Maternal Newborn

A nurse is caring for a client who is 28 weeks and received terbutaline. Which of the following findings should the nurse expect? Fetal heart rate 100/min Weakened uterine contractions Enhanced production of fetal lung surfactant Maternal blood glucose of 63 mg/dL

Weakened uterine contractions

A nurse in the antepartum unit is triaging clients. Which of the following clients should the nurse see first?

A client who is at 28 weeks gestation and reports painless vaginal bleeding

A nurse is caring for a client who is in her first trimester of pregnancy and asks the nurse if she can continue to exercise during pregnancy. Which of the following responses by the nurse is appropriate? A. "Exercising during pregnancy is not recommended." B. "Daily jogging for up to 30 minutes is fine throughout the pregnancy." C. "Activities that raise the body temperature, such as saunas and hot tubs, are safe until the third trimester." D. "It is recommended that pregnant clients limit their exercise routine to stretching activities on a mat several times a week."

B. "Daily jogging for up to 30 minutes is fine throughout the pregnancy." While weight-bearing exercises might become uncomfortable in the last trimester, they are generally not contraindicated, providing the client stays hydrated and avoids becoming overheated for extended periods.

A nurse is caring for a client during a nonstress test (NST). At the end of a 30-min period of observation, the nurse notes the following findings: The fetal heart rate baseline is 120/min with minimal variability and no accelerations. There are two decelerations of 15/min in the fetal heart rate during a period of fetal movement, each lasting 20 seconds. Which of the following interpretations of these findings should the nurse make? A. A negative test B. A nonreactive test C A positive test D. A reactive test

B. A non reactive test

A nurse is caring for a group of clients on an intrapartum unit. Which of the following findings should be reported to the provider immediately? A. A tearful client who is at 32 weeks of gestation and is experiencing irregular, frequent contractions B. A client who is at 28 weeks of gestation and receiving terbutaline reports fine tremors C. A client who has a diagnosis of preeclampsia has 2+ proteinuria and 2+ patellar reflexes D. A client who has a diagnosis of preeclampsia reports epigastric pain and unresolved headache

D. A client who has a diagnosis of preeclampsia reports epigastric pain and unresolved headache

A nurse is providing teaching about nutrition to a client at her first prenatal visit. Which of the following statements by the nurse should be included in the teaching? A. "You will need to increase your calcium intake during breast feeding." B. "Prenatal vitamins will meet your need for increased vitamin D during pregnancy." C. "Vitamin E requirements decline during pregnancy due to the increase in body fat." D. "You will need to double your intake of iron during pregnancy."

D. During pregnancy, the need for iron increases to allow transfer of the appropriate amounts to the fetus and to support expansion of the client's red blood cell volume.

A nurse is performing a physical examination of a client who is 1 day postpartum. Which of the following findings requires immediate intervention?

Displaced fundus from the midline

A nurse in a clinic is caring for a client who is at 11 weeks of gestation and reports that she has had slight occasional vaginal bleeding over the past 2 weeks. Following an examination by the provider, the client is told that the fetus has died and that the placenta, fetus, and tissues remain in the uterus. How should the nurse document these findings? A. Complete miscarriage B. Inevitable miscarriage C. Missed miscarriage D. Incomplete miscarriage

Missed miscarriage

A nurse is caring for a client who has severe preeclampsia and is receiving mag sulfate IV at 2g/hr. Which finding indicates that it is safe to continue the infusion. Urine output of 50 ml in 4 hours Diminished deep-tendon reflexes Heart rate of 56/min Respiratory rate of 16/min

Respiratory rate of 16/min The client's respiratory rate should be at least 12/min to maintain adequate respiratory function. Magnesium toxicity causes bradypnea. Based on this finding, the nurse may continue the infusion. Urine output of 50 mL in 4hr The client's urine output should be at least 25 to 30 mL/hr to promote adequate excretion of magnesium. The nurse should stop the infusion. Diminished deep-tendon reflexes Diminished or absent deep-tendon reflexes is a manifestation of magnesium toxicity. The nurse should stop the infusion immediately. Heart rate of 56/minBradycardia is a manifestation of magnesium toxicity. The nurse should stop the infusion immediately.

A nurse is assessing a client who is receiving magnesium sulfate to treat preeclampsia. Which findings should nurse report to provider? Fetal heart rate 158/min Respirations 16/min Headache for 30 min Urinary output 40 mL in 2 hr

Urinary output 40 mL in 2 hr Urinary output is critical for the excretion of magnesium from the body. The nurse should report an hourly output below 30 mL/hr to the provider immediately and discontinue the medication. Fetal heart rate 158/min A fetal heart rate of 158/min is within the expected reference range The expected reference range for the fetal heart rate is 110/min to 160/min. Respirations 16/min A respiratory rate of 16/min is within the expected reference range for a client receiving magnesium sulfate. The acceptable range for respiratory rate is 16 to 20/min. Headache for 30 min Headaches and muscle weakness are expected reactions to magnesium sulfate administration. They do not require reporting to the provider.

A nurse is preparing to administer an injection of Rh0 (D) immunoglobulin. The nurse should understand that the purpose of this injection is to prevent which of the following newborn complications? hydrops fetalis hypobillirubinemia

hydrops fetalis

A nurse is teaching about fetal development to group of clients at antenatal clinic. Which of the following statements should the nurse include in the teaching? A. "The baby's heart beat is audible by a Doppler stethoscope at 12 weeks of pregnancy." B. "The sex of the baby is determined by week 8 of pregnancy." C. "Very fine hairs, called lanugo, cover your baby's entire body by week 36 of pregnancy." D. "You will first feel your baby move in week 28 of pregnancy."

the baby's heart beat is audible by a doppler stethoscope at 12 weeks of pregnancy sex is determined at conception lanugo covers fetal body at 20wks and disappears by week 36 quickening the feeling of fetal movement begins between weeks 14 to 16 in multiparous and week 18 or later in nulliparous