PN Maternal newborn Online Practice 2020B NGN

A nurse is reinforcing teaching with a client who is trying to become pregnant. Which of the following foods should the nurse recommend as the best source of folate?

1 cup cooked spinach.

A nurse is caring for a newborn. Which of the following action should the nurse plan to implement.

-Remind the parents to begin ROM exercises on the affected arm after 1 week. Indicated. -Check grasp reflex. Indicated -Immobilize the arm across the abdomen by pinning the newborn's sleeve to their shirt. Indicated. -Reinforce the parents to limit physical handling for 2 weeks. Contraindicated.

A nurse is caring for a postpartum client. complete the following sentence by using the list of options.

Check the client's deep tendon reflexes is correct. Check the client for visual disturbance correct.

A nurse is collecting data from the parents of a newborn immediately following birth. the parent states, "She is so tiny. We don't know how to pick her up without hurting her." Which of the following actions should the nurse take first to promote parent-newborn attachment?

Demonstrate to the parent how to hold the newborn.

A nurse is assisting with the care of a client who is in labor. The nurse should assist the RN in taking which of the following actions based on the most recent data collecting findings?

Discontinue the magnesium infusion is correct. Administer calcium gluconate is correct. Apply oxygen at 10 L/min via nonrebreather mask is correct.

A nurse is contributing to the plan of care for a client who is pregnant and has intermittent constipation. Which of the following interventions should the nurse recommend?

Drink 2L of water per day. The client should drink 2L of water per day to decrease reabsorption oof fluid and prevent drying of stool, which cause constipation.

A nurse is assisting in the care of a client during the active phase of labor. Which of the following actions should the nurse take to promote the client's comfort?

Have the client perform relaxing breathing techniques.

A nurse is reinforcing teaching about car seat safety with the guardian of a newborn. Which of the following statements by the guardian indicates an understanding of the teaching.

I will position the retainer clip at the level of the baby's armpits.

A nurse is preparing to administer phytonadione to a newborn. The nurse should plan to administer this medication by which of the following routes.

Intramuscular Vitamin K.

A nurse is contributing to the plan of care for a client who has hyperemesis gravidarum. Which of the following interventions should the nurse recommend.

Monitor intake and output.

A nurse on a postpartum unit is contributing to the discharge teaching plan for a client. Which of the following instructions should the nurse suggest for the plan?

Use a firm mattress in the newborn's crib.

A nurse in a clinic is collecting data from client who is at 12 weeks of gestation. Which of the following actions should the nurse take?

Use an ultrasound stethoscope to listen to fetal heart ones.

A nurse in a provider's office is reinforcing teaching with a client which of the following statements should the nurse include?

You might experience a metallic taste in your mouth while takings your medication. A metallic taste in the mouth is a common adverse effect of metronidazole and does not warrant notification of the provider.

A nurse is reinforcing teaching about newborn home safety precautions with a group of guardians. Which of the following instructions should the nurse include?

You should ensure that crib slats are no more than 2.25 inches apart.

A nurse is reinforcing teaching with a client who requests hydrotherapy for pain management during labor. Which of the following statements should the nurse include?

you must be at lease at 37 weeks of gestation before you can use hydrotherapy.

A nurse is reviewing the client's medical record. The nurse has reviewed the nurses note and the diagnostic results. click to the highlight findings that indicate the client condition is not improving.

-Clonus positive. Deep tendon reflexes 4+ is correct -reports headache as a 4 on a 0 to 10 pain scale is correct. Platelets 95,000/mm is correct -Aspartates aminotransferase (AST) 60 units/L is correct. -Alanine aminotransferase (ALT) 50 units/L is correct.

A nurse is assisting in the care of a client who is in labor. The client's assessment and documentation are performed by the RN.

-Place the client in the Trendelenburg position is correct. -Provide oxygen at 8 to 10L/min via nonrebreather mask is correct. -Wrap the cord in warm, sterile, saline compresses is correct.

A nurse is reviewing the postpartum client medical records. The nurse is reviewing the client's electronic medical records. Which of the following actions should the nurse take?

-Place the client on seizure precautions is correct -Assist with administration of magnesium sulfate IV bolus as prescribed is correct. -Obtain the creatinine, platelet, BUN, and liver enzymes values as prescribed is correct. -Check for worsening headache and epigastric pain hourly and PRN is correct. -Monitor level of consciousness, deep tendon reflexes, and visual disturbances hourly is correct.

A nurse is collecting data from a client who is receiving magnesium sulfate. Which of the following findings should the nurse report to the provider?

Absent deep-tendon reflexes.

A nurse is reinforcing education about the prevention of newborn abduction with a client who recently gave birth. Which of the following statements should the nurse identify as an indication that the client understands the instructions?

An alarm will sound if someone removes my baby safety device.

A nurse is reinforcing teaching with a client who is pregnant and will undergo a 1 hr oral glucose tolerance test. Which of the following instructions should the nurse include?

Avoid caffeine the morning of the test.

A nurse is caring for a postpartum clint. A nurse is collecting data about the client. Which of the following findings should the nurse report to the provider?

BP 152/110 mm Hg is correct. +2 pitting edema is correct. Headache is correct. Heartburn is correct.

A nurse is collecting data from a client who is at 37 weeks of gestation. Which of the following findings should the nurse report to the provider.

Blurred vision

A nurse is caring for a newborn. The nurse is reviewing the data collection findings. For each data collection finding, click to specific if the finding is consistent with a clavicle fracture or Erb-Duchenne paralysis. Each finding may support more than one condition.

Clavicle fracture includes: crepitus Erb-Duchenne Paralysis:

A nurse is collecting data from a client who is primigravida and has hyperthyroidism. Which of the following findings should the nurse expect?

Diaphoresis.

A nurse is reinforcing discharge teaching about home care with the parent of a newborn. Which of the following instructions should the nurse include?

Ensure the water temperature during your newborn's bath is maintained at 100 degrees Fahrenheit.

A nurse is assisting with monitoring a client after an amniocentesis which of the following findings should the nurse expect?

FHR 120/min An amniocentesis is a procedure used to evaluate amniotic fluid for congenital abnormalities during pregnancy. A FHR of 120/min is an expected finding and is within the expected reference range of 110/ to 160/min.

A nurse is collecting data from a 28 year old clint who is requesting a prescription for an oral contraceptive. Which of the following information in the client's history should the nurse identify as a contraindication for the use of oral contraceptives.

Frequent headaches with visual changes.

A nurse is collecting data from a client who gave birth 18 hr ago. Which of the following findings should the nurse identify as an indication of a postpartum complication.

Fundus is palpable at 2 cm above the umbilicus.

A nurse is contributing to the plan of care for a client who is at 18 weeks gestation and has just learned that the feus has trisomy 21. Which of the following resources should the nurse recommend for the client?

Genetic counseling.

A nurse is caring for a client following a cesarean birth. Which of the following actions should the nurse take to decrease the client's risk for developing thrombophlebitis.

Have the client ambulate several times each day.

A nurse in an antepartum clinic is reviewing laboratory test results for a group of clients. The nurse should notify the provider of which of the following results.

Hematocrit 31%

A nurse is reinforcing teaching with a client who has a new prescription for medroxyprogesterone acetate injection for contraception. Which of the following statements by the client indicates understanding of the teaching?

I am likely to gain weight while taking this medication. A common adverse effect of this medication is weight gain.

A nurse is assisting the care of a client who is at 39 weeks of gestation. Which of the following statements should alert the nurse as a sign of a potential complication?

I have pain in my upper right abdomen.

A nurse is reinforcing teaching with a client how is 8 weeks of gestation. Which of the following responses by the client indicates an understanding of the teaching?

I should expect to have white vaginal discharge during pregnancy.

A nurse is reinforcing teaching about breastfeeding with a client who has a 12-hr-old newborn. Which of the following statements should the nurse identify as an indication that the client understands the instructions?

I should wake up my baby to feed during the night.

A nurse is reinforcing teaching about newborn umbilical cord care with a client who is postpartum. Which of the following statements should the nurse identify as indication that the client understands the instructions.

I will report any drainage from my baby's umbilical cord.

A nurse is caring for a client who is in preterm labor and is receiving betamethasone. Which of the following actions should the nurse take?

Inject the medication into the client's vastus lateralis muscle.

A nurse is assisting with admission of a newborn who has respiratory distress. While collecting data, which of the following should the nurse report to the provider? (Select all that apply)

Nasal flaring is correct Intercostal retractions is correct Grunting is correct.

A nurse is reinforcing teaching about formula preparation with the parent of a newborn. Which of the following information should the nurse include?

Overdiluted formula can result in inadequate growth.

A nurse is caring for a client who delivered vaginally 6 hr ago. Which of the following findings should the nurse report to the provider?

Perineal pad soaked in 15 min.

A nurse is planning to discharge teaching about formula feeding with the guardian of a newborn. Which of the flowing instructions should the nurse plan to include.

Provide the newborn with six to eight feedings during a 24-hr period.

A nurse is collecting data from a client who is receiving magnesium sulfate IV for preeclampsia. The nurse identify which of the following findings as an indication of toxicity to report to the provider.

Respiratory rate of 10/min

A nurse is caring for a postpartum client. Based on the nurse's findings, which of the following condition is the client at the greatest risk for developing?

The client is at the greatest risk for developing "Preeclampsia" as evidence by "increasing blood pressure"

The nurse is reviewing the postpartum client's medical record. The nurse is planning care for the postpartum client. For each potential provider's prescription, click to specify if the potential prescription is anticipated or contraindicated for the client.

Urinalysis Anticipated Monitor intake and output Anticipated Magnesium sulfate Anticipated Place the client on seizure precautions Anticipated Labetalol Contraindicated Draw creatinine and BUN Anticipated

A nurse is caring for a client who is 48 hr postpartum following a vaginal birth. Which of the following findings should the nurse report to the provider? (select all that apply)

Warm, tender area of the calf is correct Dysuria is correct. (UTI) Cracked nipples is correct.

A nurse is planning to perform a blood collection via heel stick on a newborn. After preforming hand hygiene and donning gloves, which of the following actions should the nurse plan to take next?

Wrap the newborn's heel with a cloth moistened with warm water.

A nurse is reinforcing teaching about a nonstress test with a client who is at 33 weeks of gestation. Which of the following statements should the nurse include?

You will press a button when you feel the baby move. The nurse should instruct the client that a nonstress test monitors for accelerations of the FHR with fetal movement. The client will have handheld button to push when they feel fetal movement.