Maternity Practice A
A nurse is caring for a client who has a hyperemesis gravidarium and is receiving IV fluid replacement. Which of the following findings should the nurse report to the provider.
BUN 25mg/dL Rational: The nurse should report elevated BUN to the provider.
A nurse is teaching a client who is pregnant about managing nausea and vomiting. Which of the following instructions should the nurse include in the teaching?
Eat high-carbohydrate foods. Rational: The nurse should instruct the client to eat high-carbohydrate foods (for example, toast, potatoes, and rice) to decrease nausea and vomiting. The nurse should also instruct the client to avoid spicy, fatty, fired foods.
A nurse is teaching a client about RHO (D) immunoglobulin RHOGAM. which of the following statements by the client indicates an understanding of the teachings?
I will need this medicine if I have an amniocentesis Rational: rhogam is recommended following an amniocentesis because of the potential of fetal RBC's entering the maternal circulation
A nurse is reviewing the medical record of a client who is postpartum and has preeclampsia. Which of the following laboratory results should the nurse report to the provider?
Platelets 50,000/mm^3 Rational: A platelet count of 50.000/mm^3 is below the expected range, which can indicate disseminated intravascular coagulation. The nurse should report this result to the provider.
A nurse is developing a plan of care for a newborn who is to undergo photo-therapy for hyper-billirubinemia. Which of following actions should the nurse include in the plan?
Remove all clothing from the newborn except the diaper Rational: The nurse should remove all the newborn'c clothing except the diaper while under photo-therapy. Maximum skin exposure to the ultraviolet light is needed to break down the excess bilirubin.
A nurse is assessing a client who is at 30 weeks of gestation during a routine prenatal visit. Which of the following findings should the nurse report to the provider?
Swelling of the face Rational: Swelling of the face, sacral area and hands can indicate gestation hypertension or preeclampsia. Reduction in renal perfusion leads to sodium and water retention. Fluid moves out of the intravascular compartment into the tissues causing edema
A nurse is providing teaching about family planning to a client who has a new prescription for a diaphragm. Which of the following statements should the nurse include in the teaching?
You should leave the diaphram in place for at least 6 hours after intercourse Rationale: The client should keep the diaphragm in place for at least 6 hours after intercourse to provide protection against pregnancy.