Maternity Proctored NGN B
A nurse is providing teaching about family planning to a client who has a new prescription for a diaphragm. Which of the following statements should the nurse include in the teaching?
"You should leave the diaphragm in place for at least 6 hrs after intercourse"
A nurse is planning discharge for a client who is 3 days postpartum. Which of the following nonpharmacological interventions should the nurse include in the plan of care for lactation suppression?
Apply cabbage leaves to the breast
A nurse is performing a vaginal examination on a client who is in labor and observes the umbilical cord protruding from the vagina. After calling for assistance, which of the following actions should the nurse take next?
Apply internal upward pressure to the presenting part using using two gloved fingers
A nurse is caring for a client who is in labor and whose fetus is in the right occiput posterior position. The client is dilated to 8 cm and reports back pain. Which of the following actions should the nurse take?
Apply sacral counterpressure
A nurse is caring for a postpartum client. Complete the following sentence by using the list of options.
Assess the clients deep tendon reflexes followed by Assess the client for visual disturbances
A nurse is reviewing the lab results of a newborn who is 4 hr old. Which of the following findings should the nurse report to the provider?
Bilirubin of 9 mg/dL
A nurse is reviewing the lab report of a newborn who is 24 hr old. Which of the following results should the nurse report to the provider?
Blood glucose of 30 (should be 40-45)
A nurse is caring for a postpartum client. A nurse is performing an assessment on the client. Which of the following findings should the nurse report to the provider? Select all that apply.
Blood pressure 152/110 +2 pitting edema Headache Heartburn
A nurse is assessing a newborn following a circumcision. Which of the following findings should the nurse identify as an indication that the newborn is experiencing pain?
Chin quivering
A nurse is planning care for a client who is 2 hr postpartum. Which of the following interventions should the nurse plan to implement during the taking-hold phase of postpartum behavioral adjustment?
Demonstrate to the client how to perform a newborn bath
A nurse at a provider's office is caring for a client who is 28 years of age. The nurse is preparing the client for surgery. Which of the following actions should the nurse take?
Ensure the client is NPO prior to surgery Insert an 18-gauge peripheral IV prior to surgery Obtain a complete blood count
A nurse is caring for a client who is at 22 wks gestation and reports concern about the blotchy hyperpigemention on the forehead. Which of the following actions should the nurse take?
Explain to the client this is an expected occurrence
A nurse is preparing to administer oxytocin to a client who is postpartum Which of the following findings is an indication for the administration of the medication (Select all)
Flaccid uterus Excess vaginal bleeding
A nurse is planning care for a client who is to undergo a nonstress test. Which of the following actions should the nurse include in the plan of care?
Instruct the client to press the provided button each time fetal movement is detected
A nurse is assessing a newborn for manifestations of hypoglycemia. Which of the following findings should the nurse expect?
Jitteriness
A nurse is caring for a client following an aminocentesis at 18 weeks gestation. Which of the following findings should the nurse report to the provider as a potential complication?
Leakage of fluid from the vagina
A nurse is planning care for a client who is in labor and is requesting epidural anesthesia for pain control. Which of the following actions should the nurse include in the plan of care?
Monitor clients BP every 5 mins following the first dose of anesthetic solution
A nurse is reviewing the medial record of a newly admitted client who is at weeks of gestation. Which of the following conditons is an indication for fetal assessment using electronic fetal monitoring?
Oligohydraminos
A nurse is reviewing the medical record of a client who is postpartum and has preeclampsia. Which of the following lab results should the nurse report to the provider?
Platelets 50,000/mm3 *below range*
A nurse is teaching a client who has a new prescription for combined oral contraceptives about potential adverse effects of the medication. For which of the following findings should the nurse instruct the client to notify the provider?
Shortness of breath
A nurse is teaching a new mother how to use a bulb syringe to suction her newborns secretions. Which of the following instructions should the nurse include?
Stop suctioning when the newborns cry sounds clear
A nurse is assessing a newborn who is 12 hr old. Which of the following manifestation requires intervention by the nurse?
Substernal chest retractions while sleeping
A nurse is assessing a client who is at 30 weeks of gestation during a routine prenatal visit. Which of the following findings should the nurse report to the provider?
Swelling of the face
A nurse is caring for a client who is experiencing preterm labor at 29 wks of gestation and has prescription for betamothasone. Which of the following statements should the nurse make about the nurse make about the indication for medication adminstration?
The medications stimulate fetal lung maturity
A nurse at a provider's office is caring for a client who is 28 years of age Complete the following sentence by using the list of options.
The nurse should first address the client's heart rate followed by the client's vaginal spotting
A nurse is caring for a client who is in labor and reports increasing rectal pressure. She is experiencing contractions 2-3 mins apart, each lasting 80-90 sec, and vaginal exam reveal the cervix is dilated to 9 cm. The nurse should identify the client is in which phase of labor?
Transition
A nurse is caring for a newborn who was transferred to the nursery 30 min after birth because of mild respiratory distress. Which of the following actions should the nurse take first?
Verify the newborns indentification
A nurse is assessing the newborn of the client who took a selective sertotonin reuptake inhibitor (SSRI) during pregnancy. Which of the following manifestations should the nurse identify as an indication of withdrawl from an SSRI?
Vomiting
A nurse is evaluating the client following surgery. Which of the following findings indicate that the client is experiencing a potential complication of surgery that requires immediate follow-up? Click to highlight the findings below.
palpate the client's fundus to identify the fetal part. Second, the nurse should determine the location of the fetal back. Third, the nurse should palpate for the fetal part presenting at the inlet. Finally, the nurse should palpate the cephalic prominence to identify the attitude of the head.
A nurse is teaching a client who is at 24 weeks of gestation regarding a 1-hr glucose tolerance test. Which of the following statements should the nurse include in the teaching?
" A blood glucose of 130-140 is considered a positive screening result"
A nurse is teaching a client who is pregestational type 1 diabetes mellitus about management during pregnancy. Which of the following statements by the client indicates an understanding of the teaching?
" I will continue taking my insulin if I experience nausea and vomiting"
A nurse is teaching a client who is in preterm labor about terbutaline. Which of the following statements by the client indicates an understanding of the teaching?
" I will have blood tests because my potassium might decrease"
A nurse is teaching a client who is Rh negative about Rho(D) immune globulin. Which of the following statements by the client indicates an understanding of the teaching?
" I will need this medication if I have an aminocentesis"
A nurse in a prenatal clinic is caring for a client who reports that her menstrual period is 2 wks late. The client appears anxious and asks the nurse is she is pregnant. Which of the following responses should the nurse make?
" You can miss your period for several other reasons. Describe your typical menstrual cycle"
A nurse is teaching new parents about newborn safety. Which of the following instructions should the nurse include in the teaching?
" You can share your room with your baby for the next few weeks"
A school nurse is providing teaching to an adolescent about levonorgestrel contraception. Which of the following information should the nurse include in the teaching?
" You should take the medication within 72 hrs following unprotected intercourse"
A nurse at a provider's office is caring for a client who is 28 years of age. Select 3 findings that require immediate follow-up
Abdomen assessment Vaginal spotting Menstrual period
A nurse is assessing a client who gave birth vaginally 12 hr ago and palpates her uterus to the right above the umbilicus which of the following interventions should the nurse perform?
Assist the client to empty her bladder
A nurse is caring for a client who is at 41 wks gestation and has a positive contraction stress test. For which of the following diagnostic test should the nurse prepare the client?
Biophysical profile (BPP)
A nurse in a family planning clinic is caring for a client who request an oral contraceptive. Which of the following findings in the clients history should the nurse recognize as a contraindication to the oral contraceptives?
Cholecystitis Hypertension Mirgaine headaches
A nurse is caring for a newborn who is undergoing phototherapy to treat hyperbilirubinemia. Which of the following actions should the nurse take?
Cove the newborns eyes while under the phototherapy light
A nurse at a provider's office is caring for a client who is 28 years of age Drag 1 condition to the finding to fill in each blank following the sentence
Condition= ectopic pregnancy Finding= Right lower quadrant tenderness
A nurse is assessing a client who is postpartum and has idiopathic thrombocyopenia purpura (ITP). Which of the following findings should the nurse expect?
Decreased platelet count
A nurse is caring for a client who becomes unresponsive upon delivery of the placenta. Which of the following actions should the nurse take first?
Determine respiratory function
A nurse in the antepartum clinic is assessing a client's adaptation to pregnancy. The client states she "happy one minute and crying the next" The nurse should interpret the clients statement as an indication of which of the following?
Emotional lability
A nurse in a woman health clinic is providing teaching about nutritional intake to a client who is at 8 wks gestation. The nurse should instruct the client to increase her daily intake of which of the following nutrients?
Iron
A nurse is caring for a client who is pregnant and at the end of her first trimester. The nurse should place the doppler ultrasound stethoscope in which of the following locations to begin assessing for the fetal heart tones (FHT)?
Just above the symphysis pubis
A nurse is assessing fetal tones for a client who is pregnant. The nurse has determined the fetal position as left occipital anterior. To which of the following area of the cleint's abdomen should the nurse apply the ultrasound transducer to assess the point of maximum intensity of the fetal heart?
Left lower quadrant
A nurse on a postpartum unit is caring for a client who is experiencing hypovolemic shock. After notifying the provider, which of the following actions should the nurse take next?
Massage the clients fundus
The nurse is reviewing the postpartum client's medical record. The nurse is planning care for the postpartum client. For each potential provider's prescription, click to specify if the potential prescription is anticipated or contraindicated for the client.
Obtain specimen for urinalysis: anticipated Monitor intake and output: anticipated Administer magnesium sulfate: anticipated Place the client on seizure precautions: anticipated Administer labetalol: contraindicated Draw creatinine and BUN: anticipated
The nurse is reviewing the postpartum client's medical record. The nurse is reviewing the client's electronic medical record. Which of the following actions should the nurse take? Select the 5 actions that the nurse should perform
Place the client on seizure precautions Administer mag. sulfate Obtain the creatinine, platelet, BUN and liver enzymes Assess for worsening headache and epigastric pain hourly PRN Monitor level of consciousness,DTRs, and visual distrubances hourly
A nurse is providing discharge teaching to the parents of a newborn about car seat safety. Which of the following instructions should the nurse include?
Place the retainer clip at the level of the newborns armpits
A nurse is caring for a postpartum client. Based on the nurse's assessment findings, which of the following conditions is the client at greatest risk for developing? Drag 1 condition and 1 client finding to fill in each blank in the following sentence.
Preeclampsia AEB increased BP
A nurse is calculating a client expected date of birth using Nageles rule. The client tells the nurse that her last menstrual cycle started on November 27th. Which of the following dates is the clients expected date of birth?
September 3rd
A nurse is teaching a postpartum client about steps the nurses will take to promote the security and safety of the client's newborn. Which of the following should the nurse make?
Staff members who take care of your baby will be wearing a photo identification badge
A nurse is planning care for a client who is in labor and is to have aminotomy. Which of the following assessments should the nurse identify as the priority?
Temperature
A nurse at a provider's office is caring for a client who is 28 years of age. The nurse is collaborating with another nurse about the client's plan of care. For each potential provider's prescription, click to specify if the potential prescription is anticipated or contraindicated for the client
Transvaginal ultrasound: Anticipated Meperidine IM: contraindicated Repeat quantitative β-hCG level:Anticipated Methotrexate IM:Anticipated Blood typing:Anticipated
