RN Maternal Newborn Online Practice 2019 A
A nurse in an antepartum clinic is providing care for a client who is at 26 weeks of gestation. Upon reviewing the client's medical record, which of the following findings Should the nurse report to the provider? 1-hour glucose tolerance test (120 mg/dL) Hematocrit (34%) Fundal height measurement (30 cm) Fetal Heart Rate (110 bpm)
Fundal Height Measurement A fundal height measurement of 30 cm should be reported to the provider. Fundal height should be measured in centimeters and is the same as the number of gestational weeks plus or minus 2 weeks from 18 to 32 weeks gestation. Therefore, the nurse should report this finding to the provider.
A nurse is assessing a newborn 12 hours after birth. What assessment findings should the nurse report to the provider? Acrocyanosis Transient Strabismus Jaundice Caput Succandeum
Jaundice Jaundice occurring within the first 24 hr of birth is associated with ABO incompatibility, hemolysis, or Rh-isoimmunization. The nurse should report this manifestation to the provider.
A nurse is admitting a client to the labor and delivery unit when the client states, "My water just broke." Which of the following is the priority intervention for the nurse to take? Perform Nitrazine testing Assess the amniotic fluid Check cervical dilation Monitor the fetal heart rate.
Monitor the fetal heart rate The greatest risk to the client and her fetus following a rupture of membranes is umbilical cord prolapse. The nurse should monitor the fetus closely to ensure well-being. Therefore, this is the priority action the nurse should take.
A nurse is caring for a client who is at 30 weeks of gestation and has a prescription for magnesium sulfate IV to treat preterm labor. The nurse should notify the provider of which of the following adverse effects? Client reports nausea Urinary output of 40 mL/ hour Respiratory rate 10/min Client reports feeling flushed
Respiratory rate 10/min The nurse should report a respiratory rate of less than 12/min to the provider, because this is a manifestation of magnesium toxicity. The nurse should ensure that the antidote, calcium gluconate, is readily available.