ATI Maternal Proctored

A nurse is providing teaching about calcium intake to a client who is breast-feeding. Which of the following is recommended daily calcium intake for a client who is breast-feeding?

1000 mg

A nurse is caring for a client who is in labor and has fetal heart tracing of variable decelerations. Which of the following actions should the nurse take?

Are you position the client from side to side

A nurse in a prenatal care clinic ounces a phone call from a client who is at 37 weeks gestation airport I became very dizzy while lying in my bed this morning, but the feeling went away when I turned onto my side. Which of the following actions should the nurse take

Are you sure the client about vena cava syndrome and measures to prevent it

A nurse is caring for a client in the third trimester of pregnancy who is scheduled to undergo a nonstress 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 caring for a client who is at 38 weeks gestation and in the active phase of the first stage of labor the nurse notes too late decelerations of the fetal heart rate during the last five contractions. Which of the following actions should the nurse take

Assess the client to lateral position

A nurse is caring for a client who is in labor and receives meperidine or pain when our prior to entering the second stage of labor which of the following action should the nurse take?

Assess the newborn for respiratory depression

A nurse is assessing a newborn and notes an axillary temperature of 96.9°F. Which of the following actions should the nurse perform?

Assess the newborns blood glucose level

A nurse is assisting with in amniotomy for a client who is an active labor. Which of the following actions should the nurse take

Assesses the fetal heart rate before an after the procedure

A nurse is creating a plan of care for a client who is in the active stage of labor and expresses a desire to use nonpharmacological methods of pain relief. Which of the following intervention should the nurse include?

Assist the client into a warm shower

A nurse is caring for a client reports intestinal gas pain following a cesarean section. Which of the following actions should the nurse take?

Assist the client to ambulate in the hallway

A nurse is preparing to administer morphine oral solution 0.04 mg per kilogram to a newborn who weighs 2.5 kg. The mount available is morphine oral solution 0.4 mg/mL. How many milliliter Share the nurse administer?

0.25 mL

A nurse is caring for several clients. Which of the following clients should the nurse identify as a candidate for oral contraceptives a

A client who is breast-feeding a seven month old infant

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

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

A nurse is assisting with fetal heart monitoring during labor for a client who is at 40 weeks of gestation. The nurse should identify that which of the following findings on the fetal monitoring tracing requires intervention?

A fetal heart rate of 180 per minute for 15 minutes

A community health nurse is planning care for for high risk newborns who were discharged yesterday. Which of the following newborns so the nurse plan to care for first

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

A nurse is teaching a client who is postpartum and breast-feeding. Which of the following statements should the nurse include?

A reduction in sexual interest can indicate postpartum depression

A nurse at a prenatal clinic is king free client who suspects she may be pregnant and asked the nurse how The provider will confirm her pregnancy. Which of the following laboratory test will be used to confirm this client pregnancy?

A urine test for the presence of human chorionic gonadotropin

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

A weight gain of about 25 to 35 pounds is good

A nurse is monitoring a newborn for indications of septic shock which of the following findings should the nurse expect if the newborn developed this complication

Decrease blood pressure

A nurse is caring for a newborn who is Premature at 30 weeks gestation period which of the following findings should the nurse expect?

Abundant lanugo

A nurse in a providers office is caring for a client who is in the first trimester of pregnancy. Which of the following Psychological tasks so the nurse expect the client to accomplish during this trimester

Accepting the pregnancy

A nurse is planning care for a client who has a prescription for oxytocin. Which of the following is a contraindication to the use of this medication

Active genital herpes

A nurse is caring for a client who is 12 hours postpartum which of the following intervention should the nurse implement

Administer Ferrous sulfate orally

A nurse is assisting with an amniocentesis for a client who is RH negative. Which of the following actions should the nurse take following the procedure?

Administer immune globulin to the client to prevent fetal isoimmunization

A nurse is planning care for a client in labor who is positive for HIV. Which of the following action should the nurse take after the baby is born?

Administer the hepatitis B vaccine prior to discharge

A nurse is preparing to administer routine medications to a newborn following birth. Which of the following action should the nurse take?

Administer vitamin K in the newborn thigh

A nurse is assessing a pregnant client at 26 weeks of gestation reports an episode of dizziness after lying on her back on the couch. Which of the following actions should the nurse take?

Advise the client to lay on her side

A nurse is caring for a client who is nulliparous And experiencing hypertonic you doing this function. And assessment indicates 3 cm dilation. Which of the following actions should the nurse take?

After the client hydrotherapy

A nurse is preparing to massage the fundus of a client who is post partum and experiencing uterine atony. In what order should the nurse take the following actions when performing a fundal massage?

Ask the client to learn her back with her knees flexed Place a hand just above the clients symphysis pubis Position a hand around the top of the clients fundus Rotate the upper hand to massage the clients uterus Use slight downward pressure to compress the clients fundus

A nurse is assessing a client on the first postpartum day. Findings include the following: Fundus firm and one thing your breath above and to the right of the umbilicus, moderate lochia rubra with small clots, temperature 99.2°F, and pulse rate 52 bpm. Which of the following actions should the nurse take?

Ask the client when she last avoided

A nurse is caring for a recently delivered newborn whose mother had gestational diabetes. What action should the nurse take within one hour after birth?

Assess a newborns blood glucose level

A nurse is assessing a client before administering the hepatitis B vaccine. Which of the following allergies should the nurse identify as a contraindication to receiving the vaccine

Baker's yeast

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

Before bedtime is a good time to start counting the kicks

A nurse is caring for a client at 32 weeks gestation who is experiencing preterm labor. Which of the following medication should the nurse plan to administer

Betamethasone

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

Blurred or double vision

A nurse is providing teaching to the parents of a newborn about bottlefeeding. Which of the following instruction should the nurse include in the teaching?

Boil water for powdered formula for 1 to 2 minutes

A nurse administers betamethasone to a client who is at 33 weeks of gestation to stimulate fetal lung maturity and planning care for the newborn which of the following conditions should the nurse identify as an adverse effect of the medication

Decrease blood glucose

A nurse is caring for a client who is in preterm labor and is receiving magnesium sulfate. The client begins to show indications of magnesium sulfate toxicity. Which of the following medication should the nurse prepared to administer?

Calcium gluconate

A nurse is caring for a client who is receiving magnesium sulfate IV. Which of the following medication to the nurse have available as an antidote for magnesium sulfate?

Calcium gluconate

A nurse is caring for a client who is receiving magnesium sulfate they continuous IV infusion which of the following medication so the nurse have available at the clients bedside I

Calcium gluconate

A nurse is caring for a client who is 32 hours postpartum. The client reports nipple soreness and breast engorgement. Which of the following recommendations to the nurse

Call me so I can check your babies latch the next time you breast-feed

A nurse is teaching a client who is pregnant and has pre-gestational diabetes about dietary changes. Which of the following statements should the nurse include in the teaching?

Carbohydrates should make up 55% of your diet

A nurse is caring for a client during her first prenatal visit in notes that she is lactose intolerant. Which of the following foods to the nurse include on the list of calcium sources for this client

Collard greens

A nurse is teaching a client who is at 10 weeks gestation about self-care management for common discomfort during pregnancy. Which of the following instruction should the nurse include?

Consume frequent snacks to decrease episodes of nausea

A nurse is assessing a 12 hour old newborn and notes a respiratory rate of 44 per minute with shallow respirations and periods of apnea lasting up to 10 seconds which of the following actions should the nurse take?

Continue routine monitoring

A nurse is providing care to a client who is in labor. A fetal heart tracing shows early decelerations. Which of the following actions should the nurse take?

Continue to monitor the fetal heart tracing.

A nurse is caring for a newborn who has irregular respirations of 52 per minute with several periods of apnea lasting approximately five seconds. The newborn is pink with acrocyanosis. Which of the following actions should the nurse take?

Continue to monitor the newborn routinely

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

Contractions lasting 100 seconds

A nurse is caring for a client at 35 weeks gestation who has severe preeclampsia. Which of the following assessment provides the most accurate information regarding the clients fluid and electrolyte status?

Daily weight

A nurse is assessing a client who is at 12 weeks gestation and has a hydatidiform mole. Which of the following findings should the nurse expect?

Dark brown vaginal discharge

A nurse is assessing a client at 34 weeks to station who has a mild placental abruption. Which of the following findings should the nurse expect?

Dark red vaginal bleeding

A nurse is caring for a client in the latent phase of labor who is receiving oxytocin via continuous IV infusion the client is having contractions every two minutes that last 100 to 110 seconds, and the fetal heart rate is reassuring. Which of the following actions should the nurse take

Decrease the dose of oxytocin by half

A nurse is assessing the respiratory status of a newborn who was born two hours ago. Which of the following findings should the nurse identify as a manifestation of respiratory distress?

Expiratory grunting

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

Extended extremities

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

Facial swelling

A nurse is caring for a client who has a BMI of 22.6 and expresses concern about waking during pregnancy. Which of the following responses should the nurse make?

Gaining weight will promote a Healthy pregnancy

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 a neonatal resuscitation

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

Gather equipment for neonatal resuscitation

A nurse in a labor and delivery unit is preparing To teach a newly licensed nurse about intermediate auscultation of the fetal heart rate. Which of the following intervention should the nurse include?

Help it and count the maternal radio pulse was listening to the fetal heart rate

A nurse is reviewing the laboratory findings for a 24 hour old newborn which of the following findings should the nurse report to the provider?

Hemoglobin 12g/dL

A nurse is reviewing the laboratory report of a newborn who has a blood type a B negative. The mothers blood type is O positive the laboratory results indicate the direct anti-globulin tested positive. Which of the following complications to the nurse anticipate

Hyperbilirubinemia

A nurse is discussing potential complications for newborn hypothermia with a newly licensed nurse. Which of the following complications should the nurse include?

Hypoglycemia

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

Hypotension

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 am here for you if you would like to talk

A nurse is explaining like Tatian suppression to a client who is newborn will be bottle-fed which of the following client statements indicates an understanding of the teaching

I should wear support bra for a few days

A nurse is providing discharge teaching about circumcision care to the parents of a newborn who has undergone a gomco Clamp procedure. Which of the following statements should the nurse identify as an indication that the client understands the instructions?

I will apply petroleum jelly to my babies penis for the first few days

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 caput succedaneum resolves in a few days

A nurse at a prenatal clinic is assessing an adult client who had genital cutting performed as a child as part of a cultural practice the nurse notes the clients clitoris and labia menorah removed and she has scarring in the vaginal area. Which of the following actions should the nurse take?

Inform the client that giving birth vaginally might not be possible

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

A nurse is assisting with monitoring the fetal heart rate tracing of a client who is in labor. Which of the following findings should the nurse report to the provider?

Late decelerations with fetal bradycardia

A nurse on the antepartum unit is caring for a client who is at 28 weeks gestation and reports dizziness when lying on her back. Into which of the following positions should the nurse assess the client?

Lateral

A nurse is caring for a client in the latent stage of labor was reporting a pain level of four on a scale of 1 to 10. Which of the following actions should the nurse take?

Lead to the client and relaxation breathing techniques

A nurse is caring for a client who is two hours postpartum. The nurse notes the clients hernia pad has a large amount of lochia rubra with several clots. Which of the following actions should the nurse perform for

Massage the fundus

A nurse is monitoring a client who is receiving spinal anesthesia. The nurse identifies which of the following findings as a complication of the infusion?

Maternal hypotension

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

Monitor the clients weights weekly

A nurse is preparing to administer an IV infusion of oxytocin for labor Induction to a client who is at 41 weeks of gestation which is the following actions should the nurse plan to take?

Monster the fetal heart rate every 15 minutes initially

A nurse is assessing a newborn. For which of the following findings should the nurse notify the provider?

Mottling

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 information?

My baby has a higher risk of developing jaundice

A nurse is providing teaching to a client who is planning to breast-feed her newborn. Which of the following statements by the client indicates an understanding of the teaching?

My baby may sometimes feed every hour for several hours in a row

A nurse is teaching a prenatal class about nonpharmacological comfort measures during labor which of the following statements should the nurse identify as an indication that the instructions have been understood

My baby will be monitored with a Doppler device during hydrotherapy

A nurse is caring for a client who is at 34 weeks gestation and has a prescription for terbutaline for preterm labor Which of the following statements by the client is the priority

My heart feels like it's racing

A nurse is assessing a newborn. Which of the following findings suggest the newborn is post mature

Nails extending over fingers

A nurse is providing discharge instructions to a client who is breast-feeding her newborn. Which of the following statements should the nurse include?

Notify your provider if you notice cracking on your nipples

A nurse is using Naegele's rule to determine the estimated date of birth for a client whose first day of her last menstrual period was February 2, 2018. The nurse should identify which of the following as a client estimated date of birth?

November 9, 2018

A nurse at a prenatal clinic is assessing an adolescent who is pregnant and is visiting the clinic for the first time which of the following factors is the nurses priority to evaluate

Nutritional status

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 hypertonic 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 newborns glucose level

A nurse is reviewing the medical record of a client at 33 weeks gestation who has placenta previa and bleeding which is the following prescription should the nurse clarify with the provider?

Perform a vaginal examination

A nurse is reviewing the medical record of a client at 33 weeks gestation who has placenta previa and bleeding. Which of the following prescription should the nurse clarify with the provider?

Perform a vaginal examination

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

Perform continuous fetal heart rate monitoring

A nurse is caring for a client who recently gave birth and plans to breast-feed, which of the following actions should the nurse take?

Place the unwrapped newborn on the mothers bare chest

A nurse is teaching the guardian of a newborn about car seat safety. Which of the following pieces of information should the nurse include

Placed a shoulder harness in the slides that are level with the newborn shoulders

A nurse in a prenatal clinic is reviewing the laboratory results of a client who is at 33 weeks of gestation period for which of the following results should the nurse notify the provider?

Platelet count of 135,000/mm3

A nurse is providing teaching to a client who is postpartum and does not plan to breast-feed her newborn. Which of the following instruction should the nurse include in the teaching?

Please ice packs on your breast

A nurse is providing care for a client who is in the second stage of labor. The fetal heart tracing indicates multiple variable decelerations. Which of the following actions should the nurse take?

Prepare an amnioinfusion

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 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 pregnant client who is at 37 weeks of gestation and who had a biophysical profile with a total score of four. Which of the following actions should the nurse anticipate taking?

Prepare for delivery of the infant

A nurse is providing education for a parent of a premature infant on interventions to promote optimal development. Which of the following actions should the nurse instruct the parent to perform?

Provide kangaroo care for the infant

A nurse is caring for a client who is in the first trimester of pregnancy and asked How to manage heartburn. Which of the following responses should the nurse make

Reduce the amount of food you eat during meals

A nurse is caring for a preterm infant in the NICU. Which of the following actions by the nurse will promote the infants optimal development?

Reducing ambient noise and lighting

A nurse is caring for a client who has oligohydraminis. Which of the following Fido abnormalities should the nurse expect?

Renal agenesis

A nurse is caring for a preterm newborn who is receiving oxygen therapy. Which of the following findings should the nurse identify as a potential complication of the oxygen therapy

Retinopathy

A nurse is caring for a client who is an active labor and receiving in oxytocin infusion. The nurse notes tachysystole with a category one fetal heart rate tracing. Which of the following actions should the nurse take?

Reposition the client and the side lying position and continue to monitor

A nurse is planning care for a newborn who has hyperbilirubinemia And a new prescription for photo therapy. Which of the following intervention should the nurse include in the plan?

Reposition the newborn every three hours

A nurse is reviewing recent laboratory values during a prenatal visit for a client who is pregnant. The nurse notes a hemoglobin level of 10 G/DL. Which of the following actions should the nurse take

Request in order for sickle cell anemia screening

A nurse is caring for a newborn whose mother receives magnesium sulfate to treat preterm labor. Which of the following clinical manifestations in a newborn indicates toxicity due to the magnesium sulfate therapy?

Respiratory depression

A nurse is caring for a client who is receiving IV oxytocin for the induction of labor and notes repetitive early decelerations on the electronica fetal heart rate tracing. Which of the following actions should the nurse take?

Revaluate the fetal heart rate tracing in 15 minutes

A nurse is caring for a client who had a cesarean birth 36 hours ago and is experiencing pain due to gas. Which of the following strategies to the nurse recommend?

Rock in the rocking chair

A nurse is planning educational sessions for clients in a childbirth class. Which of the following findings should the nurse plan to instruct the client to report immediately

Swelling of the face and fingers

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

Symmetric rib cage

A nurse is teaching a client who is in the third trimester pregnancy and has herpes genitalis which of the following instruction should the nurse include?

Talk with your doctor about a prescription for acyclovir To treat your symptoms

A nurse is caring for an adolescent who is in the second trimester of pregnancy. The client states I've gotten used to the idea of this pregnancy. It will be fun to have a little baby around the house. Which of the following is the appropriate response by the nurse?

Tell me how you think your life will be after the babies born

A nurse at a clinic is preparing to teach the process of involution To a group of anti-Nadel clients which of the following information should the nurse provide

The **** this is not palpable dominantly at two weeks postpartum

While assessing a client who is in the fourth stage of labor the nurse suspects bladder distention. Which of the following findings should the nurse anticipate with bladder distention?

The bladder fluctuates with palpation

A nurse is providing care to a client who is 12 hours postpartum and is receiving oxytocin IV. The client asked the nurse, why is there so little bleeding? Which of the following responses should the nurse make?

The bleeding is minimal until I discontinue your IV medication

A nurse is assessing a client who is at 34 weeks gestation and has a cardiac disorder the nurse should notify the provider about which of the following assessment findings?

The client reports a frequent cough

A client at a routine prenatal care visit asked the nurse is developing vaginal yeast infections is common during pregnancy. Which of the following responses should the nurse make?

The hormonal changes of pregnancy alter the Acidity of the vagina, making used infections more common

A nurse is assessing the moro response of a newborn. Which of the following findings should the nurse expect?

The legs move in a similar pattern response to the arms

A nurse is caring for a newborn who has a prescription for photo therapy. The mother asks why the newborn needs to lie under a special light. Which of the following responses should the nurse make

The light will help lower your child's bilirubin level

A nurse is assessing a newborn who was Circumcised 24 hours ago. Which of the following findings should the nurse report to the provider?

The newborn has urinated once since the circumcision

A nurse is testing the reflexes of a newborn to assess neurological maturity. Which of the following reflexes is the nurse assessing by quickly and gently turning The newborns head to one side

Tonic neck

A nurse is caring for a client who is pregnant. The client asks is it OK to have a few beers while I'm pregnant? Which of the following responses should the nurse make

Total abstinence from alcohol is recommended

A nurse is caring for a client in labor who is cervix is dilated to 9 cm. She's experiencing strong contractions every two minutes last thing 75 seconds. The nurse should recognize that the client is in which of the following faces or stages of labor?

Transition phase of First stage

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

Tremors

A nurse 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 the nurse make?

True contractions will be irregularly and then become regular in timing

A nurse is performing a routine prenatal examination of a client who is in the second trimester. The client reports back aches with no other symptoms and refuses medication. Which of the following responses should the nurse make

Try pelvic tilt exercises

A nurse is planning care for a newborn who is receiving photo therapy. Which of the following intervention should the nurse include in the plan of care?

Turn and reposition the newborn every two hours during photo therapy

A nurse is caring for a client in active labor whose membranes have ruptured. The fetal monitor tracing reveals late deceleration. Which of the following actions should the nurse take first

Turn the client onto her left side

A nurse is caring for a newborn who is receiving treatment for jaundice with traditional phototherapy lights Which of the following intervention should the nurse perform?

Turn the newborn every two hours

A nurse is assessing a client who is in the fourth stage of labor which of the following findings should the nurse expect?

Urinary retention

A nurse is caring for a client at 37 weeks of gestation and is undergoing a nonstress test the fetal heart rate is 130 per minute without acceleration for the past 10 minutes which of the following actions should the nurse take?

Use vibroacustic stimulation on the clients abdomen in for 3 sec

A nurse is teaching a client who is breast-feeding about strategies for preventing the mastitis Which of the following instruction should the nurse include?

Use your fingers to release suction after feeling

A nurse is reinforcing teaching about nutritional requirements during lactation recline who is planning to breast-feed which of the following nutrients to the client increase during lactation

Vitamin C

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

Warm the hill with a warm washcloth prior to the procedure

A nurse is providing teaching about newborn bath to a client who is two days postpartum which of the following pieces of information should the nurse include?

Watch the newborns face with plain warm water

A postpartum nurse is caring for a client who has developed hemorrhagic shock which of the following manifestations should the nurse expect

Weak and irregular pulse

A nurse is caring for a newborn who weighs 4 pounds how many kilograms does a newborn weigh

1.8 kg

A nurse is assessing a client who is two days postpartum period in which of the following locations should the nurse expect to locate the clients fundus?

3 cm below the umbilicus

A nurse is caring for a client who had a vaginal delivery 24 hours ago. Which of the following findings should the nurse report to the provider?

3+ deep tendon reflexes

A nurse is assessing a client who is at 35 weeks of gestation and has preeclampsia without severe features which of the following findings should the nurse identify as a priority?

480 mL of urine output in 24 hours

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

50%

A nurse is assessing a newborn one minute after birth and not a heart rate of 136 bpm and respiratory rate of 36 for a minute. The newborn has a well flex extremities, response to stimuli with a cry, and has blue hands and feet. Which Apgar score should the nurse assign to the newborn?

9

A nurse is teaching a client during the Clients first prenatal visit. Which of the following instruction should the nurse include?

A Doppler device can you take your babies heart rate at 12 weeks

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

A newborn who is axillary temperature is 96.9°F

A nurse is caring for for newborns. Which of the following newborns is at greatest risk for hypoglycemia

A newborn who is large for gestational weight

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

A progestin only pill or injection is available for use while you are breast-feeding

A nurse is caring for a client who delivered a stillborn child. Which of the following actions should the nurse take?

Allow the parents to keep the child in their room for as long as they wish

A nurse is Assessing a female client 24 hours after delivery and notes the fundus is 2 cm above the abilities which of the following action should the nurse take

Ambulate the client to the bathroom

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 to early can prolong labor

A nurse is caring for a client who is scheduled to undergo an amniocentesis to assess fetal long maturity. The client is G2 P1 and at 36 weeks of gestation, and she has an O positive blood type. Which of the following intervention should the nurse perform?

Apply an external fetal monitor to the client

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

Apply cold ice packs to the clients perineum

A nurse is teaching about preventing engorgement to a client who is planning to use formula to feed her newborn. Which of the following instruction should the nurse include

Apply ice packs to your breast

A nurse is reinforcing teaching about preventing encouragement to a client who is planning to use formula to feed her newborn. Which of the following instruction should the nurse include?

Apply ice packs to your breasts

When caring for a client who is in active labor, a nurse notes latest elevations on the fetal monitor. Which of the following actions should the nurse take?

Apply oxygen at 10 L per minute via nonrebreather facemask

A nurse is caring for a client who is in the Latent phase of labor and is experiencing low back pain. Which of the following actions should the nurse take?

Apply pressure to the client sacral area during contractions

A nurse is caring for a client whose last menstrual period began on July 8. Using Nagel's rule, what is the clients estimated date of birth

April 15

A nurse is assessing a client who is 14 hours postpartum and has a third-degree her new laceration. The clients temperature is 37.8°C (100°F), and her fundus is firm and slightly deviated to the right. The client reports a gush of blood when she ambulate's and no bowel movement since delivery. Which of the following actions should the nurse take?

Assist the client to empty her bladders

A nurse is caring for a client who is post partum and is having difficulty voiding. Which of the following actions should the nurse take first?

Assist the client to the bathroom

A nurse is assessing a client who delivered vaginally eight hours ago. The nurse notes that the clients for this is to fingerbreadths above the villages and shifted to the left and there is a large amount of lochia rubra on the perineal pad which of the following action should the nurse take first?

Assist the client to the toilet

A nurse is caring for a client who is at 38 weeks of gestation and in the active phase of the first stage of labor. The nurse notes Too late decelerations of the fetal heart rate during the last five contractions. Which of the following actions should the nurse take?

Assisted client to lateral position

A nurse is planning care for a client who is pregnant and is Rh negative. In which of the following situations should the nurse administer Rh(D) Immunoglobulin

At 28 weeks of gestation

A nurse is caring for a client who is at 30 weeks gestation and reports no fear of movement for the past 24 hours which of the following actions should the nurse take

Auscultate for a fetal heart rate

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

Auscultation of a fetal heart rate

The parents of a child with PKU Ask the nurse if their second unborn child could have the same condition the nurse should be three spots on which of the following inheritance patterns responsible for PKU

Autosomal recessive

A nurse is caring for An infant who begins is playing manifestations of neonatal abstinence syndrome which of the following actions should the nurse take

Avoid eye contact during feedings

A nurse is teaching a parent of a newborn about circumcision care. Which of the following instruction should the nurse include?

Avoid using diaper wipes on the site during diaper changes

A nurse is preparing to obtain a newborn's temperature. Which of the following message to the nurse use?

Axillary

A nurse is counseling a female client who Expresses a desire to conceive in the near future. Which of the following dietary recommendations should the nurse make to prevent neural tube deficits?

Begin taking a folic acid supplement

A nurse is caring for a client who is experiencing preterm labor. Which of the following medication should the nurse anticipate administering to enhance fetal lung maturity

Betamethasone

A nurse is caring for a client who has a prescription for an election. Which of the following is intended action of the medication in relation to the central nervous system?

Block the facts of narcotics in the CNS

A nurse is Assisting a client who is four hours postpartum to get out of bed for the first time. The client becomes frightened by gusher of dark red blood from her vagina. Which of the following statements should the nurse make in the response?

Blood pools in the vagina when you're lying in bed

A nurse and a prenatal clinic is performing telephone triage for several clients. Which is the following clients to ports Sheraton nursing identifying as an expected Physiological adaptation 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 in antiretroviral Regimen. The plan of care indicates a newborn's mother is HIV positive and plans to breast-feed. Which of the following findings should the nurse address with a newborns interdisciplinary team

Breast-feeding

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

Central cyanosis

A nurse is caring for a client who is in labor the client speaks a different language than the nurse and he's been missing. Which of the following actions should the nurse take while waiting for an interpreter?

Change the clients position

A nurse is developing a plan of care for a newborn who has hyperbilirubinemia and a prescription for photo therapy. Which of the following intervention should the nurse include in the plan?

Change the newborns position every 2 to 3 hours

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 teaching the guardians of a newborn about the facilities safety measures. Which of the following pieces of information should the nurse include?

Check for a photo identification badge before allowing a nurse to remove the newborn from the room

A nurse is caring for a client who is at 39 weeks gestation and in active labor. Which of the following actions should the nurse include in the plan of care?

Check the cervix prior to analgesic administration

A nurse is caring for a client who is at 33 weeks of gestation reports darker and vaginal bleeding and contractions I did not stop what does the following actions should the nurse take first?

Check the fetal heart tones

A nurse is preparing to provide umbilical cord care For a newborn 12 hours after delivery. Upon inspection, the nurse notes moderate bleeding from a blood vessel. Which of the following action should the nurse take?

Check the integrity of the cord clamp

A nurse is providing discharge instructions for a client who had a cesarean birth four days ago. The clients hemoglobin level is 9.2 G/DL, and the provider has prescribed an iron supplement. Which of the following foods should the nurse recommend to help increase the clients iron intake

Citrus fruit

A nurse is teaching a parent of a newborn how to care for newborns and biblical cord stump. Which of the following instruction should the nurse include?

Clean the course stump with tapwater

A nurse is receiving a report for a client who is in labor and is experiencing contractions that are four minutes apart. Which of the following patterns to the nurse expect on the fetal monitor tracing?

Contractions that last for 60 seconds each with a three minute rest between the contractions

A nurse is discussing contraceptive choices with a client who has a history of thrombophlebitis. Which of the following methods of contraception should the nurse recommend

Copper intrauterine devices

A nurse is caring for a client who is an active labor and he was a birth plan request on nonpharmacological pain relief strategies. Which of the following strategies should the nurse offer as a form of cutaneous stimulation

Counter pressure

A nurse is providing teaching about the selection of commercial formula to the guardian of a newborn. Which of the following pieces of information should the nurse include?

Cows milk-based formula is recommended for healthy newborns

A nurse is providing discharge instructions to the parents of a newborn which of the following statements should the nurse include?

Crib slats should be less than 2.25 inches apart

A nurse is assessing a client who is at 20 weeks gestation and reports frequent episodes of indigestion and heartburn what are the following instruction should the nurse give to the client?

Decrease your intake of spicy foods

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

Deep tendon reflexes 4+

A nurse is assessing a client who is at 26 weeks of gestation and has mild preeclampsia which of the following findings should the nurse report to the provider?

Deep tendon reflexs 4+

A nurse is caring for a client who is in labor the nurse decides to switch from intermediate Auscultation to continuous fetal monitoring. Which of the following data can only be obtained from continuous electronics fetal monitoring

Determination of variability

A nurse is providing teaching for new parents about formula feeding. Which of the following instruction should the nurse include?

Discard open the cans of formula after 48 hour refrigeration

A nurse is providing discharge teaching to a client following the removal of a hydatidiform mole. Which of the following statements should the nurse include in the teaching?

Do not become pregnant for at least one year

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

Do not eat swordfish shark or king macro while you're pregnant

A nurse is caring for a client in labor and observes a pattern of early decelerations on the fetal monitor. Which of the following actions should the nurse take?

Document the findings and continue to monitor

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 charge nurse is teaching a newly licensed nurse about teratogen that affect fetal development. The nurse should recognize that which of the following is an example of teratogen?

Drinking alcohol during pregnancy

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

Dry the newborn

A nurse is assessing the respiratory status of a newborn who was born two hours ago which of the following findings should the nurse identify as a manifestation of respiratory distress

Expiratory grunting

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

Elevate the clients legs to a 30° angle

A nurse is reviewing the laboratory for it for a client with suspected HELLP Syndrome. Which of the following findings should the nurse report to the provider as an indication of this Disorder?

Elevated liver enzymes

A nurse is providing teaching to the parents of a newborn about how to care for his circumcision at home. Which of the following instruction should the nurse include in the teaching?

Encourage non-nutritive sucking for pain relief

A postpartum nurse is caring for a client reports abdominal cramping. Which of the following actions should the nurse take?

Encourage the client to interact with the newborn

A nurse is providing teaching about breast-feeding so client who is four hours postpartum. Which of the following pieces of information should the nurse include?

Ensure the newborns mouth covers the nipple and Ariola

A nurse is caring for a newborn directly after birth. Which of the following medication so the nurse administer to the new one within 1 to 2 hours of delivery

Erythromycin ophthalmic ointment

A nurse is assessing a client who is pregnant and reports increased nasal stuffiness. The nurse should inform the client that which of the following hormones is responsible for this discomfort?

Estrogen

A nurse is caring for a client who is in labor. Which of the following methods will determine the frequency of the clients contractions

Evaluating the time from the beginning of the contraction to the beginning of the next contraction

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 teaching a client with preeclampsia who is scheduled to receive magnesium sulfate via continuous IV infusion about expected adverse effects. Which of the following adverse effects should the nurse include in the teaching?

Feeling of warmth

A nurse is caring for a client who is in labor and Is receiving an infusion of oxytocin the nurse should monitor the client for which of the following potential adverse effects?

Fetal asphyxia

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

Fetal gastrointestinal anomaly

A nurse is caring for a client who states, I think I am pregnant, which of the following findings should the nurse identify as a positive sign of pregnancy?

Fetal heart Tones auscultated by Doppler

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

Fetal heart rate baseline of 90 bpm

A nurse is providing care to a client who is in labor and experience is a spontaneous rupture of membranes. Which of the following findings requires intervention by the nurse?

Fetal heart rate increases by 15 per minute

A nurse is reviewing the providers admission Orders for a client who is at 37 weeks so just station and is HIV positive. Which of the following orders should the nurse clarify with the provider?

Fetal scalp electrode

A nurse is providing teaching to a client who has one hour postpartum about using the perineal squeeze bottle. Which of the following instruction should the nurse include?

Fill the perineal bottle with warm water prior to use

A nurse in labor and delivery is teaching a new license nurse about performing the Mac Roberts Maneuver to relieve shoulder dystocia. Which of the following pieces of information should the nurse include?

Flex the clients legs apart and raise from knees to her abdomen

A nurse in an antepartum clinic is caring for a client who is at 24 weeks gestation which of the following findings should the nurse report to the provider

Frequent headaches

A nurse 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

Frequent simulation

A newborn is caring for a client who is scheduled to receive a continuous IV infusion of oxytocin following a vaginal birth. Which of the following assessment findings should the nurse monitor to evaluate the effectiveness of the medication

Fundal consistency

A nurse is assessing a newborn who is two hours old. Which of the following findings should the nurse report to the provider?

Generalize petechiae

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

Gestational diabetes

A nurse is caring for a client who has Eclampsia and just had a tonic colonic seizure After trying to clients head to the side which of the following actions should the nurse take

Give oxygen at 10 L per minute via face mask

A nurse is caring for a newborn. The nurse should obtain informed consent before taking which is the following actions

Giving the hepatitis B vaccine

A nurse is reviewing the laboratory findings for four clients. Which of the following infections Should be reported to the public health department?

Gonorrhea

A nurse is providing education to a female client of a childbearing age. The nurse should state that which of the following structures expels the mature ovum

Graafian follicle

A nurse is planning care for a client who is at 35 weeks gestation period which of the following laboratory test to the nurse obtain?

Group B streptococcus beta hemolytic

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

Grunting with expiration

A nurse is caring for a client who is 24 years old and at 13 weeks of gestation. The clients history includes a BMI of 31 prior to pregnancy, a prior post term delivery, and a newborn birthweight of 9 lbs. 3 oz. Which of the following laboratory values should the nurse expect to collect?

HB A1c

A nurse is caring for a client who is using parent paced breathing during the first stage of labor. The client reports a lightheaded feeling and tingling of the fingers. Which of the following actions should the nurse take

Have the client breathe into a paper bag

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?

He will probably first notice your baby moving when you are around 20 weeks gestation

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

Head circumference 28 cm/11 inches

A nurse is teaching a prenatal class about pain management during labor which of the following statements should the nurse identify as an indication that the client understands instructions

I can apply a heating pad to my back to relieve back pain

A nurse is administering a rubella Immunization to a client who is two days postpartum. Which of the following client statements indicates a need for further instruction?

I can conceive anytime I want to after 10 days

A nurse is caring for a client who is in labor. The client asked the nurse, why are you pressing on my abdomen? Which of the following responses should the nurse make?

I can determine the position of your baby

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

I may notice an increase cramping when I am feeding my baby

A nurse is teaching a parent how to care for his newborn circumcision site. Which of the following client statements indicates an understanding of the teaching?

I said apply the diaper loosely until the circumcision site is healed

A nurse is providing teaching about home care to the parents of a newborn which of the following statements indicates an understanding of the teaching

I said remove the bumper pad and stuff toys from my babies crib

A nurse is evaluating a client who has just received instructions about breast-feeding. Which of the following statements should the nurse identify as an indication that the client understands how to prevent mastitis

I should avoid waiting too long between feedings

A nurse is providing teaching about the rubella immunization to a client who is 24 hours post partum which of the following client statements indicates an understanding of the teaching?

I should be careful to avoid becoming pregnant within the next month

A nurse is providing teaching about the rubella immunization to a client who is 24 hours postpartum. Which of the following client statements indicates an understanding of the teaching?

I should be careful to avoid becoming pregnant within the next month

A nurse is providing breast-feeding education to a client who delivered 12 hours ago which of the following client statements indicates an understanding of the teaching?

I should breast-feed at least 8 to 12 times in a 24 hour period

A nurse is providing teaching for a postpartum client who is breast-feeding. Which of the following statements indicates an understanding of the teaching?

I should feed my baby eat 12 times a day based on feeding cues

A nurse is teaching a client at 13 weeks gestation about the treatment of incompetent cervix with cervical cerclage. Which of the following statements by the client indicates an understanding of the teaching?

I should go to the hospital if I think I may be in labor

A nurse is providing teaching for a client at seven weeks of gestation who is experiencing nausea and vomiting. Which of the following client statements indicates to the nurse and understanding of the teaching?

I should have a small snack before bedtime

A nurse is providing a nutritional teaching for a pregnant client who had a pre-pregnancy body mass index of 38. Which of the following statements by the client demonstrates an understanding of the teaching about recommended weight gain during pregnancy?

I should plan to gain 5 to 9.1 kg during my pregnancy

A nurse is teaching a client about a nonstress test which of the following statements by the client indicates an understanding of the teaching?

I should press the button on the handheld marker when my baby moves

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 two years

A nurse is teaching a postpartum client how to swaddle her newborn. Which of the following assessments by the parent demonstrates an understanding of the teaching?

I should stop swaddling my baby once she is able to roll over by herself

A nurse is teaching about mastitis to a client who is postpartum and breast-feeding her newborn. Which of the following statements by the client indicates an understanding of the teaching?

I will avoid any of my family members who are ill

A nurse is providing postpartum discharge teaching about proper storage of breastmilk for a client who is breast-feeding. Which of the following client statements indicates an understanding of the teaching?

I will discard any unused breastmilk that is left in the bottle

A nurse is teaching a client who is in labor about the use of nitrous oxide analgesia for pain control. Which of the following statements by the client indicates an understanding of the teaching?

I will feel the affects of the nitrous oxide almost immediately

A nurse is providing teaching about newborn care to the parents of a newborn. Which of the following statements by the parent indicates an understanding of the teaching?

I will place a hat on my babies hair prior to going outside

A nurse is providing teaching to the parents of a newborn about home safety. Which of the following statements by the parents and the kids and understanding of the teaching?

I will place my baby on his back when putting him to sleep

A nurse is teaching a client who is post partum about keeping the newborn safe. Which of the following statements should the nurse identify as an indication that the client understands instructions

I will purchase a firm mattress for the crib

A nurse is talking with a client at 20 weeks of gestation who is scheduled for a sonogram. The client states, I am here to have my regular parental check up, But I do not want any pictures taken of my baby. Which of the following responses should the nurse make?

I would like to hear more about why you did not want the sonogram, including any cultural reasons

A nurse is planning care for a newborn requires for therapy for hyperbilirubinemia. Which of the following actions should the nurse include in the plan of care

I'm sure the newborns eyes are closed before applying eye shield

A nurse is preparing to administer naloxone to a newborn. Which of the following conditions can require administration of this medication?

IV narcotics administered to the mother during labor

And adolescent reports abdominal cramping due to dysmenorrhea. Which of the following analgesics so the nurse expect the provider to prescribe

Ibuprofen

A nurse is providing education for a pregnant client about symptoms that should be reported immediately to the provider. Which of the following client responses indicate an understanding of the teaching?

If I notice that my eyes are puffy, I should call my provider

A nurse is teaching a client who is pregnant about nonsense testing. Which of the following pieces of information should the nurse include?

If the test is reactive, that means your babies heart rate is healthy

A nurse is talking with a client during her initial prenatal visit. The client reports a history of trisomy 13 syndrome In her family and is concerned her fetus might be at risk. Which of the following statements should the nurse provide?

If you sign And informed consent form we can perform genetic screening to see if your baby has this disorder

A nurse is caring for a client who believes she may be pregnant. Which of the following findings should the nurse identify as a positive sign of pregnancy

Palpable fetal movement

A charge nurse is providing teaching for a newly hired nurse about the potential side effects of an epidural anesthetic for a laboring client. Which of the following effects should the Charge nurse include in the teaching?

Impaired placental perfusion

A charge nurse is providing teaching to a newly hired nurse about the potential side effects of epidural anesthetic free laboring client which of the following effects should the charge nurse include in the teaching

Impaired placental perfusion

A nurse is caring for a client in the early stage of labor who has preeclampsia with severe features which of the following intervention should the nurse perform

Implement seizure precautions

A nurse is assessing a newborn which of the following findings should the nurse identify as an indication of recent maternal heroin use?

Incessant crying

A nurse is caring for a client who is in labor and has received epidural analgesia. The clients blood pressure is 88/50, and the fetal heart tracing so is late decelerations. Which of the following actions should the nurse take?

Increase the rate of the primary IV infusion

A nurse is reviewing the electronic medical record of a newborn which of the following maternal factors may increase the risk of pathologic hyperbilirubinemia in the newborn

Infection

A nurse is caring for a client who is scheduled to receive a spinal anesthetic which of the following actions should the nurse plan to perform

Infuse a 500 mL bolus of 0.9% sodium chloride immediately prior to the procedure

A nurse is caring for a client who is scheduled to receive the spinal anesthetic. Which of the following actions should the nurse plan to perform?

Infuse a 500 mL bolus of 0.9% sodium chloride immediately prior to the procedure

A nurse is caring for a term newborn 90 minutes after the scheduled cesarean birth. The newborns one minute Apgar score was nine. The newborns heart rate is 120 per minute, and his respiration rate is 70 per minute. There is no indications of retractions, grunting, or nasal flaring. Which of the following actions should the nurse take?

Initiate close observation of the newborn for indications of respiratory distress

A nurse is caring for a client who is three days postpartum and has chosen to formula feed her newborn. During an examination of the clients breast, the nurse notes that they were warm and firm. Which of the following actions should the nurse plan to take

Instruct the client to apply cold compresses

A nurse is caring for a client who is three days postpartum and has chosen to formula feed her newborn. During an examination of the clients press, the nurse notes that they are warm and firm. Which of the following actions should the nurse plan to take?

Instruct the client to apply cold compresses

A nurse is reviewing laboratory results for a client who is at 37 weeks gestation. The nurse notes that the client is rubella not immune, is positive for group a paid or hemolytic streptococcus, has a blood type of o negative. Which of the following actions should the nurse

Instruct the client to obtain a rubella immunization after delivery

A nurse is caring for a client in active labor who is fetus is in a persistent occiput Posterior position. Which of the following actions should the nurse take to promote rotation of the fetal head?

Instruct the client to squat during contractions

A nurse is teaching a group of clients who are pregnant about vitamin K for newborns. Vitamin K helps prevent which of the following conditions in a newborn?

Intracranial hemorrhage

A nurse is planning care for a newborn who was born at 30 weeks or station. The nurse should plan to assess the newborn for which of the following potential complications associated with prematurity

Intraventricular hemorrhage

A nurse is teaching a sibling class for a group of expecting parents and their older children. Which of the following statements should the nurse include to Facilitate sibling adaptation

Involve the sibling in decorating your newborns room

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 is caring for a client who is pregnant and his last menstrual period began on April 8. Using Nagel's rule, which of the following dates would be the client estimated date of birth

January 15

A nurse is assessing a newborn one hour after birth. Which of the following findings should the nurse report to the provider?

Jaundice of the sclera

A provider does a client at 12 weeks gestation who practices Hinduism that she needs more protein in her diet and suggest 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?

Let's discuss other foods that are also high in protein that you can substitute for meat

A nurse is caring for a client who is in labor and ask her partner to perform effleurage The client has on a monitor belt for electronic fetal monitoring. Which of the following instruction should the nurse provide to the clients partner

Lightly stroke the upper thighs

A nurse is assessing a pregnant client who is at 38 weeks gestation. The client reports that her breathing has become easier but notes an increased frequency of Urination. The nurse should document this occurrence at which of the following

Lightning

A nurse is assessing a newborn for congenital hip dysplasia. Which of the following findings should the nurse expect?

Limited abduction of hip

A nurse is providing education to client who is four weeks postpartum and is breast-feeding. The client asks about expected weight loss. Which of the following responses should the nurse make?

Losing 2.2 pounds each month would be acceptable

A nurse is caring for a postpartum client eight hours after delivery. Which of the following factors places the client at risk for uterine atony

Magnesium sulfate infusion Distended bladder Prolonged labor

A nurse is planning care for a client who is scheduled to have Prostaglandin E2 gel insert it for cervical ripening. Which of the following actions should the nurse take?

Maintain the client needs sideline position for 30 minutes after insertion

A nurse is caring for a client who just had spontaneous rupture of membranes. The nurse observes Fido bradycardia on the FHR chasing and a 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 eight hours postpartum and is experiencing hemorrhage. Which of the following actions should the nurse implement after notifying the provider select all that apply

Massage the fundus Administer oxytocin with IV fluids Insert an indwelling urinary catheter Place the client in a lateral position with her legs elevated 30°

A nurse is performing a physical assessment of a newborn. Which of the following action should the nurse take?

Measure the circumference of a newborns head with a tape measure just above the eyebrows

A nurse is assessing a client who is three days postpartum. When examining the clients uterus which of the following techniques to the Nurse use

Measure the height of the fundus in fingerbreadths in relation to the umbilicus

A nurse is caring for a client who request an intrauterine device for Contraception. Which of the following findings is a contraindication for this device

Menorrhagia

A nurse is caring for a client who has a soft uterus and increased lochial flow Which of the following medication should the nurse plan to administer to promote you don't have contractions?

Methylergonovine

A nurse is caring for a client who has a soft features and increased low-key a flow which is the following medication should the nurse plan to minister to promote uterine contraction

Methylgonovine

A nurse is providing teaching about formula feeding to the guardian of a newborn which of the following pieces of information should the nurse include?

Mix one scoop of powdered formula with 2 ounces of water

A nurse is providing teaching about formula feeding to the guardian of a newborn. Which of the following pieces of information should the nurse include?

Mix one scoop of powdered formula with 2 ounces of water

A nurse is assessing a newborn. Which of the following findings should the nurse immediately report to the provider

Nasal flaring

A nurse is assessing a client reports that she might be pregnant. Which of the following findings should the nurse identify as a presumptive signs of pregnancy?

Nausea in the morning

A nurse is assessing a seven month old infant during a well child visit in notes the presence of a full moral reflex. For which of the following conditions sure the nurse screen the infant?

Neurological disorder

A nurse is assessing a client who is at 30 weeks of gestation and has gestational hypertension. Which of the following findings should the nurse identify as an indication that the client needs a biophysical profile

Non-reactive non-stress test

A nurse is caring for a client at 36 weeks gestation who has preeclampsia. Which of the following findings should the nurse identify as a priority

Non-reactive nonstress test

A nurse is assessing a postpartum client and observes a steady trickle of bright red blood from the clients vagina. The uterus is palpated as firm, midline, located 1 cm below the umbilicus. Which of the following actions should the nurse take?

Notify the provider

A nurse is assessing a 12 hour old newborn notes jaundice of face and trunk. Which of the following actions should the nurse take

Obtain a stat prescription for a bilirubin level

A nurse is admitting a client who is in labor and experiencing moderate red vaginal bleeding. Which of the following actions should the nurse take?

Obtain blood samples for baseline laboratory values

A nurse is calculating a pregnant client estimated date of delivery using naegele's rule. The clients last menstrual period started on January 20. Which of the following is a clients expected date of delivery

October 27

A nurse is assessing a postpartum client who has preeclampsia and notes A Boogie uterus an excessive uterine bleeding. The nurse should plan to administer which of the following medication's?

Oxytocin

A nurse is assessing a client who has placenta previa. Which of the following findings should the nurse expect

Painless bright red bleeding

A nurse is caring for a client who had a Percutaneous delivery which of the following assessments is the priority during the fourth stage of labor?

Palpating the clients fundus

A nurse is caring for a client who has clinical manifestations of ectopic pregnancy. Which of the following findings is a risk factor for an ectopic pregnancy

Pelvic inflammatory disease

A nurse is discussing the expected changes related to pregnancy with a client who is at eight weeks gestation which of the following findings should the nurse report to the provider during the first trimester

Persistent vomiting

A nurse is providing postpartum discharge teaching to a client who is non-lactating about breast discomfort and relief measures. Which of the following pieces of information should the nurse include?

Place fresh cabbage leaves on your breasts

A nurse is initiating phototherapy for a newborn who has hyperbilirubinemia. Which of the following actions should the nurse take?

Place in a opaque over the newborns eyes

A nurse is caring for a client in active labor who is experiencing hypertension following epidural placement which of the following actions should the nurse take?

Place the client in a lateral position

A nurse is caring for a client in active labor who is experiencing hypertension following epidural placement. Which of the following actions should the nurse take?

Place the client in a lateral position

A nurse is caring for a client who is in labor. The nurse observes late decelerations on the fetal monitor. Which of the following actions should the nurse take?

Place the client in a left lateral position

A nurse is assisting with the care of a client who is in labor the nurse observes Late decelerations of the fetal monitor which of the following actions should the nurse take?

Place the client in the left lateral position

A nurse is caring for a client who is at 38 weeks of gestation and is receiving an oxytocin IV or labor argumentation. The nurse notes variable decelerations on the fetal heart rate tracing. Which of the following actions should the nurse take first?

Please the client in a side-lying position

A nurse is assessing a four hour old newborn prior to breast-feeding and Notes hands and feet that are cold and slightly blue. Which of the following actions should the nurse take?

Please the naked newborn on the mothers bear chest and cover both with a blanket

A nurse is caring for a newborn immediately following delivery. Which of the following actions should the nurse perform first?

Please the newborn directly on the clients chest

A nurse is caring for a newborn who is premature In the neonatal intensive care unit. Which of the following actions should the nurse take to promote development

Position the naked newborn on the parent's bare chest

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

Prepare the client ran emergency cesarean

A nurse is assessing a client who has hyper emesis gravidarum. Which of the following findings should the nurse expect?

Presence of ketones in the urine

A nurse is reviewing the laboratory values have a client who is pregnant and has a low progesterone level. Which of the following complications to the nurse expect

Preterm labor

A nurse is providing teaching for a client about hormonal changes during pregnancy. The nurse identifies that which of the following hormones please a key role in preventing miscarriage?

Progesterone

A nurse is caring for a client who experience is spontaneous rupture of membranes and has prolonged decelerations on the fetal monitor. Which of the following conditions should the nurse expect?

Prolapse umbilical cord

A nurse is planning care for a client in active labor his fetus is in an occipital brow presentation. Which of the following complications should the nurse anticipate as a result of this video presentation?

Prolonged labor

A nurse in a labor and delivery unit is caring for a client who is in the second stage of labor which of the following actions should the nurse take?

Promote active movement in and out of bed

A nurse is assessing a client who is in the first stage of labor and has preeclampsia. Which of the following findings should the nurse expect?

Proteinuria

A nurse is caring for a client who has postpartum any port that hurt if physiognomy incision is pulling and stinging. Which of the following actions should the nurse take

Provide a sits bath with warm water for the client

A nurse is providing care for a pregnant adolescent who was at 12 weeks gestation and verbalizes a fear of gaining weight during pregnancy. Which of the following actions should the nurse take

Provide examples of how eating well will help maintain a healthy weight during pregnancy

A nurse is caring for a client who is at 20 weeks gestation. The client asks The nurse what a baby looks like at this point. Which of the following answers By the nurse provides an accurate response?

The fetus resembles a human

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?

Referred the client to a community resource that could assist with providing nutrition

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

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

A nurse is reviewing the medical record of a client who is at 20 weeks of gestation which of the following findings should the nurse identify as presumptive indication of pregnancy

Report a fetal movement by the client

A nurse is discussing risk factors for necrotizing entercolitis In newborns with a newly licensed nurse which of the following respect or should I nurse include

Respiratory distress syndrome

A nurse is teaching a new parent about newborn reflexive. Which of the following reflexes facilitates infant feeding

Rooting

A nurse is planning care for a client who is post partum. Which of the following strategies to the nurse include in the plan to prevent bladder distention

Run water in the sink with a client sits in the toilet

A nurse is performing a physical assessment of a full term newborn and eliciting the Moro Reflects. Which of the following movements are expected responses of the few flex select all that apply

Sam and forefinger forming a C Legs extending before pulling up her

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

September 14

A postpartum nurse is providing care for a client who is breast-feeding and has a perennial hematoma. The nurse should recommend that the client use which of the following breast-feeding positions

Side lying

A nurse is caring for a client who is in labor and is reporting intense pain during contractions the client has no previous knowledge of non-pharmacological comfort measures which of the following nursing intervention should the nurse implement

Slow paced breathing

A nurse is caring for a client who is in labor and the reporting intense pain during contractions. The client has no previous knowledge of non-pharmacological comfort measures. Which of the following nursing intervention should the nurse implement?

Slow paced breathing

A nurse is assessing a client who is post partum following a vacuum assisted birth. 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 assessing a client who is postpartum following a vacuum assisted birth. For which of the following findings should the nurse monitor so identify a cervical

Slow trickle of bright vaginal bleeding and a firm fundus

A nurse is performing an initial physical assessment of a newborn following a vaginal birth. Which of the following findings should the nurse report to the provider?

Small pinpoint reddish purple spots on the chest

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

Sponge bathe the newborn every other day

A nurse is preparing to perform Leopold maneuvers on a client who is in labor. Which of the following actions should the nurse plan to take?

Stand at the clients right side if the nurse is right handed

A nurse is caring for a client who is in labor and is receiving IV oxytocin. The nurse notes contractions lasting three minutes each what action should the nurse take?

Stop the oxytocin infusion

A nurse is teaching a client about physiological changes that can Occur with menopause. Which of the following changes to the nurse include?

Stress incontinence

The guardian of a three day old female newborn tells the nurse that he notices a small amount of blood tinged mucous discharge on the newborns labia. Which of the following responses should the nurse make

The bloating mucus is a result of pseudomenstration

A nurse is caring for a client who is scheduled to receive intervenous oxytocin for the induction of labor. The client has the bishop score of 10. Which of the following findings should the nurse expect?

The client will experience a successful induction of labor

A nurse is performing an admission assessment of a client who just arrived at the labor and delivery unit which of the following findings should the nurse identify as the Priority

The fetal heart rate is 90 per minute

A nurse is teaching a client who is at eight weeks gestation and has a uterine fibroid about potential effects of fibroid during pregnancy. Which of the following pieces of information should the nurse include

The fiber can increase the risk of postpartum hemorrhage

The nurse is teaching a client who is at eight weeks gestation and has a uterine fibroid about potential effects of the fibroid during pregnancy. Which of the following pieces of information should the nurse include?

The fibroid can increase the risk of postpartum hemorrhage

A nurse is assessing a client at 27 Weeks of gestation the client has placenta previa reports vaginal bleeding Which of the following additional manifestations should the nurse expect?

The fundal height measures greater than gestational age

A nurse enters a postpartum client room and notices many visitors in the room, conversing loudly and taking turns holding a newborn. The newborn intimately cries and attempts to suck on his hand. After a few minutes, the newborn quiet, stairs, and turned her head away when someone talks to her. What teaching should the nurse provide for this family?

The newborn would benefit from skin to skin contact in a quiet environment

A nurse is assessing a postpartum client reports strong contractions whenever she breast-feeds her newborn. The nurse respond with which of the following statements?

The same hormone that is released in response to the baby sucking and causes milk to flow also makes the uterus contract

A nurse is caring for a client who had pelvic measurements recorded by the provider. The client asks, since my pelvis is gynecoid, Well I be able to deliver vaginally? Which of the following responses should the nurse make?

The shape of a pelvis is ideal for vaginal childbirth

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 bathing

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

These exercises should be done for 15 minutes each day to strengthen the peroneal muscles

A nurse is speaking with an expectant father who says that he feels resentful of the added attention others are giving to his wife since the pregnancy was announced several weeks ago. Which of the following responses should the nurse make?

These feelings are common for expecting fathers in early pregnancy

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

They can cause delayed cord separation

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 the source of your fluid loss after delivery

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

This medication can make you sleepy

A nurse is performing a nonstress test and a client who is 41 weeks of gestation the client asked what the purpose of the test is what is the form responses to the nurse provide

This test will help determine if your baby is healthy

A nurse is performing a nonstress test on a client who is at 41 weeks of gestation. The client asks what the purpose of the test is. Which of the following responses should the nurse provide

This test will help determine if your baby is healthy

A nurse is preparing a client who is in labor for the insertion of an intrauterine pressure catheter the client asks why this type of monitoring is needed which is the following responses should the nurse make

This type of monitoring will allow us to measure the intensity of your contractions

The nurse is assessing a two day old newborn and notes in egg shaped, Timothy's, bluish discoloration that does not cross the suture line. Which of the following pieces of information to the nurse provide mother and she asks about this finding?

This will be resolved in 3 to 6 weeks without treatment

A nurse is assessing a client who is receiving magnesium sulfate as a treatment for preeclampsia. Which of the following clinical findings is the nurses priority?

Urinary output 40 mL in two hours

A nurse is assessing a client who is suspected of having a hyper emesis gravidarum. Which of the following laboratory test showed her the nurse check for?

Urine ketones

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

Urine output 20 mL per hour

A nurse is caring for a client who is 16 weeks gestation and several Iron deficiency anemia the provider prescribes an injection of iron dextran I am which of the following message to the nurse used to administer the medication

Use a 20 gauge needle and administer the medication using the Z track method

A nurse is planning care for a newborn who is receiving phototherapy for an elevated bilirubin level is the following actions should the nurse take?

Use a photo meter to monitor the lamps energy

A nurse is providing education about continuous heparin therapy for a client who is 18 hours postpartum and has developed a deep vein thrombosis. Which of the following statements should the nurse include in the teaching?

Use a soft toothbrush to brush your teeth gently

A nurse is caring for a client in the third trimester of pregnancy who reports difficulty sleeping. Which of the following instruction should the nurse provide?

Use additional pills to support extremities and abdomen

A nurse is assessing a client at 37 weeks gestation who has a Suspected pelvic fracture due to blunt abdominal trauma. Which of the following findings should the nurse expect?

Uterine contractions

A nurse is caring for a client at 34 weeks gestation who presents with vaginal bleeding. Which of the following assessments will indicate whether the bleeding is caused by placenta previa or abruptio placenta

Uterine tone

A nurse is caring for a client at 39 weeks gestation who is in the active phase of labor. The nurse observes late decelerations in the fetal heart rate. Which of the following findings should the nurse identify as a cause of late decelerations

Uteroplacental insufficiency

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

Vaginal bleeding

A nurse is caring for a client who is in labor. A vaginal examination reveals the following findings: 2 cm, 50%, +1, right occiput anterior (ROA). Based on this information, which of the following fetal position should the nurse document in the medical record?

Vertex

A nurse is providing teaching about exercise for a client who is pregnant which of the following pieces of information should the nurse include?

Vigorous exercise it should be limited and should not be performed in hot humid weather

A nurse is reinforcing teaching about nutritional Requirements during lactation for a client who is planning to breast-feed. Which of the following nutrients should the client increase during lactation?

Vitamin C

A nurse is caring for a client who is in labor. The client questions application of an internal fetal scalp monitor. Which of the following responses should the nurse provide?

We need to observe your baby more closely

A nurse is teaching a prenatal class for a group of antepartum client which of the following pieces of information should the nurse include about the hepatitis B immunization

We will need your consent prior To administering the vaccine

A nurse is determining an echo score for newborn who was born one minute ago or which of the following findings should the nurse assess a score of one

Weak cry

A nurse is monitoring a newborn who is receiving phototherapy. The nurse should identify which of the following findings as requiring interventions?

Weight loss 12% of birth weight

A nurse is admitting a client who is in post term labor which of the following statements should the nurse identify as a priority

When my water broke it was not clear

A nurse is assessing an 18 hour old newborn which of the following findings should be reported to the provider?

Yellow tinged skin

A nurse is caring for a client who has trichomoniasis and a prescription for metronidazole. Which of the following instructions should the nurse provide to the client about the treatment plan?

You and your partner need to take a medication and using condom during intercourse until cultures are negative

A nurse is providing education to a client who is at 34 weeks of gestation about a nonstress test. Which of the following pieces of information should the nurse include?

You might have to drink orange juice during the test

A nurse is providing counseling for a couple experiencing infertility issues. Which of the following statements by the nurse is appropriate?

You might want to join our support group for a couples who are experiencing similar problems

A nurse is teaching a client who has postpartum about the rubella vaccine. Which of the following statements should the nurse include?

You must not become pregnant for 28 days after receiving this immunization

A nurse is teaching a client who is pregnant about toxoplasmosis. Which of the following instruction should the nurse include?

You should avoid gardening during your pregnancy to decrease your risk of contracting toxoplasmosis

A nurse is teaching a client who is 12 weeks gestation and has human immunodeficiency virus which of the following statements should the nurse include in the teaching

You should continue to take zidovudine Throughout the pregnancy

A nurse is educating a client who was at 10 weeks station and report we got nausea and vomiting which of the following statements should the nurse include in the teaching?

You should eat dry foods that are high in carbohydrates when you wake up

A nurse is caring for a pregnant client reports nausea and vomiting which of the following instruction should the nurse you're with a client?

You should eat some crackers before arising from bed in the

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

You should expect to decrease your insulin dosage immediately after you deliver your baby

A nurse is providing teaching about waking during pregnancy for a client who is a primigravida of normal pre-pregnancy weight. Which of the following statements should the nurse include?

You should plan to gain 25 to 35 pounds during your pregnancy

A nurse is caring for a client at 12 weeks gestation who has a BMI of 45. Which of the following pieces of information should the nurse provide for the client regarding the recommended weight gain during her pregnancy?

You should plan to gain no more than 20 pounds during your pregnancy

A nurse in the clinic is providing education to a client at 32 weeks gestation who has pruitus Gravidarum. Which of the following pieces of information should the nurse provide

You should slightly increase your exposure to sunlight

A nurse is caring for a client who is at 26 weeks gestation and reports constipation. Which of the following responses by the nurse is appropriate

You should walk for at least 30 minutes every day

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

You spermicide jelly whenever you use your diaphragm

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

You will feel so much discomfort during this procedure

A nurse is teaching a client who has active gentle herpes Symplex virus, type two. Which of the following statements should the nurse include in the teaching

You will have a cesarean birth prior to the onset of labor

A nurse is teaching 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 is teaching a client who is at 10 weeks gestation about an abdominal ultrasound in the first trimester. Which of the following pieces of information should the nurse include in the teaching?

You will need to have a full bladder during the ultrasound

A nurse in the clinic is providing teaching to a client who is at 37 weeks of gestation and they 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 providing discharge teaching to the parent of a newborn. Which of the following statements should the nurse include in the teaching

Your baby should be rear facing in a car seat until two years of age

A nurse is providing teaching or postpartum client who is breast-feeding. Which of the following pieces of information to the nurse include in the teaching?

Your milk supply will noticeably increase in volume around the third and fourth day after delivery

A nurse is assessing a client at 35 weeks gestation receives magnesium sulfate your continuous IV infusion for severe preeclampsia. Which of the following findings should the nurse report to the provider?

Your new outfit 20 mL per hour

A nurse is providing teaching to a client who has come to the family planning clinic requesting an intrauterine device IUD. Which of the following pieces of information should the nurse provide to the client?

Your risk for ectopic pregnancy increases with an IUD