maternity stu
A nurse is caring for four clients. For which of the following clients should the nurse auscultate the fetal heart rate during the prenatal visit?
a. A client who has felt quickening for the first time
A nurse on the labor and delivery unit is assessing four clients. Which of the following clients is a candidate for an induction of labor with misoprostol?
a. A client who has gestational diabetes mellitus
A nurse is assessing a client following an amniocentesis. Which of the following findings should the nurse recognize as complications? (select all that apply).
a. Amnionitis d. Leakage of amniotic fluid e. Preterm labor
A nurse is providing teaching to a client about exercise safety during pregnancy. Which of the following statements by the client indicates an understanding of the teaching? (Select all that apply)
"I should consume three 8-ounce glasses of water after I exercise." "I should limit exercise sessions to 30 minutes when the weather is humid." "I should rest by lying on my side for 10 minutes following exercise."
A nurse is assessing a client who is at 37 weeks of gestation. Which of the following statement by the client requires immediate intervention by the nurse?
"It burns when I urinate"
A nurse is providing teaching about terbutaline to a client who is experiencing preterm labor. Which of the following statement by client indicates an understanding of the teaching?
"The medication could cause me to experience heart palpitations"
A nurse is caring for a client following a vaginal delivery of a term fetal demise. Which of the following statement should the nurse make?
"You can bathe and dress your baby if you'd like to."
A nurse is providing nutritional guidance to a client who is pregnant and follows a vegan diet. The client asks the nurse which foods she should eat to ensure adequate calcium intake. The nurse should instruct the client that which of the following foods has the highest amount of calcium?
1 cup cooked broccoli
A nurse is caring for a client who has active genital herpes simplex virus type 2. Which of the following medications should the nurse plan to administer
Acyclovir
A nurse on the postpartum unit is caring for four clients. For which of the following clients should the nurse notify the provider?
A client who is receiving magnesium sulfate and has absent deep tendon reflexes
A nurse is caring for newborn who is 1 hr. old and has a respiratory rate of 50/min, a heart rate of 130/min, and an auxiliary temperature of 36.1*C (97F). Which of the following actions should the nurse take?
Apply a cap to the newborn head
A nurse is caring for a client who is in labor and requests nonpharmacological pain management. Which of the following nursing actions promotes client comfort?
Assisting the client into squatting position
A nurse is planning care for a full-term newborn who is receiving phototherapy. Which of the following actions should the nurse include in the plan of care
Avoid using lotion or ointment on the newborn skin
A nurse is planning care for a client who is pregnant and has HIV. Which of the following actions should the nurse include in the plan of care?
Bathe the newborn before initiating skin-to-skin contact
A nurse is teaching about clomiphene citrate to a client who is experiencing infertility. Which of the following adverse effect should the nurse include?
Breast Tenderness
A nurse is planning to teach a group of clients who are about breastfeeding after returning to work. Which of the following infection should the nurse include in the teaching
Breast milk can be stored in a deep freezer for 12 months."
A charge nurse is teaching a group of staff nurses about fetal monitoring during labor. Which of the following findings should the charge nurse instruct the staff members to report to the provider?
Contraction durations of 95 to 100 seconds
A nurse is assessing a newborn upon admission to the nursery. Which of the following should the nurse expect?
Chest circumference 2 cm (0.8 in) smaller than the head circumference
A nurse in a woman's health clinic is obtaining a health history from a client. Which of the following findings should the nurse identify as increasing the client's risk for developing pelvic inflammatory disease (PID)?
Chlamydia Infection
A nurse is assessing a newborn following a forceps assisted birth. Which of the following clinical manifestations should the nurse identify as a complication of the birth method?
Facial Palsy
A nurse is teaching a prenatal class about immunizations that newborns receive following birth. Which of the following immunizations should the nurse include in the teaching?
Hepatitis B
A nurse caring for a client who is at 20 weeks of gestation and has trichomoniasis. Which of the following findings should the nurse expect?
Malodorous Discharge
A nurse is caring for a client who is 14 weeks of gestation. At which the following locations should the nurse place the Doppler device when assessing the fetal heart rate?
Midline 2 to 3 cm (0.8 to 1.2 in) above the symphysis pubis
A nurse is caring for a client who is receiving oxytocin for induction of labor and notes late decelerations of the fetal heart rate on the monitor Tracing. Which of the following action should the nurse take
Place the client in lateral position
A nurse is assessing a client who is at 27 weeks of gestation and has preeclampsia. Which of the following findings should the nurse report to the provider?
Platelet Count 60.000/ mm3
A nurse is caring for a newborn who is 6 hr. old and has a bedside glucometer reading of 65 mg/ dL. The newborn's mother has type 2 diabetes mellitus. Which of the following actions should the nurse take
Reassess the blood glucose level prior to the next feeding
A nurse is caring for a client who is in the second stage of labor. Which of the following manifestations should the nurse expect?
The client delivers the newborn
A nurse is assessing a newborn immediately following a vaginal birth. For which of the following findings should the nurse intervene?
Sternal retractions
A nurse is planning care for a newborn who has neonatal abstinence syndrome. Which of the following interventions should the nurse include in the plan of care?
Swaddle the newborn in a flexed position
A nurse is developing an educational program about hemolytic diseases in newborns for a group of newly licensed nurses. Which of the following genetic information should the nurse include in the program as a cause of hemolytic disease
The mother is Rh negative, and the father is Rh positive
A nurse is teaching a client who is at 41 weeks of gestation about a non-stress test. Which of the following information should the nurse include in the teaching?
a. "This test will determine adequacy of placental perfusion".
A nurse is reviewing signs of effective breastfeeding with a client who is 5 days postpartum. Which of the following information should the nurse include in the teaching?
a. "You should feel a tugging sensation when the baby is sucking.
A nurse is providing teaching to a client who is at 38 weeks of gestation and has a prescription to receive misoprostol intravaginally. Which of the following statement should the nurse make?
a. "you will need to stay in a side-lying position for 30 minutes after each dose."
A nurse on postpartum unit caring for four clients. Which of the following clients should receive Rh, (D) Immune globulin to prevent Rh- is immunization?
a. A Rh-negative mother who has an Rh- positive infant
. A nurse is preparing to administer methylergonovine 0.2 mg orally to a client who is 2 hr postpartum and has a boggy uterus. For which of the following assessment findings should the nurse withhold the medication
a. Blood pressure 142/92 mm Hg
A nurse is planning care for a newborn who is scheduled to start phototherapy using a lamp. Which of the following actions should the nurse include in the plan
a. Ensure the newborn eyes are closed beneath the shield.
A nurse is receiving laboratory results for a term newborn who is 24 hr old. Which of the following results require intervention by the nurse?
a. Glucose 20 mg/dL
A nurse is providing teaching to a client who has mild preeclampsia and will be caring for herself at home during the last 2months of pregnancy. This of the following statements by the client indicates an understanding of the teaching.
a. I will consume 50 grams of protein daily
A nurse is planning care for a client who is receiving oxytocin by continuous IV infusion for labor induction. Which of the following interventions should the nurse include in the plan?
a. Increase the infusion rate every 30 to 60 min.
A nurse is reviewing the electronic medical record of a postpartum client. The nurse should identify that which of the following factors places the client at risk for infection
a. Midline episiotomy
A nurse is assessing a newborn who was born Post term. Which of the following findings should the nurse expect?
a. Nails extending over tips of fingers
A nurse is teaching a client who is 28 weeks of gestation and not up-to date on current immunization. Which of the following immunizations should the nurse inform the client to anticipate receiving following birth?
a. Rubella
A nurse is caring for a newborn who is 24 hr. old. Which of the following Laboratory findings should the nurse report to the provider?
a. WBC count 32.000/mm3
A nurse is caring for four newborns. Which of the following newborns should the nurse assess first?
a. newborn who has nasal flaring
A nurse is caring for a client who has hyperemesis gravidarum. Which of the following laboratory tests should the nurse anticipate?
urine ketones
