OB hesi lpn
IV LR 1000 mL with oxytocin (Pitocin) 40 units to deliver 15mL/hr. How many milli-units/minute is the client receiving?
10 mu/min.
Prior to discharge, what instructions should the nurse give to parents regarding the newborn's umbilical cord care at home?
Allow the cord to air-dry as much as possible.
A pregnant client tells the nurse that she has been craving "unusual foods." The nurse gathers additional assessment data and discovers that the client has been ingesting daily amounts of white clay dirt from her backyard. Laboratory studies are performed and the nurse determines that which finding indicates a physiological consequence of the client's practice?
Hemoglobin 9.1 g/dL
Which maternal behavior is the nurse most likely to see when a new mother receives her infant for the first time?
Her arms and hands receive the infant and she then traces the infant's profile with her fingertips.
The nurse is teaching care of the newborn to a childbirth preparation class and describes the need for administering antibiotic ointment into the eyes of the newborn. An expectant father asks, "What type of disease causes infections in babies that can be prevented by using this ointment?" Which response by the nurse is accurate?
Gonorrhea
A 25-year-old client has a positive pregnancy test. One year ago she had a spontaneous abortion at 3 months of gestation. Which is the correct description of this client that should be documented in the medical record?
Gravida 2, para 0
A mother who is HIV-positive delivers a full-term newborn and asks the nurse if her baby will become HIV-infected. Which explanation should the nurse provide?
HIV infection is determined at 18 months of age, when maternal HIV antibodies are no longer present.
During the transition phase of labor, a client complains of tingling and numbness in her fingers and tells the nurse that she feels like she is going to pass out. What action should the nurse take?
Have her cup both hands over her nose and mouth while breathing.
PT with light brown bleeding w/ normal vitals, no contractions for 36 weeks
Have pt ambulate for 15 minutes
The nurse instructs a laboring client to use accelerated blow breathing. The client begins to complain of tingling fingers and dizziness. Which action should the nurse take?
Have the client breathe into her cupped hands.
Which statement made by the client indicates that the mother understands the limitations of breastfeeding her newborn?
"Breastfeeding my infant consistently every 3 to 4 hours stops ovulation and my period."
The nurse is conducting a prenatal class on the female reproductive system. When a client in the class asks why the fertilized ovum stays in the fallopian tube for 3 days, what is the nurse's best response?
"It promotes the fertilized ovum's normal implantation in the top portion of the uterus."
A new mother who has just had her first baby says to the nurse, "I saw the baby in the recovery room. She sure has a funny-looking head." Which response by the nurse is best?
"That is normal. The head will return to a round shape within 7 to 10 days."
The nursing student is preparing to teach a prenatal class about fetal circulation. Which statement should be included in the teaching plan?
"Two arteries carry deoxygenated blood and waste products away from the fetus to the placenta."
The nurse should include which statement to a pregnant client found to have a gynecoid pelvis?
"Your type of pelvis is the most favorable for labor and birth."
Primigravida, 36 week, admitted, water broke, 2cm dilated, 50% effaced, -2 station, vertex presentation, greenish colored amniotic fluid, contractions Q3-5 min with deceased in FHR after the last 4 contraction peaks. What to do FIRST?
02 via facemask.
A pregnant client asks the nurse in the clinic when she will be able to begin to feel the fetus move. The nurse responds by telling the mother that fetal movements will be noted between which weeks of gestation?
14-18
Patient with preeclampsia is receiving IV Mag 6 grams administered over 20 min. The nurse attaches a volume control device between the infusion pump and the bag of solution labeled "Magnesium Sulfate 20 grams/500 mL of D5W". How many mL should nurse place in volume controlled device?
150 mL
The nurse is performing an assessment of a pregnant client who is at 28 weeks of gestation. The nurse measures the fundal height in centimeters and expects which finding?
30cm
The nurse is using the Silverman-Anderson index to assess an infant with respiratory distress and determines that the infant is demonstrating marked nasal flaring, an audible expiratory grunt, and just visible intercostal and xiphoid retractions. Using this scale, which score should the nurse assign?
5
The nurse is providing instructions to a pregnant client with genital herpes about the measures that are needed to protect the fetus. Which instruction should the nurse provide to the client?
A cesarean section will be necessary if vaginal lesions are present at the time of labor.
A nonstress test is performed on a client who is pregnant, and the results of the test indicate nonreactive findings. The health care provider prescribes a contraction stress test, and the results are documented as negative. How should the nurse document this finding?
A normal test result
The nurse is planning discharge teaching for 4 mothers. Which postpartum client is at highest risk for psychological difficulties during the postpartum period?
A primiparous adolescent living at home with her parents and SO
The nurse is reviewing the record of a client who has just been told that a pregnancy test is positive. The health care provider has documented the presence of Goodell's sign. This finding is most closely associated with which characteristic?
A softening of the cervix
baby delivered with a A new mother asks the nurse about an area of swelling on her baby's head near the posterior fontanel that lies across the suture line. How should the nurse respond? A. "This is called caput succedaneum. It will absorb and cause no problems." B. "This is called caput succedaneum. It will have to be drained." C. "This is called a cephalhematoma. It will cause no problems." D. "This is called cephalhematome. It can cause jaundice as it is absorbed." head, crosses suture
A. "This is called caput succedaneum. It will absorb and cause no problems."
A multigravida full term , laboring client complains of back labor. Vaginal examine reveals that the client is 3cm with 50% effacement , and the fetal head is at -1 station. What action should the nurse implement first? A. Apply counter - pressure to the sacral area B. Turn the client lateral position C. Notify the scrub nurse to prepare the OR D. Ambulate the client between contractions
A. Apply counter - pressure to the sacral area
A postpartum client who is Rh-negative refuses to receive Rho(D) immune globulin (RhoGAM) after delivery of an infant who is Rh-positive. Which information should the nurse provide this client? A. RhoGam prevents maternal antibody formation for future Rh- positive babies B. RhoGAM is not necessary unless all her pregnancies are Rh-positive C. The R-positive factor from the fetus threatens her blood cells D. The mother should receive RhoGAM when the baby is Rh-negative
A. RhoGam prevents maternal antibody formation for future Rh-positive babies
The nurse is assessing a client at 29 weeks gestation. Which assessment measure would provide the most accurate determination of fetal position? A. Ultrasound B. Vaginal examination C. Leopolds maneuver D. Doppler
A. Ultrasound
Baby in warmer thermometer
Abdomen aligned with the light
Neonate under radiant warmer, naso-oral suctioned. Which indicates infant is "vigorous"?
Active movement and lusty cry.
A client in active labor is becoming increasingly fearful because her contractions are occurring more often than she had expected. Her partner is also becoming anxious. Which of the following should be the focus of the nurse's response?
Asking the client and her partner if they would like the nurse to stay in the room
. Patient had twins born to multigravida, 12 hours ago. Nursing Dx?
Assess fundal tone and lochia flow.
Sore nipples on day 2 of breastfeeding.
Assess infants position while feeding.
When assessing a client at 12 weeks of gestation, the nurse recommends that she and her husband consider attending childbirth preparation classes. When is the best time for the couple to attend these classes?
At 30 weeks of gestation
The nurse is teaching a new mother about diet and breastfeeding. Which instruction is most important to include in the teaching plan?
Avoid alcohol because it is excreted in breast milk.
A pregnant woman in the first trimester of pregnancy has a hemoglobin of 8.6 mg/dl and a hematocrit of 25.1%. What food should the nurse encourage this client to include in her diet? A. Carrots B. Chicken C. Yogurt D. Cheese
B. Chicken
A client at 35-weeks gestation complains of a "pain whenever the baby moves." On assessment, the nurse notes the client's temperature to be 101.2F, with severe abdominal or uterine tenderness on palpation. The nurse knows that these findings are indicative of what condition? A. Round ligament strain B. Chorioamnionitis C. Abruptio placenta D. Viral infection.
B. Chorioamnionitis
A primipara at 20-weeks gestation is scheduled for an ultrasound. In preparing the client for the procedure, the nurse should explain that the primary reason for conducting this diagnostic study is to obtain which information? A. Sex and size of the infant. B. Fetal growth and gestational age. C. Chromosomal abnormalities. D. Lecithin-sphingomyelin ration.
B. Fetal growth and gestational age.
At 20-weeks gestation, a client who has gained 20 pounds during this pregnancy tells the nurse that she is feeling fetal movement. Fundal height measurement is 20 cm, and the clients only complaint is that her breasts are leaking clear fluid. Which assessment finding warrants further evaluation? A. Presence of fetal movements. B. Gestational weight gain C. Fundal height measurement D. Leakage from breasts
B. Gestational weight gain
A primipara has deliverbd a stillborn fetus at 30 weeks gestation. To asses the parents in the grieving process which intervention is most for the nurse to implement ? A. explain the possible cause of the fetal demise B. Provide a time for the parents to hold their infant in privacy C. Encourage the parents to seek counseling within the next few weeks D. Assist the couple to request autopsy
B. Provide a time for the parents to hold their infant in privacy
A new mother asks the nurse, "How do I know that my daughter is getting enough breast milk?" Which explanation should the nurse provide? A. Weigh the baby daily, and if she is gaining weight, she is eating enough. B. Your milk is sufficient if the baby is voiding pale straw-colored urine 6 to 10 times a day. C. Offer the baby extra bottle milk after her feeding, and see if she is still hungry. D. If you're concerned, you might consider bottle feeding so that you can monitor her intake.
B. Your milk is sufficient if the baby is voiding pale straw-colored urine 6 to 10 times a day.
Terbutaline (Brethine) injections for preterm labor. When do you hold and call the MD?
Bilateral crackles in lungs on auscultation (critical complication).
A client who is 3 days postpartum and breastfeeding asks the nurse how to reduce breast engorgement. Which instruction should the nurse provide?
Breastfeed the infant every 2 hours.
A breastfeeding postpartum client is diagnosed with mastitis, and antibiotic therapy is prescribed. Which instruction should the nurse provide to this client?
Breastfeed the infant, ensuring that both breasts are completely emptied.
Twenty-four hours after admission to the newborn nursery, a full-term male infant develops localized swelling on the right side of his head. In a newborn, what is the most likely cause of this accumulation of blood between the periosteum and skull that does not cross the suture line?
Cephalhematoma, which is caused by forceps trauma
Pregnant w/ sever nausea with amnorrhic for 2 min?
Check HCG levels
A client at 28 weeks of gestation calls the antepartal clinic and states that she has just experienced a small amount of vaginal bleeding, which she describes as bright red. The bleeding has subsided. She further states that she is not experiencing any uterine contractions or abdominal pain. What instruction should the nurse provide?
Come to the clinic today for an ultrasound.
The nurse is conducting postpartum teaching with a mother who is breastfeeding here infant. When discussing birth control, which method should the nurse recommend to this client as beneficial for her to use in preventing an unwanted pregnancy?
Condoms and contraceptive foam or gel
A nursing student is assigned to care for a client in labor. The nursing instructor asks the student to describe fetal circulation, specifically the ductus venosus. Which statement is correct regarding the ductus venosus?
Connects the umbilical vein to the inferior vena cava
DM I, HbgA1c level 7.8 at 10 weeks pregnant. What should the nurse do?
Contact MD for BPP (BioPhysical Profile).
APGAR 3. Intervention?
Continue resuscitation efforts.
A newborn with a respiratory rate of 40 bpm at one minute after birth is demonstrating cyanosis of the hands and feet. What action should the nurse take?
Continue to monitor (normal).
The nurse is evaluating a full-term multigravida who was induced 3 hours ago. The nurse determines that the client is dilated 7 cm and is 100% effaced at 0 station, with intact membranes. The monitor indicates that the FHR decelerates at the onset of several contractions and returns to baseline before each contraction ends. Which action should the nurse take?
Continue to monitor labor progress.
A primigravida arrives at the observation unit of the maternity unit because thinks is in labor. The nurse applies the external fetal heart monitor and determines that the fetal heart rate is 140beats/minute and the contractions are occurring irregularly every 10 to 15 minutes. What assessment finding confirms to the nurse that the client is not labor at this time?
Contractions decrease with walking.
The healthcare provider prescribes 10 units/L of oxytocin via IV drip to augment a clients labor because she is experiencing a prolonged active phase. Which finding would cause the nurse to immediately discontinue the oxytocin?
Contractions lasting more then 100 seconds
Which finding(s) is (are) of most concern to the nurse when caring for a woman in the first trimester of pregnancy? (Select all that apply.)
Cramping with bright red spotting Lack of tenderness of the breast Increased right-side flank pain
What action should the nurse implement to decrease the client's risk for hemorrhage after a cesarean section? A. monitor urinary output via an indwelling catheter B. assess the abdominal dressings for drainage C. give the Ringer's lactated infusion at 125 ml/hr. D. check the firmness of the uterus every 15 minutes
D. check the firmness of the uterus every 15 minutes
The nurse is assessing a 35 week primigravida with a breech presentation who is expericing moderate uterine contraction every 3-5 minutes. During the examination the client tells the nurse, "I think my water just broke". Inspection of the perineal area reveals the umbilical cord protruding from the vagina. After activating the call bell system for assistance, what intervention should the nurse implement? A. administer oxygen 10L via facemask B. don gloves and push the cord back into the vagina C. wrap in sterile gauze D. position patient in knees to chest position
D. position patient in knees to chest position/ trelemberg
Patient is 5 weeks pregnant, educate on nutrition...
Eat a well balanced diet, adjust PRN for proper weight gain.
A new mother is having trouble breastfeeding her newborn. The child is making frantic rooting motions and will not grasp the nipple. Which intervention should the nurse implement?
Encourage the mother to stop feeding for a few minutes and comfort the infant.
A mother who is breastfeeding her baby receives instructions from the nurse. Which instruction is most effective in preventing nipple soreness?
Ensure that the baby is positioned correctly for latching on.
Assessing a 3 day old with cephalohematoma. What intervention is highest priority?
Examine Q8 hrs for jaundice (look for hyperbilirubinemia).
The nurse notes that a newborn at 24hrs of age has a large cephalhematoma. Which intervention has the highest priority.
Examine jaundice Q8 hours.
The nurse is preparing a laboring client for an amniotomy. Immediately after the procedure is completed, it is most important for the nurse to obtain which information?
Fetal heart rate (FHR)
The nurse is performing a newborn assessment. Which symptom, if present in a newborn, would indicate respiratory distress?
Flaring of the nares and grunting
Full term infant, vaginal birth, placed in radiant warmer, is apneic. What to do FIRST?
Flick soles of feet.
A client is admitted to the postpartum unit and tells the nurse that she had rheumatic fever as a child, which resulted in some "heart damage." The nurse knows that this client is at particular risk for developing heart failure during the immediate postpartum period. Based on this client's history, which nursing diagnosis has the highest priority?
Fluid volume excess.
To measure contractions:
From beginning of a contraction, to the beginning of the next contractions.
Abacavir (ziagen) 450 mg po tid ordered for HIV positive. Stock is 300 mg tabs. Give?
Give 1.5 tabs.
FHR decreases after each contraction. What should the nurse do?
Give 10 lpm 02 via mask.
At 6-weeks gestation, the rubella titer of a client indicates she is non-immune. When is the best time to administer a rubella vaccine to this client?
Give early postpartum within 72 hours.
38 week (IDM) infant of diabetic mother admitted to NICU @ 8.2 lbs. What is the priority Nursing Dx?
Hypoglycemia.
A primigravida, when returning for the results of her multiple marker screening (triple screen), asks the nurse how problems with her baby can be detected by the test. What information will the nurse give to the client to describe best how the test is interpreted?
If MSAFP and estriol levels are low and the hCG level is high, results are positive for a possible chromosomal defect.
A client who delivered by cesarean section 24 hours ago is using a patient-controlled analgesia (PCA) pump for pain control. Her oral intake has been ice chips only since surgery. She is now complaining of nausea and bloating, and states that because she had nothing to eat, she is too weak to breastfeed her infant. Which nursing diagnosis has the highest priority?
Impaired bowel motility related to pain medication and immobility.
A 41-week multigravida is receiving oxytocin (Pitocin) to augment labor. Contractions are firm and occurring every 5 minutes, with a 30- to 40-second duration. The fetal heart rate increases with each contraction and returns to baseline after the contraction. Which action should the nurse implement?
Increase the rate of the oxytocin (Pitocin) infusion
40 wks, cesarean, receives anticholinergic, atropine 0.4 mg IM as adjunct to inhaled anesthesia. What would be a therapeutic response to the injection?
Increased HR and decrease in oral secretions.
Which finding(s) is (are) most critical for the nurse to report to the primary health care provider when caring for the client during the last trimester of her pregnancy? (Select all that apply.)
Increased heartburn that is not relieved with doses of antacids Chronic headache that has been lingering for a week behind the client's eyes
Cytotec (Misoprostol) for peptic ulcer (Synthetic Prostaglandin E Drug). Nurse response?
Increased risk for spontaneous miscarriage.
A new mother who is breast feeding her 4-week-old infant and has type 1 diabetes, reports that her insulin needs have decreased since the birth of her child. What action should the nurse implement?
Inform her that a decreased need for insulin occurs while breastfeeding.
The health care provider (HCP) is assessing the client for the presence of ballottement. To make this determination, the HCP should take which action?
Initiate a gentle upward tap on the cervix.
Nutrition teaching for pregnant teens.
Iron-deficient anemia.
Which explanation should the nurse provide to the prenatal client about the purpose of the placenta?
It is the way the baby gets food and oxygen.
The nurse is counseling a client who wants to become pregnant. She tells the nurse that she has a 36-day menstrual cycle and the first day of her last menstrual period was January 8. When will the client's next fertile period occur?
January 29 to 30
. Second stage of labor, what does nurse do first?
Let pt know that birth is imminent.
During a prenatal visit, the nurse discusses the effects of smoking on the fetus with a client. Which statement is most characteristic of an infant whose mother smoked during pregnancy compared with the infant of a nonsmoking mother?
Lower initial weight documented at birth
Mom is diabetic presenting labor signs what do we check?
Lung maturity
On admission to the prenatal clinic, a client tells the nurse that her last menstrual period began on February 15 and that previously her periods were regular (28-day cycle). Her pregnancy test is positive. What is this client's expected date of birth (EDB)?
November 22
A 38-week primigravida who works as a secretary and sits at a computer 8 hours each day tells the nurse that her feet have begun to swell. Which instruction will aid in the prevention of pooling of blood in the lower extremities?
Move about ever hour.
The nurse has performed a nonstress test on a pregnant client and is reviewing the fetal monitor strip. The nurse interprets the test as reactive. How should the nurse document this finding?
Normal
The nurse observes that an antepartum client who is on bed rest for preterm labor is eating ice rather than the food on her breakfast tray. The client states that she has a craving for ice and then feels too full to eat anything else. Which is the best response by the nurse?
Notify HCP
The nurse is performing an assessment on a client who is at 38 weeks' gestation and notes that the fetal heart rate is 174 beats/minute. On the basis of this finding, what is the priority nursing action?
Notify the health care provider (HCP).
A newborn infant, diagnosed with developmental dysplasia of the hip (DDH), is being prepared for discharge. Which nursing intervention should be included in this infant's discharge teaching plan?
Observe the parents applying a Pavlik harness.
One hour following a normal vaginal delivery, a newborn infant boy's axillary temperature is 96° F, his lower lip is shaking and, when the nurse assesses for a Moro reflex, the boy's hands shake. Which intervention should the nurse implement first?
Obtain a serum glucose level.
Baby born breech, in the NICU they assess?
Ortolani's test.
The client comes to the hospital assuming she is in labor. Which assessment finding(s) by the nurse would indicate that the client is in true labor? (Select all that apply.)
Pain in the lower back that radiates to abdomen Progressive cervical dilation and effacement Regular and rhythmic painful contractions
Gravida 1, para 0, cervix dilated 8 cm, contractions Q2 min, bloody show, and nausea. Nurse Dx?
Pain r/t transitional phase of labor.
A mother expresses fear about changing the infant's diaper after circumcision. What information should the nurse include in the teaching plan?
Place petroleum ointment around the glans with each diaper change and cleansing.
40 weeks pregnant, laboring, patient states supine is position of comfort, the nurse should?
Place pillow wedge under right hip.
The nurse is caring for a postpartum client who is exhibiting symptoms of a spinal headache 24 hours following delivery of a normal newborn. Prior to the anesthesiologist arrival on the unit, which action should the nurse perform?
Place procedure equipment at bedside
Twenty minutes after a continuous epidural anesthetic is administered, a laboring client's blood pressure drops from 120/80 mm Hg to 90/60 mm Hg. Which action should the nurse take immediately?
Place the client in a lateral position.
Six hours after an oxytocin (Pitocin) induction was begun and 2 hours after spontaneous rupture of the membranes, the nurse notes several sudden decreases in the fetal heart rate with quick return to baseline, with and without contractions. Based on this fetal heart rate pattern, which intervention is best for the nurse to implement?
Place the client in a slight Trendelenburg position.
postpartum with bathroom privileges, what possible condition would the nurse place the patient on temporary bed rest for?
Positive Homan's sign.
Labor 30 hours, concern?
Post partum hemorrhage
The nurse calls a client who is 4 days postpartum to follow up about her transition with her newborn son at home. The woman tells the nurse, "I don't know what is wrong. I love my son, but I feel so let down. I seem to cry for no reason!" Which adjustment phase should the nurse determine the client is experiencing?
Postpartum blues
Eye ointment QS is for?
Prevent eye infection.
Just after delivery, a new mother tells the nurse, "I was unsuccessful breastfeeding my first child, but I would like to try with this baby." Which intervention should the nurse implement first?
Provide assistance to the mother to begin breastfeeding as soon as possible after delivery.
An off-duty nurse finds a woman in a supermarket parking lot delivering an infant while her husband is screaming for someone to help his wife. Which intervention has the highest priority?
Put baby to breast immediately.
Newborn assessment that indicates a cardiac problem?
RR 78/min.
An expectant father tells the nurse he fears that his wife "is losing her mind." He states that she is constantly rubbing her abdomen and talking to the baby and that she actually reprimands the baby when it moves too much. Which recommendation should the nurse make to this expectant father?
Reassure him that normal maternal-fetal bonding is occurring.
Alpha-fetal protein (AFP)
Schedule next ultrasound to confirm
A nurse receives a shift change report for a newborn who is 12 hours post-vaginal delivery. In developing a plan of care, the nurse should give the highest priority to which finding?
Skin color that is slightly jaundiced
A 26-year-old gravida 2, para 1 client is admitted to the hospital at 28 weeks of gestation in preterm labor. She is given three doses of terbutaline sulfate (Brethine), 0.25 mg subcutaneously, to stop her labor contractions. What are the primary side effects of terbutaline sulfate?
Tachycardia and a feeling of nervousness
Receiving report on laboring pt from ER. Water broke and didn't know it. First thing the nurse does?
Take temperature.
A client at 30 weeks of gestation is on bed rest at home because of increased blood pressure. The home health nurse has taught her how to take her own blood pressure and gave her parameters to judge a significant increase in blood pressure. When the client calls the clinic complaining of indigestion, which instruction should the nurse provide?
Take your blood pressure now and if it is seriously elevated, go to the hospital.
Baby weighs 7.5 lbs today, tomorrow 7 lbs (5 lb weight loss). What does the nurse do?
Tell mother it is normal.
Patient concerned about yellow nipple discharge.
Tell the patient it is normal.
One hand above pubic symphysis while massaging fundus of a patient who has a boggy uterine tone 15 min after delivery (7 lb baby). What does the nurse tell the patient?
Tell the patient that clots can form in a boggy uterus.
When assessing a pregnant woman at 39 weeks gestation who is admitted to labor and delivery, which finding is most important to report to the HCP?
Temperature of 101.2 oral
In developing a teaching plan for expectant parents, the nurse decides to include information about when the parents can expect the infant's fontanels to close. Which statement is accurate regarding the timing of closure of an infant's fontanels that should be included in this teaching plan?
The anterior fontanel closes at 12 to 18 months and the posterior fontanel by the end of the second month.
A pregnant client tells the clinic nurse that she wants to know the gender of her baby as soon as it can be determined. The nurse understands that the client should be able to find out the gender at 12 weeks' gestation because of which factor?
The appearance of the fetal external genitalia
Client teaching is an important part of the perinatal nurse's role. Which factor has the greatest influence on successful teaching of the pregnant client?
The client's investment in what is being taught
MVA
Urine dribbling
A client who had her first baby three months ago and is breastfeeding her infant tells the nurse that she is currently using the same diaphragm that she used before becoming pregnant. Which information should the nurse provide this client?
Use alternative form of birth control until new diaphragm can be obtained.
Fundus hand placement: 1 massages the fundus the other is for
The other hand anchors the lower uterine section.
Following a minor vehicle collision, a client at 36 weeks gestation is brought to the emergency center. She is lying supine on a backboard
Tilt the backboard sideways to displace the uterus laterally
Vitamin K
To prevent hemorrhagic disorders because this vitamin is not produced in the GI tract until day 8 (once breast milk is introduced into gut)
Oxytocin (Pitocin) 20 units in 1000 LR after delivery is for?
To stimulate uterine contractions to prevent hemorrhage.
The nurse is counseling a couple who has sought information about conceiving. The couple asks the nurse to explain when ovulation usually occurs. Which statement by the nurse is correct?
Two weeks before menstruation
In PACU, the most important assessment for first 8 hours after cesarean:
Uterine atony.
When preparing a class on newborn care for expectant parents, which is correct for the nurse to teach concerning the newborn infant born at term gestation?
Vernix is a white cheesy substance, predominantly located in the skin folds.
A client who delivered a healthy infant 5 days ago calls the clinic nurse and reports that her lochia is getting lighter in color and asks when the flow will stop. How should the nurse respond?
When the placental site has healed
A newborn's assessment reveals spina bifida occulta. Which maternal factor should the nurse identify as having the greatest impact on the development of this newborn complication? a. Preeclampsia. b. Folic acid deficiency. c. Short interval pregnancy. d. Tobacco use.
b. Folic acid deficiency.
A client at 32- weeks gestation presentd with extreme abdominal tenderness and a small amount of bright red vaginal bleeding -mmHg, respiratory rate is 24 breaths/minute,and her heart rate is 116 beats/minute. She is dizzy, with cold, clammy skin.
a. Lactated Ringers's at 200 ml/hr using an 18 guage needle
Premature first time having baby, behavior?
accept that delivery did not go as planned
Twelve hours after the birth of a healthy infant the mother complains of feeling constant vaginal pressure. The nurse determines the fundus is firm, and at midline, with moderate, rubra lochia. Which action should the nurse take? a. Apply a fresh pad and check in one hour. b. Inspect client's perineal and rectal areas. c. Check the suprapubic area for distention. d. Instruct the client to take a warm sitz bath.
b. Inspect client's perineal and rectal areas.
A 15-year-old gravida 1, para 0 client has just been admitted to the hospital with a diagnosis of eclampsia. She is not presently convulsing. Which intervention should the nurse plan to include in this client's nursing care plan? a. Keep an airway at the bedside b. Monitor blood pressure, pulse, and respirations every 4 hours. c. Assess temperature every hour. d. Allow liberal family visitation.
b. Monitor blood pressure, pulse, and respirations every 4 hours.
meconium stained fluid, mom 37 weeks
baby hr 100-110
42 week baby born, what to assess first?
capillary refill glucose
PT rupture of membranes, w/ variable decelerations
change position of pt
A client tells the nurse that she thinks she is pregnant. Which sign or symptom provides the best indication that the client is pregnant? a. Morning sickness. b. Amenorrhea. c. Breast Tenderness. d. Hegar's sign.
d. Hegar's sign.
Mag sulfate toxicity
deep tendon reflex, stop infusion
mom asks why her baby is being screened for T4 and TSH levels
it's state protocol to monitor for metabolic abnormalities
Fundus is boggy
massage
Pt on magnesium, signs that she needs to stop
urine decreased
