final review

Well performing Leopold maneuver the nurses discovers that the orientation of the fetals spine is parallel to the mother spine. She documents the fetal lie as

Longitudinal

a nurse is completing a newborn assessment on a 6-hour old newborn/. which of the following would be a concern to the nurse

expiratory grunting, substernal retraction, tachypnea, nasal flaring

Interviewing this fetal heart Monitor tracing, how should the aren't interpreting document thisFinding

fetal heart tones 150s baseline was early deceleration

the nurse is providing discharge teaching regarding newborn positioning, which od the following statemnts made by a parent indicates understanding

i will place my baby on his back when sleeping

a nurse is preparing to administer a vitamin K shot

it assists with blood clotting

when caring for a client following an epidural block and is preparing to administer fluid bolus

it is needed to counteract hypotension

a nurse is taking a newborn to a mother following a hearing screening. which of the following actions should the nurse take for security measures

match the mothers ID band with the newborn ID band

a narcotic antagonist that the nurse is to give a newborn delivered 20 min after the mom recieved a narc

naloxone

the RN is viewing this fetal heart tracing. what type of acceleration or deceleration would the RN document in the patients chart

no accelerations, variable decelerations

the nurse finds a 6-hour-old newborn to be cold and to have a decreased body temp. the nurse is concerned about cold stress. which of the following nursing measures will the nurse take?

obtain a blood glucose test, place a pulse oximeter on the newborn, monitor the skin for yellowing, monitor arterial blood gases per order

as part of the admission assessment on a newborn, the nurse checks for hip dislocation. the technique the nurse would most likely use would be

ortolani's maneuver

while assessing a full-term newborn, a nurse notes molding on the infants head. considering, which information should the nurse expect to see on the mothers labor and delivery documentation

16- hour labor

The nurse is assessing the fetal station during the vaginal exam which of the following structures should the nurse Palpate

Ischial spines

A 24-year-old first-time mother is receiving oxytocin is in labor for 41 weeks just station. What are the appropriate nursing actions in thePresence of late fetal heart deceleration

Administer oxygen to the mother by the ask, notify the healthcare provider, Discontinue the oxytocin

a nurse is performing Leopold River on the client who is in labor which of the following techniques of the RN used to identify which side Fetal back is on

Apply palms of both hands to side of uterus

A nurses caring for a kind you have been in labor for 12 hours. The clients membranes are intact. The Health care provider has decided to performing in the amniotomy. Nurse recognizes the reason for the amniotomy is to:

Augmented labor

A client is scheduled for an induction prior to the induction the nurse practitioner calculates the clients bishop score in order to complete bishop scoring a nurse practitioner says which of the following

Beetle station, cervical dilation, cervical effacement

The obstetrician of examining the patient. Vaginal exam is 5 cm hundred percent and zero station, membranes intact. The obstetrician performs an amniotic me and there is a large gust of fluid from the vagina. What is the first are in measure?

Check the fetal Heart rate

ARN is teaching prenatal class in reviewing how teatime contractions, censuses or first baby star and wants to make sure the client understands to call the doctor on the contractions are five minutes apart for one hour, The client understandsHow to time the frequency of the contractions when she states which of the following

Count the contractions from the beginning of the first contraction to the beginning of next contraction

A nurse is completing the one minute Apgar's assessment on the full term newborn. The heart rate is 105 beats permanent and responsive this assessment the nurse should

Document a two for the fetal heart rate parameters of the Apgar score

In preparation to care for a postpartum client, who delivered a Term newborn, Hey nurse reviews the clients history and those of the client is a lesbian, achieve her pregnancy via artificial examination, and is in a monogamous relationship with a female partner. In response to the summation which interventions Should the nurse add to the newborn care plan?

Encourage the clients partner to participate in new born care

which of the follow side effects come with a child whos mom had a marcotic analgesic half an hour prior to delivery

resp depression

a nurse is assessing reflexes of a newborn. in checking for the babinski's reflex, the nurse should perform which of the following?

stimulate the soles of the newborn's feet on the outer lateral surface of each foot

a nurse is completing a newborn assessment and observes a flat, pink discoloration on the newborns eyelids and back of neck

stork bite nevus simplex

A nurse educates a pregnant client about newborn screenign for PKU, the nurse recoginizes more teaching is needed with which statement

the PKU screen will be done on my baby immediately after birth

a nurse auscultates a murmur on a 2-hour-old newborn and reports this finding to the health care provider, who then shares the information with the newborn's parents. the health care provider tells the parents that the newborn has a patent ductus arteriousus which means that

the duct between the pulm artery and hte aorta has not completely closed

a nurse is reviewing circumsion care with the parents of a newborn. which of the following instructions should the nurse include in her teaching

place petroleum jelly on the site with each diaper change

a nurse should prepare to assess the newborns anterior fontanel by

placing the infant in a sitting position

a nurse is carinf for a client who is expected to deliver vaginally in 20 minutes. the provider is preparing to administer an anesthetic for pain relief and perform an episotomy. the nurse should know that which of the following types of reginal anesthetic block is to be administered

pudendal

A nurses caring for a breast-feeding client history days postpartum and experiencing engorgement.Which of the following recommendations should the nurse make?

Feed the infants at least every three hours

an anesthesiologist is preparing to begin a continuous spinal block. which of the following is a nursing measure post-delivery related to this type of nerve block

assess the client for a postdural headache

A nurse is completing an admission assessment for patient who is 39 weeks pregnant and reports fluid leaking from the vagina for two days, which of the following conditions as the client at risk for developing

Infection

Hello Karen for client in the transition phase of labor, vendors notes that the fetal monitor tracing shows periodic accelerations with the baseline fetal heart rate of 142 bpm, Which of the following actions by the nurse is appropriate

Inform the mother that rate is normal

When performing Leopold's maneuver, the nurse notes that the fetus is in the left occipital anterior position. In which quadrant of the mothers abdomen will the nurse auscultate the fetal heart rate

Left lower quadrant

There are four patients on the busy labor and delivery unit undergoing inductions of labor with oxytocin, and her supervisor for the new unit is reviewing the patients, Which patient situation would require the supervising nurse to alert the bedside nurse to take immediate action

A patient with contractions every 1 1/2 minutes minutes with a fetal heart rate of 140 beats permanent

During office visit, a pregnant patient reports the nurse that she is incorporating gender and a lot of her meals to help with her morning sickness. The nurse recognizes this as which of the following trends in today's healthcare environment?

Complementary medicine

During attrition counseling, a third trimester Mexican client tells the prenatal nurse that she has purchased hot foods to prevent complications after childbirth. The nurse comments the most American women would think that is inUnreasonable belief. The nurses demonstrating which of the following?

Ethnocentrism

An RN is trying for a patient having contractions every 7 to 9 minutes they are 30 to 40 seconds in duration the patient service is 2 cm dilated 50% efface and the fetus is -2 stationWith the fetal heart rate between 140 and 146 which of the following stages and phases of labor is this Klein experiencing

First stage latent labor

Following a breast-feeding session with the group of new parents, the nurse knows she needs to clarify teaching after hearing one of the moms state which of the following?

Hind milk quenches the baby's thirst and contains less fat

a student nurse is caring for 4 newborns which vital sign is concerning

T 97.3 (axillary) HR 110, RR 35 baby is sleeping

A client in triage states "I think my water is broken" and the nurse would do which of the following

Test the vaginal secretions for ferning

The fetus of a pregnant client at 37 weeks gestation is found to be in breach presentation, the healthcare provider tells a client of the baby will need to be delivered via C-section as there are disadvantages to delivering a baby in breach presentation vaginally. The healthcare provider list which of the following disadvantages of breech delivery

The Botox is less effective at dilating the cervix, the umbilical cord baby comes compressed, the fetal head does not have enough time to mold

The nurse is performing a vaginal assessment on a client in labor, the clients boundary 5 cm dilated and 90% effaced which of the following has honors palpated

Thin cervix

During the Childbirth class, expectant mother asks the nurse wind up easy on me would need to be performed the nurse would respond, "An episiotomy may be done

To help deliver the Large infant, To facilitate delivery with forceps or vacuum, to facilitate the delivery of the baby that is stuck

I nurse is caring for A patient who is in active labor is your double and reports the urge to have a bowel movement, the patient comments and states I've had enough I can't do this anymore my husband touches her shoulder and the patient saysDon't touch me which of the following phases of labor the client experiencing

Transition phase

a nurse is reaching a group of new parents about bottle feeding prior to discharge. which of the following instructions should the nurse provide

burp the newborn after 0.5 oz of formula

what would be the appropriate first nursing action when caring for a 20 year old who is pregnant for the first time, at 39 weeks who is in active labor and for whom an assessment reveals mild variable fetal heart rate decelerations?

change the maternal position

a nurse recives a blood sugar level of 54 for a full term 2 day old newborn, in response to this info the nurse should

document the info in the newborns records

a nurse is preparing to administer prophylactic eye ointment to a newborn. which of the following medications should the nurse anticipate administering?

erythromycin

a newborn was not dried completely after birth. which of the following mechanisms should th nurse understand causes heat loss

evaporation