RN Maternal Newborn Online Practice 2023 A
A nurse on an antepartum unit is caring for a client. G4P3, 30 w gestation, Previous pregnancies delivered via C/s. (Exhibit 1-3) For each potential nursing action, click to specify if the intervention is indicated or contraindicated for the client.
-Admin Methotrexate: Contraindicated -Assess Cervical Dilation: Contraindicated -Insert a large bore IV catheter: Indicated -Weigh perineal Pads: Indicated
A nurse is caring for a newborn who is 70 hr old. Maternal history of methadone use during pregnancy. (Exhibit 1-4) Which of the following findings should the nurse report to the provider?
-Central Nervous system findings: the findings are manifestation of NAS. -Gastrointestinal findings: Poor feeding and loose stools are manifestation of NAS. -Everything else is within normal range.
A nurse in a family planning clinic is caring for a client who requests an oral contraceptive. Which of the following findings in the client's history should the nurse recognize as a contraindication to oral contraceptives? (select all that apply)
-Cholecystitis (hx of gallbladder disease is a contraindication for the use of oral contraceptives) -Hypertension -Migraine headaches
A nurse is caring for a newborn. Neonate: 4706g, difficult vaginal birth with shoulder dystocia. No movement in right arm. Diagnosis: Brachial plexus injury resulting in Erb-Duchenne paralysis (Exhibit 1-3). For each potential nursing action, click to specify if the intervention is indicated or contraindicated for the newborn.
-Educate the parents to begin ROM exercises on the affect arm after one week: indicated -Assess for grasp reflex in the affected extremity: Indicated -Immobilize the arm across the abdomen by pinning the newborns sleeve to their shift: Indicated -Instruct parents to limit physical handling for 2 weeks: Contraindicated
A nurse is admitting a client to the labor and delivery until when the client states, "my water just broke." Which of the following interventions is the nurse's priority?
Begin FHR monitoring
A nurse is assessing the newborn of a client who took a SSRI during pregnancy. Which of the following manifestations should the nurse identify as in indication of withdrawal from an SSRI?
Vomiting. (expected manifestations associated with fetal exposure to SSRIs include irritability, agitation, tremor, diarrhea, and vomiting. These typically last 2 days)
