OB practice A

A nurse is assessing a client who received carboprost for postpartum hemorrhage. Which of the following findings is an adverse effect of this medication? A: Hypertension CORRECT B: Hypothermia INCORRECT C: Constipation INCORRECT D: Muscle weakness INCORRECT

A

A nurse is caring for a client who is at 24 weeks of gestation and has a suspected placental abruption. Which of the following laboratory tests should the nurse expect the provider to prescribe? A: Kleihauer-Betke test CORRECT B: Progesterone serum level INCORRECT C: Lecithin/sphingomyelin (L/S) ratio INCORRECT D: Maternal Alpha-fetoprotein (AFP) INCORRECT

A

A nurse is caring for a client who is at 36 weeks of gestation and has a positive contraction stress test. The nurse should plan to prepare the client for which of the following diagnostic tests? A: Biophysical profile ~ CORRECT B: Amniocentesis INCORRECT C: Cordocentesis INCORRECT D: Kleihauer-Betke test INCORRECT

A

A nurse is performing a vaginal examination on a client who is in labor and observes the umbilical cord protruding from the vagina. After calling for assistance, which of the following actions should the nurse take? A: Insert two gloved fingers into the vagina and apply upward pressure to the presenting part. ~ CORRECT B: Wrap the visible cord tightly with sterile, dry gauze. INCORRECT C: Apply oxygen to the client at 2 L/min via nasal cannula. INCORRECT D: Place the client in the lithotomy position and apply fundal pressure. INCORRECT

A

A nurse is providing teaching for a client who has a new prescription for combined oral contraceptives. Which of the following findings should the nurse include as an adverse effect of this medication? A: Depression ~ CORRECT B: Polyuria INCORRECT C: Hypotension INCORRECT D: Urticaria INCORRECT

A

A: nurse is observing a new parent caring for their crying newborn who is bottle feeding. Which of the following actions by the parent should the nurse recognize as a positive parenting behavior? A: Lays the newborn across their lap and gently sways ~ CORRECT B: Places the newborn in the crib in a prone position INCORRECT C: Offers the newborn a pacifier dipped in formula INCORRECT D: Prepares a bottle of formula mixed with rice cereal INCORRECT

A

A: nurse is reviewing the prenatal laboratory results for a client who is at 12 weeks of gestation following an initial prenatal visit. Which of the following laboratory findings should the nurse report to the provider? A: Hemoglobin 10 g/dL CORRECT B: WBC count 10,000/mm3 INCORRECT C: Platelets 250,000/mm3 INCORRECT D: Fasting blood glucose 90 mg/dL INCORRECT

A

A: nurse is providing teaching to a client about the physiological changes that occur during pregnancy. The client is at 10 weeks of gestation and has a BMI within the expected reference range. Which of the following client statements indicates an understanding of the teaching? A: "I will not gain more than 15 to 20 pounds during my pregnancy." INCORRECT B: "i will likely need to use alternative positions for sexual intercourse." ~ CORRECT C: ''im glad I had a breast reduction years ago, so they will not enlarge with my pregnancy." INCORRECT D: ''Im glad I have a light complexion and will not get any stretch marks." INCORRECT

B

A nurse is assessing a newborn who was delivered vaginally and experienced a tight nuchal cord. Which of the following findings should the nurse expect? A: Bruising over the buttocks INCORRECT B: Hard nodules on the roof of the mouth INCORRECT C: Petechiae over the head ~ CORRECT D: Bilateral periauricular papillomas INCORRECT

C

A nurse is caring for a client who is anemic at 32 weeks of gestation and is in preterm labor. The provider prescribed betamethasone 12 mg IM. Which of the following outcomes should the nurse expect? A: Decreased uterine contractions INCORRECT B: An increase in the client's hemoglobin levels INCORRECT C: A reduction in respiratory distress in the newborn CORRECT D:Increased production of antibodies in the newborn INCORRECT

C

A nurse is caring for a client who is at 26 weeks of gestation and has epilepsy. The nurse enters the room and observes the client having a seizure. After turning the client's head to one side, which of the following actions should the nurse take immediately after the seizure? A: Monitor the FHR. INCORRECT B: Assess uterine activity. INCORRECT C: Administer oxygen via a nonrebreather mask. ~ CORRECT D: Start a bolus of IV fluids. INCORRECT

C

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? A: Client reports nausea INCORRECT B: Urinary output of 40 mL/hr INCORRECT C: Respiratory rate 10/min ~ CORRECT D: Client reports feeling flushed INCORRECT

C

A nurse is developing a plan of care for a newborn who is to undergo phototherapy for hyperbilirubinemia. Which of the following actions should the nurse include in the plan? A: Feed the newborn 1 oz of water every 4 hr. INCORRECT B: Apply lotion to the newborn's skin three times per day. INCORRECT C: Remove all clothing from the newborn except the diaper. ~ CORRECT D: Discontinue therapy if the newborn develops a rash. INCORRECT

C

A nurse is providing education about family bonding to parents who recently adopted a newborn. The nurse should make which of the following suggestions to aid the family's 7-year-old child in accepting the new family member? A: Allow the sibling to hold the newborn during a bath. INCORRECT B: Make sure the sibling kisses the newborn each night. INCORRECT C: Obtain a gift from the newborn to present to the sibling. ~ CORRECT D: Switch the sibling's room with the nursery. INCORRECT

C

A nurse is providing teaching for a client who gave birth 2 hr ago about the facility policy for newborn safety. Which of the following client statements indicates an understanding of the teaching? A: 'My sister will be able to carry my baby from the nursery to my room when she arrives." INCORRECT B: "The nurse will match my wrist band to my baby's crib card when they bring him to me." INCORRECT C: "The person who comes to take my baby's pictures will be wearing a photo identification badge." ~ CORRECT D: "My baby doesn't need to wear the electronic security bracelet when he's in my room." INCORRECT

C

A nurse is caring for a 16 year old adolescent. Which findings should nurse report to provider? SATA. Vital signs at 1300. Abdominal assessment is correct Vaginal discharge is correct Temperature is correct Dyspareunia is correct Condom usage is correct

Incorrect: Heart rate

A nurse is caring for a newborn who is 72 hours old. Which of the following prescriptions regarding the newborn should the nurse anticipate? Administer scheduled doses of oral morphine is correct Maintain a low stimulus environment is correct Initiate NAS scoring is correct

Incorrect: Instruct the mother to discontinue breastfeeding is incorrect Give a one time dose of naloxone im is incorrect

Does client understand medications? "I should continue taking all my medications even if i dont show any symptoms" indicates understanding of teaching. "If i continue to get this type of infection, it can affect my ability to have kids in the future" indicates understanding of teaching "I;m more likely to get a sunburn while taking these medications" indicates understanding of teaching

'I should go to the ED if my urine turns dark" indicates a need for further education 'As long as I keep my IUD, i dont need to use condoms" indicates a need for further education

A nurse in a prenatal clinic is assessing a group of clients. Which of the following clients should the nurse see first? A: A client who is at 11 weeks of gestation and reports abdominal cramping CORRECT B: A client who is at 15 weeks of gestation and reports tingling and numbness in right hand INCORRECT C: A client who is at 20 weeks of gestation and reports constipation for the past 4 days INCORRECT D: A client who is at 8 weeks of gestation and reports having three bloody noses in the past week INCORRECT

A

A nurse is admitting a client who is in labor. The client admits to recent cocaine use. For which of the following complications should the nurse assess? A: Abruptio placenta ~ CORRECT B: Placenta previa INCORRECT C: Preeclampsia INCORRECT D: Maternal bradycardia INCORRECT

A

A nurse is assessing a client who has gestational diabetes mellitus and is experiencing hyperglycemia. Which of the following findings should the nurse expect? A: Reports increased urinary output CORRECT B: Diaphoresis INCORRECT C: Reports blurred vision INCORRECT D: Shallow respirations INCORRECT

A

A nurse is caring for a client who is at 15 weeks of gestation, is Rh-negative, and has just had an amniocentesis. Which of the following interventions is the nurse's priority following the procedure? A: Check the client's temperature. INCORRECT B: Observe for uterine contractions. INCORRECT C: Administer Rho(D) immune globulin. INCORRECT D: Monitor the FHR. CORRECT

D

A nurse is preparing to collect a blood specimen from a newborn via a heel stick. Which of the following techniques should the nurse use to help minimize the pain of the procedure for the newborn? A: apply a cool pack B: request ex for im analagesic C: use manual lance D: place the newborn skin to skin on the mother's chest

D

Assessment findings consistent with trich, gonorrhea, or candidiasis

Abdominal pain consistent with gonorrhea Greenish discharge is consistent with trich and gonorrhea Diabetes is consistent with candidiasis Pain on urination is consistent with all 3 Absence of condom use is consistent with trich and gonorrhea

A nurse is caring for a prenatal client who has parvovirus B19 (fifth disease). Which of the following actions should the nurse take? A: Administer antiviral medication. INCORRECT B: Schedule an ultrasound examination. CORRECT C: Administer Haemophilus influenza type b vaccine. INCORRECT D: schedule an indirect Coombs' test. INCORRECT

B

Which of the following conditions is the client most likely developing? The adolescent is most likely developing (box 1) as evidenced by (box 2)

Box 1: PID is correct Box 2: C-reactive protein is correct

The nurse is reviewing the providers prescriptions in the adolescent medical chart. The nurse should first implement (box 1) and (box 2).

Box 1: providing education on medications is correct Box 2: administering ceftriaxone is correct

A nurse is assessing a client who is receiving morphine via IV bolus for pain following a cesarean birth. The nurse notes a respiratory rate of 8/min. Which of the following medications should the nurse administer? A: Fentanyl INCORRECT B: Butorphanol INCORRECT C: Naloxone ~ CORRECT D: Meperidine INCORRECT

C

A nurse is teaching a newly licensed nurse about collecting a specimen for the universal newborn screening. Which of the following statements should the nurse include in the teaching? A: "Obtain an informed consent prior to obtaining the specimen." INCORRECT B: "Collect at least 1 milliliter of urine for the test." INCORRECT C: "Ensure that the newborn has been receiving feedings for 24 hours prior to obtaining the specimen." ~ CORRECT D: "Premature newborns may have false negative tests due to immature development of liver enzymes." INCORRECT

C

A nurse is assessing four newborns. Which of the following findings should the nurse report to the provider? A: A newborn who is 26 hr old and has erythema toxicum on his face INCORRECT B: A newborn who is 32 hr old and has not passed a meconium stool INCORRECT C: A newborn who is 12 hr old and has pink-tinged urine INCORRECT D: A newborn who is 18 hr old and has an axillary temperature of 37.7° C (99.9° F) CORRECT

D

A nurse is admitting a client to the labor and delivery unit when the client states, "My water just broke." Which of the following interventions is the nurse's priority? A: Perform Nitrazine testing. INCORRECT B: Assess the fluid. INCORRECT C: Check cervical dilation. INCORRECT D: Begin FHR monitoring. CORRECT

D

A nurse is assessing a late preterm newborn. Which of the following manifestations is an indication of hypoglycemia? A: Hypertonia INCORRECT B: Increased feeding INCORRECT C: Hyperthermia INCORRECT D: Respiratory distress CORRECT

D

Potential nursing actions are indicated or contraindicated. Medical history 1600

Educate the parents to begin range of motion exercises on the affected arm after 1 week is indicated. Assess for grasp reflex in the affected extremity is indicated. Immobilize the arm across the abdomen by pinning the newborn's sleeve to their shirt is indicated. Instruct parents to limit physical handling for 2 weeks is contraindicated.

A nurse is caring for a client who is pregnant. Which are nurse priorities? Select 4. Vital signs at 1400 and 1415. Administer bolus of iv fluids is correct Reposition client on their side is correct Apply o2 at 10-12l/min by nonrebreather is correct Elevate clients legs is correct

Incorrect: Assess cervical dilation Insert catheter Evaluate clients pain level

A nurse is caring for a client who is pregnant in an antepartum clinic. Which findings should nurse report to provider? Select 3. Nurses notes are at 0900 and 1000 Uterine contractions is correct Gestational age is correct Vaginal examination is correct

Incorrect: Fetal heart rate Maternal blood pressure.

A BIG LONG DIAGRAM

Obtain a culture and administer IV antibiotics Potential condition: endometriosis Parameter: anemia, gestational diabetes, vaginal birth, and prolonged rupture of membranes

Newborn is 70 hours old. Which findings should nurse report to provider. CNS findings is correct GI findings is correct

Resp findings is incorrect Temp is incorrect Oxygen sat is incorrect

The nurse should anticipate a providers prescription for: Ceftriaxone and doxycycline

The others are incorrect

A nurse is performing a physical assessment of a newborn upon admission to the nursery. Which of the following manifestations should the nurse expect? (Select all that apply. Yellow sclera Acrocyanosis Posterior fontanel larger than the anterior fontanel Positive Babinski reflex Two umbilical arteries visible

Yellow sclera is incorrect Acrocyanosis is correct Posterior fontanel larger than the anterior fontanel is incorrect Positive babinski reflex is correct Two umbilical arteries visible is correct