mom and baby
A nurse is assessing a client who is at 35 weeks of gestation and has preeclampsia without severe features. Which of the following findings should the nurse identify as the priority a. 480 mL urine output in 24 hr b. blood pressure 144/92 mmHg c. +2 edema of the feet d. 1+ protein in urine
A. 480 mL urine output in 24 hr
A nurse is caring for a newborn who has irregualr respiration of 52/min with several oeriods of apnea lasting approximately 5 sec. The newborn is pink with acrocyanosis. Which of the following actions should the nurse take? a. Administer Oxygen b. Place the newborn in an isolette c. continue to monitor the newborn routinely d. Assess the newborn's blood gulcose
C. Continue to monitor the newborn routinely
A nurse is caring for a client who is in labor and has fetal heart tracings of variable decelerations. Which of the following actions should the nurse take? a. request a prescription for oxytocin b. administer oxygen at 2 L/min via nasal cannula c. prepare for the insertion of an intrauterine balloon d. reposition the client from side to side
D. reposition the client from side to side
A nurse is reviewing the provider's admission orders for a client who is at 37 weeks if gestation and is HIV positive. Which of the following orders should the nurse clarify with the provider? a. intermittent auscultation b. biophysical profile c. non-stress test (NST) d. fetal scalp electrode
d. fetal scalp electrode
A nurse is caring for a client who is experiencing prolonged labor. Whihc of the following fetal monitoring results indicates fetal compromise? a. baseline fetal heart rate of 110-130 per min b. Moderate baseline variabliliy c. acclerations in response to fetal stimulation d. late decelerations with fetal bradycardia
d. late decelerations with fetal bradycardia
A nurse is caring for a client who has a soft uterus and increased lochial flow. Which of the following medications should the nurse plan to administer to promote uterine contractions? a. terbutaline b. nifedipine c. magnesium sulfate d. methylergonovine
d. methylergonovine
A nurse is caring for a newborn who is experiencing opioid withdrawl. Which of the following manifestations should the nurse expect and report to the provider? a. weak cry b. absent Moro reflex c. consitpation d. tremors
d. tremors
