Materna Solstice
The nurse is assessing a client at 12 weeks' gestation who reports enjoying her usual slow, long daily walk. The nurse should point out which recommendation to this client?
Continue this as long as she enjoys it.
The nurse is assessing a new client who presents in early labor. The nurse determines the fetus has an acceptable heart rate if found within which range?
110 to 160 bpm
The LPN is preparing to assist the RN with the initial admissions assessment of the newborn. The nurse should explain to the new mother that this will be completed in what time frame after birth?
2 Hours
The nurse is conducting a prenatal class for a group of first-time parents in the first trimester. The nurse should point out that the mother should feel the baby move by the end of which week of gestation?
20 weeks
The nurse receives a report from labor and delivery on an infant and mother couplet. Which reported Apgar score will the nurse prioritize for close observation for the entire transition period?
5 at one minute, 6 at five minutes
The newborn weighing 6 lb 6 oz (2856 g), now weighs 5 lbs 14 oz (2632 g), 2 days later. Which response should the nurse prioritize to address the mother's concerns about the weight loss?
This is a normal response
The client is progressing into the second stage of labor and coping well with the natural birth method. Which instructions should the nurse prioritize at this point in the process?
Use a birthing ball and find a position of comfort
The nurse is preparing a client for administration of prostaglandin E2 to prepare for induction of labor. The nurse should explain this is administered via which route to the client?
Vaginal
The nurse is providing tertiary care to a young, uninsured family who has a child with frequent seizures. Which action by the nurse would demonstrate tertiary care?
Finding a company to provide a helmet for the child to wear daily
The nurse is caring for a newborn after the parents have spent time bonding. As the nurse performs the assessment and evidence-based care, which eye care will the nurse prioritize?
Instill 0.5% ophthalmic erythromycin
The nursing instructor is leading a discussion on the physical changes to a woman's body after delivery of the baby. The instructor determines the session is successful after the students correctly point out which process results in the return of nonpregnant size and function of the female organs?
Involution
When preparing a client for surgery, the nurse explains that the use of an antiseptic during the surgery has greatly improved client survival rates and was started by which physician?
Joseph Lister
The nurse is assessing an infant girl at its first well-baby visit. The nurse also observes the actions of the 6-year-old brother and parents who share that she was the best anniversary present they received this year. Which type of family will the nurse conclude these individuals represent?
Nuclear
A student nurse is preparing an illustration for a health fair depicting the various types of twins. Which format will the student use to depict identical twins?
One egg and one sperm
A 24-year-old client presents in labor. The nurse notes there is an order to administer RhoGAM after the birth of her infant. When asked by the client the reason for this injection, which reason should the nurse point out?
PREVENT maternal D antibody formation
A 17-year-old client arrives for an annual examination and reports no changes since the last exam; however, the nurse assesses a positive Chadwick sign, slightly enlarged uterus, and subsequent positive urine pregnancy test. Which task should the nurse prioritize to assist this client who is denying any possibility that she is pregnant?
Accepting the pregnancy
The nurse is spending time with a client who has just learned, unexpectedly, that she is pregnant. Which initial task should the nurse assist the client to focus on?
Accepting the pregnancy
A client at 19 weeks' gestation reports continued alcohol use 1 to 2 times each week to the nurse at her prenatal visit. Which suggestion should the nurse prioritize for this client?
Alcohol SHOULD NOT be consumed during pregnancy
A pregnant client in her second trimester reports feeling tired all the time. The nurse notes pale skin and low normal hemoglobin on assessment. Which recommendation should the nurse prioritize for this client?
An iron supplement
The parents of a newborn male are questioning the nurse concerning the pros and cons of a circumcision. Which disadvantage should the nurse point out to these parents?
Anesthetic may not be effective during the procedure
A client at 41 weeks' gestation has been in labor for 18 hours and the fetus is now showing signs of distress. Due to prior back surgery, the client is to receive general anesthesia instead of an epidural. Which medication will the nurse prepare to give the client first?
Antacid
The nurse observes an ambulating postpartal woman limping and avoiding putting pressure on her right leg. Which assessments should the nurse prioritize in this client?
Assess for warmth, erythema, and pedal edema
The nurse is assessing a 52-year-old perimenopausal female who is concerned about the changes occurring in her body. When questioned about the most serious changes, which effect should the nurse point out?
Bone mineral density decreases
The nurse is explainig the differences of language development in children. Which example would be appropriate for the nurse to include in the explanation?
Boys raised with older sisters are slower to develop language skills than their siblings
The parents are concerned their newborn appears to be cold all the time. The nurse should point out the infant is best helped by which primary method in the first few days?
Brown fat store usage
A client with a history of type 1 diabetes mellitus is confirmed to be pregnant. The nurse determines this client will be best cared for under which practice model?
Case management
The nurse is admitting a woman at 32 weeks' gestation in preterm labor. The nurse should question the order for magnesium sulfate after noting which assessment finding?
Cervical dilation of 5 cm
The nursing instructor is preparing a presentation which will explore the various sources of pain during the labor process. Which source should the instructor emphasize as the main source of pain during the first stage?
Cervix
A 38-year-old client and partner are carriers of the Tay-Sachs gene, have one child with Tay-Sachs, and are concerned to learn she is pregnant again. The nurse predicts the health care provider will order which test if the couple wants to know if this baby will also be born with Tay-Sachs?
Chorionic villus sampling
The nurse is preparing a care plan for a new mother who desires to breast-feed. Which action should the nurse prioritize if the mother has a history of breast implants?
Consult a lactation specialist for assistance
The nurse is monitoring a client in the first stage of labor. The nurse determines the client's uterine contractions are effective and progressing well based on which finding?
Dilation of cervix
For the past 18 hours, the client has been progressing slowly in labor in spite of various attempts to encourage the labor. The health care provider decides a cesarean delivery is necessary to ensure the well-being of both the mother and fetus. The nurse should point out to the client that this is due to which situation?
Dystocia
The nurse is preparing discharge teaching for a client who is 2 days postpartum. Which action should the nurse prioritize to encourage prevention of constipation?
Encourage fiber-rich foods
A group of nursing students are preparing a presentation for a health fair illustrating what happens to the body during pregnancy. Which structure will the students point out is influenced the most by hormones to prepare for conception?
Endometrium
A client is desiring to start birth control and is questioning the nurse concerning the best options. Which option should the nurse point out is the most reliable?
Etonogestrel implant
The nurse is teaching a group of college students about the four phases of the sexual response. Which phase will the nurse point out as producing an elevation in heart rate, blood pressure, and respirations?
Excitement
The nurse is conducting the 20-week obstetrics assessment on a client who is questioning the nurse about the development of the fetus. Which new occurring developments can the nurse point out to this client?
Eyebrows and scalp hair are present
The nursing instructor is illustrating the various positions the fetus may utilize during the passage through the vaginal canal at birth. The instructor determines the session is successful when the students correctly identify the ROA position, indicating which presentation by the fetus?
Facing the right anterior pelvic quadrant
The nurse is assessing a 16-year-old female on a routine well-child visit. Which assessment finding will the nurse predict this healthy female will report concerning her menstrual cycles?
Flow usually lasts 4 to 6 days
The nurse is preparing a postpartum nursing care plan for a single HIV-positive primigravida client. The nurse should prioritize in the plan how to acquire which resource?
Formula
The nurse is assisting a primigravida woman make decisions and prepare for her baby. The nurse should point out that breast-feeding is not an option for this client based on which assessment finding?
HIV (Human immunodeficiency virus infection)
The nurse is monitoring the EFM and notes the following: variable V-shaped decelerations in the FHR lasting about 30 seconds, accelerations of about 5 bpm before and after each deceleration, no overshoot, and baseline FHR within normal limits. Which response should the nurse prioritize?
Help the woman change positions
The nurse is assessing a client at 30 weeks' gestation who reports increased constipation. Which suggestion should the nurse prioritize for this client?
Increasing fluid intake
A client is requesting information on the various available contraceptives. When explaining a vaginal spermicide, which information should the nurse prioritize?
Insert the product by applicator in the vagina several hours prior to intercourse
The nurse is monitoring a client who is in labor and notes the client is happy, cheerful, and 'ready to see the baby.' The nurse interprets this to mean the client is in which stage or phase of labor?
Latent phase
The nurse is assessing a newborn and suspects developmental dysplasia of the hip. Which sign is the nurse prioritizing for in this potential diagnosis?
Limited abduction of the affected hip
A breast-feeding mother, 1-month postpartum, calls the clinic and reports left breast soreness, a temperature of 100.4oF (38oC), and feeling tired all the time. The nurse suspects the mother is experiencing which situation after revealing she is still trying to breast-feed on a regular schedule?
Mastitis
The nurse is preparing the client so that the health care provider can ripen the client's cervix for induction of labor. The nurse predicts the health care provider will probably use which most commonly used mechanical method?
Membrane stripping
A 37-year-old primigravida client at 40 weeks' gestation is seen in the clinic for a scheduled prenatal visit. The nurse predicts the woman is close to labor based on which assessment finding?
Nesting
The pregnant client and her partner have arrived for a scheduled cesarean delivery. Which action should the nurse prioritize?
Obtain laboratory specimens
The nurse is weighing and measuring a term newborn. The nurse should question this baby is suffering from asymmetrical intrauterine growth restriction based on which assessment findings?
Pale with loose, dry skin
A young couple are asking the nurse for suggestions on the best way to help their newborn develop properly. Which is the best response by the nurse?
Provide a variety of brightly colored toys
The nurse is explaining to the new parents the various substances which will be administered to their newborn within a few hours of birth. Which explanation should the nurse prioritize as the best rationale for administering vitamin K?
Provides blood clotting factors
The nurse is teaching discharge instructions to the young parents of a healthy newborn boy, whose vital signs are stable and whose circumcision appears clean and intact. The nurse should encourage the parents to call the health care provider if which situation is discovered?
Redness at the base of the umbilical cord
The nurse was teaching a college student how to properly take the prescribed combination oral contraceptive (COC). The nurse determines the session is successful when the client correctly chooses which instruction to follow when taking the COC?
Same time of day, each day
A client in latent labor for the past 12 hours is requesting medication to help her rest. The nurse predicts the health care provider will prescribe which medication?
Secobarbital
The nurse is conducting the initial postpartum assessment on a client. The nurse will assist the client into which position to properly assess the postpartum uterus?
Supine
The nurse is admitting a client who appears to be in advanced labor with imminent birth. Which action should the nurse prioritize?
Take blood pressure and determine if clonus or edema are present
The nurse is teaching a pregnant teenager the importance of proper nutrition and adequate weight gain throughout the pregnancy. What is the best response when the client refuses to eat due to fear of possible weight gain?
The infant will be small and could have problems
After completing an assessment, the nurse examines the information to develop a wellness diagnosis for the client to identify which potential goal?
The potential for improvement in health
