Maternity Final

A nurse is caring for a client who is at 18 weeks of gestation the client tells the nurse that she felt fluttering movements in her abdomen three days ago the nurse should interpret this finding as which of the following?

Quickening

A nurse is caring for a client who is three days postpartum and is attempting to breast-feed. Which of the following findings indicate mastitis?

Red and painful area in one breast

Three day postpartum attempting to breast-feed what indicates mastitis

Red painful area on the breast

A client who is in the second trimester of pregnancy tells the nurse that she has developed a darkening of the line in the midline of her abdomen from the symphysis pubis to the umbilicus what other expected changes during pregnancy might she also notice?

Reddish streaks called striae on her abdomen

Client is raped upset when pregnancy test is positive the patient request information on pregnancy termination, which statement is best for the nurse to make?

Surgical abortion in the first trimester is technically easier and safer than abortion in the second trimester

A nurse is assessing a newborn for manifestations of a large patent ductus arteriosus. Which of the following findings should the nurse expect?

Systolic murmur

A nurse is reinforcing teaching about newborn care with a postpartum client. Which of the following statements by the client indicates a need for further teaching?

"Baby powder will help prevent a diaper rash."

The client demonstrates understanding of the implications for future pregnancy secondary to her classic uterine incision when she states which of the following?

"Every time I have a baby, I will have to have a cesarean delivery."

A nurse in the nursery is caring for a newborn. The grandmother of the newborn ask if she can take the newborn to the mothers room. Which of the following is an appropriate response by the nurse?

"Have the mother call and I will take the baby to her room"

A nurse is teaching about crib safety with the parents of a newborn. Which of the following statements by the client indicates an understanding of the teaching?

"I should remove extra blankets from my babies crib."

A nurse is completing discharge instructions for a new mother and her two day old newborn. The mother asked, "how will I know if my baby gets enough breastmilk?" Which of the following responses should the nurse make?

"Your baby should wet 6 to 8 diapers per day."

A nurse on the labor and delivery unit is caring for a client who is having a difficult, prolonged labor with severe backache. Which of the following contributing causes should the nurse identify?

Fetal position is persistent occiput posterior

A nurse is providing preconception counseling for a client who is planning a pregnancy which of the following supplements should the nurse recommend to help prevent neural tube defect in the fetus?

Folic acid

What would the nurse include as part of a routine physical assessment for a second trimester primiparous patient whose prenatal care began in the first trimester and is ongoing?

Fundal height measurement

A nurse is caring for a client who is postpartum and received methylergonovine. Which of the following findings indicates that the medication was effective?

Fundus firm to palpation

A nurse is caring for a client who is to undergo a biophysical profile. The client asked the nurse what is being evaluated during this test. Which of the following should the nurse include? SATA

-fetal breathing -Fetal motion -amniotic fluid volume

A nurse is caring for a client who is two hours postpartum following it vaginal birth. Which of the following findings indicates the clients bladder is distended?

Fundus palpable to right of midline

What issue should the nurse consider when counseling a client on contraceptive methods? (SATA)

-cultural perspectives on menstruation and pregnancy -effectiveness of the method -future child bearing plans

Vaginal delivery two hours ago what should the nurse anticipate in care

-document fundal height -observe lochia -determine if fundus is midline -administer methylergonovine if uterus is boggy

A nurse is admitting a client who is at 37 weeks of gestation and has severe gestational hypertension. Which of the following actions should the nurse expect to implement? SATA

-Administer magnesium sulfate IV -Provide a dark, quiet environment -Ensure that calcium gluconate is readily available

During a pelvic exam a patient is diagnosed with a Bartholin gland cyst for which treatment should the nurse prepare the patient? (SATA)

-Antibiotic -Incision and drainage of the cyst -culture and sensitivity of the drainage

What is the role of a certified nurse midwife? (SATA)

-Be prepared to manage independently the care of women at low risk for complications during pregnancy and birth -give primary care for a healthy newborn -be educated in two disciplines of nursing

A nurse is discussing contraception use with a client what factor should the nurse include when educating the patient

-Contra indications in health history -religious or moral beliefs -personal preference and use method -future child bearing plans

a 30-year-old patient who experienced a severe premenstrual syndrome every month ask for non-pharmacological suggestions to treat this disorder what should the nurse recommend? (SATA)

-Eat more frequent meals -Engage in aerobic activity -limit alcohol -restrict intake of chocolate and coffee -Increase intake of fruits and veggies

Client three days post operation following C-section nurse teaching effectiveness

-I will resume my prenatal vitamins -I will call the provider if I have discharge from my

A nurse in a prenatal clinic is completing a skin assessment of a client who is in the second trimester. which of the following findings should the nurse expect? (SATA)

-Linea nigra -chloasma -Striae gravidarum

Student comes in the nursing office to find out what to do about severe menstrual cramps what should the nurse recommend? (SATA)

-Rest -good nutrition -hot water or heating pad -regular exercise

A nurse is providing teaching to a client who is planning on becoming pregnant about the changes she should expect identify the sequence of maternal changes

-amenorrhea -goodelle's sign -quickening -lightening

22 year old client is scheduled for her first gynecologic examination what can the nurse do to make the client more comfortable during the exam? (SATA)

-create a trusting atmosphere -show the client what speculum looks like -provide a mirror for the client

A nurse on a postpartum unit is giving discharge instructions to a client who is newborn had a circumcision with the Plastibell technique. Which of the following client statements indicates an understanding of circumcision care? SATA

-i'll expect the plastic ring to fall off by itself within a week -i'll call the doctor if I see any bleeding -i'll make sure his diaper is loose in the front

The nurse is reviewing the spermicide agent nontoxynol-9 (N-9) with a client planning to use the barrier method to prevent pregnancy what should the nurse emphasize when teaching about this preparation? (SATA)

-it can be used with a condom or other barrier -it has no systemic side effects -it could be purchased over-the-counter

Nurse is providing instructions regarding breast self exam which statement by the client indicates the teaching has been successful? (SATA)

-knowing the density of my breast is important -I should inspect my breast in a supine position with my arms by my side

What are the three functions of the fallopian tubes? SATA

-provide transport for the ovum from the ovary to the uterus -serve as a warm, moist, nourishing environment for the ovum or zygote -provide a site for fertilization to occur

A nurse in a pediatric clinic is caring for a client who is post partum what should you do when the newborn cries persistently

-take newborn for a car ride -carry newborn in front or back pack -swaddle in a receiving blanket

A nurse in a prenatal clinic is caring for a client who is pregnant and asked the nurse for her estimated date of birth EDB. The clients last menstrual period began on July 27 what is the clients EDB state the date in MMDD for example, July 27 is 0727

0504

A nurse is assessing a client who is eight hours postpartum and multi Parous. Which of the following findings should alert the nurse to the clients need to urinate

Fundus three fingerbreadths above the umbilicus

Which client exhibit signs and symptoms of primary dysmenorrhea?

14 year old girl irregular menses for one year experiencing cramping every cycle

Which of the following clients has a contraindication for using oral contraceptives?

38-year-old who reports smoking one pack of cigarettes every day

Client who is receiving opioid epidural analgesia during labor. Which of the following findings is a nurse is priority

Blood pressure 80/56 mm Hg

The prenatal clinic nurse is caring for a 15 year old client who is at eight weeks gestation the client asked the nurse why she is supposed to gain so much weight what is the best response by the nurse?

Gaining 25-35 pounds is recommended for healthy feet or growth

A nurse in a prenatal clinic is reviewing the health record of a client who is at 28 weeks of gestation the history includes one pregnancy terminated by elective abortion at nine weeks the birth of twins at 36 weeks and a spontaneous abortion at 15 weeks according to the GTPAL system which of the following describes the clients current status?

4-0-1-2-2

A nurse is assessing a newborn one hour after birth. Which of the following respiratory rate is within the expected reference range for a newborn?

48/minute

A nurse in a prenatal clinic is caring for a client who is at 39 weeks of gestation and who asked about the signs that precede the onset of labor. Which of the following should the nurse identify as a sign that proceeds labor?

A surge of energy

The clinic nurse is compiling data for a yearly report. Which client would be classified as a primigravida?

A client at 15 weeks gestation who has never been pregnant before

A nurse is caring for a group of clients on the intrapartum unit. Which of the following findings should be reported to the provider immediately?

A client who has a diagnosis of preeclampsia reports pain and unresolved headache

A nurse in an antepartum unit is triaging clients. Which of the following client should the nurse see first?

A client who is at 20 weeks of gestation and reports of painless vagina bleeding

A nurse is caring for several clients. The nurse should recognize that it is safe to administer tocolytics therapy to which of the following clients?

A client who is experiencing preterm labor at 26 weeks of gestation

Examining different nursing roles which example best illustrates an advanced practice nursing role?

A clinical nurse specialist with whom other nurses consult for her expertise in caring for high-risk patients

A nurse in the antepartum unit is caring for a client who is at 36 weeks of gestation and has pregnancy - induced hypertension. Suddenly, the client reports continuous abdominal pain in the vaginal bleeding. The nurse should suspect which of the following complications?

Abruptio placentae

The nurse is caring for a patient hospitalized for pelvic inflammatory disease which nursing intervention would have priority?

Administer Cefotetan

A nurse in a clinic is reviewing the medical records of a group of clients who are pregnant the nurse should anticipate the provider will order a maternal serum alpha - Fitoprotein (MSAFP) screening for which of the following clients?

All of the clients

A nurse in a prenatal clinic is caring for a client who is in her first trimester of pregnancy. The client tells the nurse that she is upset because although she and her husband planned this pregnancy she has been having many doubts and second thoughts about the upcoming changes in her life which of the following is an appropriate response by the nurse?

Ambivalent feelings are quite common for women early in pregnancy

A nurse is admitting a client who has severe preeclampsia at 35 weeks of gestation and is reviewing the providers orders. Which of the following orders requires clarification?

Ambulate twice daily

A nurse is caring for a client who was admitted to the maternity unit at 38 weeks of gestation and who is experiencing polyhydramnios. The nurse should understand that this diagnosis means which of the following?

An excessive amount of amniotic fluid is present

A nurse is admitting a client who is at 33 weeks of gestation and has a diagnosis of placenta previa. Which of the following is the priority nursing action?

Apply an external fetal monitor

28 year old client with a new medical diagnosis of endometriosis which question by the nurse is appropriate?

Are you having pain during your period

A nurse is teaching a group of newly licensed nurses about counseling clients about STI's what should the nurse include in the teaching?

Ask about the clients exposure to past or present STI's

The nurse who is taking the sexual history of a client should?

Ask mostly open ended questions

caring for a client 3 week postpartum following the birth of a healthy newborn. The client reports feeling "down" and sad, having no energy, and wanting to cry, which of the following is a priority action by the nurse?

Ask the client if she has considered harming her newborn

A nurse in is caring for a client who is to undergo an amniotomy. Which of the following is the priority nursing action following this procedure?

Assess the fetal heart rate pattern

A nurse is caring for a client who has postpartum and finds the fundus slightly boggy and displaced to the right. Based on these findings which of the following action should the nurse take?

Assist the client to the bathroom to void

A nurse is caring for a client who is at 40 weeks gestation and is in active labor. The client has 6cm of cervical dilation and 100% cervical effacement. The nurse obtains the clients blood pressure reading as 82/52 mm Hg. Which of the following nursing intervention should the nurse perform?

Assist the client to turn onto her side

What is the increased vascularization causing the softening of the cervix and known as?

Goodell sign

A nurse is leading a discussion about contraception with a group of 14 year old clients after the presentation a client asked the nurse which method would be best for her to use which of the following responses should the nurse make?

Before I can help you I need to know more about your activity

1973 Supreme Court decision in roe vs wade abortion is legal if induced?

Before the period of viability

A nurse is assessing a client who is in the third trimester of pregnancy the nurse should recognize which of the following findings as an expected physiologic change during pregnancy?

Gradual lordosis

A nurse is caring for a newborn four hours after birth. Which of the following action should the nurse include in the plan of care to prevent jaundice?

Initiate early feeding

A nurse is assessing a newborn the day after delivery. The nurse notes a raised, bruised area on the left side of the scalp that does not cross the suture line. How should the nurse document this finding?

Cephalohematoma

After a pelvic exam a patient is scheduled for tests to diagnose pelvic inflammatory disease which finding from the physical examination suggest to the nurse that further testing is required?

Cervical Tenderness

A nurse midwife is examining a client who is a premigravida at 42 weeks of gestation and states that she believes she is in labor. Which of the following findings confirm to the nurse that the client is in labor

Cervical dilation

A nurse is caring for a client who is breast-feeding and states that her nipples are sore. Which of the following intervention should the nurse suggest?

Change the newborns position on the nipples with each feeding

A nurse is caring for a client who is a primigravida , at term, and having contractions but is stating that she is "not really sure if she's in labor or not" which of the following should the nurse recognize as a sign of true labor?

Changes in the cervix

Which of the following best describes a nuclear family?

Children live in a household with both biological parents and no other relatives

A nurse is caring for a client who just delivered a newborn following the delivery, which nursing action should be done first to care for the newborn?

Clear the respiratory tract

A nurse is caring for a client who is post partum and has a prescription for Rho (d) immunoglobulin. The nurse should verify which of the following prior to administration?

Client is Rh negative and the newborn is Rh positive

A nurse placed a newborn under a radiant heat warmer after birth. The purpose of this action is to prevent which of the following in the newborn?

Cold stress

A nurse is instructing a woman who is contemplating pregnancy about nutritional needs. To reduce the risk of giving birth to a newborn who has a neural tube defect, which of the following information should the nurse include in the teaching?

Consume foods fortified with folic acid

What is required for any woman receiving oxytocin (Pitocin)?

Continuous electronic fetal monitoring

A nurse is caring for a client who is in the active phase of the first stage of labor. When monitoring the uterine contractions, which of the following findings should the nurse report to the provider?

Contractions lasting longer than 90 seconds

A nurse is caring for an adolescent client who is gravida one and para zero the client was admitted to the hospital at 38 weeks of gestation with a diagnosis of preeclampsia. Which of the following findings should the nurse identify as inconsistent with preeclampsia?

Deep tendon reflexes of +1

A nurse on the labor and delivery unit is caring for a patient who is having induction of labor with oxytocin administered through a secondary IV line. Uterine contractions occur every two minutes, last 90 seconds, and are strong to palpation. The baseline fetal heart rate is 150/min, with uniform decelerations beginning at the peak of the contraction and a return to baseline after the contraction is over which of the following action should the nurse take?

Discontinue the infusion of the IV oxytocin

A nurse is caring for a client who has preeclampsia and is being treated with magnesium sulfate IV. The clients respiratory rate is 10/min and deep Dash tendon reflexes are absent. Which of the following action should the nurse take?

Discontinue the medication infusion

A nurse is performing a physical examination of a client who is one day postpartum. Which of the following findings requires immediate intervention?

Displaced fundus from the midline

A nurse on the obstetric unit is caring for a client who experienced abruptio placentae. The nurse observes petechiae and bleeding around the IV access site. The nurse should recognize that this client is at risk for which of the following complications?

Disseminated intravascular coagulation

Postpartum patient large amount of lochia rubra nurse action

Document continue to monitor

Client who reports being sexually assaulted what action should the nurse take first?

Document the client verbatim statement

A nurse is caring for a client who has 1 hr postpartum and observes a large amount of lochia rubra and several small clots on the clients peroneal pad. The fundus is midline and firm at the umbilicus which of the following action should the nurse take?

Document the findings and continue to monitor the client

A nurse is caring for a newborn and ausculates an apical heart rate of 130/minute. Which of the following action should the nurse take?

Document this as an expected finding

A nurse is assessing a newborn who was born at 42.5 weeks of gestation period which of the following findings should the nurse expect?

Dry, cracked skin

A nurse on the labor and delivery unit is caring for a newborn immediately following birth. Which of the following actions by the nurse reduces evaporative heat loss by the newborn?

Drying the newborns skin thoroughly

A nurse is caring for a client who is in premature labor and is receiving terbutaline, the nurse should monitor the client for which of the following life-threatening adverse effects that should be reported to the provider?

Dyspnea

The client has delivered her first child at 37 weeks the nurse would describe this to the client as which type of delivery

Early term

A nurse is assessing a client who is pregnant for preeclampsia which of the following findings should indicate to the nurse that the client requires further evaluation for this disorder?

Elevated blood pressure

The nurse has completed a community presentation about the changes of pregnancy and knows that the lesson was successful when a community member states that which of the following is one probable or objective change of pregnancy?

Enlargement of the uterus

The external and internal female reproductive organs develop and mature in response to what hormone?

Estrogen and progesterone

A nurse is caring for a client who gave birth 2 hours ago. The nurse notes that the clients blood pressure is 60/50 mm Hg which of the following action should the nurse take first?

Evaluate the firmness of the uterus

A nurse is instructing a client about how to check basal temperature to determine ovulation the nurse should instruct to take temp at what time?

Every morning before arising

A nurse in the prenatal clinic is caring for a client who is suspected of having a hydatidiform mole. Which of the following findings should the nurse expect to observe in this client?

Excessive uterine enlargement

Seven year old states grandpa mommy daddy and my brother live at my house the nurse identifies as what type of family?

Extended

The nurse is teaching women about menopause the best indicator of menopause is which symptom?

FSH levels rise ovarian follicle cease to produce estrogen and no menses for one year

A nurse is caring for a client who has a positive pregnancy test the nurse is teaching a client about common discomfort in the first trimester of pregnancy as well as warning signs of potential danger the nurse should instruct the client to call the clinic if she experiences which of the following manifestations?

Facial edema

A nurse in a prenatal clinic is caring for a client who asked what her estimated date of delivery will be if her last menstrual period was May 4, 2015 which of the following is the appropriate response by the nurse?

February 11, 2016

A nurse is planning care for a client who is two hours postpartum following a cesarean birth the client has a history of thromboembolic disease. Which of the following nursing intervention should be included in the plan of care?

Have the client ambulate

A nurse is caring for a client who is an active labor was 7 cm cervical dilation and 100% effacement. The fetus is at 1+ station, and the clients amniotic membrane's are intact. The client suddenly states that she needs to push. Which of the following action should the nurse take?

Have the client pant During the next contractions

A nurse is caring for a client who experienced a vaginal birth three hours ago upon palpation, the fundus is displaced to the right of midline, is firm and is two fingerbreadths above the umbilicus. Which of the following action should the nurse complete at this time?

Have the client urinate

A nurse teaches newly pregnant clients that is an ovum is fertilized and implants in the endometrium the hormone the fertilized egg begins to secrete as which of the following?

Human chorionic gonadotropin (HCG)

A nurse in a providers office is caring for a client who is at 34 weeks of gestation and at risk for placental abruption. The nurse should recognize that which of the following is the most common risk factor for abruption?

Hypertension

A nurse is caring for a newborn who has macrosomia and whose mother has diabetes Mollitus. The nurse should recognize which of the following newborn complications as a priority focus of care?

Hypoglycemia

A nurse is assessing a client in labor who has had epidural anesthesia for pain relief. Which of the following findings should the nurse identify as a complication from epidural block?

Hypotension

A nurse is providing teaching about excepted gestational changes to a client who is at 12 weeks of gestation, which of the following statements by the client indicates a need for further teaching?

I will use only non-prescription medication's while pregnant

A nurse is completing a health history for a client who is at six weeks of gestation the client informed the nurse that she smokes one pack of cigarettes per day the nurse should advise the client that smoking places the newborn at risk for which of the following complications?

IUGR or SGA

A nurse in a prenatal clinic over here is a newly licensed nurse discussing conception with a client which of the following statements by the newly licensed nurse requires intervention by the nurse?

Implantation occurs between two and three weeks after conception

A nurse in a prenatal clinic is caring for a client who is at 12 weeks gestation the client asks about the cause of her heartburn which of the following responses should the nurse make?

Increase progesterone production causes decreased motility of smooth muscle.

A nurse in a hospital is caring for a client who is at 38 weeks of gestation and has a large amount of painless bright red vagina bleeding, the client is placed on a fetal monitor indicating a regular fetal heart rate of 138/minute and no other uterine contractions the clients vital signs are blood pressure 98/52MMHG heart rate 118/minute, respiratory rate 24/min and temperature 36.4 C (97.6 F) which of the following is the priority nursing action?

Initiate IV access

A nurse is caring for a client who is in the first stage of labor the nurse observes the umbilical cord protruding from the vagina which of the following action should the nurse perform first?

Insert a gloved hand into the vagina to relieve pressure on the cord

A pregnant client confides to the nurse that she is eating laundry starch daily the nurse should assess the client for which of the following?

Iron deficiency anemia

A nurse in a providers office is caring for a client who is at 30 weeks of gestation and scheduled for an amniocentesis the client asks why she is having an ultrasound prior to the procedure which of the following is an appropriate response by the nurse?

It assist in identifying the location of the placenta and fetus

A nurse is caring for a client who is scheduled for a maternal serum alpha - Fetoprotein test at 15 weeks of gestation the nurse provides which of the following explanations about this test to the client

It is a screening test for spinal defects in the fetus

A nurse in a prenatal clinic is caring for a client who is at seven weeks of gestation the client reports urinary frequency and ask if this will continue until delivery, which of the following responses should the nurse make?

It occurs during the first trimester and near the end of pregnancy

A nurse is caring for a client who experienced a cesarean birth due to dysfunctional labor. The client states that she is disappointed that she did not have natural childbirth. Which of the following responses should the nurse make?

It sounds like you are feeling sad that things didn't go as planned

A nurse is caring for a client who experienced a cesarean birth due to dysfunctional labor. The client states that she is disappointed that she did not have natural childbirth. Which of the following responses should the nurse make?

It sounds like you were feeling sad that things didn't go as planned

A nurse in the prenatal clinic is caring for a client who is at 38 weeks of gestation reports heavy, read vagina bleeding. The bleeding started spontaneously in the morning and is not accompanied by contractions. The client is not in distress and she states that she can "feel the baby moving." An ultrasound is scheduled stat. The nurse should explain to the client that the purpose of the ultrasound is to determine which of the following?

Location of the placenta

A nurse is caring for a client who is two hours postpartum. The nurse notes that the client soaked a perineal pad in under 10 minutes, the clients skin color is ashen, and she states she feels weak and lightheaded. After applying oxygen via non-rebreather face mask at 10 L per minute which of the following action should the nurse take next?

Massage the clients fundus to promote contractions

A non-pregnant client is diagnosed with bacterial vaginosis BV what does the nurse expect to administer?

Metronidazole 500 Mg p.o b.i.d for a week

A nurse is planning care for a newborn who is small for gestational age which of the following is the priority intervention the nurse include in the newborn's plan of care?

Monitor blood glucose levels

A nurse is providing teaching about newborn care to a client who is two hours postpartum. Which of the following statements by the client indicates a need for further teaching?

My babies temperature will be checked rectally every hour

A nurse is completing the admission assessment of a newborn. Which of the following anatomical landmarks of the nurse use when measuring a newborns chest circumference?

Nipple line

The true moment of fertilization occurs when what happens?

Nuclei unite

The register nurse whom completed a masters degree and passed a national certification exam has clinical appointments with clients who are seeking well women care what is the role?

Nurse practitioner

The nurse is creating a handout on reproduction for teen clients which piece of information should the nurse include in the handout?

Over survive 12-24 hours in the fallopian tube if not fertilized

A nurse is caring for a client two hours after a spontaneous vaginal birth and the client has saturated to perineal pads with blood in a 30 minutes. Which of the following is the priority nursing intervention at this time?

Palpate the clients uterine fundus

A client is caring for a newborn and observe signs of diaphoresis, jitterness, and lethargic. Which of the following action should the nurse take?

Obtain blood glucose by heel stick

A nurse is caring for a client who is having a nonstress test performed the fetal heart rate is 130 to 150/minute, but there has been no fetal movement for 15 minutes. Which of the following actions should the nurse perform?

Offer the client a snack of orange juice and crackers

The client is undergoing lab work and ultrasound for a possible diagnosis of polycystic ovarian syndrome which problem does the nurse suspect to find in the client history?

Oligomenorrhea

Client comes to the clinic complaining of difficulty urinating, flu like symptoms, genital tingling, and blister like vesicles on the thigh and vagina the medication most likely ordered is?

Oral acyclovir

A nurse is caring for a newborn in assessing newborn reflexes. To elicit the moro reflex, the nurse should take which of the following actions?

Perform a sharp hand clap near the infant

A nurse in labor and delivery unit is caring for a client who is undergoing external fetal monitoring. The nurse observes that the fetal heart rate begins to slow after the start of a contraction in the lowest rate occurs after the peak of the contraction. Which of the following action should the nurse take first?

Place the client in the lateral position

A nurse is completing a newborn gestational age assessment which of the following findings should be recorded as part of this assessment on a newborn?

Planter creases cover 2/3 of sole

A nurse is preparing to administer methylergonovine IM to a client who experienced a vaginal delivery the nurse should explain to the client that the purpose of this medication is to prevent which of the following conditions?

Postpartum hemorrhage

Women with pyelonephritis during pregnancy are at increased risk for which condition?

Preterm labor

A patient treated for UTI a month ago is experiencing symptoms of the same infection what should the nurse suspect is the reason for the occurrence of the infection?

Stop any biotics after three days

A nurse is completing the admission assessment of a client who is at 30 weeks of gestation and has severe preeclampsia. Which of the following is an expected finding?

Report of headache

A nurse is assessing a client who received magnesium sulfate to treat preterm labor. Which of the following clinical findings should the nurse identify as an indication of toxicity of magnesium sulfate therapy and report to the provider?

Respiratory depression

This nurse is assessing a newborn immediately following a scheduled cesarean delivery. Which of the following assessments is the nurses priority?

Respiratory distress

A nurse is preparing to administer magnesium sulfate IV to a client who is experiencing preterm labor. Which of the following is the priority nursing assessment for the client?

Respiratory rate

A nurse is assessing a client who is 12 hours postpartum and received spinal anesthesia for a cesarean birth. Which of the following findings requires immediate intervention by the nurse?

Respiratory rate 10/min

A nurse is caring for a client who has severe preeclampsia and is receiving magnesium sulfate IV at 2 g/hour. Which of the following findings indicate that it is safe for the nurse to continue the infusion.

Respiratory rate of 16/min

A nurse is caring for a client who has just delivered a newborn. The nurse notes that secretions are bubbling out of the newborns nares and mouth. Which of the following actions is a nurse priority?

Suction the mouth with a bulb syringe

The nurse has received a phone call from a multiGravida who is 21 weeks pregnant and has not felt fetal movement yet what is the best action by the nurse to take?

Schedule an appointment for her with her physician for the same day

A female client with an intrauterine device calls the clinic because she is unable to locate the strings after her last menstrual what should the nurse counsel this patient?

Schedule an appointment immediately

Client is complaining of severe menstrual cramps never pregnant diagnosed with ovarian cyst has IUD for two years most likely cause?

Secondary dysmenorrhea

The nurse is providing care to a client in labor who admits to using heroin throughout the pregnancy which will the neonate be at risk for following birth?

Seizure activity

A nurse is caring for a client during the first trimester of pregnancy after reviewing the clients blood work the nurse notices she does not have immunity to rubella, which of the following time should the nurse understand is recommended for rubella immunization?

Shortly after giving birth

Client has transdermal contraception comes in for routine wellness visit why shouldn't the nurse question if the client should continue using this form?

Skin breakdown at the site of the patch

A college student comes into the clinic concerned about being pregnant from unprotected sex the night before what should the school nurse counsel this student?

Take Plan B one step now

Can you explain to us how to use the basal body temp method to detect ovulation and prevent pregnancy, how should the nurse respond?

Take temperature each day immediately upon awakening keep a record of each finding a notable rise in temperature indicate ovulation is about to occur

The client who is an appropriate candidate for using emergency contraception would be one who reports?

That a condom broke yesterday in the middle of her cycle

The nurse is presenting a class to pregnant clients, the nurse asks the fetal brain is developing rapidly, and the nervous system is complete enough to provide some regulation of the body function on its own, which fetal development stage? It is clear that education has been affected when the participant makes which response

The 25th-28th week

A nurse is teaching about fetal development to a group of clients in the antenatal clinic. Which of the following statements should the nurse include in the teaching?

The baby's heartbeat is audible by a Doppler stethoscope at 12 weeks of pregnancy

A nurse is caring for an antepartum client who is laboratory findings indicate a negative rubella tighter which of the following is the correct interpretation of this data?

The client requires a rubella immunization following delivery

The nurse in the clinic instructs a client using the natural method of contraception to begin counting the first day of her cycles when?

The first day of her menstrual period

Nurse counseling a client who received positive test result for a chlamydia which statement should the nurse provide?

The infection is treated with one dose of azithromycin

A nurse is assessing a client who has an active labor and notes that the presenting part is at 0 station. Which of the following is a correct interpretation of this clinical finding?

The lower most portion of the fetus is at the level of the ischial spines

A nurse in a prenatal clinic is teaching a client who has a new prescription for dinoprostone gel. Which of the following statements should the nurse include in the teaching?

The medication promote softening of the cervix

Nurse preparing education for women on the prevention of UTI what is most common?

The most common causative organism of cystitis E.coli

A nurse is caring for an infant who is receiving phototherapy. Which of the following findings requires intervention by the nurse?

The mother applied lotion to the newborn skin

A nurse on the labor and delivery unit is caring for a client following a vaginal examination by the provider which is documented as: 1 which of the following interpretations of this findings should the nurse make?

The presenting part is 1cm above the issue spines

A nurse is caring for a client who delivered a healthy term newborn via cesarean birth. The client asked the nurse, "is there a chance that I could deliver my next baby without having a cesarean section?" Which of the following responses should the nurse provide?

The primary consideration is what type of incision was performed this time

A nurse is caring for a client at the first prenatal visit who has a BMI of 26.5 and 198 pounds the client asks how much weight she should gain during pregnancy which of the following responses should the nurse make?

The recommendation for you is about 15 to 25 pounds

The nurse is planning a community education presentation on battery which statement about battering should the nurse include?

The women are at the greatest risk for severe violence when they leave the batterer

A nurse in a prenatal clinic is caring for a client who is at 38 weeks of gestation and undergoing a contraction stress test. The test results are negative. Which of the following interpretations of this findings should the nurse make?

There is no evidence of uteroplacental insufficiency. The placenta and uterus are working well together

A nurse is providing teaching about Keagle exercise to a group of clients who are in the third trimester of pregnancy which of the following statements by the client indicates an understanding of the teaching?

These exercises help pelvic muscles to stretch during birth

A nurse in the prenatal clinic is caring for a client who believes that she might be pregnant because she feels the baby moving which of the following statements should the nurse make?

This is a presumptive sign of pregnancy

A nurse is caring for a client who is at six weeks of gestation with her first pregnancy and ask the nurse when she can expect to experience quickening which of the following responses should the nurse make?

This will occur between the fourth and fifth months of pregnancy

A female client 36 years old weighs 200 pounds is monogamous and does not smoke desires birth control which contraceptive method is appropriate?

Trans dermal hormonal contraception

A nurse in labor and delivery is caring for a client. Following delivery of the placenta, the nurse examines the umbilical cord, which of the following vessel sure the nurse expect to observe in the umbilical cord?

Two arteries and one vein

The nurse is observing the electronic fetal heart rate monitor tracing for a client who is at 40 weeks of gestation and is in labor. The nurse should suspect a problem with the umbilical cord when she observes which of the following patterns?

Variable decelerations

Nurse works in a facility that cares for a broad spectrum of racial, ethnic, cultural, and religious backgrounds what statement should the nurse include to new hires?

Understanding the common values and health practices of our diverse clients will facilitate better care and health outcomes

A nurse is caring for a client who has a suspected ectopic pregnancy at eight weeks of gestation period which of the following manifestations should the nurse expect to identify as consistent with the diagnosis?

Unilateral, cramp-like abdominal pain

A nurse is assessing a client who is receiving magnesium sulfate to treat pre-eclampsia which of the following findings should the nurse report to the provider?

Urinary output 40 mL in two hours

A nurse is caring for a client who is in labor and has an external fetal monitor, the nurse observes late decelerations on the monitor strip and interprets them as indicating which of the following?

Uteroplacental insufficiency

A nurse in an ambulatory surgery center is providing discharge teaching to a client who had dilation and curettage (D&C) following a spontaneous miscarriage which of the following should be included in the teaching

Vaginal intercourse can be resumed after two weeks

A nurse is caring for a client who is in the first stage of labor undergoing external fetal monitoring, and receiving IV fluid. The nurse observes variable decelerations in the fetal heart rate on the monitor strip. Which of the following is a correct interpretation of this finding?

Variable decelerations are due to umbilical cord compression

A nurse is preparing to administer vitamin K but IM injection to a newborn. The nurse should administer the medication into which of the following muscles?

Vastis lateralis

While completing the medical and surgical history during the initial prenatal visit the 16 year old Primigravida interrupts with "why are you asking me all these questions"? Which statement would best answer the clients question?

We ask his questions to detect anything that happened in your past that might affect the pregnancy

A nurse is caring for a client who is at 28 weeks of gestation and received terbutaline. Which of the following findings should the nurse expect?

Weekend uterine contractions

A 17-year-old client requesting oral contraceptive patient states she is nervous because she has never had a pelvic exam what should the nurse respond?

What part of the exam makes you most nervous

A nurse is caring for a client who is in her first trimester of pregnancy and ask the nurse if she can continue to exercise during pregnancy which of the following response by the nurse is appropriate?

Yes, if you continue to jog daily for up to 30 minutes is fine throughout the pregnancy

A nurse is teaching a client who is at 23 weeks of gestation about immunizations which of the following statements should the nurse include in the teaching?

You can receive an influenza vaccination during pregnancy

A nurse is caring for a client who is in preterm labor at 32 weeks of gestation. The client asked the nurse, "will my baby be OK?" Which of the following responses should the nurse offer?

You must be feeling scared and powerless

A nurse is caring for an adolescent client who has (PID) as a consequence of an STD and will need intravenous IV antibiotic therapy client states my parents think I'm a virgin I don't think I can tell them which response should the nurse make?

You seem scared to tell your parents

The nurse walks in on the client crying after she was informed she had human papilloma virus HPV which statement conveys an attitude of acceptance?

You seem upset can I help answer any questions

A nurse in the emergency department is admitting a client who is at 40 weeks of gestation, has ruptured membranes, and the nurse observes a newborns head is crowning. The client tells the nurse she wants to push. Which of the following statements should the nurse make?

You should try to pant as the delivery proceeds

Client comes in a clinic for a pregnancy test because she took the morning after pill immediately after having unprotected sex she has not had a menstrual period what should the nurse respond?

You should wait for two weeks before having a pregnancy test

A nurse is providing teaching about nutrition to a client at her first prenatal visit which of the following statements by the nurse should be included in the teaching

You will need to double your intake of iron during pregnancy

A newly diagnosed insulin-dependent type one diabetic with good blood sugar control is at 20 weeks gestation. She asked the nurse how her diabetes will affect her baby. What should the best explanation include?

Your baby will probably be larger than average

A nurse is caring for a newborn delivered by vaginal birth with a vacuum assist. The newborns mother asked about the swollen area on her sons head. After palpation to identify that the swelling crosses the suture line, which of the following is an appropriate response by the nurse?

a caput succedaneum occurs due to compression of blood vessels

The nurse obtained a health history from four clients to which client should she give priority for teaching about cervical cancer prevention?

age 37 multiple partners

A nurse is teaching about toxic shock syndrome (TSS) what should the nurse include in the teaching about contracting (TSS)

high absorbency tampons

The nurse is working with a client who has experienced a fetal death in utero at 20 weeks the client asked what her baby will look like when it is delivered which statement by the nurse is best?

your baby will be covered in fine hair called lanugo