Maternal Newborn & Women's Health

A nurse is providing teaching to a client who has fibrocystic breast changes and is experiencing breast discomfort during menstruation. Which of the following instructions should the nurse include? - "Decrease daily intake of caffeine." - "Increase fluid intake to 3 L per day." - "Increase sodium intake 1 week before menstruation." - "Decrease daily fiber intake."

- "Decrease daily intake of caffeine."

A nurse is teaching a client about using an intrauterine device (IUD) for contraception. Which of the following statements by the client indicates an understanding of the teaching? - "I will need to have the IUD replaced each year." - "I will need to apply a spermicide prior to intercourse." - "I should expect my periods to stop while I have the IUD." - "I should check for the string each month after menstruation."

- "I should check for the string each month after menstruation."

A nurse is teaching a pregnant client who is Rh-negative about Rho(D) immune globulin. Which of the following statements by the client indicates an understanding of the teaching? - "If my husband is Rh-negative, I will not receive the shot." - "I will receive the shot after delivery if my baby is Rh-negative" - "I should not receive any immunizations for 3 months after the shot." - "This shot may be given after birth to protect future pregnancies."

- "This shot may be given after birth to protect future pregnancies."

A nurse is caring for a client at 39 weeks gestation who is in active labor and had a positive Group B streptococcus culture at 36 weeks gestation. Which of the following actions should the nurse take? - Obtain a repeat vaginal culture - Prepare the client for a cesarean birth - Administer prophylactic antibiotics - Assess the client's perineum for lesions

- Administer prophylactic antibiotics (ampicillin or penicillin)

A nurse is caring for a client who is in labor and has a diagnosis of spreptococcus B-hemolytic, group B strep infection. Which of the following medications should the nurse plan to administer? - Ampicillin - Azithromycin - Ceftriaxone - Acyclovir

- Ampicillin

A nurse is caring for a client who had a vaginal birth 2 hours age and has soaked two perineal pads in the past 30 minutes. Which of the following actions should the nurse take? - Assist the client to a sitz bath - Assess the client's uterine tone - Encourage the client to breastfeed - Apply an ice pack to the client's perineum

- Assess the client's uterine tone

A nurse is reviewing a client's medical record and notes that the client is taking tamoxifen. The nurse should identify that tamoxifen is used to treat which condition? - Non-Hodgkin's lymphoma - Endometriosis - Breast cancer - Polycystic ovary syndrome

- Breast cancer

A nurse is caring for a client who is in active labor and notes late decelerations in the FHR on the external fetal monitor. Which of the following actions is the nurse's priority? - Change the client's position - Document the findings as late decelerations - Increase the client's IV infusion rate - Administer oxygen at 10L/min via nonrebreather mask

- Change the client's position

A nurse is caring for a client who is receiving oxytocin to augment labor. The client has an intrauterine pressure catheter and an internal fetal scalp electrode for monitoring. Which of the following indicated that the nurse should discontinue the infusion? - Contraction frequency of every 3 minutes - Contraction duration of 100 seconds - Fetal heart rate with moderate variability - Fetal heart rate 118/min

- Contraction duration of 100 seconds

A nurse is caring for a client who is in the transition phase of labor. Which of the following actions should the nurse take? - Assist the client to void every 3 hours - Monitor contractions every 30 minutes - Place the client into a lithotomy position - Encourage the client to use a rapid pant-blow breathing pattern

- Encourage the client to use a rapid pant-blow breathing pattern

A nurse is caring for a newborn who has a blood glucose level of 45mg/dL. Which of the following actions should the nurse take? - Encourage the mother to breastfeed the newborn - Gavage 60 mL of glucose water - Administer 10 mL of D10W via IV - Recheck the glucose level in 2 hours

- Encourage the mother to breastfeed the newborn

A nurse is caring for a client who is in active labor and notes early decelerations of the FHR on the fetal monitor tracing. The nurse should identify that which of the following conditions causes early decelerations in the FHR? - Fetal hypoxemia - Cord compression - Uteroplacental insufficiency - Head compression

- Head compression

A nurse is caring for a client who is experiencing preterm labor and has a new prescription for terbutaline. Which of the following findings is a contraindication to administering this medication? - Heart disease - Cervical dilation of 2 cm - Gestational age of 34 weeks - Allergy to penicillin

- Heart disease

A nurse is planning care for a client who is 2 weeks postpartum and has mastitis. Which of the following interventions should the nurse include? Select all that apply. - Instruct the client to wash her hands prior to breastfeeding - Teach the client about proper latching-on techniques - Encourage the client to alternate breastfeeding with formula feeding - Instruct the client to avoid using a breast pump - Encourage the client to allow her nipples to air dry after feedings

- Instruct the client to wash her hands prior to breastfeeding - Teach the client about proper latching-on techniques - Encourage the client to allow her nipples to air dry after feedings

A nurse is caring for a newborn whose father is concerned about his ability to bond with his baby. Which of the following actions should the nurse take to facilitate bonding? Select all that apply. - Point out to the father that the newborn turns toward his voice - Ask the father why he is concerned about bonding with the infant - Encourage the father to touch and stroke the newborn's skin - Demonstrate diapering and swaddling techniques for the infant - Encourage the father to lay the newborn beside him when both are sleeping

- Point out to the father that the newborn turns toward his voice - Encourage the father to touch and stroke the newborn's skin - Demonstrate diapering and swaddling techniques for the infant

A nurse is caring for a client who requests to have an intrauterine device (IUD). Which of the following findings is a contraindication to this form of contraception? - The client is 35 - The client has mild hypertension - The client had a positive chlamydia culture 2 weeks ago - The client has a history of thromboembolic disease

- The client had a positive chlamydia culture 2 weeks ago

A patient at 14 weeks gestation has hyperemesis gravidarum. What medication should the nurse expect to administer? - Digoxin - Calcium gluconate - Vitamin B6 - Propranolol

- Vitamin B6

A nurse is assessing a newborn who was born vaginally with vaccum extractor assistance. The nurse notes swelling over the newborn's head that crosses the suture line. The nurse should identify the swelling as which of the following findings? - nevus flammeus - caput succedaneum - cephalohematoma - erythema toxicum

- caput succedaneum

A nurse is assessing a newborn who is 10 hours old. Which of the following clinical findings should the nurse report to the provider? - axillary temperature of 36.5 (97.7) - nasal flaring - heart rate 158 - one void since birth

- nasal flaring

A nurse is assessing a client who gave birth 1 week ago. The client states "I don't know what's wrong. I love my baby, but I feel so let down and I seem to cry for no reason." The nurse should identify that the client is most likely experiencing which of the following emotional responses to birth? - postpartum depression - taking-in phase - postpartum blues - taking-hold phase

- postpartum blues

What clinical manifestation is expected of a client in the latent phase of labor? - difficulty following directions - talkative - feeling out of control - fatigue

- talkative