PN Maternal Newborn Online Practice 2020 B with NGN
A nurse is reinforcing teaching about breastfeeding with a client who has a 12 hour old newborn. Which of the following statements should the nurse identify as an indication that the client understands the instructions?
"I should wake my baby up to feed during the night"
A nurse is reinforcing teaching about newborn umbilical cord care with a client who is postpartum. Which of the following statements should the nurse identify as an indication that the clients understands the instructions?
"I will report any drainage from my baby's umbilical cord."
The nurse has reviewed the nurses' notes and the diagnostic results. Click to highlight the findings that indicate the client's condition is not improving.
Clonus positive. Deep tendon reflexes 4+ Reports headache as 4 on 0 to 10 pain scale. platelets 95,000/mm3 aspartate aminotransferase 60 units/L Alanine aminotransferase 50 units/L
A nurse is contributing to the plan of care for a client who is pregnant and has intermittent constipation. Which of the following interventions should the nurse recommend in the plan?
Drink 2L of water per day
A nurse in a provider's office is reinforcing teaching with a client. Which of the following statements should the nurse include?
"You might experience a metallic taste in your mouth while taking your medication." Rationale: A metallic taste in the mouth is a common adverse effect of metronidazole and does not warrant notification of the provider.
A nurse is reinforcing teaching about newborn home safety precautions with a group of guardians. Which of the following instructions should the nurse include?
"You should ensure that crib slats are no more than 2.25 inches apart."
A nurse is assisting with the care of a client who is postpartum and is receiving lactated ringer's 1500 ml IV to infuse over 10 hr. The nurse should verify that the IV pump's settings will deliver how many mL/hr?
150 mL/hr
Complete the following sentence by using the lists of options. (A nurse is caring for a postpartum client.)
Check the clients deep tendon reflexes (DTRs) Check the client for visual disturbances
A nurse is collecting data from the parent of a newborn immediately following birth. The parent states she is so tiny. We don't know how to pick her up without hurting her. Which of the following actions should the nurse take first to promote parent-newborn attachment?
Demonstrate to the parent how to hold the newborn.
The nurse should assist the RN in taking which of the following actions based on the most recent data collection findings? Select all that apply. (a nurse is assisting with the care of a client who is in labor)
Discontinue the magnesium infusion Administer calcium gluconate Apply oxygen at 10 L/min via nonrebreather mask
A nurse is caring for a client following a cesarean birth. Which of the following should the nurse take to decrease the client's risk of developing thrombophlebitis?
Have the client ambulate several times each day.
A nurse is assisting in the care of a client during the active phase of labor. Which of the following actions should the nurse take to promote the client's comfort?
Have the client perform relaxing breathing techniques.
A nurse is preparing to administer phytonadione to a newborn. The nurse should plan to administer this medication by which of the following routes?
Intramuscular
A nurse is assisting with the neuromuscular assessment of a newborn by eliciting primitive reflexes. Which of the following images indicates a characteristic response of the tonic neck reflex?
Newborn's head is quickly turned to one side, the arm and leg on the same side extended, while the arm and leg on the opposite side flex.
A nurse is caring for a client who delivered vaginally 6 hr ago. Which of the following findings should the nurse report to the provider?
Perineal pad soaked in 15 min Rationale: Perineal pad soaked in 15 minutes or less is a manifestation of postpartum hemorrhage.
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 take.
Place client on seizure precautions assist with magnesium sulfate obtain the creatinine, platelet, BUN, and liver enzymes Check for worsening headache and epigastric pain Monitor level of consciousness, deep tendon reflexes, and visual disturbances
Based on the assessment findings, which of the following actions should the nurse take? Select all that apply. (A nurse is assisting in the care of a client who is in labor. The client's assessment and documentation are performed by the RN.
Place the client in Trendelenburg Provide oxygen at 8 to 10 L/min via nonrebreather Wrap the cord in warm, sterile, saline compresses
Which of the following actions should the nurse plan to implement? For each potential action, click to specify if the intervention is indicated or contraindicated for the newborn. (A nurse is caring for a newborn)
ROM exercises on the affected arm after 1 week- indicated Check grasp reflex- indicated Immobilize the arm across the abdomen by pinning- indicated Limit physical handling for 2 weeks- contraindicated
Based on the nurse's findings, which of the following conditions is the client at the greatest risk for developing? (A nurse is caring for a postpartum client.)
The client is at the greatest risk for developing preeclampsia as evidenced by increased blood pressure.
A nurse on a postpartum unit is contributing to the discharge teaching plan of a client. Which of the following instructions should the nurse suggest for the plan?
Use a firm mattress in the newborn's crib
A nurse in a clinic is collecting data from a client who is at 12 weeks of gestation. Which of the following actions should the nurse take?
Use an ultrasound stethoscope to listen for fetal heart tones.
The nurse is reviewing the data collection findings. For each data collection finding, click to specify if the finding is consistent with a clavicle fracture or Erb-Duchenne paralysis. Each finding may support more than one condition. (A nurse is caring for a newborn)
clavicle- crepitus, birth history. Erb-Duchenne Paralysis- palmar grasp reflex, birth history, crepitus.
A nurse is reinforcing education about the prevention of newborn abduction with a client who recently gave birth. Which of the following statements should the nurse identify as an indication that the client understands the instructions?
"An alarm will sound if someone removes my baby's safety device."
A nurse is contributing to the plan of care for a client who has hyperemesis gravidarum. Which of the following interventions should the nurse recommend?
Monitor intake and output
A nurse is reinforcing discharge teaching about home care with the parent of a newborn. Which of the following instructions should the nurse include?
"Ensure the water temperature during your newborn's bath is maintained at 100 degrees Fahrenheit."
A nurse is reinforcing teaching with a client who has a new prescription for medroxyprogesterone acetate injection for contraception. Which of the following statements by the client indicates understanding of the teaching?
"I am likely to gain weight while taking this medication"
A nurse is assisting with the care of a client who is at 39 weeks of gestation. Which of the following statements should alert the nurse as a sign of a potential complication?
"I have pain in my upper right abdomen." Rationale: Epigastric pain can indicate hepatic involvement and severe preeclampsia.
A nurse is reinforcing teaching with a client who is 8 weeks gestation. Which of the following responses by the client indicates an understanding of the teaching?
"I should expect to have white vaginal discharge during pregnancy."
A nurse is reinforcing teaching about car seat safety with the guardian of a newborn. Which of the following statements by the guardian indicates an understanding of the teaching?
"I will position the retainer clip at the level of the baby's armpits."
A nurse is reinforcing teaching about nonstress test with a client who is at 33 weeks of gestation. Which of the following statements should the nurse include?
"You will press a button when you feel the baby move."
A nurse is reinforcing teaching with a client who requests hydrotherapy for pain management during labor. Which of the following statements is true?
"you must be at least at 37 weeks of gestation before you can use hydrotherapy."
A nurse is reinforcing teaching with a client who is trying to become pregnant. Which of the following foods should the nurse recommend as the best source of folate?
1 cup cooked spinach
A nurse is collecting data from a client who is receiving magnesium sulfate. Which of the following findings should the nurse report to the provider?
Absent deep-tendon reflexes
A nurse is reinforcing teaching with a client who is pregnant and will undergo a 1-hr oral glucose tolerance test. Which of the following instructions should the nurse include?
Avoid caffeine the morning of the test
A nurse is collecting data about the client. Which of the following findings should the nurse report to the provider? Select all that apply. (A nurse is caring for a postpartum client.)
BP 152/105 mm Hg +2 pitting edema Headache Heartburn
A nurse is collecting data from a client who is 37 weeks of gestation. Which of the following finding should the nurse report to the provider?
Blurred vision
A nurse is collecting data from client who is a primigravida and has hyperthyroidism. Which of the following findings should the nurse expect?
Diaphoresis
A nurse is assisting with monitoring a client after an amniocentesis. Which of the following findings should the nurse expect?
FHR 120/min
A nurse is collecting data form a 28 year old client who is requesting a prescription for an oral contraceptive. Which of the following information in the client's history should the nurse identify as a contraindication for the use of oral contraceptive?
Frequent headaches with visual changes
A nurse is collecting data from a client who gave birth 18 hr ago. Which of the following findings should the nurse identify as an indication of a postpartum complication?
Fundus is palpable at 2 cm above the umbilicus.
A nurse is contributing to the plan of care for a client who is at 18 weeks gestation and has just learned that the fetus has trisomy 21. Which of the following resources should the nurse recommend for the client?
Genetic counseling
A nurse in an antepartum clinic is reviewing lab test results for a group of clients. The nurse should notify the provider of which of the following results?
Hematocrit 31% Rationale: Below the expected reference range for a client who is pregnant.
A nurse is caring for a client who is in preterm labor and is receiving betamethasone. Which of the following actions should the nurse take?
Inject the medication into the clients vastus lateralis muscle. Rationale: Administer the medication IM into the vastus lateralis muscle and administer a second dose 24 hr later.
A nurse is assisting with the admission of a newborn who has respiratory distress. While collecting data, which of the following should the nurse report to the provider? select all that apply
Nasal flaring Intercostal retractions Grunting
A nurse is reinforcing teaching about formula preparation with the parent of a newborn. Which of the following information should the nurse include?
Overdiluted formula can result in inadequate growth
A nurse is planning to reinforce discharge teaching about formula feeding with the guardian of a newborn. Which of the following instructions should the nurse plan to include?
Provide the newborn with six to eight feedings during a 24-hr period.
A nurse is collecting data from a client who is receiving magnesium sulfate IV for preeclampsia. The nurse should identify which of the following findings as an indication of toxicity to report to the provider?
Respiratory rate of 10/min
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. (The nurse is reviewing the postpartum client's medical record.)
Urinalysis- anticipated I&O- anticipated Magnesium sulfate- anticipated Seizure precautions- anticipated Labetalol- Contraindicated (she has asthma) Creatinine and BUN- anticipated
A nurse is caring for a client who is 48 hour postpartum following a vaginal birth. Which of the following findings should the nurse report to the provider? Select all that apply
Warm, tender are on the calf Dysuria Cracked nipples
A nurse is planning to perform a blood collection via heel stick on a newborn. After performing hand hygiene and donning gloves, which of the following actions should the nurse plan to take next?
Wrap the newborn's heel with a cloth moistened with warm water. Rationale: The nurse should first warm the newborn's heel by applying a cloth moistened with warm water for 5 to 10 min. This will allow dilation of the vessels in the area in order to obtain an adequate sample.
