Maternal Newborn A&B
A nurse is caring for a client who has hyperemesis gravidarum and is receiving IV fluid replacement. Which of the following findings should the nurse report to the provider?
BUN 25mg/dL
A nurse is teaching a client who is at 10 weeks gestation about nutrition during pregnancy. Which of the following statements by the client indicates understanding of the teaching?
"I should take 600mcg of folic acid each day."
If a patient's is at 26 weeks gestation, where should the nurse expect the fundal height measurement to be?
26cm
A nurse in a prenatal clinic is assessing a group of clients. Which of the following clients will the nurse see first?
A client who is at 11 weeks of gestation and reports abdominal cramping.
A nurse is assessing four newborns. Which of the following findings should the nurse report to the provider?
A newborn who is 18hrs old and has an axillary temperature of 99.9F
A nurse is caring for a client who is anemic at 32 weeks of gestation. The provider prescribed betamethasone 12mg IM. Which of the following outcomes should the nurse expect?
A reduction in respiratory distress of the newborn.
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.
Administer oxygen via NRB
A nurse is planning discharge for a client who is 3 days postpartum. Which of the following nonpharmacological interventions should the nurse include in the plan of care for lactation suppression?
Apply cabbage leaves to the breasts
A nurse is providing teaching for a client who has a new prescription for combined oral contraceptives. Which of the following finding should the nurse include as an adverse effect of this medication?
Depression
A 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 tests because my potassium might decrease.
A nurse is teaching a client who is Rh negative about Rh(d) immune globulin. Which of the following statements by the client indicates an understanding of the teaching?
I will need this medication if I have an amniocentesis
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?
The nurse should ensure that the newborn has been receiving regular feedings for at least 24 hours prior to testing.
A nurse is caring for a client who is to receive oxytocin to augment her labor. Which of the following findings contraindicates the initiation of the oxytocin infusion and should be reported to the provider?
Late decelerations
A nurse is assessing a newborn who was born at 26 weeks of gestation using the New Ballard Score. Which of the following findings should the nurse expect?
Minimal arm recoil
A nurse is caring for a client who is at 38 weeks gestation. Which of the following actions should the nurse take prior to applying an external transducer for fetal monitoring?
Perform Leopolds maneuvers.
A nurse is caring for a prenatal client who has parvovirus B19. Which of the following actions should the nurse take?
Schedule an ultrasound
A nurse is teaching a new caregiver how to use a bulb syringe to suction their newborn's secretions. Which of the following should the nurse include?
Stop suctioning when the newborn's cry sounds clear
A nurse is providing discharge teaching to a client who is postpartum. For which of the following manifestations should the nurse instruct the client to monitor and report to the provider?
Unilateral breast pain