OB

A pregnant patient at 32 weeks' gestation calls the clinic and informs the nurse that she thinks her membranes are leaking. She states that some clear fluid has run down her leg. What is the best response by the nurse? "There's nothing to worry about if you passed only a little bit. The membranes will seal back over." "You may have just passed some urine. If it were amniotic fluid, there would be much more than that." "Go to the hospital now, because this could be very dangerous for the baby." "It is best for you to visit a hospital immediately to be assessed."

"It is best for you to visit a hospital immediately to be assessed."

A pregnant client is scheduled to undergo chronic villi sampling (CVS) to rule out any birth defects. Ideally, when should this test be completed?

10-12 weeks of gestation

Follow up visits for a woman with chronic HTN, which of the following would be most appropriate?

2 weeks until 28 weeks gestation and then weekly allow for frequent maternal and fetal surveillance

A patient is in her 22nd week of pregnancy and is preparing to have her fundal height measured. Given the patient's stage of gestation, what result does the nurse expect?

22cm

A 10 week pregnant woman w diabetes has glycosylated hemoglobin level of 13%. At this time the nurse should be most concerned about which of the following possible fetal outcomes?

Congenital anomalies Rational: A HbA1c level of 13% indicate poor glocuse control. This in conjunction with the woman being in the first trimester increase the risk of congenital anomalies in the fetus. E

At which time should the nurse screen a pregnant woman for group b strept infection

35-37 weeks gestation

A nurse is explaining to a group of nursing students that eclampsia or seizures in pregnant women are preceded by acute increase in maternal blood pressure. Which of the following are features of an acute increase in the blood pressure?

?

A nurse is caring for a group of clients on an intrapartum unit. Which of the following findings should be reported to the provider immediately? A tearful client who is at 32 weeks of gestation and is experiencing irregular, frequent contractions A client who has a diagnosis of preeclampsia has 2+ proteinuria and 2+ patellar reflexes A client who is at 28 weeks of gestation and receiving terbutaline reports fine tremors A client who has a diagnosis of preeclampsia reports epigastric pain and unresolved headache

A client who has diagnosis of preeclampsia reports epigastric pain and unresolved headache

A nurse is assessing a client who is in active labor and notes early decelerations in the FHR on the monitor tracing. The client is at 39 weeks of gestation and is receiving a continuous IV infusion of oxytocin. Which of the following actions should the nurse take? Discontinue the oxytocin infusion Request the provider assess the client Increase the infusion rate of the maintenance IV fluids Continue monitoring the client

Continue monitoring the client

When assessing a woman in her fist trimester, which emotional response would the nurse most likely expect to find?

Ambivalence

Alert the nurse of development of HELLP in a pregnant woman?

Elevated liver enzymes

A nurse is caring for a woman who is 32 weeks pregnant with complaints of decreased fetal movement. Which of the following should the nurse determine first before placing the fetoscope on the woman's abdomen, to auscultate fetal heart sounds? Fetal buttocks Fetal shoulders Fetal head Fetal back

Fetal back

A pregnant client in her second trimester has a hemoglobin level of 11g/dL. The nurse interprets this as indicating which of the following?

Hemodilution of pregnancy

The nurse assess pigmented line down the middle of a pregnant client's abdomen. The nurse documents this as?

Linea nigra

Swordfish and tilefish contain

Mercury which could harm the developing fetus

Iron absorption can increase with what?

Orange juice

A woman who is pregnant with twins is at risk for the development of which of the following?

Preeclampsia

the nursing instructor stresses that preventing complications of pregnancy is a goal for all patients. She informs the student that the best way to do this is which of the following?

Prenatal Care

A non-stress test is performed on a pregnant woman. The nurse informs the client the test was reactive. Which of the following statements by the patient indicates understanding of the test results?

The fetal heart rate increase with activity and indicators well being

At 28 weeks gestation an Rh-negative woman receives RhoGAM. Which of the following would indicate that the medication is effective?

The mother produces no Rh antibodies

A nurse is observing the electronic fetal heart rate monitor tracing for a client who is at 40 weeks of gestation and is in labor. The nurse should suspect a problem with the umbilical cord when she observes which of the following patterns? Variable decelerations Late decelerations Early decelerations Accelerations

Variable decelerations

A nurse is providing care for a woman with preterm labor who is taking terbutaline (Brethine); which of the following should the nurse include in the assessment prior to administration of the drug? Deep tendon reflexes Breath sounds Vital signs Fetal heart tones

Vital signs

A woman whose prenantal weight was 105 pounds, wieghts 109 pounds at her 12 week visit. What dose the nurse say?

Your weight is exact;y what we would expect it to be at this time

A nurse in labor and delivery is admitting a client who is 41 weeks pregnant for induction of labor. Upon vaginal exam the nurse notes the following: 0/0/-2. The cervix is posterior. Which of the following would the nurse expect the health care provider to order? methergine administered orally terbutaline administered subcutaneously cytotec administered vaginally oxytocin administered intravenously

cytotec administered vaginally

A nurse on the postpartum unit is caring for several clients. The nurse should recognize that the greatest risk for development of a postpartum infection is the client who -experienced a precipitous labor less than 3 hr in duration. -had a boggy uterus that was not well-contracted. -had premature rupture of membranes and prolonged labor. -delivered a small for gestational age infant.

had premature rupture of membranes and prolonged labor

What is dyspareunia?

painful intercourse

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. Listen to the client and partner as they reflect on the birthing experience. Discuss contraceptive options with the client and her partner. Repeat information to ensure client understanding. Demonstrate to the client how to perform a newborn bath.

Demonstrate to the client how to perform a newborn bath.

A nurse is assessing a client who is 4 hr postpartum following a vaginal delivery. Which of the following findings should the nurse identify as the priority? Saturated perineal pad in 30 min Deep tendon reflexes 4+ Fundus at level of umbilicus Approximated edges of episiotomy

Deep tendon reflexes 4+

A client is diagnosed with gestational hypertension and is receiving mag sul. Which finding would the nurse interpert as indicating a therapeutic level of the medication?

Deep tendons reflexes 2 +

A nurse in the labor and delivery unit is caring for a client in labor and applies an external fetal monitor and toco transducer. The FHR is around 140/min. Contractions are every 8 min and 30 to 40 seconds induration. The nurse performs a vaginal exam and finds the cervix is 2 cm dilated, 50% effaced, and the fetus is at a -2 station. Which of the following stages and phases of labor is this client experiencing? The first stage, transition phase The second stage of labor The first stage, latent phase The first stage, active phase

The first stage, latent phase

The nurse is assesing a pregnant woman in the second trimester which of the followin tasks would indicate to the nurse that the clei is incorportating the maternal role in her personality?

The woman ackowledges the fetus as a seprate enitity within her

A young woman presents at the emergency department with complaints of lower abdominal cramping and spotting at 12 weeks gestation. The physician performs a pelvic exam and finds that the cervix is closed. What does the physician suspect is the cause of the cramps and spotting?

Threatened abortion

A nurse is caring for a client who is in labor and reports increasing rectal pressure. She is experiencing contractions 2 to 3 minutes apart, each lasting 80-90 seconds, and a vaginal examination reveals that her cervix is dilated to 9 cm. The nurse should identify that the client is in which of the following phases of labor? Latent Active Descent Transition

Transition

Nurse is assessing a newborn immediately following a scheduled cesarean delivery. Which of the following assessments is the nurse's priority?

-respiratory distress

A nurse is massaging a postpartum client's fundus and places the nondominant hand on the area above the symphysis pubis based on the understanding that this action: Determines that the procedure is effective Prevents uterine muscle fatigue Helps support the lower uterine segment Aids in expressing accumulated clots

Helps support the lower uterine segment

In a woman suspected to have a ruptured ectopic pregnancy, the nurse would expect to assess for which of the following as a priority?

Hemorrhage

Making a home visit the nurse observes a newborn sleeping on his back in a bassinet in one corner of the bassinet is some soft bedding material and at the other end i a bulb syringe. The nurse determines..... ?

- soft bedding material should not be in areas where the baby sleeps

The nurse institutes measure to maintain thermoregulation based on the understanding that newborns have limited ability to regulate body temperature because they

- unable to shiver effectively to increase heat production

A nurse is teaching about crib safety with the parent of a newborn. which of the following statements by the client indicates understanding of the teaching?

"I should remove blankets from my baby's crib."

A new mom who is breastfeeding her newborn asks How will i know if my baby is drinking enough

- 6-8 wet diapers a day

After the birth of a newborn, which of the following would the nurse do first to assist in thermoregulation?

- Dry the newborn

The nurse strokes the lateral sole of the newborn's foot from the heel to the ball of the foot when evaluating which reflex?

- babinskis

The nurse is assessing the skin of a newborn and notes a rash on the newborn's face and chest. The rash consists of small papules and is scattered with no pattern. The nurse interprets this finding as which?

- erythema toxicum

20 min after birth, a baby begins to move his head from side to side, making eye contact with the mother, and pushes his tongue out several time

- good time to initiate breastfeeding

The nurse assesses a 1 day old newborn which finding indicates that the newborn's oxygen needs aren't being met?

- nasal flaring

Her 2 hour old newborn is sleepy and difficult to awaken the nurse explains that this behavior indicates which

- normal progression of behavior

Just after delivery a newborn's axillary temperature is 94 which action would be most appropriate?

- rewarm the newborn gradually

The nurse is assessing a preterm newborn's fluid and hydration status which of the following would alert the nurse to possible overhydration?

-Bulging fontanels

a nurse is assisting with the care of a newborn which of the following medications should the nurse anticipate administering during the newborn's stay at the hospital

Hep B, vit k, antibiotic ointment in both eyes

Are there vaccines available to prevent STIs?

A vaccine has been approved to prevent the human papillamnvirus

A nurse is caring for a client who has had no prenatal care. The history of which of the following conditions may indicate a need for a cesarean section? hepatitis B toxoplasmosis human papillomavirus active outbreak of herpes simplex virus

Active outbreak of herpes simplex virus

A nurse is admitting a client who is at 37 weeks of gestation and has severe gestational hypertension. Which of the following actions should the nurse expect to implement? (Select all that apply.) Evaluate neurologic status every 8 hr. Correct! Administer magnesium sulfate IV. Assess respiratory status every 4 hr. Correct! Ensure that calcium gluconate is readily available. Correct Answer Provide a dark, quiet environment.

Administer mag sul IV Ensure the calcium gluconate is readily available Provide a dark, quiet environment

A nurse is collecting assessment data on a new patient. The pt states that she does not have menses. What term will the nurse use to describe this?

Amenorrhea

A nurse admits a woman who is at 38 weeks of gestation and in early labor with ruptured membranes. The nurse determines that the client's oral temperature is 38.9° C (102° F). Besides notifying the provider, which of the following is an appropriate nursing action? Prepare the client for emergency cesarean section. Recheck the client's temperature in 4 hr. Assess the odor of the amniotic fluid. Administer glucocorticoids intramuscularly.

Assess the odor of the amniotic fluid. Rational: Chorioamnionitis is an infection of the amniotic cavity that presents with maternal fever, tachycardia, increased uterine tenderness, and foul-smelling amniotic fluid

A nurse is assessing a client who is 12 hr postpartum. The client's fundus is two fingerbreadths above the umbilicus, deviated to the right of the midline, and less firm than previously noted. Which of the following actions should the nurse take? Obtain a prescription for IV oxytocin. Place the client in a side-lying position. Administer methylergonovine. Assist the client to the bathroom to void.

Assist the client to the bathroom to void.

Which of the following nursing interventions is appropriate when preparing a woman for amniocentesis?

Be certain she knows there are risks of complications such as premature labor from amniocentesis

A nurse is admitting a client to the labor and delivery unit when the client states, "my water just broke." Which of the following interventions is the nurse's priority? Perform Nitrazine testing. Check cervical dilation Begin FHR monitoring. Assess the fluid.

Begin FHR monitoring

Which of the following would the nurse have readily available for client who is receiving mag sul to treat preeclampsia

Calcium gluconate

A pregnant client in her 22nd week of gestation arrives at the healthcare facility with complaints of excessive vaginal bleeding and absence of fetal movements. She denies pain. She is diagnosed as having second trimester fetal loss. Which of the following would the nurse anticipate as the cause of second trimester fetal loss?

Cervical incompetence

During a vaginal exam, the nurse notes that the cervix has a bluish color. The nurse documents this finding as

Chadwick's sign

A nurse is caring for a client who is in active labor and notes late decelerations in the FHR. Which of the following actions should the nurse take first? Change the client's position. Administer oxygen at 10 L/min via a nonrebreather mask. Increase the rate of the IV infusion. Apply a fetal scalp electrode

Change the client's position

A nurse educator on the postpartum unit is reviewing risk factors for postpartum hemorrhage with a group of nurses. Which of the following should be included in the discussion? (Select all that apply.) Coagulation disorders Episiotomy Uterine inversion Retained placental fragments Oligohydramnios

Coagulation diorders Episiotomy uterine inversion Retained placental fragments

What type of birth control would help rpevent sexuallt transmitted infections as well as pregnancy?

Condom

The nurse places a warmed blanket on the scale when weighing a newborn to minimize heat loss via which mechanism?

Conduction

A nurse is caring for a client who is in the active phase of the first stage of labor. When monitoring the uterine contractions, which of the following findings should the nurse report to the provider? Contractions lasting longer than 90 seconds Contractions occurring every 3 to 5 min Client reports feeling contractions in lower back Contractions are strong in intensity

Contractions lasting longer than 90 seconds

A nurse receives report about a client who is in labor and is having contractions 4 min apart. Which of the following patterns should the nurse expect on the fetal monitoring tracing? Contractions that last 45 seconds each with a 3-min rest between contractions Contractions that last for 60 seconds each with a 4-min rest between contractions Contractions that last for 60 seconds each with a 3-min rest between contractions A contraction that lasts 4 min followed by a period of relaxation

Contractions that last for 60 seconds each with a 3 min rest between them

A pregnant woman undergoing amniocentesis asks her nurse why the baby needs this fluid. Which of the of the following is an accurate response?

Cushions your baby to prevent injury

Which factor would the nurse identify as being most important in helping to reduce the maternal/fetal/ neonatal complications associated with pregnancy and diabetes?

Degree of glycemic control achieved during pregnancy

A woman in her third trimester is suffering from heartburn. Which of the following should the nurse advise her to do?

Eat small meals frequently rather than large meals

A nurse is caring for a client who is 12 hr postpartum. Which of the following findings should alert the nurse to the possibility of a postpartum complication? Heart rate 110/min Orthostatic hypotension Urine output of 3,000 mL in 12 hr Fundus palpable at the umbilicus

Heart rate 110/min

A client in her 20th week of gestation develops HELLP syndrome which of the following should the nurse consider as features of HELLP syndrome?

Elevated liver enzymes Low platelet count Hemolysis

During which stage of fetal development are the basic structure of all major body organs formed?

Embryonic

A nurse is making a home visit to a postpartum woman who delivered a healthy newborn 4 days ago. The woman's breasts are swollen, hard, and tender to the touch. The nurse documents this finding as which of the following? Involution Engorgement Mastitis Engrossment

Engorgement

A postpartum nurse is preparing to care for a woman who has just delivered a healthy newborn infant. In the immediate postpartum period the nurse plans to take the woman's vital signs: Every hour for the first 2 hours and then every 4 hours Every 30 minutes during the first hour and then every hour for the next two hours. Every 5 minutes for the first 30 minutes and then every hour for the next 4 hours. Every 15 minutes during the first hour and then every 30 minutes during the second hour.

Every 15 minutes during the first hour and then every 30 minutes during the second hour.

A nurse is caring for a client who is at 42 weeks of gestation and is admitted to the labor and delivery unit. During an ultrasound, it is noted that the fetus is large for gestational age. The nurse reviews the prescription from the provider to begin an amnioinfusion. The nurse should know that an amnioinfusion is indicated for which of the following reasons? (Select all that apply.) -Fetal cord compression -Hydration -Thick meconium fluid Hydramnios -Oligohydramnios

Fetal cord compression Thick meconium fluid Oligohydramnios

The nurse notes each of the following findings in a woman at 10 weeks' gestation. Which of the findings would enable the nurse to tell the woman that she is positively pregnant?

Fetal heart rate via Doppler

When assessing a woman at follow-up prenatal visit, the nurse would anticipate which of the following to be performed?

Fundal height measurement

A nurse is caring for a client who is 2 hr postpartum following a vaginal birth. Which of the following findings indicates the client's bladder is distended? Client report of increased thirst Client report of frequent uterine contractions Fundus palpable to right of midline Less than 2.5 cm of rubra lochia on perineal pad

Fundus palpable to right of midline

A nurse is caring for a client who had epidural anesthesia 15 min ago. The nurse has been taking the client's vital signs every three minutes and notes the following: P 67, R 18, BP 88/57. The client is complaining of nausea. If all of the following are ordered, what would be the most appropriate action to take? administer an antiemetic Give a 500 mL fluid bolus place the client on her left side offer the client ice chips

Give a 500 ml fluid bolus

... the nurse reviews the effect of pregnancy on glucose metabolism. Which of the following would the nurse include as the reason?

Glucose moves through the placenta to assist the fetus

After teaching a pregnant woman with iron def anemia about her prescribed iron supplement, which statement indicates successful teaching?

I need to eat foods high in fiber but not at the same time I take my iron

Which of the following statements if made by the mother indicates a need for further teaching? A nurse is providing instructions to a mother who has been diagnosed with mastitis. I can use analgesics to assist in alleviating some of the discomfort." "I need to stop breastfeeding until this condition resolves." I need to wear a supportive bra to relieve the discomfort." You Answered I need to take antibiotics and I should begin to feel better in 24-48 hours."

I need to stop breastfeeding until this condition resolves.

After assessing a woman who has come to the clnic, the nurse suspects that she is experiencing abnormal uterine bleeding. Wich statement by the client would support the nurse's suspicion?

I've been having bleeding off and on that's irregular and sometimes heavy

A nurse in labor and delivery is completing an admission history for a client who is at 39 weeks of gestation. The client reports that she has been leaking fluid from her vagina for 2 days. The nurse knows that this client is at risk for postpartum hemorrhage cord prolapse hydramnios infection

Infection

A nurse is admitting a client who is at 30 weeks of gestation and is in preterm labor. The client has a new prescription for betamethasone and asks the nurse about the purpose of this medication. The nurse should provide which of the following explanations? "It is used to stop preterm labor contractions." "It increases the fetal heart rate." "It promotes fetal lung maturity." "It halts cervical dilation."

It promotes fetal lung maturity

Which stage of syphills occurs when the infected person has no signs of symptoms of syphilis.

Latency

A nurse is caring for a client who has uterine hypotonicity and is experiencing postpartum hemorrhage. Which of the following actions is the nurse's priority? Massage the client's fundus Insert an urinary catheter Check the client's capillary refill Prepare the client for a blood transfusion

Massage the client's fundus

A nurse is caring for a client who is 2 hr postpartum. The nurse notes that the client soaked a perineal pad in 10 min, the client's skin color is ashen, and she states she feels weak and light headed. After applying oxygen via nonrebreather face mask at 10 L/min which of the following actions should the nurse take next? Insert an indwelling urinary catheter. Massage the client's fundus to promote contractions. Administer oxytocin by continuous IV infusion. Tilt the client onto her right side with her legs elevated to at least 30°

Massage the client's fundus to promote contractions.

Which of the following nursing interventions would be most appropriate initially? A nurse is preparing to assess the uterine fundus of a client in the immediate postpartum period. When the nurse locates the fundus. She notes that the uterus feels soft and boggy. Elevate the mother's legs Encourage the mother to void Push on the uterus to assist in expressing clots Massage the fundus until it is firm

Massage the fundus until it is firm

A nurse is caring for a client with rupture of membranes and notes green fluid. What finding would the nurse document? Meconium in the amniotic sac Infection Umbilical cord prolapse Amniotic fluid embolism

Meconium in the amniotic sac

A nurse is providing care for a client who is in active labor. Her cervix is dilated to 5 cm, and her membranes are intact. Based on the use of external electronic fetal monitoring, the nurse notes a FHR of 115 to 125/min with occasional increases up to 150 to 155/min that last for 25 seconds, and have beat‑to‑beat variability of 20/min. There is no slowing of FHR from the baseline. The nurse should recognize that this client is exhibiting signs of which of the following? (Select all that apply.) - FHR decelerations - Moderate variability - Fetal tachycardia - Normal baseline FHR - FHR accelerations

Moderate variability Normal baseline FHR FHR accelerations

A client experiences a large gush of fluid from her vagina while walking in the hallway of the birthing unit. The nurse's first nursing action after establishing that the fluid is amniotic fluid should be to: -Monitor the FHR -Monitor the client's uterine contractions. -Dry the client and make her comfortable. -Assess the amniotic fluid for meconium.

Monitor the FHR

A client with hyperemesis gravidarum is admitted to facility after being cared for at home without success. Which of the following would the nurse expect to include initially in the client's plan of care on admission?

Nothing by mouth

A middle age woman is seen in the OBGYN and reports abdominal bloating, fatigue, abdominal pain, urinary frequency and constipation. She also says that she lost 24 pounds in the last month without trying to lose weight. For which disease should the provider screen this client?

Ovarian cancer

a 47 year old woman is at the clinic to be seen bc she has been having irreguar menses for the last 4 months. She also reports waking up at night "drenches in sweat" The nurse expects the provider to diagnose which condition?

Perimenopause

When a woman is pregnant she often graves specific things. There is one craving associated with iron def anemia. What is it ?

Pica craving

A nurse is visiting a postpartum woman who delivered a healthy newborn 5 days ago. Which of the following would the nurse expect to find? Creamy white discharge Pinkish brown discharge Deep red mucus-like discharge Bright red discharge

Pinkish brown discharge

A client reports to her obstetrician complaining of significant amount of bright red, painless vaginal bleeding. A sonogram reveals that her placenta has implanted low in the uterus and is partially covering the cervix os. Which of the following immediate care measure should the nurse initiate? Select all that apply.

Place on bed rest in side lying position VS baseline Attach external monitoring to report fetal heart sounds Continue to assess blood pressure every 5-15 min -Determine from the client the time the bleeding began and about how much blood has been lost

The nurse is admitting a patient who is a 41 weeks pregnant for induction of labor. The patient is 3/80/+1 and having irregular contractions. Which of the following would be the best method for labor augmentation? Prepare to assist the health care provider with an amniotomy. Prepare to assist the health care provider with an IUPC insertion. Prepare to start an IV and an infusion of oxytocin. Prepare to administer cytotec by mouth.

Prepare to start an IV and an infusion of oxytocin.

A client comes to the emergency department reporting strong contractions over the past two hours. Which of the following assessments will indicate to the nurse that the client is in true labor? Bloody show Increased fetal activity Contractions lasting 45-60 seconds Progressive cervical dilatation and effacement

Progressive cervical dilatation and effecement

Which symptoms is an early symptoms of vulvar cancer?

Pruritus with genital herpes

Risk for ectopic pregnancy a. use of contraceptive for 5 years b. ovarian cyst 2 years ago c. Heavy, irregular menses d. recurrent pelvic infections

Recurrent pelvic infections (pelvic inflammatory disease)

Goal of antiretroviral agents in pregnant woman

Reducing in viral loads in the blood

Risk factor for cervical cancer

Sexually active at a young age

Signs of abruptio placenta

Sudden onset of dark red vaginal bleeding, sharp funda pain, and tender rigid uterus (board like)

The fetus receives blood flow from the mother via the placenta and umbilical cord. What is the route of fetal circulation through the umbilical?

The 1 vein carries o2 rich blood to the fetus from the placenta

A client has not received any medication during her labor. She is having frequent contractions every 1 to 2 minutes and has become irritable with her coach and no longer will allow the nurse to palpate her fundus during contractions. Her cervix is 8 cm dilated and 90% effaced. The nurse interprets these findings as indicating: Latent phase of the first stage of labor Pelvic phase of the second stage of labor Active phase of the first stage of labor Transition phase of the first stage of labor

Transition phase of the first stage of labor

32 weeks pregnant becomes dizzy, lightheaded and pale while supine. What should the nurse do first?

Turn on left side

Long term health problem of PCOS

Type 2 diabetes

When assessing a client with suspected breast cance which of the following would the nurse expect to find? select all that apply unilateral location regularly shaped asses Painful mobile lump skin dumpling nipple retraction

Unilateral location Skin dimpling nipple retraction

The nurse teaches a primigravida client that lightening occurs about 2 weeks before onset of labor. The mother will most likely experience which of the following at that time?

Urinary frequency

A pregnant client undergoing labor induction is receiving an oxytocin infusion. Which of the following findings would require immediate intervention? Fetal heart rate of 150 beats/minute Uterine resting tone of 14 mm Hg (normal) Contractions every 2-3 minutes, lasting 45 seconds Urine output of 20 mL/hour

Urine output of 20 mL/hour

What is a symptom of bacterial vaginosis?

Vaginal odor smelling of a fish

A nurse is caring for a client who is at 28 weeks of gestation and received terbutaline. Which of the following findings should the nurse expect? Weakened uterine contractions Enhanced production of fetal lung surfactant Maternal blood glucose 63 mg/dL Fetal heart rate 100/min

Weakened uterine contractions

A fertilized ovum is known as which of the following?

Zygote

The nurse at the fertility clinic determines the risk factors for a client using oral contraceptives. Which client would be at highest risk for heart attack or stroke related to the use of these contraceptives

a 38 year old woman who smokes

A nurse is caring for a woman who has experienced postpartum hemorrhage. The health care provider orders four doses of methergine 0.2mg by IM. Which of the following would be a contraindication for this medication? a history of hypertension apical pulse of 120 history of asthma Maternal allergy to ibuprofen

a history of hypertension

What cancers are a risk factor for breast cancer?

breast and colon cancer

The nurse frequently assesses the resp status of a preterm based on the understanding that the newborn is at increased risk for resp distress syndrome because of which?

deficiency of surfactant

Assesment finding of trichomoniasis?

green vaginal discharge

A nurse is caring for a newborn 4 hours after birth. Which of the following actions should the nurse include in the plan of care to prevent jaundice?

initiate oral feeding

During a physical assessment of a newborn, the nurse observes bluish markings across the newborn....?

mogolian spots

After teaching a group of nursing students about a neutral thermal environment the instructor determines that the teaching was successful when the students identify which of the following as the newborns primary method of heat production

non shivering thermogenesis

Which of the following would the nurse include when teaching a new mom about the differences between pathologic and physiologic jaundice? -

patho appears within 24 hours after birth

a nurse is preparing to assess a newborn....??

positive moro, cracked, peeling skin

While changing a female newborn's diaper, the nurse observes a mucus-like slightly bloody vaginal discharge. Which of the following would the nurse document-

pseudomenstruation

a nurse is caring for a client who is postpartum the client tells the nurse the the newborns maternal grandmother was born deaf and ask how to tll if her newborn hears well which of the following statement should the nurse make

we do routine..... ?

A G1P1 who delivered a week ago is visited by a home health nurse. The new mom looks tired and unkempt and shares with the nurse that she doesn't understand why she is crying. What would be the best respond by the nurse? "tell me how things are going since you came home" "post-partum blues are normal" "what medications have you been taking?" "has anyone come to stay with you to help you with the baby?"

"tell me how things are going since you came home"

A nurse is caring for a client who is receiving opioid epidural analgesia during labor. Which of the following findings is the nurse's priority? Blood pressure 80/56 mm Hg Temperature 38.2°C (100.8°F) The client reports weakness of the lower extremities. The client reports perfuse itching.

Blood pressure 80/56 mm Hg

The nurse is caring for a patient with a second degree laceration on the postpartum unit. The patient is complaining of mild perineal tenderness and burning. What medication ordered by the heath care provider would be the most appropriate for this patient? Morphine Lortab Marcain Dermoplast

Dermoplast

A nurse is planning care for a client who is 24 hours postpartum following a cesarean birth. The client has a history of thromboembolic disease. Which of the following nursing interventions should be included in the plan of care? Massage the client's posterior lower legs. Place pillows under the client's knees when resting in bed. Have the client ambulate. Apply warm, moist heat to the client's lower extremities.

Have the client ambulate

A nurse is caring for a labor patient who is on continuous fetal monitoring. The nurse notes repetitive late decelerations in the fetal heart rate. What is the probable cause? placental insufficiency head compression fetal decent cord compression

placental insufficiency

Why does a pregnant woman get gallstones?

progesterone slows emptying of the gallbladder, making gravid woman high risk for disease