RN maternal newborn practice 2019B

A nurse is assessing a newborn for manifestations of hypo glycemia. Which of the following findings should the nurse expect?

Jitteriness

I nurse is preparing to perform Leopold's maneuvers for a client. Identify the sequence the nurse should follow.

-palpate the fundus to identify the fetal part -determine the location of the fetal back -palpate for the fetal port presenting at the inlet -Identify the attitude of the head

A nurse is teaching a client who is at 24 weeks of gestation regarding a one hour glucose tolerance test. Which of the following statements of the nurse include in the teaching?

A blood glucose of 130 to 140 is considered a positive screening results

I know it's on antepartum unit is caring for for clients. Go to the phone client shared the nurse identified as the priority?

A client who is at 34 weeks of gestation reports epigastric pain

The nurse is reviewing the medical record at 1800 for a client who is at 34 weeks of gestation. Based on the chart findings and documentation, the nursing Plan of care should include which of the following actions?

Administered turbutaline

Are nurses find a discharge for a client who has three days postpartum. Which of the following nine from a logical intervention should the nurse include in the plan of care for lactation suppression?

Apply cabbage leaves to the breast

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 next?

Apply internal upward pressure to the presenting part using two gloved fingers

A nurse is caring for a client who is in labor and who's fetus is in the right occipital posterior position. The client is dilated to 8 cm and reports back pain. Which of the following action should the nurse take?

Apply sacral counterpressure

The nurse is calculating a clients expected date of birth using Nagel's rule. The client tells the nurse that her last menstrual cycle started on November 27 which of the following dates is the clients expected date of birth? August

August 3

A nurse is reviewing laboratory results of a newborn who is four hours old. Which of the following findings should the nurse report to the provider

BilliRubin 9 mg/dL

A nurse is caring for a client who is at 41 weeks of gestation has caused a contraction stress test. For which of the following diagnostic test should the nurse prepare the client?

Biophysical profile

The nurse is reviewing the laboratory report of a newborn who is 24 hours old. Which of the following results so the nurse report to the provider?

Blood glucose 30 mg/dL

A nurse in a family planning clinic is caring for a client who request an oral contraceptive. Which of the following findings in the clients history show the nurse recognized as a contraindication to oral contraceptives. select all that apply

Cholecystitis, hypertension, migraine headaches

A nurse is caring for a newborn who is undergoing photo therapy to treat hyperbilirubinemia. Which of the following actions should the nurse take?

Cover the newborn size white under the photo light therapy

The nurse is assessing a client who is postpartum and has idiopathic thrombocytopenia Purpera ITP. What are the following findings should the nurse expect?

Decrease platelet count

A nurse is planning care for a client who is two hours postpartum. Which of the following intervention should the nurse plan to implement during the taking hold phase of postpartum behavioral adjustment

Demonstrate to the client how to perform a newborn bath

A nurse is caring for a client who becomes unresponsive upon delivery of the placenta. which of the following action should the nurse take first?

Determine respiratory function

I nurse in the antepartum clinic is assessing a client adaptation to pregnancy. The client states that she is happy one minute and crying the next. The nurse should Interpret the clients statement as an indication of which of the following?

Emotional liability

The nurse is caring for a client who is at 22 weeks of gestation and reports concern about the bocce hyperpigmentation on her for head. What should the following action should the nurse take?

Explain to the client this is an expected occurrence

He nurses repairing to administer oxytocin to a quiet house postpartum. Which of the following findings is an indication for the administration of medication? Select all that apply

Flaccid uterus, Excessive vaginal bleeding

Nursery for praying to administer azithromycin to a client who is at 16 weeks of gestation and has a positive chlamydia culture. The prescription states administer azithromycin 1 g orally now. Available is 250 mg tablets. How many tablets should the nurse administer?

Four

A nurse is caring for a client who has preeclampsia and is receiving a continuous infusion of magnesium sulfate IV. Which of the following actions should the nurse take?

Have calcium gluconate readily available

The nurse is teaching a client who is at 35 weeks of gestation about manifestations of potential pregnancy complications to report to the router. Which of the following manifestations of the nurse include?

Headache that is and relieved by analgesia

I nurse is reviewing the laboratory results for a client who is at 10 weeks of gestation period which of the following laboratory findings should the nurse report to the provider

Hemoglobin 10 g/dL

The nurse is planning care for a client who is undergoing a non-stress test. Which of the following actions should the nurse include in the plan of care?

Instruct the client to Press the provided but each time the fetal movement is detected

A nurse in a woman's health clinic is providing teaching about nutritional intake to a client who is at eight weeks of gestation. The nurse should instruct the client to increase her daily intake of which of the following nutrients

Iron

A nurse is caring for a client who is pregnant and is at the end of her first trimester. The nurse should place the Doppler ultrasound stethoscope in which of the following locations to begin assessing for the funeral heart tones? Catch up

Just above the symphesis pubis

A nurse is caring for a client following an amniocentesis at 18 weeks of gestation period which of the following findings should the nurse report to the provider as a potential complication?

Leakage of fluid from the vagina

A nurse is assessing fetal heart tones for a client who is pregnant. The nurse has a term in the fetal position as left a simple anterior. To which of the following areas of the clients I have dementia the nurse supply the ultrasound transducer to assess the point of maximum intensity of the fetal heart

Left lower quadrant

A nurse on a postpartum unit is caring for a client who is experiencing hypovolemic shock. After notifying the provider, which of the following actions should the nurse take?

Massage the clients fundus

A nurse is planning care for a client who is in labor and is requesting epidural anesthesia for pain control. Which of the following action should the nurse include in the plan of care?

Monitor the clients blood pressure every five minutes following the first dose of anesthetic solution

The nurse is reviewing medical record of an early admitted client who is at 32 weeks of gestation. Which of the following conditions is an indication for fetal assessment using Electronic fetal monitoring?

Oligohydramnios

The nurse is reviewing the medical record of a client who has postpartum and has preeclampsia. Which of the following laboratory results should the nurse report to the provider?

Platelets 50,000

Nurses regarding discharge teaching to the parents of a newborn about car seat safety. Which of the following instruction should the nurse include?

Place the retainer clip at the level of the newborns armpits

Nurse is teaching a client who has a new prescription for combine oral contraceptives about potential adverse effects of medication. For which of the following findings should the nurse instructed client to notify the provider?

Shortness of breath

A nurse is teaching a postpartum Kayaa about steps the nurse will take to promote the security and safety of the clients newborn. Which of the following statement sure the nurse make?

Staff members who take care of your baby will be wearing a photo identification badge

A nurse is teaching a new mother how to use a bulb syringe to suction her newborn secretions. Which of the following instruction should the nurse include?

Stop sectioning when the new ones cry sounds clear

I nurse is assessing a newborn who is 12 hours old. Which of the following manifestations requires intervention by the nurse?

Sub sternal chest retractions while sleeping

A nurse is assessing a client who is at 30 weeks gestation during a routine prenatal visit. Which of the following findings should the nurse report to the provider?

Swelling of the face

A nurse is performing a newborn assessment. Which of the following images should the nurse identify as an indication of spina bifida occulta?

The picture of the dimpled area over the defect in the presence of a birthmark or hair pet over the area

A nurse is playing and care for a client who is in labor and is to have an amniotomy. Which of the following assessment sure the nurse identify as a priority?

Temperature

A nurse is assessing a client who gave birth vaginally 12 hours ago and palpate her uterus to the right above the umbilicus. Which of the following intervention should the nurse perform?

This is the client to empty her Bladder

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

This medication stimulates been a long maturity

A nurse is speaking with a client who is trying to make a decision about tubal ligation. The client asked what effects for this procedure have on my sex life? Which of the following responses should the nurse make?

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

Nurse is caring for a newborn who was transferred to the nursery 30 minutes after birth because of my respiratory distress. Which of the following actions should the nurse take first?

Verify the newborns identification

A nurse is assessing a newborn of a client who took a selective serotonin reuptake inhibitor her during pregnancy. Which of the following manifestation should the nurse identify as an indication of withdrawal from an SSRI

Vomiting

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

You should leave the diaphragm in place for at least six hours after intercourse

The school nurse is providing teaching to an adolescent about Lebanon gestural contraception. Which of the following information should the nurse include in the teaching?

You should take this medication within 72 hours following unprotected sexual intercourse

A nurse is teaching a client who is at 36 weeks of gestation and has a prescription for a non-stress test. Which of the following statements should the nurse include in the teaching?

You will be offered orange juice to drink during the test

A nurse is caring for a client who is in active labor and has had no cervical change in the last four hours. Which of the following statements are the nurse make?

Your provider will insert an intrauterine pressure catheter to monitor the strength of your contractions

And ours in a prenatal clinic is caring for a client who reports that her menstrual period is two weeks late. The client appears anxious and ask the nurse if she is pregnant. Which of the following responses should the nurse make?

Can you can miss your period for several other reasons. Describe your typical menstrual cycle

The nurse is assessing a newborn falling a circumcision. Which of the following findings should the nurse identify as an indication that the newborn is experiencing pain?

Chin quivering

A nurse is providing dietary teaching to a client who has hyper emesis gravidarum. Which of the following statements by the client indicates an understanding of the teaching?

I will eat foods that taste good and instead of balancing my meals

The nurse is teaching a client who is in preterm labor about terbutaline. Which of the following statements by the client indicates an understanding of the teaching?

I will have blood test because my potassium might decrease

A nurse is teaching a client who is our age negative about our HD immune globulin. What are the following statements by the client indicated understanding of the teaching?

I will need this medication if I have an amniocentesis

Nurses teaching a client who has pre-gestational type one diabetes Mellitus about management during pregnancy. Which of the following statements by the client indicates an understanding of the teaching?

I'll continue taking my insulin if I experience nausea and vomiting

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

Initiate continuous external fetal monitoring

I nurse is caring for a client who is in labor and reports increasing rectal pressure. She is experiencing contractions 2 to 3 minutes apart, each lasting 80 to 90 seconds, and a vaginal examination reveals that her cervix is dilated to 9 cm. The nurse should identify that the client is in which of the following phases of labor?

Transition

A nurse is providing discharge teaching to a client who has postpartum period for which of the following manifestation should the nurse instruct the client to monitor and report to the provider?

Unilateral breast pain

A nurse is teaching a new pair in about newborn safety. Which of the following instruction should the nurse include in the teaching?

You can share your room with your baby for the next few weeks