Ob#2

6

A nurse is assisting in the care of a newborn following birth . At 1 min after birth , the nurse notes the following heart rate 110/min , slower, weak cry, some flexion of extremities , grimace in response

Umbilical cord compression

A nurse is assisting in the care of a client in active labor, the nurse notes accelerations of the FHR

1)Frequency and duration of contractions 2)Membrane status 3)Presence of fetal movement 4)Presence and amount of vaginal bleeding

A nurse is assisting in admitting a woman in labor to the labor and delivery unit. Which of the following data are most important to collect on admission (select all that apply )

Uterine contractions lasting 2 mins

A nurse is assisting in the care of a client who is in the second stage of labor which of the following findings should the nurse report to the provider

Keeping the baby warm

A nurse is assisting with a birth in the labor and delivery unit and is assigned to care for the newborn , in planning care for the infant , the nurse knows that which of the following actions immediately ...

Desire to delay breastfeeding for several days

A nurse is assisting with admission with a client who is hispanic to the labor and delivery unit , which of the following practices should the nurse anticipate while caring for this client

The tracing is reassuring and no action is required

A nurse is assisting with data collection in the care of a woman in labor , in analyzing the fetal heart rate tracing the nurse notes accelerations in the tracing which occur three times in the last ...

First stage, latent phase

A nurse is assisting with the care of a client who is in labor. An RN's vaginal examination of the client yields the following information: 2 cm, 50%, -1, which stage and Phase of labor does the nurse..

"These exercises will help my pelvic muscles return to normal tone after I gave birth."

A nurse is reinforcing teaching about level exercise with a client who is in the third semester of pregnancy . Which of the following statements by the client indicates an understanding

1)Perform the pelvic rock exercise every day 2)Use proper body mechanics

A nurse is reinforcing teaching with a group of women who are pregnant about measures to relieve backache during pregnancy. The nurse should instruct the women on which of the following (select all that apply)

1)Verify the newborn ID band numbers 2)Verify the newborn's date of birth 3)Verify the mother's medical record number 4)Verify the newborns gender

A nurse working in the newborn nursery is preparing to return a newborn to the mother after the newborns assessment , which of the following should the nurse verify before leaving the infant with the mother .

Eat crackers or plain toast before getting out of bed

A client who is at 8 weeks gestation is experiencing nausea and vomiting in the morning. The nurse in the prenatal clinic reinforces teaching that should include which of the following instructions

Early

A labor and delivery nurse and a nursing student are observing fetal heart rate (FHR) tracings of women in labor and analyzing the features contained in them , the nurse explains that when the FHR ....

Check the fetal heart rate pattern

A nurse assisting in the ... who is to undergo an ...

Head compression resulting from contractions pressing the fetus into the cervix and into the pelvis

A nurse caring for a client in active labor observes the fetal heart rate and notes early decelerations , which factor in the labor process is thought to cause early decelerations

Position client on her side

A nurse is assisting ...

Place the client in a knee-chest or trendelenburg position

A nurse is assisting with the care of a client who is in the first stage of labor, the nurse observes the umbilical cord protruding from the vagina. Which of the following actions should the nurse take?

1)Document the fetal heart rate 2)Document the time of the rupture of membranes 3)Observe and document the color of the amniotic fluid 4)Note and document the odor of the amniotic fluid

A nurse is assisting with the care of a woman in labor who will be undergoing an amniotomy , which of the following data will the nurse observe and record immediately following the amniotomy ? (Select all that apply )

Frank breech

The nurse is assisting with the care of a client who is in active labor at 39 weeks

"I will have to lie on my back during the test"

A nurse is reinforcing teaching with a client who is at 30 weeks of gestation and scheduled for nonstress test (NST) . Which of the following statements by the client indicates a need for further teaching

"The recommendation for you is about 15 to 25 pounds."

A nurse is reinforcing teaching with a client who is pregnant and has a body mass index (BMI) of 26.5, she asks the nurse how much weight she should gain over the course of her pregnancy

Fetal position is persistent occiput posterior

A nurse is assisting with the care of a client who is in labor. The clients labor is difficult and prolonged and she reports a severe backache , which of the following factors is contributing cause

Cover the client with warm blankets

A nurse is caring for a client who is experiencing shaking chills during the immediate postpartum period . Which of the following actions should the nurse take?

Drying the newborn's skin thoroughly

A nurse is caring for a newborn immediately after birth . Which of the following actions by the nurse reduces evaporative heat loss by the newborn ?

Cold stress

A nurse is caring for a newborn shortly after birth and places the newborn under a radiant warmer. Which of the following potential complications does this action help to prevent

"I should not drink any alcoholic beverages "

A nurse is reinforcing nutrition teaching with a client during the first prenatal visit, which of the following statements by the client indicates an understanding of the teaching?

1)Rh incompatibility 2)Chromosome defects 3)Neural tube defects 4)Gender

A nurse is reinforcing teaching with a client who is 15 weeks of gestation

4-0-1-2-2

A nurse in a prenatal clinic is reviewing the medical record of a client who is at 28 weeks gestation, the client's history reveals one pregnancy determined by elective abortion at 9 weeks ...

"I can wear my high heels to dance at my sister's wedding"

A nurse is advising a woman entering the third trimester of pregnancy on ways to increase comfort and safety while walking and standing , which statement by the client would indicate the need for further teaching

Cervical dilation

A nurse is assisting a nurse midwife in examining a client who is a primigravida at 42 weeks of gestation and states that she thinks she's in labor . Which of the following findings confirm

Pubic symphysis

A nurse is assisting a provider in a clinic where prenatal care is provided. A client who is now 18 weeks gestation will be examined for fetal growth. The nurse explains that her fundal height will...

thinning

A nurse is assisting an RN in labor and deliver to collect data from a laboring woman about her progress in labor. The RN performs a vaginal exam to collect some of this data and informs the VN that ..