Maternal newborn practice B

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A nurse is assessing a client who is 38 weeks of gestation during a weekly prenatal visit. Which of the following findings should the nurse report to the provider?

Weight gain of 2.2 kg (4.8 lb)

A nurse is caring for a client who is 36 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?

A. Biophysical profile A positive contraction stress test indicates that further evaluation of the fetus is necessary. A biophysical profile will provide further evaluation with a real-time ultrasound.

A nurse is providing teaching about non-pharmacological pain management to a client who is breast-feeding and has engorgement. The nurse should recommend the application of which of the following items?

Cold cabbage leaves

A nurse is caring for a client who is at 22 weeks of gestation and reports concerns about the blotchy hyperpigmentation on their forehead. Which of the following actions should the nurse take?

Explain to client this is an expected occurrence

A nurse is caring for a client who is pregnant and is at the end of their 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)?

Just above the symphysis pubis

A nurse is developing a plan of care for a client who has preeclampsia and is receiving magnesium sulfate via a continuous IV infusion. Which of the following interventions should the nurse include in the plan?

Monitor the FHR continously

A nurse in a provider's office is reviewing the medical record of a client who is in the first trimester of pregnancy. Which of the following should the nurse identify as a risk factor for the development of preeclampsia

Pregestational Diabetes Mellitus

A nurse is creating a plan of care who is postpartum and adheres to traditional Hispanic cultural beliefs. Which of the following cultural practices should the nurse include in the plan of care?

Protects the client's head and feet from cold air

A nurse is assessing a newborn who is 12 hr old. Which of the following manifestations require interventions by the nurse?

Substernal chest retractions while sleeping


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