Maternal/Newborn

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Minimal arm recoil

A nurse is assessing a newborn at 26 weeks of gestation using the New Ballard score. Which of the findings should the nurse expect?

Leakage of fluid from the vagina

A nurse is caring for a client following an amniocentesis at 18 weeks gestation. What finding should the nurse report to the provider as a potential complication?

BUN 25 mg/dL

A nurse is caring for a client who has hyperemesis gravidarum and receiving IV fluid replacement. What finding should the nurse report to the provider?

Temperature The greatest risk following amniotomy is infection.

A nurse is caring for a client who is in labor and is to have an amniotomy. What assessment should the nurse identify as priority?

A reduction in respiratory distress in the newborn. betamethasone is a glucocorticoid that is given to stimulate fetal lung maturity and prevent respiratory distress.

A nurse is caring for client who is anemic at 32 weeks of gestation and is in preterm labor. The provider prescribed betamethasone 12 mg IM. What outcome should the nurse expect?

"You should get a 2-hour oral glucose tolerance test in 6 to 12 weeks"

A nurse is providing discharge teaching to a client who is postpartum and was taking insulin for gestational diabetes mellitus. What instructions should you use in your teaching?

Bisacodyl rectal suppository daily PRN

A nurse is reviewing the medical record of a client who is one day postpartum. The client has a vaginal birth with a fourth degree perineal laceration. The nurse should contact the provider regarding an error of what prescription?

"You should exercise for 30 minutes each day; take your pulse every 10 to 15 minutes"

A nurse is teaching a client who is at 8 weeks of gestation about exercise. What instruction should the nurse include in the teaching?

Massage the fundus to expect clots and promote contractions.

A nurse on a postpartum unit is caring for client who is experiencing hypovolemic shock. After notifying the provider, which of the following actions should the nurse take next?

Hypokalemia

What is an adverse effect on a client in preterm labor that is taking terbutaline?

45-55 cm

What is the expected reference range for a newborn's length?


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