Maternity Final

Which recommendation for relieving insomnia will the nurse suggest to a client with menopause? Select all that apply. One, some, or all responses may be correct.

- Drink chamomile tea - Avoid caffeine after dinner - Restrict liquids in the evening - Sprinkle lavender oil on a pillow - Use the bed for sleeping and sex only

Which intervention would a nurse suggest to the client who is prescribed hormonal therapy for the treatment of low estrogen levels? Select all that apply. One, some, or all responses may be correct.

- Encourage physical activity - Advise the client to take oral forms of estradiol with food - Provide the client with instructions on self-administration - Educate on the importance of reporting any vaginal bleeding - Supply information related to smoking cessation - Avoid the use of ibuprofen as an analgesic

Which risk factor associated with intrauterine device (IUD) use would the nurse include in the discussion of an IUD with a client? Select all that apply. One, some, or all responses may be correct.

- Expulsion of the device - Risk for infection during insertion - Risk for perforation of the uterus - Ectopic pregnancy

Which alternative remedy would the nurse suggest to a client with dysmenorrhea who is interested in treating the condition with herbal therapies? Select all that apply. One, some, or all responses may be correct.

- Ginger - Fennel - Valerian - Wild yam - Black haw

Which clinical manifestation that would require the client to stop taking an oral contraceptive and notify the provider would the nurse include in the teaching plan? Select all that apply. One, some, or all responses may be correct.

- Headaches - Visual disturbances - Severe leg pain - Shortness of breath - Abdominal pain

Which information is important for the nurse to obtain during the assessment of a female who has been prescribed combined oral contraceptives (COCs)? Select all that apply. One, some, or all responses may be correct.

- History of thromboembolic disorder - Full medication reconciliation - Treatment for tuberculosis - Diagnosis of cancer - Presence of aura with migraines

Select the 4 findings that when verbalized by the patient indicate that discharge teaching was understood.

- I should rinse with a baking soda solution after vomiting. - I should eat small, but frequent meals. - I should eat crackers as soon as I wake up and shouldn't get out of bed immediately. - Eating ginger may be helpful to prevent nausea.

The nurse is obtaining a health history from a client with endometriosis. Which consequence can occur as a result of this disorder? Select all that apply. One, some, or all responses may be correct.

- Metrorrhagia - Impaired fertility - Bowel strictures - Voiding difficulties - Dysmenorrhea - Painful intercourse

A child with impaired congenital brain development was brought in for treatment. Which would the nurse assess to aid in developing the plan of care? Select all that apply. One, some, or all responses may be correct.

- Obtain a family history - Review medication use during pregnancy

Which assessment would the nurse perform for a woman prescribed clomiphene? Select all that apply. One, some, or all responses may be correct.

- Reproductive and uterine status - Concomitant use of antidepressants - Family stability and economic status - Identify any thyroid disorders - Review adrenal function - Determine presence of pituitary tumor

Which medication from the orders should the nurse administer based upon the current patient presentation?

Ondansetron (Zofran) 4 mg IV

A client notes a yellowish green vaginal discharge 4 days after a vaginal hysterectomy. Which additional clinical manifestation would the nurse expect if pelvic infection is present? Select all that apply. One, some, or all responses may be correct.

- Abdominal pain - Rising temperature

The nurse is planning to implement the provider's orders. Which action is the priority action at this time?

Ask the provider for an order for a blood type and screen

Complete the diagram by dragging from the choices area to specify which condition the client is most likely experiencing, 2 patient assessment findings and/or cues that are consistent with the condition, and 2 teaching points the nurse should review to ensure patient understanding of the condition.

Assessment: Fever, general malaise and clustered vesicles in peri-anal area Condition: Herpes Teaching: There is no cure for this condition and you may have recurrent episodes. It is important that your sexual partners wear condoms and dental dams with each sexual encounter, including during oral and anal intercourse.

Click to highlight the relevant patient cues that require immediate attention by the triage nurse.

10 weeks 2/7 days gestation Complaining of severe nausea and vomiting bouts of emesis at least 8 times a day for the last week and a half. taking her mother's ondansetron she is losing weight

Complete the diagram by dragging from the choices area to specify which condition the neonate is most likely experiencing based upon assessment findings, 2 actions the nurse should take to address that condition, and 2 parameters the nurse should monitor to assess the client's progress.

Actions to take: Encourage skin to skin and apply a neonatal urine bag for sample collection Problem: Neonatal Abstinence syndrome Monitor: Neonatal skin for excoriation and intake and output

For each abnormal laboratory value or panel, click to specify the potential patient condition that might be contributing to the abnormality based upon the information given.

Hemoglobin - expected abnormal finding Urine Specific gravity - dehyrdation Urinary ketones - Nausea and vomiting Serum glucose - dehydration

For each nursing intervention, click to specify the patient teaching points that would be appropriate for the care of the client.

Venipuncture to obtain stat type and screen - "You need a blood transfusion for heavy bleeding." "The lab needs this sample in order to safely match your blood with donor blood." Assist patient with positioning during ultrasound - "An ultrasound can help us to visualize potential causes of your bleeding that may not be related to pregnancy." "Your doctor has ordered a vaginal ultrasound and an abdominal ultrasound. That means it will be performed on your abdomen as well as inside of your vagina." Maintain NPO status - "Because we do not have the results of your ultrasound, we do not know if you will need an emergency surgical intervention to help stop your bleeding." "Eating before surgery increases your risk for aspiration pneumonia."

Drag one condition and two relevant patient cues to complete the sentence(s).

hypovolemia heavy vaginal bleeding tachycardia

Select the 4 responses by the patient that indicate understanding of her diagnosis and treatment plan.

"My IUD may remain in place as this is not the cause of my heavy bleeding." "Uterine fibroids are common in women." "I should avoid using aspirin for pain control because it may increase my bleeding." "I should keep track of my periods and bleeding episodes as well as my symptoms on a calendar."

Which expected outcomes should the nurse include on the patient's plan of care? Select all that apply.

- Client will maintain adequate fluid intake during hospitalization - Nausea and vomiting will not prevent nutrition intake during hospitalization - Nausea and vomiting will not prevent patient from self-care during activities of daily living while hospitalized - Client will report some relief from prescribed antiemetic medication while hospitalized - Fetal heart tones will remain within normal limits during hospitalization - Client will express concerns regarding diagnosis and treatment throughout the hospital stay

For each assessment finding, click to indicate whether the findings are generally associated with menorrhagia, abnormal uterine bleeding, or both.

Pulse - both Heavy vaginal bleeding - both Severe abd pain - both Genital; injury - abnormal uterine bleeding Endometrail cancer - both