Proctored OB 3

A nurse is providing prenatal teaching to a client who practices a vegan diet and is trying to increase intake of vitamin B12. Which of the following foods should the nurse recommend? a. Fresh citrus fruits b. Raw carrots c. Brown rice D. Fortified soy milk

D. Fortified soy milk

A nurse is providing discharge teaching to a new parent about car seat safety. Which of the following statements by the parent indicates an understanding of the teaching? a. "I should position my baby's car seat at a 45 degree angle in the car." b. "I should place the car seat rear-facing until my baby is 12 months old." c. "I should place the harness snugly in a slot above my baby's shoulder." d. "I should position the retainer clip at the top of my baby's abdomen."

a. "I should position my baby's car seat at a 45 degree angle in the car."

A nurse is reviewing signs of effective breathing with a client who is 5 days postpartum. Which of the following information should the nurse include in the teaching? a. "You should feel a tugging sensation when the baby is sucking." b. "Your breasts should stay firm after the baby breastfeeds." c. "Your baby's urine should appear dark and concentrated." d. "You should expect your baby to have two to three wet diapers in a 24 hr period."

a. "You should feel a tugging sensation when the baby is sucking."

A nurse is caring for four clients. For which of the following clients should the nurse auscultate the fetal heart rate during the prenatal visit? a. A client who has felt quickening for the first time b. A client who has crown-rump length of 7 weeks gestation." c. A client who has a positive urine pregnancy test 1 week after missed menses d. A client who has an ultrasound that confirms a molar pregnancy

a. A client who has felt quickening for the first time

A nurse is providing discharge instructions to a client who is breastfeeding her newborn. Which of the following instructions should the nurse include? a. Allow the baby to feed at least every 3 hr b. Expect two to four wet diapers every 24 hr c. Offer the newborn 30 mL (1 oz) of water between feedings d. Feed the newborn 5 to 10 min per breast

a. Allow the baby to feed at least every 3 hr

A nurse is caring for newborn immediately following birth and notes a large amount of mucus in the newborn's mouth and nose. Identify the sequence the nurse should follow when performing suction with a bulb syringe. (Move the steps into the box on the placing them in the selected order of performance. Use all the steps.) a. Compress the bulb syringe b. Use the bulb syringe to suction the newborn's nose c. Place the bulb syringe in the newborn's mouth d. Assess the newborn for reflex bradycardia

a. Compress the bulb syringe c. Place the bulb syringe in the newborn's mouth. b. Use the bulb syringe to suction the newborn's nose. d. Assess the newborn for reflex bradycardia.

A nurse is caring for a client who is receiving an epidural block with an opioid analgesic. The nurse should monitor for which of the following findings as an adverse effect of the medication? a. Hypotension b. Bilateral crackles c. Hyperglycemia d. Polyuria

a. Hypotension

A nurse on a labor and delivery unit is receiving infection control standards with a newly licensed nurse. The nurse should instruct the newly licensed nurse to don gloves for which of the following procedures? a. Performing umbilical cord care b. Assisting a mother with breastfeeding c. Administering the measles, mumps, rubella vaccine d. Performing a newborn's initial bath

a. Performing umbilical cord care

A nurse is caring for a client who is receiving oxytocin for induction of labor and notes late decelerations of the fetal heart rate on the monitor Tracing. Which of the following action should the nurse take? a. Place the client in a lateral position b. Decrease maintenance IV solution infusion rate c. Administer misoprostol 25 mcg vaginally d. Administer oxygen via face mask at 2 L/min

a. Place the client in a lateral position

A nurse is assessing a client who is at 27 weeks of gestation and has preeclampsia. Which of the following findings should the nurse report to the provider? a. Platelet Count 60.000/ mm^3 b. Creatinine 0.8 mg/dL c. Urine protein concentration 200 mg/24 hr d. Hemoglobin 14.8 g/dL

a. Platelet Count 60.000/ mm^3

A nurse is assessing a client following an amniocentesis. Which of the following findings should the nurse recognize as complications? (select all that apply) a. Preterm labor b. Urinary tract infection c. Leakage of amniotic fluid d. Amnionitis e. Polyhydramnios

a. Preterm labor c. Leakage of amniotic fluid d. Amnionitis

A nurse is monitoring a client who has preeclampsia and is receiving magnesium sulfate by continuous IV infusion. Which of the following findings should the nurse reports to the provider? a. Urinary output 20 mL/hr b. 2 + deep tendon reflexes c. Blood pressure 148/94 mm Hg d. Respiratory rate 14/min

a. Urinary output 20 mL/hr

A nurse is teaching a client who is at 41 weeks of gestation about a nonstress test. Which of the following information should the nurse include in the teaching? a. "This test will confirm fetal lung maturity." b. "This test will determine adequacy of placental perfusion." c. "This test will detect fetal infection." d. "This test will predict maternal readiness for labor."

b. "This test will determine adequacy of placental perfusion."

A nurse on the postpartum unit is caring for four clients. Which of the following clients should the nurse notify the provider? a. A client who has a urinary output of 300 mL in 8 hr b. A client who is receiving magnesium sulfate and has absent deep tendon reflexes c. A client who reports abdominal cramping during breastfeeding d. A client who reports lochia rubra requiring changing perineal pads every 3 hr

b. A client who is receiving magnesium sulfate and has absent deep tendon reflexes

A nurse is developing an educational program about hemolytic diseases in newborns for a group of newly licensed nurses. Which of the following genetic information should the nurse include in the program as a cause of hemolytic disease? a. The mother and the father are both Rh negative b. The mother is Rh negative and the father is Rh positive c. The mother is Rh positive and the father is Rh negative d. The mother and the father are both Rh positive

b. The mother is Rh negative and the father is Rh positive

A nurse is caring for a client who has hyperemesis gravidarum. Which of the following laboratory tests should the nurse anticipate? a. Urine culture b. Urine ketones c. Rapid plasma reagin d. Prothrombin time

b. Urine ketones

A nurse on a labor and delivery unit is providing teaching to a client who plants to use hypnosis to control labor pain. Which of the following information should the nurse include? a. "Hypnosis does not work for controlling pain associated with labor." b. "Synchronized breathing will be required during hypnosis." c. "Focusing on controlling body functions will be helpful during hypnosis." d. "Hypnosis can be beneficial if you practiced during the prenatal period."

c. "Focusing on controlling body functions will be helpful during hypnosis."

A nurse is caring for an infant who has signs of neonatal abstinence syndrome. Which of the following actions should the nurse take? a. Place the infant on his back with legs extended b. Provide a stimulating environment c. Initiate seizure precautions d. Monitor blood glucose level every hr

d. Monitor blood glucose level every hr

A nurse on an antepartum unit is reviewing the medical records for four clients. Which of the following clients should the nurse asses first? a. A client who has diabetes mellitus and an HbA1c of 5.8% b. A client who has preeclampsia and a creatinine level of 1.1 mg/ dL c. A client who has hyperemesis gravidarum and a sodium level of 110 mEq/L d. A client who has placenta previa and a hematocrit of 36%

c. A client who has hyperemesis gravidarum and a sodium level of 110 mEq/L

A nurse is caring for newborn who is 1 hr old and has a respiratory rate of 50/min, a heart rate of 130/min, and an auxiliary temperature of 36.1*C (97F). Which of the following actions should the nurse take? a. Reposition the newborn b. Give the newborn a warm bath c. Apply a cap to the newborn's head d. Obtain an oxygen saturation level

c. Apply a cap to the newborn's head

A nurse is caring for a client who has maternal hypotension following the placement of an epidural. Which of the following actions should the nurse take? a. Give terbutaline subcutaneously b. Administer a bolus infusion of lactated Ringer's c. Apply oxygen via nonrebreather face mask at 2 L/min d. Position the client in a knee-chest position

c. Apply oxygen via nonrebreather face mask at 2 L/min

A nurse is preparing to administer methylergonovine 0.2 mg orally to a client who is 2 hr postpartum and has a boggy uterus. For which of the following assessment findings should the nurse withhold the medication? a. Pulse 58/min b. Respiratory rate 14/min c. Blood pressure 142/92 mm Hg d. Urine output 100 mL in 3 hr

c. Blood pressure 142/92 mm Hg

A nurse is caring for a client who is in the second stage of labor. Which of the following manifestations should the nurse expect? a. The client experiences gradual dilation of the cervix b. The client begins having regular contractions c. The client delivers the newborn d. The client expels the placenta

c. The client delivers the newborn

A nurse is caring for a client following a vaginal delivery of a term fetal demise. Which of the following statements should the nurse make? a. "If you don't hold the baby, it will make letting go much harder." b. "You should name the baby so she can have an identity." c. "I'm sure you will be able to have another baby when you're ready." d. "You can bathe and dress your baby if you'd like to."

d. "You can bathe and dress your baby if you'd like to."

A nurse is providing nutritional guidance to a client who is pregnant and follows a vegan diet. The client asks the nurse which foods she should eat to ensure adequate calcium intake. The nurse should instruct the client that which of the following foods has the highest amount of calcium? a. 1 medium potato b. 1 large banana c. 1/2 cup cubed avocado d. 1 cup cooked broccoli

d. 1 cup cooked broccoli

A nurse is caring for four newborns. Which of the following newborns should the nurse assess first? a. A newborn who has overlapping suture lines b. A newborn who has rust-stained urine c. A newborn who has subconjunctival hemorrhage of the left eye d. A newborn who has nasal flaring

d. A newborn who has nasal flaring

A nurse is planning care for a client who is receiving oxytocin by continuous IV infusion for labor induction. Which of the following interventions should the nurse include in the plan? a. Maintain the client in a supine position b. Titrate the infusion rate by 4 milliunits/min c. Limit IV intake to 4 L per 24 hr d. Increase the infusion rate every 30 to 60 min

d. Increase the infusion rate every 30 to 60 min

A nurse caring for a client who is at 20 weeks of gestation and has trichomoniasis. Which of the following findings should the nurse expect? a. Vulva lesions b. Thick, white vaginal discharge c. Urinary frequency d. Malodorous discharge

d. Malodorous discharge

A nurse is planning care for a newborn who has neonatal abstinence syndrome. Which of the following interventions should the nurse include in the plan of care? a. Discourage parental interaction until after a social service evaluation b. Weigh the newborn every other day c. Increase the newborn's visual stimulation d. Swaddle the newborn in a flexed position

d. Swaddle the newborn in a flexed position

A nurse is assessing a full-term newborn upon admission to the nursery. Which of the following clinical findings should the nurse report to the provider? a. Subconjunctival hemorrhage b. Rust-stained urine c. Single palmar creases d. Transient circumoral cyanosis

d. Transient circumoral cyanosis

A nurse is caring for a newborn who is 24 hr old. Which of the following laboratory findings should the nurse report to the provider? a. Platelets 200,000/mm^3 b. Hgb 20 g/dL c. Bilirubin 2 mg/dL d. WBC count 32,000/mm^3

d. WBC count 32,000/mm^3

A nurse is caring for a client who is in active labor. Following epidural placement the nurse a maternal blood pressure of 98/58 mmHg and minimal FHR variability on the fetal monitor. Which of the following images indicates the action the nurse should take? Pictures**** (question 42)

turn the client to her side before calling the health care provider