RN Maternal Newborn Online Practice 2023 B

A nurse is teaching a client who is in preterm labor about terbutaline. Which of the following stamens by the client indicates an understand of the teaching?

" I will have blood test because my potassium might decrease"

A nurse at a providers office is caring for a client who is 28 years of age. Complete the following sentence by using the list of options

-Heart rate -Vaginal spotting

A nurse is caring for a client who is in labor. a nurse review the most recent assessment findings. What actions should the nurse take? SATA

-administer calcium gluconate -d/c the mag infusion -apply oxygen at 10 via nonrebreather

A nurse is caring for client who is pregnant. Which of the following actions are the nurse' priorities? SATA

-adminsiter IV bolus -repostion to their side -apply o2 at 12 L non rebreather -elevate clients legs

A nurse at a providers office is caring for a client who is 28 years of age. The nurse is preparing the client for surgery. Which of the following actions should the nurse take? SATA

-ensure the client is NPO prior to surgery -Insert an 18 g -obtain a CBC - verify consent

A nurse at a providers office is caring for a client who is 28 years of age. A nurse is evaluating the client following surgery. Which of the following findings incites that the client is expereincing a potential complication of surgery that requires immediate follow up ?

-temp -02 sats -BP -skin cool and moist -1+pedal pulse

A nurse is demonstrating how to bathe their newborn. in Which order should the nurse perform the following actions?

-wipe the newborns eyes from the inner cants outward -was the newborns neck by living the newborns chin -cleanse the skin around the newborns umbilical cord stump -wash the newborns legs and feet -clean the newborns diaper area

A nurse is preparing to administer mag sulfate 3g/hr IV to a client who is in preterm labor. Available is 20 g mag sulfate in 500mL of dextrose 5% water. The nurse should set the IV infusion pump to administer how many mL/hr?

50ML

A nurse is performing a newborn assessment. Which of the following images hold th ensure identify as an indication of spina bifida occult?

A - the one that looks like a small bruise on the Botton of the baby's spine

A nurse is caring for client who is at 26gestations and has epilepsy. The nurse enters the room and observe the client having a seizure. After turning the client's head to on side, which of the following actions should the trust take immediate after the seizure?

administer o2 via a nonrebreather mastk

A nurse is providing teaching about non pharmacological pain mangement to a client who is breastfeeding and has engorgement. the nurse should recommend the application of which of the following items?

cold cabbage leaves

A nurse is providing teaching to a client who is at 40 weeks gestation and had a new prescription for misoprostol. Which of the following instructions should the nurse include in the teaching?

" I can administer oxytocin 4 hours after the insertion of the medication?

A nurse is caring for a client who is pregnant. Which of the following findings should the nurse report to the provider? click to highlight

- temp -buring upon urination -cramping and lower back pain -frequent contrations -cervical dialtion/ effacement

The nurse is caring for a newborn who is 72 hr old. The nurse is planning to contact the provider regarding the newborns status. Which of the following prescriptions regarding the newborn should the nurse anticipate?SATA

-Adminster scheduled doses of oral morphine -maintain a low stimulus enviornment -initiate neonatal absitince syndrome scoring

A nurse at providers office is caring for aclinet who is 28 years of age. Select 3 findings that require immediate follow up

-abodment assessment -Vaginal spotting -Menstrual period

A nurse at a providers office is caring for a client who is 28 years of age. Drag 1 condition and 1 client findings

-ectopic pregnancy -RLQ abdominal tenderness

A nurse is caring for a client who is 3 days post party. BOWTIE

Actions to take:-Plan to administer IV antibiotics-obtain a culture of vaginal fluid using a sterile swabCondition:-Endometritis Parameter to Monitor:-Temperature-lochia amount and odor

A nurse at a providers office is caring for a client who is 28 years of age. The nurse is collaborating with another nurse about the client's plan of care.

Anticipated - transvaginal ultrasound, Repeat B HCG level , Methotrexate IM, blood type

A nurse is assessing a client who has preeclampsia with severe features. Which of the following manifestations should the nurse expect?

Blurred vision

A nurse is performing a vagina examination non a client who is in labor and observes the umbilitcal cord protruding form the vagina. After calling for assistance, which of the following actions should the nurse take?

insert two gloved fingers into the vagina and apply upward pressure to the presenting part

A nurse is assessing a newborn who is 12 hr old. Which of the following findings should the nurse report to the provider?

Central cyanosis

A nurse is caring for a newborn. The nurse reviews the assessment findings and determines the findings are consistent with wihco of the following birth complications?

Clavical fracture-presence of crepitus, decreased movement and absent moro reflex , presence of a palmar grasp refelc Erb Duchenne paralysis - limp arm with absent spontaneous moment and absent moro reflex -wrist flexion, arm movement grasp reflex is present

A nurse is teaching a client who is Rh negative about Rh(D) immunoglobulin. Which of thefollowing statements by the client indicates an understanding of the teaching?

I will need the medication if I have an amniocentesis

A nurse is planning care for a client who is 2 hr postpartum. which of the following interventions should the nurse plan to implement during the taking- hold phase of postpartum behavior adjustment?

Demonstrate to the client how to perform a newborn bath

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 I ntheteaching ?

Ensure that the newborn has been receiving feedings for 24 hours prior to obtaining the specimen

A nurse is performing a physical assessment of a newborn. Which of the following findings should the nurse expect ? SATA

HR 154, RR 58, weight 2.6 kg

A nurse is teaching a client who is at 24 weeks of gestation regarding a 1 hr glucose tolerance test. Which of the following satemtns should the nurse include the teaching?

If this test is positive, you will be scheduled for a 3 hr glucose tolerance test

A nurse is caring for a client who is pregnant and is at the end of their first trimester. The nurse should place the doppler ultrasound sethescop in which of the following locations to begin assessing the FHT?

just above the symphysis pubis

A nurse is assessing a client who received carboprost for post partum hemorrhage. which of the following diggings is an adverse effect of this medication

Hypertension

A nurse is providing teaching to a client about the physiological changes that occur during pregnancy. The client is at 10 weeks gestation and has a BMI within the expected range. which of the following client statements indicates an understanding of the teaching?

I will likely need to use alternative positions for sexual intercourse

A nurse is caring for a client who is at 35 weeks of gestation and has a placenta prevue. Which of the following actions should the nurse take?

Initiate continuous external fetal monitoring

A nurse is caring for a client who is at 24 weeks gestations and has a suspected placental abruption. Which of the following lab test should the nurse expect the provider to pescribe?

Kieihauer merke test

A nurse is developing a plan of. care for client who has preeclampsia and is receiving mag sulfate via a continuous IV infusion. Which of the following interventions should the ruse include in the plan?

monitor the FHR continuously

The nurse is assign fetal heart tones for a client who is pregnant. The nurse has determined the fetal position as left occiput anterior. To which of the following areas of the client's abdomen should the nurse apply the ultrasound transducer to assss the point of maximum intensity of the fetal heart?

Left Lower quad

A nurse is caring for a client who has uterine atony and is experiencing postpartum hemorrhage. Which of the following actions is the nurses' priority"

Massage the client's fungus

A nurse is planning discharge for a client who's is 3 days postpartum. which of thefollwing non pharmacological interventions should the nurse include in the plan of care for lactation suppression?

Place cabbage leaves to the breasts

a nurse is provide discharge teaching to the guardian of a newborn about care seat safety. Which of the following instructions should the nurse include?

Place the retainer clip at the level of the newborn armpits

A nurse is creating a plan of care for client who is postpartum and adheres to the traditional hispanic cultural beliefs. which of the following cultural parties should the nurse incldue in the plan of care ?

Protect the clients head from cold air

A nurse is caring for a client who is at 30 weeks gestation and has a prescription for mag sulfate IV to treat preterm labor. The nurse should notify the provider of which of the following adverse effects?

RR 10

a nurse is calculation a client's expected date of birth using angels rule. The client tells the nurse that their last menstrual cycle started on November 27th. Which of the following dates is the client's expected birth date?

September 3rd

A nurse is caring for prenatal client who has parvovirus B19. Which of the following actions should the nurse take?

Schedule an ultrasound exam

A nurse is teaching a new caregiver how to ouse a bulb syringe to suction their newborn's secretions. Which of the following instructions should the nurse include?

Stop suctioning when the newborn cry sounds clear

A nurse is assessing a newborn who is 12 hr old. Which of the following manifestations requuires interventions by the nurse?

Substernal chest restrictions while sleeping

A nurse is providing teaching to 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?

The person who comes to take my baby's pictures will be earring a photo identification badge

A nurse is speaking with a client who is trying to make a decision about tubal ligation. the client asks, " what effects will this procedure have on my sex lifee? " which of the following responses should the nurse make ?

This procedure should have no effect n your sexual performance or adequacy

A nurse is reviewing the medical record at 1800 fora client who is at 34 weeks of gestations. Based on the chart findings and documentation, the nursing plan of care should include which of the following actions?

administer terbutaline

a nurse is admitting a client who is in labor. the client admits to recent cocain use. For which of the following complications should the nurse asses?

abrupto placenta

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?

biophysical profile

A nurse is caring for a client who is at 22 weeks of gestations and reports concern about they bitchy hyperpigmentation on their forehead. Which of the following actions snout the nurse take ?

explain to the client this is an expected occurrence

A nurse is providing education about family bonding to guardians 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?

obtain a gift form the newborn in the present to the sibling

A nurse is preparing to collect a blood specific 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?

place the newborn skin to skin on the caregivers chest

A nurse in ap roviders ofice is reviewing the medical record of a client who is in the first trimester of pregnancy .Which of the following findings should the nurse identify as a risk factor for the development of preeclampsia?

pre gestational diasbetes mellitus

A nurse is reviewing the medical record of a client who is postpartum and has preeclampsia. which of the following findings indicate that the client has progressed to preeclampsia with severe feature?

pulmonary edema

A nurse is assessing a client who is at 36 weeks of gestation. Which of the following findings should the nurse report to the provider?

report of visual disturbances

A nurse is assessing a client who has gestational diabetes mellitus and is experiencing hyperglycemia. Which of the following findings should the nurse expect?

reports increased urinary output

A nurse is caring fro a client who is experiencing preterm labor at 29 weeks of gestation and has a prescription for betamethasone. Which of the following statements should the nurse make about the identification for medication administration?

this medication stimulates fetal lung maturity

A nurse is caring for a client who is at 36 weeks of gestation and has a prescription for an amniocentesis. For which of the following reasons should the nurse prepare the client for an ultrasound?

to locate a pocket of fluid

A nurse is providing discharge teaching to a client who is postpartum. For which of the following manifestations should the nurse instruct the client monitor and report to the provider?

unilateral breast pain

A nurse is assessing client who is at 38 weeks gestation during weekly prenatal visit. with of the following findings should the nurse report to the provider?

weight gain of 2.2 kg

A nurse is providing teaching about family planning to a client who has. new prescription for a diaphragm. which of the following statements should the nurse include in the teaching?

you should leave the diaphragm in place for at least 6 hrs after intercouse