Maternal newborn practice B
Emotional liability
A nurse in the antepartum clinic is assessing a client's adaptation to pregnancy. The client states that she is, "happy one minute and crying the next." The nurse should interpret the client's statement as an indication of which of the following?
Cover the newborn's eyes while under the phototherapy light
A nurse is caring for a newborn who is undergoing phototherapy to treat hyperbilirubinemia. which of the following actions should the nurse take?
"You can miss your period for several other reason. Describe your typical menstrual cycle."
A nurse in a prenatal clinic is caring for a client who reports that her menstrual period is 2 weeks late. The client appears anxious and asks the nurse if she is pregnant. Which of the following responses should the nurse make?
Assist the client to empty her bladder
A nurse is assessing a client who gave birth vaginally 12 hr ago and palpates her uterus to the right above the umbilicus. Which of the following interventions should the nurse perform?
a. Swelling of the face
A nurse is assessing a client who is at 30 weeks of gestation during a routine prenatal visit. Which of the following findings should the nurse report to the provider?
Decreased platelet count
A nurse is assessing a client who is postpartum and has idiopathic thrombocytopenia purpura( ITP). Which of the following findings should the nurse expect?
Jitteriness
A nurse is assessing a newborn for manifestations of hypoglycemia. which of the following should the nurse expect?
Substernal chest retractions while sleeping
A nurse is assessing a newborn who is 12 hours old. Which of the following manifestations require interventions by the nurse?
Left lower quadrant
A nurse is assessing fetal heart tones for a client who is pregnant. The nurse has determined the fetal position as left occipital anterior. To which of the following areas of the client's abdomen should the nurse apply the ultrasound transducer in order to assess the fetal heart rate?
Vomiting
A nurse is assessing the newborn of a client who took a selective serotonin reuptake inhibitor (SSRI) during pregnancy. Which of the following manifestations should the nurse identify as an indication of withdrawal from an SSRI?
September 3rd
A nurse is calculating a client's expected date of birth using Naegele's rule. The client tells the nurse that her last menstrual cycle started on November 27th. Which of the following dates is the client's expected date of birth?
Leakage of fluid from the vagina
A nurse is caring for a client following an amniocentesis at 18 weeks of gestation. Which of the following findings should the nurse report to the provider as a potential complication?
Determine respiratory function
A nurse is caring for a client who becomes unresponsive upon delivery of the placenta. Which of the following actions should the nurse take first?
Have calcium gluconate readily available
A nurse is caring for a client who has preeclampsia and is receiving a continuous infusion of magnesium sulfate IV. which of the following actions should the nurse take?
Explain to the client this is an expected occurrence
A nurse is caring for a client who is at 22 weeks of gestation and reports concerns about the blotchy hyperpigmentation on her forehead. Which of the following actions should the nurse take?
Initiate continuous external fetal monitoring
A nurse is caring for a client who is at 35 weeks of gestation and has placenta previa. Which of the following actions should the nurse take?
Transition
A nurse is caring for a client who is in labor and reports increasing rectal pressure. She has experience contractions 2 to 3 minutes apart, each lasting 80 to 90 seconds, and a vaginal examination reveals that her cervix is dilated to nine centimeters. The nurse should identify that the client is in which of the following phases of Labor?
Apply sacral counter pressure (Sacral counterpressure to assist in relieving back labor pain related to fetal posterior position)
A nurse is caring for a client who is in labor and whose fetus is in the right occiput posterior position. The client is dilated to 8 cm and reports back pain. Which of the following actions should the nurse take?
Just above the symphysis pubis
A nurse is caring for a client who is pregnant and is at the end of her first trimester. The nurse should place the Doppler ultrasound stethoscope in which of the following locations to begin assessing for the fetal heart tones (FHT)?
Verify the newborn's identification
A nurse is caring for a newborn who was transferred to the nursery 30 min after delivery. Which of the following actions should the nurse take first?
A client who is at 34 weeks of gestation and reports epigastric pain.
A nurse on an antepartum unit is caring for four clients. Which of the following clients should the nurse identify as the priority?
oligohydramnios
A nursing is reviewing the medical record of a newly admitted client who is at 32 weeks of gestation. which of the following conditions is an indication for fetal assessment using electronic fetal monitoring?
Caucasian baby with small bruise-like/birthmark at the base of the back above buttocks
A nurse is performing a newborn assessment which of the following images should the nurse identify as an indication of spina bifida occulta
Monitor the client's blood pressure every 5 minutes following the first dose of anesthesia solution
A nurse is planning care for a client who is in labor and is requesting epidural anesthesia for pain control. Which of the following actions should the nurse include in the plan of care?
Temperature
A nurse is planning care for a client who is in labor and is to have an amniotomy. Which of the following assessments should the nurse identify as the priority?
Instruct the client to press the provided button each time fetal movement is detected
A nurse is planning care for a client who is to undergo a nonstress test. Which of the following actions should the nurse include in the plan of care?
Apply cabbage leaves to the breasts
A nurse is planning discharge for a client who is 3 days postpartum. Which of the following nonpharmacological interventions should the nurse include in the plan of care for lactation suppression?
Apply internal upward pressure to the presenting part using two gloved fingers
A nurse is preforming a vaginal exam on a client who is in labor and observes the umbilical cord is protruding from the vagina. After calling for assistance, which of the following actions should the nurse take next?
4 tablets
A nurse is preparing to administer azithromycin to a client who is at 16 weeks of gestation and has a positive chlamydia culture the prescription states administer is it from ice in 1 g Orally now available is 250 mg tablets how many tablets for the nurse administer round the answer to the nearest whole number using leading zero if it applies do not use a trailing zero
Flaccid uterus Excess vaginal bleeding
A nurse is preparing to administer oxytocin to a client who is postpartum. Which of the following findings is an indication for the administration of the medication? (Select all that apply.)
1. Palpate the clients fundus to identify the fetal part. 2. Determined the location of the fetal back. 3. Palpate the fetal part pressing at the inlet 4. Identify the attitude of the head.
A nurse is preparing to perform Leopold Maneuvers for a client. Identify the sequence the nurse should follow
"I will eat foods that appeal to my taste instead of trying to balance my meals."
A nurse is providing dietary teaching to a client who has hyperemesis gravidarum Which of the following statements by the client indicates an understanding of the teaching?
Place the retainer clip at the level of the newborn's armpits
A nurse is providing discharge teaching to the parents of newborn about car seat safety. which of the following instructions should the nurse include?
"You should leave the diaphragm in place for at least 6 hours after intercourse."
A nurse is providing teaching about family planning to a client who has a new prescription for a diaphragm. Which of the following statements should the nurse include in the teaching?
Bilirubin of 9 mg/dL (this is above the reference range for a newborn who is 4 hrs old. a newbor who is less than 24 hrs old is 2 to 6. )
A nurse is reviewing laboratory results of a newborn who is 4 hours old. Which of the following findings should the nurse report to the provider
Blood glucose 30 mg/dL
A nurse is reviewing the laboratory report of a newborn who is 24 hr old. which of the following should the nurse report to the provider?
Hemoglobin 10 g/dL
A nurse is reviewing the laboratory results for who is at 10 weeks of gestation. Which of the following laboratory findings should the nurse report to the provider
Administer terbutaline
A nurse is reviewing the medical record at 1800 for a client who is at 34 weeks of gestation. based on the chart findings and documentation, the nursing plan of care should include which of the following actions?
Platelets 50,000/mm3
A nurse is reviewing the medical record of a client who is postpartum and has preeclampsia. Which of the following laboratory results should the nurse report to the provider?
"This procedure should have no effect on your sexual performance or adequacy."
A nurse is speaking with a client who is trying to make a decision to make a decision about tubal ligation. the client asks, what effects will this procedure have on my sex life?
Shortness of breath (Posible PE or MI)
A nurse is teaching a client who has a new prescription for combined oral contraceptives about potential adverse effects of the medication. For which of the following findings should the nurse instruct the client to notify the provider
I will continue taking my insulin if I experience nausea and vomiting
A nurse is teaching a client who has pregestational type 1 diabetes mellitus about management during pregnancy which of the following statements by the client indicated understanding of the teaching
I will need this medication if I have an amniocentesis
A nurse is teaching a client who is Rh negative about Rh0(D) immune globulin which of the following statements by the client indicated understanding of the teaching
A blood glucose of 130 to 140 is considered a positive screening result
A nurse is teaching a client who is at 24 weeks of gestation regarding a 1 hour glucose tolerance test. Which of the following statements should the nurse include in the teaching?
Headache that is unrelieved by analgesia
A nurse is teaching a client who is at 35 weeks of gestation about clinical manifestations of potential pregnancy complications to report to the provider. Which of the following manifestations should the nurse include?
"You will be offered orange juice to drink during the test."
A nurse is teaching a client who is at 36 weeks of gestation and has a prescription for a non-stress test. Which of the following statements should the nurse include in the teaching?
"I will have blood tests because my potassium might decrease."
A nurse is teaching a client who is in preterm labor about terbutaline. Which of the following statements by the client indicates an understanding of the teaching?
"You can share your room with your baby for the next few weeks."
A nurse is teaching a new mother about newborn safety. Which of the following instructions should the nurse include in the teaching?
All staff members that care for newborns are required to wear a photo identification badge
A nurse is teaching a new mother about steps the nurses will take to promote the security and safety of the newborn. Which of the following statements should the nurse make?
Stop suctioning when the newborn's cry sounds clear
A nurse is teaching a new mother how to use a bulb syringe to suction her newborn secretions. Which of the following instruction should the nurse include?
Massage the client's fundus
A nurse on a postpartum unit is caring for a client who is experiencing hypovolemic shock. After notifying the provider, which of the following actions should the nurse take next?
Take the medication within 72 hrs following unprotected sexual intercourse
A school nurse is providing teaching to an adolescent about levonorgestrel contraception. which of the following information should the nurse include in the teaching?
Unilateral breast pain
The nurse is providing discharge teaching for a client who is postpartum. For which of the following clinical manifestations should the nurse instruct the client to monitor and report to the provider?
Chin quivering
A nurse is assessing a newborn following a circumcision. Which of the following findings should the nurse identify as an indication that the newborn is experiencing pain?
Iron
A nurse at a women's health clinic is providing teaching about nutritional intake to a client who is at 8 weeks of gestation. the nurse should instruct the client to increase your daily intake of which of the following nutrients?
Cholecystitis Hypertension Migraine headaches
A nurse in a family planning clinic is caring for a client who request an oral contraceptive which of the following findings in the clients history to the nurse recognizes a contraindication to oral contraceptives. select all that apply
Biophysical profile (BPP)
A nurse is caring for a client who is at 41 weeks of gestation and has a positive contraction stress test. The nurse should plan to prepare the client for which of the following diagnostic tests?
"This medication stimulates fetal lung maturity."
A nurse is caring for a client who is experiencing preterm labor at 29 weeks of gestation and has a prescription for betamethasone. Which of the following statements should the nurse make about the indication for medication administration?
"Your provider will insert an intrauterine pressure catheter to monitor the strength of your contractions."
A nurse is caring for a client who is in active labor and has had no cervical change in the last 4 hr. Which of the following statements should the nurse make?
Demonstrate to the client how to perform a newborn bath
A nurse is planning care for a client who is 2 hr postpartum. Which of the following interventions should the nurse plan to implement during the taking-hold phase of postpartum behavioral adjustment?