Maternity Proctored Test 2020

A nurse in a prenatal clinic is caring for a group of clients. Which of the following client should the nurse recommend for an interdisciplinary care conference?

A client who is at 35 weeks of gestation and has a biophysical profile of 6.

RN is caring for a client who has a vignal delivery 24 hours ago. which of the following findings should RN report to the provider?

A. 3+ deep tendon reflexes R. 3+ or greater can indicate preeclampsia and should be reported to provider -estrogen changes experienced by client who are postpartum will cause diuresis of the extracellular fluid. client can void up to 3000ml per day. -fundus will involute approx 1 cm per day. at 24 hours, fundus is expected to be at the umbilicus. -client's breasts will be soft for the first 2 days postpartum. they will start to fill be day 3 becoming full be day 5

RN is providing postpartum teaching for a client who is breastfeeding. Client states, "I've heard that I can't use any birth control until stop breastfeeding." Which of the following responses should the nurse make?

A. A progestin-only pill or injection is available for use while you are breastfeeding. R. progestin-only injections, ipmlants and BC pills are acceptable options for clients who are breastfeeding, though some experts recommend waiting until i6 weeks postaprtum to initiate the med. -estrogen-containing BC pills, implants, patches, and vaginal rings aren't recommended for clients who are breastfeeding due to risk of inhibiting breast milk production and supply.

RN is caring for a client in 3rd trimester of pregnancy scheduled to undergo a non-stress test. Which of the following actions should RN take prior to the test?

A. Ask client to drink a glass of orange juice R. This should raise client's blood glucose level and help promote fetal movement. - non-stress test involves application of a fetal heart monitor and a tocodynamometer to track uterine contractions and fetal movement. -non-stress test evaluates fetal heart rate's response to uterine contractions and fetal movement.

RN at a prenatal clinic is teaching a client how to perform a kick count. Which of the following statements should the RN include in the teaching?

A. Before bedtime is a good time to start counting the kicks. R. Client should be instructed to perform a kick count, which is the faily fetal movement count (DFMC), before bedtime or after meals for 2 hours, or until 10 movements are counted. Alternatively, Client can count all fetal movements in a 12-hour period each day until at least 10 movements are counted.

RN is caring for a client at 32 wks gestation who is experiencing preterm labor. Which of the following meds should RN plan to admin?

A. Betamethasone IM R. A glucocorticoid to stimulate lung maturity and prevent respiratory depression.

RN is caring for a newborn directly after birth. Which of the following meds should RN administer to the newborn within 1-2 hr of delivery?

A. erythromycin opthalmic R. every newborn in US should receive erythromycin opthalmic ointment to prevent gonorrheal or chlamydial infections that the newborn can contract during birth.

RN is providing teaching to a client who is at 8 wks gestation about manifestations to report to the provider during pregnancy. Which of the following pieces of information should the nurse include in the teaching?

A. Blurred or double vision R. client who is pregnant should report experiencing blurred/double vision, as these could be a manifesation of gestational hypertension or preeclampsia. -Pregnant client can have nausea upon awakening due to changes in hormone levels -Pregnant client can experience leg cramps while sleeping due to compression of the pelvic nerves by the enlarged uterus. -Pregnant client can have increased vaginal discharge due to hyperstimulation of the cervix from an increase in hormones.

A nurse is planning to teach a group of clients who are pregnant about breastfeeding after returning to work. Which of the following information should the nurse include in the teaching?

A. Breast milk can be stored in deep freezer for 12 months. R. Do not refreeze thawed milk; breast milk can be stored at room temp for up to 8 hrs; thawed milk can be refrigerated for up to 20 hr.

RN is caring for a client who is 32 hours postpartum. Client reports nipple soreness and breast engorgement. Which of the following recommendations should the nurse provide?

A. Call me so I can check your baby's latch the next time you breastfeed R. Nipple soreness can be a result of a poor latch. -Clients who are experiencing engorgement should be encouraged to continue breastfeeding frequently and to use pumping or hand expression as needed. Reducing the frequency of breast "emptying" will increase engorgement in the short-term and reduce milk supply in the long-term. -expressed breast milk can soothe sore nipples, but the client should keep sore nipples exposed to air to promote healing. Covering sore and potentially damaged nipples in a dark, moist environment can increase skin breakdown. -the application of cold packs and cabbage leaves to engorged breasts between breastfeeding sessions can reduce swelling inflammation.

RN is caring for a client in the first stage of labor. Which of the following findings should RN identify as a cause for concern?

A. Contractions lasting 100 seconds R. contractions during 1st stage of labor range from 45-80 seconds. They shouldn't exceed 90 seconds. -contraction frequency ranges from 2-5 contractions per 10 mins during labor -pink, mucoidal vaginal discharge= describes bloody show, an expected finding during labor -brownish vaginal discharge= can be result of cervical trauma from vaginal exams or recent vaginal intercourse

RN is assessing a client at 34 wks gestation who has a mild placental abruption. Which of the following findings should RN expect?

A. Dark red vaginal bleeding R. Client will have a normal platelet count, urinary output and reassuring fetal HR

RN is assessing a client who is at 26 weeks of gestation and has mild preeclampsia. Which of the following findings should RN report to the provider?

A. Deep tendon reflexes 4+ R. Hyperactive deep tendon reflexes demonstrate a progression from mild preeclampsia to severe gestation heypertension or preeclampsia with severe features. This finding indicates the need for hospitalization and treatment with magnesium sulfate to prevent eclamptic seizures. -With preeclampsia: --client's platelet count is usually below 100,000mm^3 --client's proteinuria is usually above 1+ on a urine reagent strip. --Client's BUN level is usually above 20 mg/dl

A nurse is teaching a female client about nutrition during pregnancy. Which of the following instructions should the nurse include in the teaching?

A. Do not eat swordfish, shark, or king mackerel while you are pregnant. R. These fish have high levels of mercury, which can harm the developing nervous system of the fetus. Consumption should be avoided prior to conception and until the cessation of breastfeeding. -Typically, a client should consume an additional 450 cals per day during the last trimester of pregnancy -A pregnant client of normal weight before pregnancy should expect to gain 25-35 lb during pregnancy. -A pregnant client should consume usual amounts of sodium during pregnancy unless she has an underlying medical condition like hypertension or kidney disease.

RN is discussing family planning with a client who has a history of deep-vein thrombosis. RN should inform client that this condition is a contraindication for which of the following birth control methods?

A. oral contraceptives R.

A nurse is caring for a client who is 2 hours postpartum and is exhibiting signs of hypovolemic shock. Which of the following actions should the nurse take?

A. Elevate the client's legs to a 30 degree angle R. RN should position the client on her side with her right hip elevated by a pillow or in a supine position with her legs elevated to at least 30 degree angle. This improves blood flow and reduces manifestations of hypotension. -Client requires IV fluid replacement and potentially blood transfusion. RN should maintain running IV access and possible increase the IV fluid rate. -Oxygen supplementation is important for a client experiencing postpartum hypovolemic shock. O2 should be administered at 10L/min via facemask to increase oxygenation and perfusion to tissues.

RN is reviewing medical record of a client at 39 wks gestation who has polyhydramnios. Which of the following findings should RN expect?

A. Fetal gastrointestinal anomaly R. polyhydraminos is the presence of excessive amniotic fluid surrounding the unborn fetus. Gastrointestinal malformations and neurological disorder are expected effects of polyhydraminos. -Polyhydraminos will results in fundal height greater than expected for gestational age and an increase in weight gain.

A nurse is caring for a client who is in labor. Which of the following assessment findings should the nurse report to the provider?

A. Fetal heart rate baseline of 90 bpm R. this is considered bradycardia which is associated with fetal cardiac defects, maternal hypoglycemia, and fetal viral infections.

RN is caring for a client labor who has an epidural for pain relief. Which of the following is a complication of the epidural block?

A. Hypotension R. RN should administer an IV fluid bolus prior to the placement of epidural anesthesia in order to decrease the likelihood of this complication.

A nurse is discussing diaphragm use with a client. Which of the following statements by the client indicates an understanding of the teaching?

A. I should replace my diaphragm every 2 years R. A diaphragm is flexible rubber cup that is filled with spermicide and inserted over the cervix prior to intercourse. It's prescribed device and should be cleaned with mild soap and water and dried gently. It should remain in place for at least 6 hours after intercourse.

A nurse is explaining lactation suppression to a client whose newborn will be bottle-fed. Which of the following client statements indicates an understanding of the teaching?

A. I should wear a support bra for a few days R. The nurse should instruct the client to wear a support bra that fits securely. Wearing this bra continuously for the first 3 days postpartum helps promote suppression of lactation.

RN is teaching a client who is postpartum about keeping the newborn safe. Which of the following statements should RN identify as an indication that the client understands the instructions?

A. I will purchase a firm mattress for the crib R. a firm mattress that leaves no gaps between it and the crib rails helps prevent suffocation and entrapment -bumper pads, pillows, stuffed toys and blankets increase risk of suffocation -Client should never use a microwave oven to heat refrigerated formula or breast milk. heating in microwave is inconsistent and can cause burns. instead, client should warm formula in a pan of hot water and test the temp with a few drops in the inner aspect of her wrist before feeding it to the newborn

A nurse is caring for a client who is 8 hrs. postpartum following vaginal delivery and is unable to void. Which of the following interventions should the nurse use to promote voiding?

A. Insert an indwelling urinary catheter

RN is proving education to a client who is 4 weeks postpartum and is breastfeeding. Client asks about expected weight loss. Which of the following responses should RN make?

A. Losing 2.2 lbs each month would be acceptable. R. an important postpartum goal is for the client to lose the weight gained during pregnancy. -Clients who are NOT lactating should lose approx. 0.5-0.9 kg (1.1-2 lbs) per week

A nurse is providing discharge instrcutions to a client who is breastfeeding her newborn. Which of the following statements should the nurse include?

A. Notify your provider if notice cracking on your nipples. R. Client should notify provider of cracking, bleeding, or blistered nipples since this increases client's risk of infection. -Client should notify provider if she doesn't have a bowel movement within 3 days. -Client should expect her lochia to turn brownish-red/ pink approx 3 days after birth and to remain that color for up to a week. Lochia will then turn a yellowish-white color for a few days before stopping.

RN is caring for a client who is receiving oxytocin to induce labor. Which of the following actions should the nurse take?

A. Perform continuous FHR monitoring R. When oxytocin is administered to an antepartum client, fetal monitor must be used to monitor FHR and maternal contractions continuously.

Nurse manager in a newborn nursery is reviewing infection control procedures with a group of newly hired nurses. Which of the following instructions should the nurse manager include in the teaching?

A. Place newborn bassinets at least 3 feet apart.

A nurse manager is revising a maternal unit policy to ensure proper identification of newborns. Which of the following should the nurse include in the policy?

A. Require visitors to wear and ID band

RN is discussing risk factors for necrotizing enterocolitis (NEC) in newborns with a newly licensed nurse. Which of the following risk factors should the RN include?

A. Respiratory distress syndrome R. causes intestinal ischemia secondary to hypoxia -preterm birth, low birth weight, intrauterine growth restriction asphyxia, gastrointestinal infection and polycythemia are other risk factors of NEC

Postpartum RN is providing care for a client who is breastfeeding and has a perineal hematoma. RN should recommend that the client use which of the following breastfeeding positions?

A. Side-lying R. this position allows client to access her baby, facilitates latching, and reduces pressure on the hematoma.

A nurse is teaching the guardian of a newborn about caring for a newborn's umbilical cord. For which of the following reasons should the nurse instruct the guardian to avoid using antimicrobial agents on the cord?

A. They can cause delayed cord separation R. Keeping the cord moist with any kind of preparation prevents drying and separation and also increases risk for infection

RN is caring for a newborn who is experiencing opioid withdrawal. Which of the following manifestations should the nurse expect and report to the provider?

A. Tremors R. Newborns who have neonatal abstinence syndrome can have tremors, tachypnea, nasal flaring, apnea, retractions, incessant crying, frequent yawning and sneezing, mottling of the skin, excessive sucking, vomiting, and fevers. - these newborns can also exhibit and exaggerated Moro Reflex and diarrhea

A nurse at a family-planning clinic is preparing to teach a class about how to use a diphragm. Which of the following pieces of information should the nurse plan to include in the teaching?

A. Use spermicidal jelly whenever you use your diaphragm. R. using it alone is not 100% effective in preventing

A nurse is teaching a client who is at 30 wks gestation about warning signs of complications that she should report to the provider. Which of the following findings should the nurse include in the teaching?

A. Vaginal bleeding R. this can indicate placental abruption, previa, or preterm labor.

A nurse is prenatal clinic is caring for a client who is within the recommended guideline for weight. The client asks the nurse how much weight is safe for her gain during her pregnancy. Which of the following responses should the nurse offer?

A. Weight gain of about 25 to 35 lb is good. R. this weight gain is associated with good fetal outcome. A gain of 4 lb in the first trimester and 12 lb each for the second and third trimesters is recommended.

A nurse is monitoring a newborn who is receiving phototherapy. RN should identify which of following findings as required intervention?

A. Weight loss 12% of birth weight R. an acceptable weight loss over the first 3-5 days is 10%. -Loose stools are a common finding in neborns receiving phototherapy. Green stools are also common before they transition to yellow.

RN is providing teaching for a client who is pregnant and has type 1 diabetes mellitus. Which of the following statements should RN include in the teaching?

A. You should expect to decrease your insulin dosage immediately after you deliver your baby. R. Client will immediately lose insulin resistance upon delivery of the placenta. Client who have type 1 diabetes mel should expect to need only 50-60% of the pre-delivery dosage of insulin. -Pregnant clients who have diabetes mellitus should expect to have increased insulin needs during 2nd and 3rd trimesters due to placental hormones that cause insulin resistance. -Clients who breastfeed typically require half their pregancy insulin dosages due to the carbs used in the process of producing breast milk

RN is caring for a client who is at 35 wks of gestation and is scheduled to undergo an amniocentesis. Which of the following statements should RN make?

A. You will feel some mild discomfort during the procedure. R. client might feel slight uterine cramping when the needle comes into contact with the uterus. A local anesthetic is applied to the client's skin, so the client should not feel pain when the needle pierces the skin. -Client should have an empty bladder to reduce risk of an accidental puncture during the procedure -Complications include: preterm labor, leaking of amniotic fluid, fetal injury, placental abruption

RN is teaching a client who has active genital herpes simplex virus, type 2. Which of the following statements should RN include in the teaching?

A. You will have a cesarean birth prior to the onset of labor. R. whenever possible, a c-sections should be scheduled prior to onset of labor or rupture of membranes to reduce risk of neonatal transmission of herpes.

A nurse in an outpatient setting is providing education for a client who is pregnant. Which of the following statements should the nurse include in the teaching?

A. You will probably first notice your baby moving when you are around 20 weeks gestation. R. Fetal movement is typically noted by a pregnant client at 18 to 20 weeks gestation. Multiparous clients might notice the movement earlier. -Clients should avoid a supine position during the latter half of pregnancy due to the fetal pressure on the bladder.

RN in a client is providing teaching to a client who is at 37 wks of gestation and is scheduled for an external cephalic version. Which of the following statements should RN make?

A. You will receive a medication to relax your uterus prior to the procedure. R. Client scheduled to undergo an external cephalic version often receives a tocolytic (suppress premature labor) prior to the procedure to allow the uterus to relax. A relaxed uterus allows an easier version by the provider.

RN is preparing to administer routine meds to a newborn following birth. Which of the following actions should the nurse take?

A. administer vitamin K 1mg in the newborn's thigh (vastus lateralis muscle)

RN is assessing a client who missed 2 menstrual cycles and reports that she might be pregnant. Which of the following findings is a positive sign of pregnancy?

A. auscultation of a fetal HR R. this is a conclusive sign of pregnancy -quickening: mother's report of feeling fetal movement. presumptive sign bc it is client-reported and could have other causes -breast tenderness is a presumptive sign -uterine enlargement is a probable sign of pregnancy when detected by an examiner. while strongly suggestive of pregnancy, it's not conclusive

RN is preparing to obtain a newborn's temp. Which of the following methods should the nurse use?

A. axillary R. most accurate and safe way to obtain a newborn's temp. RN should check temp after obtaining respirations and pulse since baby may cry or struggle when nurse holds the arm in place.

RN is caring for a client who is experiencing preterm labor. Which of the following meds should RN anticipate administering to enhance fetal lung maturation?

A. betamethasone R. administered as antenatal glucocorticoid therapy given to client experiencing preterm labor to stimulate fetal lung maturity.

RN is caring for a client who is receiving magnesium sulfate by continuous IV infusion. RN notes a respiratory rate of 8/min and absent deep-tendon reflexes. Which of the following medications should the nurse administer?

A. calcium gluconate

RN administers betamethasone to a client who is at 33 weeks gestation to stimulate fetal lung maturity. When planning care for a newborn, which of the following conditions should RN identify as an adverse effect of this med?

A. decreased blood glucose R. causes hyperglycemia in the client which predisposes the newborn to hypoglycemia in the first hours after delivery. RN must assess newborn's blood glucose level within first hour following birth and frequently thereafter until blood glucose levels are stable.

RN is caring for a newborn immediately following birth. Which of the following actions should RN take first?

A. dry the newborn R. greatest ridk to the newborn immediately after birth is heat loss, which can cause cold stress, respiratory distress, and hypoglycemia. Therefore, the first action RN should take is to dry the newborn to prevent heat loss from evaporation. -RN should obtain newborn's weight within 1-2 hrs after birth. -RN should instill erythomycin opthalmic ointment in newborn's eyes after the first breastfeeding or within 1-2 hours of delivery to prevent infection. -RN should administer vitamin K to the newborn within 1-2 hours after birth to prevent bleeding.

RN is providing teaching about breastfeeding to a client who is 4 hrs postpartum. Which of the following pieces of info should RN include?

A. ensure the newborn's mouth covers the nipple and areola R. to allow adequate seal and prevent tissue damamge -RN should instruct client to feed the newborn for approx 15-20 mins per breast or until the newborn shows signs of satiety -newborns might lose 7-10% of their birth weight. RN should notify provider if a breastfed newborn loses more than 7 % of the birth weight or if a formula-fed newborn loses more than 10% of the birth weight - client shouldn't offer a pacifier to the newborn until breastfeeding is well established, which if generally 3-4 wks after birth

RN is caring for a newborn who has neonatal abstinence syndrome. Which of the following clinical findings should RN expect?

A. exaggerated reflexes-Indicative of CNS irritabililty R. newborn with neonatal abstinence syndrome usually exhibits clinical findings of hyperactivity within the CNS and respiratory distress manifested by respirations >60/min.

A nurse is assessing a newborn at birth who was delivered at 32 weeks gestation. Which of the following findings should the nurse anticipate?

A. extended extremities R. an infant born at 32 weeks gestation has poorly developed muscle tone and is unable to maintain the flexed position seen in infants born at full term.

RN is caring for a newborn who was born to a client with a narcotic use disorder. Which of the following nursing actions is contraindicated in the care of this newborn?

A. frequent stimulation R. this newborn needs a quiet, calm environment with minimal stimulation to promote rest and reduce stress. a stimulating environment can trigger irritability and hyperactive behaviors.

RN is reviewing the lab findings of a 24-hour-old newborn. Which of the following findings should RN report to the provider?

A. hemoglobin 12 g/dl R . expected range: 14-24 g/dl -newborn's platelet expected range: 150,000-300,000/mm^3 -bilirubin newborn expected range: 2-6 mg/dl -serum glucose newborn: 40-60 mg/dl

RN is teaching a client about breastfeeding. Which of the following client statements indicates an understanding of the teaching?

A. i may notice increased cramping when i am feeding my baby R. client may notice an increase in uterine cramping while breastfeeding due to release of oxytocin which causes uterine muscle contractions. -breastfeeding client requires an additional 500 calories per day to support lactogenesis. -Client should not introduce an artificial nipple to the newborn until breastfeeding is well established (in approx. 3-4 wks) -Client should breastfeed on demand, not place newborn on a strict feeding schedule. Forcing a newborn to wait for a feeding can lead to weight loss and failure to thrive.

RN is caring for a client in the early stage of labor who has preeclampsia with severe features. which of the following interventions should RN perform/

A. implement seizure precautions R. clients who have preeclampsia with severe features are at risk for seizures. RN should keep bed side rails up and ensure oxygen and suction equipment are readily available -RN should restric client's fluid intake to no more than 125ml/hr. clients with preeclampsia can have abnormal fluid shifts and develop pulmonary edema.

RN is caring for a client who is 3 days postpartum and has chosen to formula-feed her newborn. During an examination of the client's breasts, RN notes that they are warm and firm. Which of the following actions should RN plan to take?

A. instruct the client to apply cold compresses R. to help relieve breast engorgement, client should apply cold compresses for about 15 mins every hour. client can also try applying fresh, cold cabbage leaves to the breasts. -if the client pumps her breasts, take warm showers or massages her breasts, milk production will increase.

RN is planning care for a client who is postpartum and has cardiac disease. For which of the following prescriptions should RN seek clarification?

A. monitor the client's weight weekly R. RN should weigh client with cardiac disease DAILY to monitor fluid overload. -RN should monitor client's I&O because blood flow to and from heart increases for at least the first 24 hrs after delivery. This physiological change places a client who has cardiac disease at high risk of cardiac compensation and fluid overload. -Client with cardiac disease should follow a high-fiber diet to prevent straining with bowel movements bc the pussing effort (valsava maneuver) can result in cardiac distress. -The should initiate bedrest with HOB elevated to promote rest and decrease client's O2 consumption.

RN is teaching a client who has a vacuum-assisted vaginal delivery. Which of the following statements should RN identify as an indication that the client understand the info?

A. my baby has a higher risk of developing jaundice R. vacuum-assisted birth increases risk of jaundice as the bruises caused by the device dissipate - this procedure will result in caput succedaneum-swelling on the scalp that generally resolves without treatment in 3-4 days -this procedure is chosen when a client has a prolonged second stage of labor or when the fetus is in distress. client must be fully dilated before undergoing a vaginal birth

a nurse is assessing a newborn. which of the following findings suggests the newborn is post-mature

A. nails extending over fingers

RN is caring for a client at 36 weeks gestation who has preeclampsia. Which of the following findings shoudl the nurse identify>

A. nonreactive nonstress test

RN is assessing a client who has hyperemesis gravidarum. Which of the following findings should RN expect?

A. presence of ketones in the urine R. due to an inadequate dietary intake, resulting in the breakdown of protein and store fat -can also expect hypokalemia, weight loss due to nausea vomiting and dehydration

RN is planning care for a client in active labor whose fetus is in an occipital brow presentation. Which of the following complications should RN anticipate as a result of this fetal presentation?

A. prolonged labor R. this presentation increases diameter of the presenting part which may prevent fetal head from descending into the pelvis. This can result in prolonged labor, forceps or vacuum assisted birth or C-section. -precipitous labor: proceeds abnormally fast, progressing from the onset of labor to delivery in less than 3 hours. -hypertonic uterine dysfunction: commonly occurs in latent phase of first stage of labor.

RN is teaching a client about squatting exercises during pregnancy. Which of the following statements should the nurse include?

A. these exercises should be done 15 mins each day to strengthen the perineal muscles R. squatting exercises help stretch the perineum, allowing stretching during delivery and improving efficiency after delivery -Pelvic rocking exercises can help reduce back pain during pregnancy and early labor

RN is preparing to administer meperidine hydrochloride to a client who is in labor. Which of the following statements should RN make to the client?

A. this medication can make you sleepy R. this med is an opioid analgesic used for moderate to severe pain during labor. it binds to the brain's opioid receptors and alters client's response to pain. -possible side effects: hypotension, confusion, sedation, headaches, respiratory depression, constipation, urinary retention.

RN is caring for a client who asks, "how will i know if I'm having true or false labor contractions?'" which of the following responses should RN make?

A. true contractions will begin irregularly and then become regular in timing R. false contractions begin and remain irregular

RN is teaching a client who is breastfeeding about strategies for preventing mastitis. Which of the following instruction should RN include?

A. use your finger to release suction after feeding R. waiting too long between feedings can result in clogging or plugging of the nipples, which can increase risk of mastitis. -wearing an underwire bra is associated with an increased risk for mastitis due to blocking the breast from emptying completely.

RN in a client is providing education to a client at 32 wks of gestation who has pruritus gravidarum. Which of the following pieces of info should RN provide?

A. you should slightly increase your exposure to sunlight R. pruritus gravidarum is a conidition of pregnancy that causes generalized itching without the presence of a rash. This occurs due to the stretching of the skin. Exposure to sunlight can reduce itching. -pruritus gravidarum will resolve without extensive treatment after delivery.

RN is providing teaching for a postpartum client who is breastfeeding. Which of the following pieces of info should RN include in the teaching?

A. your milk supply will noticeably increase in volume around the third/fourth day after delivery R. as the colostrum transitions to mature breast mil, the volume of milk produced will also increase. Typically the postpartum client will notice that 72-96 hours after delivery her breasts feel fuller and firmer and that milk is leaking from her nipples.

A client who is pregnant tells the nurse that she is financially unable to buy the food and vitamins recommended during pregnancy. Which of the following actions should the nurse take?

A.Refer the client to a community resource that could assist with providing nutrition. R. federal and state programs are available to provide financial assistance that allows pregnant women and families with young children to purchase nutritious foods.

A nurse is performing an initial assessment of a newborn who was delivered with a nuchal cord. Which of the following clinical findings should the nurse expect?

Facial petechiae