ob dynamic quiz

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

"A progestin-only pill or injection is available for use while you are breastfeeding"

A nurse is discussing epidural anesthesia with a client who is receiving oxytocin to induce labor. Which of the following statements should the nurse make?

"An epidural given too early can prolong labor"

A nurse assessing a client who is a 4hr postpartum to get out of bed for the first time. The client becomes frightened when she has a gush of dark red blood from her vagina. Which of the following statements should the nurse make?

"Blood pools in the vagina when you are lying bed."

A nurse is administering a rubella immunization to a client who is 2 days postpartum. Which of the following statements indicates the nurse the client needs further instruction?

"I can conceive anytime I want after 10 days."

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

"I may notice increased cramping when ien I am feeding my baby."

A nurse is reinforcing teaching with a postpartum client who is breastfeeding. Which of the following statements indicates an understanding of the teaching?

"I should feed my baby 8 to 12 times a day, based on feeding cues."

A nurse is reinforcing teaching with a client at 7 weeks of gestation who is experiencing nausea and vomiting. Which of the following client statements indicates to the nurse an understanding of the teaching?

"I should have a small snack before bedtime."

A nurse is reinforcing discharge teaching about circumcision care for the parent of a newborn who has undergone a Gomco clamp procedure. Which of the following statements should the nurse identify as indication that the client understand the instructions?

"I will apply petroleum jelly to my baby's penis for the first few days."

A nurse is reinforcing teaching with a client about using the Lamaze method to manage pain during labor. Which of the following pieces of information should the nurse include?

"You will learn how to prevent pain during labor by focusing your mind to control your breathing."

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

"You will probably first notice your baby moving when you are around 20 weeks of gestation."

A community health nurse is contributing to the plan of care for 4 high-risk newborns who were discharged yesterday. Which of the following newborns should the nurse recommend to care for first?

A 4-day-old newborn who has an elevated bilirubin level and requires phototherapy

A nurse in the labor and delivery suite is planning care for a group of 4 clients. Which of the following clients should the nurse see first

A client who is in active labor and has late decelerations on the fetal heart monitor strip

A nurse in a newborn nursery has received reports on 4 newborns. Which of the following newborns should the nurse identify as requiring intervention?

A newborn whose axillary temperature is 36.1C (96.9F)

A postpartum nurse is caring for a client who is 4 hours postpartum and has a painful third-degree perineal laceration. Which of the following interventions should the nurse take?

Apply cold ice packs to the client's perineum

A nurse is caring for a client in the third trimester of pregnancy who is scheduled to undergo a non-stress test. Which of the following actions should the nurse take prior to the test?

Ask the client to drink a glass of orange juice

A nurse is assessing a newborn who has congenital diaphragmatic hernia. Which of the following findings should the nurse expect?

Barrel-shaped chest

A nurse is reinforcing teaching about dietary recommendations to prevent neural tube defects. Which of the following recommendations should the nurse include

Begin taking a folic-acid supplement

A nurse is providing teaching to the parents of a newborn about bottle feeding. Which of the following instructions should the nurse include in the teaching?

Boil water for powdered formula for 1 to 2 minutes

A nurse at a family-planning clinic is preparing to give a presentation to clients about using a diaphragm. Which of the following pieces of information should the nurse plan to include in the session?

"Use spermicidal jelly whenever you use your diaphragm."

A provider tells a client at 12 weeks gestation who practices Hinduism that she needs more protein in her diet and suggests eating more meat. After the provider leaves the examination room, the client tells the nurse that eating animal products will cause her to miscarry. Which of the following responses should the nurse make?

Lets discuss other foods that are high in protein that you could substitute for meat

A nurse is providing education to a client who is 4 weeks postpartum and is breastfeeding. The client asks about expected weight loss. Which of the following pounds lost in a month would be acceptable?

Losing 2.2 pounds each month would be acceptable

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

Monitor the clients weight weekly.

A nurse is teaching a client who had a vacuum-assisted vaginal delivery. Which of the following statements should the nurse identify as an indication that the client understands the information?

My baby has a higher risk of developing jaundice

A nurse is caring for a client who is in active labor and whose birth plan requests only nonpharmacological pain relief strategies. Which of the following strategies should the nurse offer as a form of cutaneous stimulations?

Counter pressure

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

I should replace my diaphragm every 2 years

A nurse is caring for a client who experienced a fetal loss. When initiating communication with this client. Which of the following statements should the nurse make?

I'm here for you if you would like to talk

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

Exaggerated reflexes

A nurse is caring for a client who is pregnant and has a rupture of membranes. The nurse notes the presence of meconium-stained fluid. Which of the following actions should the nurse take?

Gather equipment for neonatal resuscitation

A nurse is preparing to help with a vacuum-assisted birth. Which of the following actions should the nurse plan to take?

Inform the client that the caput succedaneum resolves in a few days

A nurse is reviewing lab results for a client who is at 37 weeks of gestation. The nurse notes that the client is rubella non-immune, positive for group A beta-hemolytic strep, and has a blood type of O negative. Which action should the nurse take?

Instruct the client to obtain a rubella immunization after delivery

A nurse is caring for a client in active labor who has meconium staining of the amniotic fluid. The nurse notes a reassuring fetal heart rate (FHR) tracing from the external fetal monitor. Which of the following actions should the nurse perform

Prepare equipment needed for newborn resuscitation

A nurse is caring for a client who is attempting a trial of labor (TOL) after several cesarean births. The client reports a sudden onset of constant abdominal pain, and the nurse observes a prolonged deceleration on the fetal heart rate tracing. Which of the following actions should the nurse take?

Prepare the client for an emergency cesarean delivery

A nurse in a clinic is caring for a client who is pregnant and reports a last menstrual period (LMP) that began on December 7. Which of the following dates would be the client's estimated date of birth (EDB)?

September 14

A nurse is providing education about newborn skin care for a group of new parents. Which of the following instructions should the nurse include?

Sponge bathe the newborn every other day

A nurse is assessing a newborn who was born at 39 weeks of gestation. Which of the following findings should the nurse expect?

Symmetric rib Cage.

A nurse at a clinic is preparing to teach the process of involution to a group of antenatal clients. Which of the following information should the nurse provide?

The fundus is not palpable abdominally at 2 wks postpartum

A nurse is assessing a client who is receiving morphine via PCA pump following a cesarean birth. Which of the following findings should the nurse report to the provider?

Urine output of 20mL/hr

A nurse is preparing to perform a heel stick on a newborn. Which of the following actions should the nurse take?

Warm the heel with a warm washcloth prior to the procedure

A nurse is reinforcing teaching about newborn baths with a client who is 2 days postpartum. Which of the following pieces of information should the nurse include?

Wash the newborn's face with plain warm water

A nurse is assessing a newborn and notes an axillary temperature of 96.9 degrees F (36 degree C). which of the following actions should the nurse perform?

assess the newborn's blood glucose level

a nurse is caring for a recently delivered newborn whose mother had gestational diabetes. what action should the nurse take within 1 hr after birth?

assess the newborn's blood glucose level

a nurse in a prenatal clinical is performing telephone triage for several pt. what of the following pt report should the nurse identify as an expected physiological adaption to pregnancy?

breast tenderness

A nurse is reviewing the plan of care before assuming the care of a newborn who is prescribed a hepatitis B vaccine, vitamin K, and an antiretroviral regimen. The plan of care indicates the newborn's mother is HIV-positive and plans to breastfeed. Which of the following findings should the nurse address with a newborn's interdisciplinary team?

breastfeeding

a nurse is assessing a newborn. which of the following findings should the nurse report to the provider?

central cyanosis

a nurse is providing teaching for new parents about formula feeding. which of the following instructions should the nurse include?

discard opened cans of formula after 48h hr refrigeration

A nurse is assessing a client who is at 36 weeks of gestation. Which of the following manifestations should the nurse recognize as a potential prenatal complication and report to the provider?

double vision

A nurse is teaching a client who is at 12 weeks of gestation about the manifestations of potential complications that she should report to her provider. Which information should the nurse include in the teaching?

facial swelling

a nurse in labor and delivery is teaching a newly licensed nurse about performing the mcroberts maneuver to relieve should dystocia, what pieces of information should the nurse include

flex the pt legs apart and raise her knees to her abdomen

A nurse is reviewing risk factors for postpartum depression with a newly licensed nurse. Which of the following risk factors should the nurse include?

gestational diabetes

a nurse is caring for a client labor who has an epidural for pain relief, what is a complication of the epidural block

hypotension

A nurse is providing nutritional counseling for a client who is pregnant. Which of the following nutrients should the nurse instruct the client to increase in her daily diet?

iron

A nurse in a clinic is assessing a client who is at 13 weeks of gestation and has hyperemesis gravidarum. Which of the following findings should the nurse identify as the priority?

ketones 2+

a nurse is caring for a client who is experiencing prolonged labor. which of the following fetal monitoring results indicates fetal compromise?

late decelerations with fetal bradycardia

a nurse is caring for a client who just had a spontaneous rupture of membranes. the nurse observes fetal bradycardia on the FHR tracing and prolapsed umbilical cord. which of the following actions should the nurse take first?

manually apply upward pressure intravaginally on the presenting part

a nurse is caring for a client who is 2 hr postpartum. the nurse notes the client's perineal pad has a large amount of lochia rub with several clots. which of the following actions should the nurse perform first?

massage the fungus

a nurse is assessing a newborn what is a finding the nurse should notify the provider

mottling

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

nails extending over fingers

a nurse is assessing a postpartum client who has pre eclampsia and notes a boggy uterus and excessive bleeding. the nurse should plan to administer which of the following medications?

oxytocin.

A nurse is assessing a client who is postpartum following a vacuum-assisted birth. For which of the following findings should the nurse monitor to identify a cervical laceration?

slow trickle of bright vaginal bleeding and a firm fundus.

A nurse is caring for a client who is in labor and is receiving IV oxytocin. The nurse notes contractions lasting 3 min each. What action should the nurse take

stop the oxytocin infusion

a nurse is assessing a client at 27 weeks of gestation. the client has placenta previa and reports vaginal bleeding. which of the following additional manifestations should the nurse expect?

the fundal height measures created that gestational age

a nurse is performing a physical assessment of a male newborn. which of the following findings should the nurse report to the provider?

there is decreased abdominal movement with breathing

A nurse is reinforcing teaching about nutritional requirements during lactation for a client who is planning to breastfeed her newborn. Which of the following nutrients should the nurse recommend the client increase during lactation?

vitamin C

A nurse is caring for a client who is pregnant with a male child & expresses concern to the nurse about the possibility of the child having hemophilia. The client is a carrier of the gene mutation for this condition. Which of the following percentages represents the chance that the child will have this disorder?

50%

A nurse is teaching a client who is in the thirs trimester of pregnancy and has herpes genitalis. Which of the following instructions should the nurse include?

"Talk with your doctor about a prescription for acyclovir to treat your symptoms."

A client at a routine prenatal care visit asks the nurse if vaginal yeast infections are comming during pregnancy. Which of the following responses should the nurse make?

"The hormonal changes of pregnancy alter the acidity of the vagina, making yeast infections more common."

A postpartum nurse is caring for a client who reports excessive sweating during the first night after delivery. Which of the following statements should the nurse make?

"This is a source of your fluid loss after delivery."

A nurse in a clinic is reinforcing teaching with a client who is 37 weeks of gestation and is scheduled for an external cephalic version. Which of the following statements should the nurse make?

"You will receive a medication to relax your uterus prior to the procedure."

A nurse is caring for a client who is 12 hr postpartum. Which of the following interventions should the nurse implement?

Administer ferrous sulfate orally

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

Blurred or double vision

A nurse is assisting with the care of a client who is in labor. The client speaks a different language than the nurse and is grimacing. Which of the following actions should the nurse take while waiting for an interpreter?

Change the client's position

A nurse is caring for a client who is at 39 weeks gestation and shows manifestations of labor. Which of the following findings will alert the nurse that the client is in true labor

Changes in cervical dilation or effacement

A nurse is caring for a newly admitted newborn who is large for gestational age. After 30 minutes, the newborn becomes jittery and lethargic with hypotonic muscles and a cry that is different from the time of admission. Which of the following actions should the nurse take?

Perform a heel stick to check the newborn's glucose level

A nurse is obtaining the blood pressure of a client who is pregnant. The client's blood pressure is 142/90 mmHg. Which of the following actions should the nurse take?

Repeat the measurement after allowing the client to sit for 5 to 10 minutes.