic taste in your mouth while taking your medication"
a nurse is caring for a client who is in preterm labor and is receiving bethamethasone. Which of the following actions should the nurse take?
. inject the medication into the client's vastus lateralis muscle
a nurse is caring for client who delivered vaginally 6 hr ago. Which of the following findings should the nurse report to the provider?
. perineal pad soaked in 15 minutes
a nurse is reinforcing discharge teaching with a client who has mastitis of the left breast. Which of the following instructions should the nurse include?
. pump the affected breast frequently
a nurse is reinforcing teaching with a client who is trying to become pregnant. Which of the following foods should the nurse recommend as the best source of folate?
1 cup cooked spinach
a nurse is assisting with the care of a client who is postpartum and is receiving lactated Ringer's 1,500 mL IV to infuse over 10 hr. set pump's setting to deliver how many mL/hr?
150 mL/hr
a nurse is assisting with monitoring a client after an amniocentesis. Which of the following findings should the nurse expect?
FHR 120/min
a nurse in a postpartum unit is caring for a client who has endometriosis and is 48 hr postpartum following a c section. Which of the following findings should the nurse anticipate?
HR 110/min
a nurse in an antepartum clinic is reviewing lab test results for a group of clients. The nurse should notify the provider of which of the following results?
Hematocrit 31%
A nurse is preparing to administer phytonadione to a newborn. The nurse should plan to administer this medication by which of the following routes?
IM
a nurse is collecting data from a client who is receiving magnesium sulfate IV for preclampsia. The nurse should identify which of the following findings as an indication of toxicity to report to the provider?
RR 10/min