Proctored OB

A nurse is caring for a client who is experiencing preterm labor and has a prescription for 4 doses of dexamethasone 6 mg IM 12 hr. Available in dexamethasome 10 mg/mL. How mane mL of dexamethasome should the nurse administer per dose? (Round the answer to the nearest tenth. Use a leading zero if it applies. Do not use trailing zero.)

0.6 mL

A nurse in a provider's office is assessing a client at her first antepartum visit. The client states that the first day of her last menstrual period was March 8. Use Nagele's rule to calculate the estimated date of delivery. (Use the MMDD format with four numerals and no spaces or punctuation.)

12/15 (-3M+7D+1Y)

A nurse is providing prenatal teaching to a client who practices a vegan diet and is trying to increase intake of vitamin B12. Which of the following foods should the nurse recommend? a. Fresh citrus fruits b. Raw carrots c. Brown rice D. Fortified soy milk

D. Fortified soy milk

A nurse is caring for a 2-day-old newborn who was born at 35 weeks of gestation. Which of the following actions should the nurse the nurse takes? (Click on the "Exhibit" Button for additional information about the newborn. There are three tabs that contain separate categories of date.) (New Gen)

Measure the abdominal circumference at the level of the newborns umbilicus every 2 hours

A nurse is providing discharge teaching to a new parent about car seat safety. Which of the following statements by the parent indicates an understanding of the teaching? a. "I should position my baby's car seat at a 45 degree angle in the car." b. "I should place the car seat rear-facing until my baby is 12 months old." c. "I should place the harness snugly in a slot above my baby's shoulder." d. "I should position the retainer clip at the top of my baby's abdomen."

a. "I should position my baby's car seat at a 45 degree angle in the car."

A nurse is providing teaching about expected changes during pregnancy to a client who is at 24 weeks of gestation. Which of the following information should the nurse include? a. "You should expect your uterus to double in size." b. "Your stomach will empty rapidly." c. "Your nipples will become lighter in color." d. "You should anticipate nasal stuffiness

a. "You should expect your uterus to double in size."

A nurse is reviewing signs of effective breathing with a client who is 5 days postpartum. Which of the following information should the nurse include in the teaching? a. "You should feel a tugging sensation when the baby is sucking." b. "Your breasts should stay firm after the baby breastfeeds." c. "Your baby's urine should appear dark and concentrated." d. "You should expect your baby to have two to three wet diapers in a 24 hr period."

a. "You should feel a tugging sensation when the baby is sucking."

A nurse is teaching a prenatal class regarding false labor. Which of the following information should the nurse include? a. "Your contractions will become more intense when waking." b. "You will have dilation and effacement of the cervix." c. "Your contractions will become temporarily regular." d. "You will have bloody show."

c. "Your contractions will become temporarily regular."

A nurse is caring for four clients. For which of the following clients should the nurse auscultate the fetal heart rate during the prenatal visit? a. A client who has felt quickening for the first time b. A client who has crown-rump length of 7 weeks gestation." c. A client who has a positive urine pregnancy test 1 week after missed menses d. A client who has an ultrasound that confirms a molar pregnancy

a. A client who has felt quickening for the first time

A nurse is planning care for a client who is pregnant and has HIV. Which of the following actions should the nurse include in the plan of care? a. Administer a pneumococcal immunization to the newborn within 4 hr following birth b. Use a fetal scalp electrode during labor and delivery c. Bathe the newborn before initiating skin-to-skin contact d. Instruct the client to stop taking the antiretroviral medications at 32 weeks of gestation

a. Administer a pneumococcal immunization to the newborn within 4 hr following birth

A nurse is providing discharge instructions to a client who is breastfeeding her newborn. Which of the following instructions should the nurse include? a. Allow the baby to feed at least every 3 hr b. Expect two to four wet diapers every 24 hr c. Offer the newborn 30 mL (1 oz) of water between feedings d. Feed the newborn 5 to 10 min per breast

a. Allow the baby to feed at least every 3 hr

A nurse on postpartum unit caring for four clients. Which of the following clients should receive Rh, (D) Immune globulin to prevent Rh- is immunization? a. An Rh-negative mother who has an Rh- positive infant b. An Rh-positive mother who has an Rh-positive infant c. An Rh-positive mother who has an Rh-negative infant d. An Rh-negative mother who has an Rh-negative infant

a. An Rh-negative mother who has an Rh- positive infant

A nurse is caring for newborn immediately following birth and notes a large amount of mucus in the newborn's mouth and nose. Identify the sequence the nurse should follow when performing suction with a bulb syringe. (Move the steps into the box on the placing them in the selected order of performance. Use all the steps.) a. Compress the bulb syringe b. Use the bulb syringe to suction the newborn's nose c. Place the bulb syringe in the newborn's mouth d. Assess the newborn for reflex bradycardia

a. Compress the bulb syringe c. Place the bulb syringe in the newborn's mouth. b. Use the bulb syringe to suction the newborn's nose. d. Assess the newborn for reflex bradycardia.

A nurse is caring for a client who is receiving prenatal care and is at her 24-week appointment. Which of the following laboratory tests should the nurse plans to conduct? a. Rubella titer b. Blood type and Rh c. 1-hr glucose tolerance test d. Group B strep culture

c. 1-hr glucose tolerance test

A nurse is caring for a client who is experiencing sore nipples from breastfeeding. Which of the following actions should the nurse take? a. Ensure the newborn's mouth is wide open before latching to the breast b. Instruct the client to begin the feeding with the nipple that is most tender c. Place a snug dressing on the client's nipples when not breastfeeding d. Encourage the client to limit the newborns feedings to 10 min on each breast

a. Ensure the newborn's mouth is wide open before latching to the breast

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? a. Facial petechiae b. Pariauricular papillomas c. Telangiectatic nevi d. Erythema toxicum

a. Facial petechiae

A nurse is caring for a client who is receiving an epidural block with an opioid analgesic. The nurse should monitor for which of the following findings as an adverse effect of the medication? a. Hypotension b. Bilateral crackles c. Hyperglycemia d. Polyuria

a. Hypotension

A nurse is providing teaching about increasing dietary fiber to an antepartum client who reports constipation. Which of the following food selections has the highest fiber content per cup? a. Lentils b. Oatmeal c. Cabbage d. Asparagus

a. Lentils

A nurse on a labor and delivery unit is receiving infection control standards with a newly licensed nurse. The nurse should instruct the newly licensed nurse to don gloves for which of the following procedures? a. Performing umbilical cord care b. Assisting a mother with breastfeeding c. Administering the measles, mumps, rubella vaccine d. Performing a newborn's initial bath

a. Performing umbilical cord care

A nurse is caring for a client who is receiving oxytocin for induction of labor and notes late decelerations of the fetal heart rate on the monitor Tracing. Which of the following action should the nurse take? a. Place the client in a lateral position b. Decrease maintenance IV solution infusion rate c. Administer misoprostol 25 mcg vaginally d. Administer oxygen via face mask at 2 L/min

a. Place the client in a lateral position

A nurse is assessing a client who is at 27 weeks of gestation and has preeclampsia. Which of the following findings should the nurse report to the provider? a. Platelet Count 60.000/ mm^3 b. Creatinine 0.8 mg/dL c. Urine protein concentration 200 mg/24 hr d. Hemoglobin 14.8 g/dL

a. Platelet Count 60.000/ mm^3

A nurse is assessing a client following an amniocentesis. Which of the following findings should the nurse recognize as complications? (select all that apply) a. Preterm labor b. Urinary tract infection c. Leakage of amniotic fluid d. Amnionitis e. Polyhydramnios

a. Preterm labor c. Leakage of amniotic fluid d. Amnionitis

A nurse is reviewing laboratory results for client who is pregnant. The Nurse should expect which of the following laboratory values to increase? a. RBC count b. Bilirubin c. Fasting blood glucose d. Bun

a. RBC count

A nurse is monitoring a client who has preeclampsia and is receiving magnesium sulfate by continuous IV infusion. Which of the following findings should the nurse reports to the provider? a. Urinary output 20 mL/hr b. 2 + deep tendon reflexes c. Blood pressure 148/94 mm Hg d. Respiratory rate 14/min

a. Urinary output 20 mL/hr

A nurse is assisting the provider to administer a dinoprostone insert to induce labor for a client. Which of the following actions should the nurse take? a. Verify that the informed consent is obtained prior to administration. b. Allow the medication to reach room temperature prior to administration. c. Instruct the client to avoid urinary elimination until after administration. d. Place the client in a semi-Fowler's position for 1 hr after administration.

a. Verify that the informed consent is obtained prior to administration.

A charge nurse is teaching a group of staff nurses about fetal monitoring during labor. Which of the following findings should the charge nurse instruct the staff members to report to the provider? a. contraction durations of 95 to 100 seconds b. contraction frequency of 2 to 3 min apart c. fetal heart rate is 140/min d. absent early deceleration of fetal heart rate

a. contraction durations of 95 to 100 seconds

A nurse is assessing a client who is at 37 weeks of gestation. Which of the following statement by the client requires immediate intervention by the nurse? a. " I have been seeing spots this morning." b. " It burns when I urinate." c. "I didn't have lunch today but I had breakfast this morning." d. "My feet are really swollen today."

b. " It burns when I urinate."

A nurse is providing discharge teaching to a client following tubal ligation. Which of the following statements by the client indicates understanding of the teaching? a. "Premenstrual tension will no longer be present." b. "Ovulation will remain the same." c. "Hormone replacements will be needed following this procedure." d. "My monthly menstrual period will be shorter."

b. "Ovulation will remain the same."

A nurse is teaching a client who is at 41 weeks of gestation about a nonstress test. Which of the following information should the nurse include in the teaching? a. "This test will confirm fetal lung maturity." b. "This test will determine adequacy of placental perfusion." c. "This test will detect fetal infection." d. "This test will predict maternal readiness for labor."

b. "This test will determine adequacy of placental perfusion."

A nurse manager on the labor and delivery unit is teaching a group of newly licensed nurses about maternal cytomegalovirus. Which of the following information should the nurse manager include in the teaching? a. "Mothers will receive prophylactic treatment with acyclovir prior to delivery." b. "Transmission can occur via the saliva and urine of the newborn." c. "This infection requires airborne precautions are initiated for the newborn." d. "Lesions are visible on the mother's genitalia."

b. "Transmission can occur via the saliva and urine of the newborn."

A nurse on the labor and delivery unit is assessing four clients. Which of the following clients is a candidate for an induction of labor with misoprostol? a. A client who has active genital herpes b. A client who has gestational diabetes mellitus c. A client who has a previous uterine incision d. A client who has placenta previa

b. A client who has gestational diabetes mellitus

A nurse on the postpartum unit is caring for four clients. Which of the following clients should the nurse notify the provider? a. A client who has a urinary output of 300 mL in 8 hr b. A client who is receiving magnesium sulfate and has absent deep tendon reflexes c. A client who reports abdominal cramping during breastfeeding d. A client who reports lochia rubra requiring changing perineal pads every 3 hr

b. A client who is receiving magnesium sulfate and has absent deep tendon reflexes

A nurse is caring for a client who has active genital herpes simplex virus type 2. Which of the following medications should the nurse plan to administer? a. Metronidazole b. Acyclovir c. Penicillin d. Gentamicin

b. Acyclovir

A nurse is caring for a client who has maternal hypotension following the placement of an epidural. Which of the following actions should the nurse take? a. Give terbutaline subcutaneously b. Administer a bolus infusion of lactated Ringer's c. Apply oxygen via nonrebreather face mask at 2 L/min d. Position the client in a knee-chest position

b. Administer a bolus infusion of lactated Ringer's

A nurse is planning care for a full-term newborn who is receiving phototherapy. Which of the following actions should the nurse include in the plan of care? a. Measure the newborn's temperature every 8 hr b. Avoid using lotion or ointment on the newborn's skin c. Keep the newborn supine throughout treatments d. Dress the newborn in lightweight clothing

b. Avoid using lotion or ointment on the newborn's skin

A nurse is teaching about clomiphene citrate to a client who is experiencing infertility. Which of the following adverse effect should the nurse include? a. Chills b. Breast tenderness c. Urinary frequency d. Tinnitus

b. Breast tenderness

A nurse in a woman's health clinic is obtaining a health history from a client. Which of the following findings should the nurse identify as increasing the client's risk for developing pelvic inflammatory disease (PID)? a. Frequent alcohol use b. Chlamydial infection c. Recurrent cystitis d. Use of oral contraceptives

b. Chlamydial infection

A nurse is planning care for a newborn who is scheduled to start phototherapy using a lamp. Which of the following actions should the nurse include in the plan? a. Apply a thin layer of lotion to the newborn's skin every 8 hr b. Ensure the newborn's eyes are closed beneath the shield c. Give the newborn 1 oz of glucose water every 4 hr d. Dress the newborn in a thin layer of clothing during therapy

b. Ensure the newborn's eyes are closed beneath the shield

A nurse is assessing a newborn following a forceps assisted birth. Which of the following clinical manifestations should the nurse identify as a complication of the birth method? a. Hypoglycemia b. Facial palsy c. Polycythemia d. Bronchopulmonary dysplasia

b. Facial palsy

A nurse is reviewing the electronic medical record of a postpartum client. The nurse should identify that which of the following factors paces the client at risk for infection. a. Gestational hypertension b. Midline episiotomy c. Meconium-stained fluid d. Placenta previa

b. Midline episiotomy

A nurse is assessing a newborn who was born postterm. Which of the following findings should the nurse expect? a. Pale, translucent skin b. Nails extending over fingers c. Large deposits of subcutaneous fat d. Thin covering of fine hair on shoulders and back

b. Nails extending over fingers

A nurse is admitting a client to the birthing unit who reports her 5 contractions started 1 hour ago. The nurse determines client is 80% effaced and 8 cm dilated. The nurse realizes that the client is at risk for which of the following conditions? a. Hyperemesis gravidarum b. Postpartum hemorrhage c. Incompetent cervix d. Ectopic pregnancy

b. Postpartum hemorrhage

A nurse is caring for a newborn who is 6 hr old and has a bedside glucometer reading of 65 mg/ dL. The newborn's mother has type 2 diabetes mellitus. Which of the following actions should the nurse take? a. Feed the newborn immediately b. Reassess the blood glucose level prior to the next feeding c. Administer 50 mL of dextrose solution IV d. Obtain a blood sample for a serum glucose level

b. Reassess the blood glucose level prior to the next feeding

A nurse is developing an educational program about hemolytic diseases in newborns for a group of newly licensed nurses. Which of the following genetic information should the nurse include in the program as a cause of hemolytic disease? a. The mother and the father are both Rh negative b. The mother is Rh negative and the father is Rh positive c. The mother is Rh positive and the father is Rh negative d. The mother and the father are both Rh positive

b. The mother is Rh negative and the father is Rh positive

A nurse is caring for a client who has hyperemesis gravidarum. Which of the following laboratory tests should the nurse anticipate? a. Urine culture b. Urine ketones c. Rapid plasma reagin d. Prothrombin time

b. Urine ketones

A nurse is assessing a client who is 6 hours postpartum and has endometritis. Which of the following signs should the nurse expect? a. WBC count 9,000/mm^3 b. Uterine tenderness c. Temperature 37.4 C (99.3 F) d. Scant lochia

b. Uterine tenderness

A nurse on a labor and delivery unit is providing teaching to a client who plants to use hypnosis to control labor pain. Which of the following information should the nurse include? a. "Hypnosis does not work for controlling pain associated with labor." b. "Synchronized breathing will be required during hypnosis." c. "Focusing on controlling body functions will be helpful during hypnosis." d. "Hypnosis can be beneficial if you practiced during the prenatal period."

c. "Focusing on controlling body functions will be helpful during hypnosis."

A nurse in a provider's office is caring for a 20-year-old client who is at 12 weeks of gestation and requests an amniocentesis to determine the gender of the fetus. Which of the following responses should the nurse take? a. "We can schedule the procedure for later today if you'd like." b. "You cannot have an amniocentesis until you are at least 35 years of age." c. "This procedure determines if your baby has genetic or congenital disorders." d. "Your provider will schedule a chorionic villus sampling to determine the sex of your baby."

c. "This procedure determines if your baby has genetic or congenital disorders."

A nurse on an antepartum unit is reviewing the medical records for four clients. Which of the following clients should the nurse asses first? a. A client who has diabetes mellitus and an HbA1c of 5.8% b. A client who has preeclampsia and a creatinine level of 1.1 mg/ dL c. A client who has hyperemesis gravidarum and a sodium level of 110 mEq/L d. A client who has placenta previa and a hematocrit of 36%

c. A client who has hyperemesis gravidarum and a sodium level of 110 mEq/L

A nurse is caring for newborn who is 1 hr old and has a respiratory rate of 50/min, a heart rate of 130/min, and an auxiliary temperature of 36.1*C (97F). Which of the following actions should the nurse take? a. Reposition the newborn b. Give the newborn a warm bath c. Apply a cap to the newborn's head d. Obtain an oxygen saturation level

c. Apply a cap to the newborn's head

A nurse is caring for a client who is in labor and requests nonpharmacological pain management. Which of the following nursing actions promotes client comfort? a. Applying fundal pressure during contractions b. Having the client lie in a supine position c. Assisting the client into a squatting position d. Encouraging the client to void every 6 hr

c. Assisting the client into a squatting position

A nurse is preparing to administer methylergonovine 0.2 mg orally to a client who is 2 hr postpartum and has a boggy uterus. For which of the following assessment findings should the nurse withhold the medication? a. Pulse 58/min b. Respiratory rate 14/min c. Blood pressure 142/92 mm Hg d. Urine output 100 mL in 3 hr

c. Blood pressure 142/92 mm Hg

A nurse is assessing a newborn upon admission to the nursery. Which of the following should the nurse expect? a. Length from head to heel of 40 cm (15.7 in) b. Bulging fontanels c. Chest circumference 2 cm (0.8 in) smaller than the head circumference d. Nasal flaring

c. Chest circumference 2 cm (0.8 in) smaller than the head circumference

A nurse is caring for a client who is in the second stage of labor. Which of the following manifestations should the nurse expect? a. The client experiences gradual dilation of the cervix b. The client begins having regular contractions c. The client delivers the newborn d. The client expels the placenta

c. The client delivers the newborn

A nurse is planning to teach a group of clients who are about breastfeeding after returning to work. Which of the following infection should the nurse include in the teaching? a. "Thawed breast milk can be refrigerated for up to 72 hours." b. "Breast milk can be stored at room temperature for up to 12 hours." c. "Thawed breast milk that is unused can be refrozen." d. "Breast milk can be stored in a deep freezer for 12 months."

d. "Breast milk can be stored in a deep freezer for 12 months."

A nurse is providing teaching to a client who has mild preeclampsia and will be caring for herself at home during the last 2 months of pregnancy. Which of the following statements by the client indicates an understanding of the teaching? a. "I will check my urine for protein daily." b. "I will count my baby's kicks every other day." c. "I will consume 50 grams of protein daily." d. "I will alternate the arm I use to check my blood pressure."

d. "I will alternate the arm I use to check my blood pressure."

A nurse is providing teaching about terbutaline to a client who is experiencing preterm labor. Which of the following statement by client indicates an understanding of the teaching? a. "This medication could cause me to experience blurred vision." b. "This medication could cause me to experience frequent urination." c. "This medication could cause me to experience ringing in my ears." d. "This medication could cause me to experience heart palpitations."

d. "This medication could cause me to experience heart palpitations."

A nurse is caring for a client following a vaginal delivery of a term fetal demise. Which of the following statements should the nurse make? a. "If you don't hold the baby, it will make letting go much harder." b. "You should name the baby so she can have an identity." c. "I'm sure you will be able to have another baby when you're ready." d. "You can bathe and dress your baby if you'd like to."

d. "You can bathe and dress your baby if you'd like to."

A nurse is providing nutritional guidance to a client who is pregnant and follows a vegan diet. The client asks the nurse which foods she should eat to ensure adequate calcium intake. The nurse should instruct the client that which of the following foods has the highest amount of calcium? a. 1 medium potato b. 1 large banana c. 1/2 cup cubed avocado d. 1 cup cooked broccoli

d. 1 cup cooked broccoli

A nurse is caring for four newborns. Which of the following newborns should the nurse assess first? a. A newborn who has overlapping suture lines b. A newborn who has rust-stained urine c. A newborn who has subconjunctival hemorrhage of the left eye d. A newborn who has nasal flaring

d. A newborn who has nasal flaring

A nurse is caring for a client following an amniocentesis. The nurse should observe the client for which of the following complications? a. Hyperemesis b. Proteinuria c. Hypoxia d. Hemorrhage

d. Hemorrhage

A nurse is planning care for a client who is receiving oxytocin by continuous IV infusion for labor induction. Which of the following interventions should the nurse include in the plan? a. Maintain the client in a supine position b. Titrate the infusion rate by 4 milliunits/min c. Limit IV intake to 4 L per 24 hr d. Increase the infusion rate every 30 to 60 min

d. Increase the infusion rate every 30 to 60 min

A nurse caring for a client who is at 20 weeks of gestation and has trichomoniasis. Which of the following findings should the nurse expect? a. Vulva lesions b. Thick, white vaginal discharge c. Urinary frequency d. Malodorous discharge

d. Malodorous discharge

A nurse is caring for a 2-day-old newborn who was born at 35 weeks of gestation. Which of the following actions should the nurse take? (New Gen) a. Administer nitric oxide inhalation therapy to the newborn b. Insert an orogastric decompression tube with low wall suction. c. Provide the newborn with an iron-rich formula containing vitamin B12 every 2 hr. d. Measure the abdominal circumference at the level of the newborn's umbilicus every 2 hr.

d. Measure the abdominal circumference at the level of the newborn's umbilicus every 2 hr.

A nurse is caring for an infant who has signs of neonatal abstinence syndrome. Which of the following actions should the nurse take? a. Place the infant on his back with legs extended b. Provide a stimulating environment c. Initiate seizure precautions d. Monitor blood glucose level every hr

d. Monitor blood glucose level every hr

A nurse is assessing a preterm newborn who is at 32 weeks of gestation. Which of the following finding should the nurse expect? a. Popliteal angle of less than 90 degrees b. Minimal arm recoil c. Creases over the entire sole d. Sparse lanugo

d. Sparse lanugo

A nurse is assessing a newborn immediately following a vaginal birth. For which of the following findings should the nurse intervene? a. Molding b. Acrocyanosis c. Vernix caseosa d. Sternal retractions

d. Sternal retractions

A nurse is planning care for a newborn who has neonatal abstinence syndrome. Which of the following interventions should the nurse include in the plan of care? a. Discourage parental interaction until after a social service evaluation b. Weigh the newborn every other day c. Increase the newborn's visual stimulation d. Swaddle the newborn in a flexed position

d. Swaddle the newborn in a flexed position

A nurse is assessing a full-term newborn upon admission to the nursery. Which of the following clinical findings should the nurse report to the provider? a. Subconjunctival hemorrhage b. Rust-stained urine c. Single palmar creases d. Transient circumoral cyanosis

d. Transient circumoral cyanosis

A nurse is caring for a newborn who is 24 hr old. Which of the following laboratory findings should the nurse report to the provider? a. Platelets 200,000/mm^3 b. Hgb 20 g/dL c. Bilirubin 2 mg/dL d. WBC count 32,000/mm^3

d. WBC count 32,000/mm^3

A nurse is caring for a client who is in active labor. Following epidural placement the nurse a maternal blood pressure of 98/58 mmHg and minimal FHR variability on the fetal monitor. Which of the following images indicates the action the nurse should take? Pictures**** (question 42)

turn the client to her side before calling the health care provider