Maternity ati

A nurse is reinforcing teaching with a client who is postpartum and breastfeeding. Which of the following statements should the nurse include?

A reduction in sexual interest could indicate postpartum depression." Manifestations of postpartum depression include decreased libido, feelings of sadness or anxiety, difficulty sleeping, or loss of appetite.

A nurse is reinforcing teaching with the parent of a newborn about care following circumcision using a plastibell device which of the following pieces of information should the nurse include

Apply gentle pressure using sterile gauze if bleeding occurs at the circumcision site

A pregnant patient asks the nurse when her infants heart will begin to pump blood. What will the nurse reply?

By the end of week 3

A nurse is caring for a client who requests an intrauterine device for contraception. Which of the following findings is a contraindication for the use of this device?

Menorrhagia

A nurse is collecting data from a newborn. Which of the following findings suggests the newborn is post-mature?

Nails extending over the fingers

A nurse is collecting data from a postpartum client and observes steady trickle of bright red blood from the clients vagina. The uterus is palpated as firm, midline, and located 1cm below umbilicus. Which of the following actions should the nurse take?

Notify the provider

A nurse is discussing contraceptive choices with a client who has a history of thrombophlebitis. Which of the following methods of contraception should the nurse recommend?

Copper intrauterine devices

A nurse is reinforcing teaching with a postpartum client who is breastfeeding. Which of the following statements indicates an understanding of the teaching?

I should feed my baby 8-12 times a day based on feeding cues

A nurse is collecting data from a client who has placenta previa and is at 27 weeks of gestation. Which of the following manifestations should the nurse expect?

Decreased urinary output

A charge nurse is providing teaching for a newly hired nurse about the potential side effects of an epidural anesthetic for a laboring client. Which of the following effects should the charge nurse include in the teaching?

Impaired placental perfusion

A nurse is assisting with the care of a client who is 2 hours postpartum and is exhibiting signs of Hypovolemic shock. Which of the following actions should the nurse take?

Elevate the clients legs to a 30 degree angle

A nurse is reviewing the electronic medical record of a newborn. Which of the following maternal findings is a potential risk factor for pathological hyperbilirubinemia?

Infection

A nurse is assisting with the care of a client who is postpartum and reports abdominal cramping. Which of the following actions should the nurse take?

Encourage the client to interact with the newborn

A nurse is caring for a client who is in the transition phase of labor. Which of the following actions should the nurse take?

Encourage the client to use a pant-blow breathing pattern

A nurse is assisting with for a client who is in labor. Which of the following methods will determine the frequency of the clients contractions?

Evaluating the amount of time from the beginning of a contraction to the beginning of the next contraction

A nurse is reinforcing teaching about a biophysical profile with a client who is at 40 weeks of gestation. The nurse should explain that this profile focuses on which of the following parameters?

Fetal breathing Fetal movements Amniotic fluid volume

A nurse is assisting with the care of a client who is in active labor and notes early decelerations on the fetal monitor. The nurse should identify that which of the following circumstances can cause early decelerations?

Fetal head compression

A nurse is collecting data from a newborn who is 2 hours old. Which of the following findings should the nurse report to the provider?

Generalized Petechiae

A nurse is assisting with the plan of care for a newborn who was born at 30 weeks of gestation. The nurse should plan to collect data for which of the following potential complications associated with prematurity?

Intraventricular hemorrhage

The nurse is assisting with the plan of care for a newborn who was born at 30 weeks of gestation. The nurse should plan to collect data for which of the following potential complications associated with prematurity?

Intraventricular hemorrhage

A woman who is 25 weeks pregnant asks the nurse what her fetus looks like?

Lanugo covering the body

A nurse is reinforcing discharge instructions with a client who is breastfeeding her newborn. Which of the following statements should the nurse include?

Notify your provider if you notice cracking on your nipples

A nurse is caring for a client who is postpartum and has endometriosis. Which of the following findings should nurse report to the provider?

Oxygen saturation 93%

A nurse in a clinic is preparing to auscultate fetal heart tones using a Doppler for a client who is pregnant. Which of the following actions should the nurse prepare to take?

Palpate and count the maternal radial pulse while listening to the fetal heart rate

A nurse is assisting with the care of a client who had a precipitous delivery. Which of the following items of data is the nurses priority during the fourth stage of labor?

Palpating the clients Fundus

A nurse is collecting data from a client who is at 34 weeks of gestation and has a cardiac disorder. The nurse should notify the provider about which of the following findings?

The client reports a frequent cough

The school nurse is counseling a group of adolescents girls. What does the nurse explain about sperm ejaculated near the cervix?

They survive up to 5 days and cause pregnancy

A nurse collecting data from a full term newborn who is demonstrating the Moro reflex. Which of the following movements expected responses to this reflex?

Thumb and forefinger forming a c Legs extending before pulling upward

A nurse is caring for a client who has preeclampsia and is postpartum. Which of the following actions should the nurse implement when measuring the clients blood pressure?

Use the korotkoff phase v to record the diastolic value

A nurse is assisting with the care of a client who is at 34 weeks of gestation and presents with vaginal bleeding. Which of the following data should the nurse collect to determine if the bleeding is caused by placenta previa versus abruptio placenta?

Uterine tone

A nurse is reviewing the medical record of a client who is pregnant prior to her first prenatal visit and notes that her pregnancy history is documented as 4,1,0,2,2. When the client arrives for the visit, which of the following questions should the nurse ask?

We're your twins born vaginally or by cesarean?

a nurse is providing postpartum discharge teaching for a client who is breastfeeding. the client states ive heard that i cant use any birth control until i stop breastfeeding. which of the following responses should the nurse make?

a progestin only pill or injection is available for use while you are breastfeeding

a nurse is assisting with obtaining a new ballard score for a newborn what indicates prematurity?

abundant lanugo

a nurse is assisting with an amniocentesis for a client who is rh negative which of the following actions should the nurse take following the procedure?

administer immune globulin to the client to prevent fetal isoimmunization

a nurse is planning care for a client who is in labor and is hiv positive. which of the following actions should the nurse take after the baby is born?

administer the hepatitis b vaccine prior to discharge

a nurse is collecting data from a client who is 12 hours postpartum. which of the following locations should the nurse expect to palpate the clients fundus

approximately 1 cm above the umbilicus

a nurse is contributing to the plan of care for a client who is in the active stage of labor and expresses a desire to use nonpharmacological methods of pain relief. which of the following interventions should the nurse include?

assist the client into a warm shower

a nurse is assisting with the care of an infant who begins displaying manifestations of neonatal absence syndrome. which of the following actions should the nurse take?

avoid eye contact during feedings

a nurse is reinforcing teaching about circumcision care with a parent of a newborn. which of the following instructions should the nurse include?

avoid using diaper wipes on the site during diaper changes

a nurse is preparing to obtain a newborns temperature. Which of the following methods should the nurse use?

axillary

a nurse is caring for a client who is postpartum and non lactating. the client reports breast pain. which of the following statements should the nurse make?

be sure to wear a well fitted supportive bra

a nurse is caring for a client who is 1 day postpartum following a cesarean birth. which of the following laboratory findings should the nurse report to the provider?

blood glucose 50 mg/dl

What is true of family centered care?

The nurses role is to enter into a partnership with the family The families involvement during pregnancy and birth is seen as constructive necessary for bonding and support Families contribute their ability to accept and maintain control over the health care of family members? Families will benefit from decreasing fragmentation of care by not changing rooms during the hospital stay

a nurse is reinforcing teaching about dietary changes with a client who is pregnant and has pregestational diabetes which of the following should the nurse include in the teaching?

carbohydrates should make up 55% of your diet

a nurse is collecting data from a newborn which of the following findings should the nurse report to the provider?

central cyanosis

a nurse is assisting with the care of a client in the third stage of labor who is receiving iv oxytocin. Which of the following actions should the nurse take?

clean the clients perineum with warm sterile water

a nurse is collecting data from client who is one day postpartum. which of the following findings is a sign of a potential complication?

deep tendon reflexes 4 +

a nurse is reinforcing discharge instructions with a client following the removal of a hydatidiform mole. which of the following statements should the nurse include in the teaching ?

do not become pregnant for at least 1 year

a nurse is caring for a client who is in the transition phase of labor. which of the following actions should the nurse take?

encourage the client to use rapid pant blow breathing pattern

a nurse is reinforcing teaching about manifestations of postpartum depression with a client. Which of the following findings should the nurse include?

episodes of irritability without justification

a nurse is reinforcing teaching with a client who is pregnant and reports increased nasal stuffiness. the nurse should inform the client that which of the following hormones is responsible for this discomfort

estrogen

What does the nurse explain can affect the survival of the x and y bearing sperm after intercourse?

estrogen level

A nurse is caring for a newborn who has neonatal abstinence syndrome. Which of the following clinical findings should the nurse expect?

exaggerated reflexes

a nurse is collecting data from a newborn at birth who was delivered at 32 weeks gestation. which of the following findings should the nurse anticipate?

extended extremities

a nurse is assisting with the care of a client who is in labor and is receiving an infusion of oxytocin. the nurse should monitor the client for which of the following potential adverse effects?

fetal asphyxia

a nurse is assisting with the care of a client who is in labor and experienced a spontaneous rupture of membranes. Which of the following finding requires intervention by the charge nurse?

fetal heart rate decreased by 15/min

a nurse is caring for a client who states i think I'm pregnant which of the following findings should the nurse identify as a positive sign of pregnancy?

fetal heart tones auscultated by doppler

a nurse is reviewing laboratory findings for a newborn. which of the following findings should the nurse report to the provider?

glucose 29 mg/dl

a nurse in a prenatal clinic is reinforcing teaching with client who has a new diagnosis of heartburn. which of the following statements should the nurse include?

go for a walk after eating

a nurse is collecting data from a newborn. which of the following findings should the nurse report to the provider?

head circumference 28cm (11 in) (microcephaly)

A nurse is caring for a client who is postpartum. the nurse should identify which of the following findings as a manifestation of a urinary tract infection:

hematuria

a nurse is reviewing the lab findings of a newborn who is 24hrs old which of the following findings should the nurse report to the provider?

hemoglobin 12g/dl

a nurse is reviewing the lab report of a newborn who has a blood type of b negative the mothers blood type is o positive the lab results indicate the direct antiglobulin test is positive. which of the following complications should the nurse anticipate?

hyperbilirubinemia

the nurse is reinforcing discharge teaching with the guardians of a new born about how to use a bulb syringe. which of the following statements by a guardian indicates an understanding of the teaching?

i should insert the bulb syringe at the corners of the babys mouth to suction the cheek pockets

a nurse is talking with a client at 20 weeks of gestation who is scheduled for a sonogram. The client states. I am here to have my regular prenatal checkup , but i do not want any pictures taken of my baby. which of the following responses should the nurse make?

i would like to hear more about why you do not want the sonogram including any cultural reasons.

a nurse is assisting with the care of a client who is in the early stage of labor and has preeclampsia with severe features. which of the following interventions should the nurse perform?

implement seizure precautions

a nurse is assisting with the care of a newborn who has a positive ortolani sign which of the following manifestations should the nurse expect?

irregular development of the hip socket

a nurse is collecting data from a newborn who has a light skin tone and Rh isoimmunization. which of the following findings should the nurse expect when inspecting the newborns skin?

jaundice

a nurse is collecting data from a pregnant client who is at 38 weeks of gestation. the client reports that her breathing has become easier but notes an increased frequency of urination. The nurse should document this occurrence as which of the following?

lightening

a nurse is reinforcing teaching with a client about using a disposable sitz bath which of the following instructions should the nurse include?

loosen the tube clamp to regulate the rate of flow

a nurse is assisting with the care of a client who is 8hour postpartum and is experiencing hemorrhage which of the following actions should the nurse implement after notifying the provider?

massage the fundus administrator oxytocin with iv fluids insert an indwelling urinary catheter place the client in a lateral position with her legs elevated 30 degrees

a nurse is contributing to the plan of care for a client who is pregnant and has dvt

monitor client for bleeding from iv insertion sites

a nurse is assisting with caring for a client who is at 36 weeks of gestation and has pre-eclampsia. which of the following findings should the nurse identify as the priority?

nonreactive nonstress test

a nurse is caring for a client who is postpartum. the client suddenly appears restless and reports in ability to catch her breath. which of the following actions should the nurse take?

notify the unit charge nurse and the rapid response team

a nurse at a prenatal clinic is collecting data from an adolescent who is pregnant and is visiting the clinic for the first time. which of the following evaluations is the nurses priority

nutritional status

a provider is assisting with the care of a client who is postpartum following a vaginal delivery. the nurse should identify that which of the following circumstances is a risk factor for postpartum hemorrhage

oxytocin induced labor

a nurse in a clinic is preparing to auscultate fetal heart tones using a doppler for a client who is pregnant. Which of the following actions should the nurse prepare to take?

palpate and count the maternal radial pulse while listening to the fetal heart rate

a nurse on a postpartum unit is reinforcing teaching with a client about postpartum blues. which of the following instructions should the nurse include?

plan opportunities to get out of the house frequently

a nurse in a prenatal clinic is reviewing the laboratory results of a client who is at 33 weeks gestation. Which of the following results should the nurse notify the provider

platelet count 135,000/mm^3

a nurse is assisting with the care of a pregnant client at 37 weeks of gestation who has a biophysical score of 4. which of the following actions should the nurse anticipate taking?

prepare the client for delivery at or below 6 is recommended for a biophysical score who si at 36 weeks of gestation or more

a nurse is reviewing the lab values of a client who is pregnant and has a low progesterone level. Which of the following complications should the nurse expect?

preterm labor

a nurse is assisting with the care of a client in active labor whose fetus is in active labor whose fetus is in an occipital brow presentation. which of the following complications should the nurse anticipate as a result of this fetal presentation

prolonged labor

a nurse in an antepartum unit is assisting the charge nurse with an in service session for newly licensed nurse. which of the following descpiptions should the nurse identify as referring to a pudendal block?

providing local anesthesia to the perinium during delivery

a nurse is collecting data from a client who is in labor and has received epidural anesthesia for pain control. which of the following manifestations should the nurse identify as an adverse effect of epidural anesthesia?

pruritus

a nurse is monitoring a client who is receiving iv oxytocin for the induction of labor. the nurse identifies repetitive early decelerations on the fetal heart monitor, which of the following actions should the nurse take?

re-evaluate the FHR tracing in 15 min

a nurse is obtaining the blood pressure of a client who is pregnant. the clients blood pressure is 142/90 mmHg. which of the following actions should the nurse take?

repeat the measurement after allowing the client to sit for 5-10 minutes

a nurse is reviewing the medical record of a client who is at 20 weeks gestation. Which of the following findings should the nurse identify as a presumptive indication of pregnancy?

report of fetal movement by the client

a nurse is assisting with the care of a preterm newborn who is receiving oxygen therapy. which of the following findings should the nurse identify as a potential complication from the oxygen therapy?

retinopathy

a nurse in a prenatal clinic is preparing to check a clients blood pressure. Which of the following actions should the nurse plan to take?

select a cuff that covers about 80% of the clients upper arm

a nurse is collecting data on a client who is at 8 weeks gestation which of the following findings should the nurse report to the provider?

small amount of brown vaginal discharge

a nurse is assisting with the care of a client who is 2 hours postpartum and is receiving an oxytocin IV. the client asks the nurse "why is there little bleeding? which of the following responses should the nurse make?

the bleeding is minimal until i discontinue your iv medication

the guardian of a 3 day old female newborn tells the nurse that he noticed a small amount of blood tinged mucus discharge on the newborns labia. which of the following responses should the nurse make?

the blood tinged mucus indicates a urinary tract infection

a nurse is assisting with the care of a client who is at 32 weeks gestation and has preeclampsia. Which of the following provider prescriptions should the nurse expect?

the client should take low dose aspirin daily

a nurse is caring for a client who is at 20 weeks gestation. the client asks the nurse what the baby looks like now. which of the following answers by the nurse provides an accurate response

the fetus resembles a born human

a nurse is collecting data from a client who is postpartum. which of the following findings should the nurse report to the provider?

the fundus feels soft and is a fingerbreadth below the umbilicus 72 hours after delivery

assessing moro reflex

the legs move in a similar pattern of response to the arms

a nurse is preparing to provide care for a newborn with a light skin tone who was recently assigned an apgar score of 2 for color. which of the following findings should the nurse expect to observe in the newborn?

the newborns skin will appear completely pink all over.

a nurse is reinforcing teaching with a client about squatting exercises during pregnancy. which of the following statements should the nurse include

these exercises should be done for 15 minutes each day to strengthen the perineal muscles

a postpartum nurse is caring for a client who reports excessive sweating during the first night after delivery. which of the following statements should the nurse make?

this is a source of your fluid loss after delivery

a nurse is assisting with performing a nonstress test (nst) on a client who is at 41 weeks gestation. the client asks about the purpose of the test. which of the following responses should the nurse provide?

this test will determine if your baby is healthy

a nurse is assisting with the preparation of a laboring client who is scheduled to receive an intrauterine pressure catheter. the client asks why this type of monitoring is needed. which of the following responses should the nurse make?

this type of monitoring will allow us to measure the intensity of your contractions

a nurse collecting data from a full term newborn who is demonstrating the moro reflex. which of the following movements are expected responses to this reflex

thumb and forefinger forming a "C" legs extending before pulling upward

a nurse is preparing a client who is pregnant for an ultrasound. Which of the following pieces of information is the most important information is the most important for the nurse to collect?

time of the clients last void

a nurse is assisting with the care of a client in labor. her cervix is dilated to 9 cm and she has strong contractions every 2 min that last 75 sec. the nurse should recognize that this client is in which of the following stages of labor?

transition phase of first stage

a nurse is collecting data from a pregnant client who is at 16 weeks gestation. which of the following manifestations should the nurse report to the provider?

urinary urgency

information to include regarding a diaphragm

use spermicidal jelly whenever you use one increases effectiveness of device

a nurse is preparing to apply an external uterine activity monitor for a client who is at 36 weeks gestation. which of the following actions should the nurse plan to take?

validate the monitor tracing by palpating for contraction frequency

a nurse is reinforcing teaching about exercise with a client who is pregnant. which of the following pieces of information should the nurse include?

vigorous exercises should be limited and should not be performed in hot humid weather

a nurse is preparing to administer vitamin k im to a newborn. which of the following actions should the nurse plan to take?

withdraw the needle quickly after administration

a nurse is reinforcing nutritional teaching with a pregnant client who has a bmi of 32. which of the following statements should the nurse make?

you might be at risk for a longer hospital stay than planned

a nurse is reinforcing teaching with a client who is pregnant and has type 1 diabetes mellitus. which of the following statements should the nurse include in the teaching?

you should expect to decrease your insulin dosage immediately after you deliver your baby

a nurse in a clinic is reinforcing education with a client at 32 weeks gestation who has pruritus gravidarum. which of the following pieces of information should the nurse provide?

you should slightly increase your exposure to sunlight

a nurse is reinforcing teaching with a client who is 38 weeks of gestation and is scheduled for a non stress test. which of the following instructions should the nurse provide the client

you will be positioned in a semi fowlers position

a nurse is reinforcing teaching with a client about using the lamaze method to manage pain during labor. which of the following pieces of information should the nurse include?

you will learn how to prevent pain during labor by focusing your mind to control your breathing

a nurse in a clinic is reinforcing teaching with a client who is at 37 weeks of gestation and is scheduled for an external cephalic version. Which of the following statement should the nurse make?

you will receive a medication to relax your uterus prior to the procedure

a nurse is reinforcing teaching with a client who is breastfeeding. which of the following pieces of information should the nurse include?

your baby should have bursts of 15 sucks or swallows at a time

a nurse is caring for a client at her first prenatal visit. the client is worried about the health of her fetus because she drank alcohol and smoked in the first week of pregnancy, before she knew she was pregnant. which response should the nurse make?

your baby was not susceptible to substances during the first 2 weeks of your pregnancy

At what point in prenatal development do the lungs begin to produce surfactant?

25 weeks

A nurse is collecting data from a client who is 2 days postpartum. I'm which of the following locations should the nurse expect to locate the clients Fundus?

3 cm below the umbilicus

a nurse is caring for a client who had a vaginal delivery 24 hours ago. which of the following findings should the report to the provider?

3+ deep tendon reflexes

a nurse is collecting data from a client who is 2 days postpartum. in which of the following locations should the nurse expect to locate the clients fundus?

3cm below umbilicus

The embryo is termed a fetus at which stage of prenatal development?

9 weeks

a nurse is reviewing the laboratory findings of a newborn who is 24 hours old. Which of the following findings should the nurse report to the provider ?

a hemoglobin 12g/dl expected reference range 14 to 24 g/dl

A nurse is reinforcing teaching about oxytocin with a client who is in the 3rd trimester of pregnancy and has preeclampsia. Which of the following is a contraindication for use of this medication?

Active genital herpes

A nurse administers Betamethasone to a client who is 33 weeks of gestation to stimulate fetal lung maturity. When assisting with the plan of care for the newborn the nurse should identify which of the following conditions as an adverse effect of this medication?

Decreased blood glucose

A nurse is assisting with the care of a client who is 8hrs postpartum and is experiencing hemorrhage. Which of the following actions should the nurse implement after notifying the provider? (Select all that apply)

Massage thr fundus Administer oxytocin with iv fluids Insert an indwelling urinary catheter Place the client in a lateral position with her legs elevated 30 degrees

A nurse is reinforcing education with a client who is at 34 weeks of gestation about a non stress test (NST). Which of the following pieces of information should the nurse include?

You might have to drink orange juice during the test

A nurse in a clinic is reinforcing education with a client at 32 weeks of gestation who has pruritis gravidarum. Which of the following pieces of information should the nurse provide?

You should slightly increase your exposure to sunlight

a nurse is caring for 4 newborns. which of the following finding should the nurse report to the provider?

a 12 hour old newborn who has a heart rate of 70/min while sleeping

A couple just learned they are expecting their first child and are curious if they are having a boy or a girl. At what point of development can the couple first expect to see the sex of their child on ultrasound?

c. 10 weeks gestational age The fetal period begins at the ninth week, and by the tenth week the external genitalia are visible to ultrasound examination.