OB ATI
nurse is planning care for client in labor and is to have an amniotomy. which assessement should the nurse identify as the priority
temperature
charge nurse on postpartum unit observing newly licensed nurse whose administering pain meds. you should intervene when the new nurse uses which secondary identifier
the clients room number
nurse is speaking with client whose trying to make a decision about uterine tube occlusion. " what effects will this procedure have on my sex life"? whats your response
this process should have no effect on your sexual performance or adequacy
nurse is providing DC instructions who is postpartum and taking insulin for GDM. which instructions should you include
you should get a 2 hour glucose test in 6-12wks
nurse is providing teaching to adolescent about levonorgestrel contraception. which information should the nurse include in the teaching
you should take the med 72 hours following unprotected sex
nurse is providing teaching about comfort measures to client breastfeeding and is experiencing engorgment. what nonpharmacological measures should the nurse include in teaching
you should use cold compresses after each feeding
nurse is teaching client who is 36wks and has a prescription for NST. which statement should the nurse include in the teaching
you will be offered orange juice to drink during the test
client is 24wks and asks nurse how she will know if she is in labor. whats your response
you will notice blood tinged discharge from your vagina
nurse is teaching about effective breastfeeding to client thats 3 days postpartum. which information should you include
your newborn should appear content after each feeding
nurse is caring for client in active labor and has no cervical change in 4 hours. which statement should you make
your provider will insert iupc to monitor strength of ctxs
nurse is teaching client who is 40wks and has new RX for misoprostol. what instructions should the nurse include
"I can administer oxytocin 4 hrs after insertion of the med" The nurse can administer oxytocin no sooner than 4 hr after the last dose of misoprostol. Oxytocin can be administered following misoprostol for clients who have cervical ripening and have not begun labor.
nurse is teaching client who is 10wks about nutrition. what should nurse include
"I should take 600 micrograms of folic acid each day." A client who is pregnant should increase folic acid intake to 600 mcg daily. Folic acid assists with preventing neural tube birth defects.
nurse is providing teaching to a client about physiological changes that occur during pregnancy. client is 10wks gestation and has BMI within expected range. which client statement indicates understanding
"I will likely need to use alt positions for sex" The weight gain of pregnancy will likely require alternative positions for sexual intercourse. This client statement indicates that she understands the nurse's teaching about the physiological changes that occur during pregnancy.
nurse in prenatal clinic is assessing a group. which client should be seen first
11wks experiencing abd cramping When using the urgent vs nonurgent approach to client care, the nurse should determine that the priority finding is a client who is at 11 weeks of gestation and reports abdominal cramping. Abdominal cramping can indicate an ectopic pregnancy or manifestations of spontaneous abortion. The nurse should request that the provider see this client first.
A nurse is assessing four newborns. Which of the following findings should the nurse report to the provider?
A newborn who is 18 hr. old and has an axillary temp. of 37.7 C An axillary temp. greater than 37.5 C is above the expected reference range for a newborn and can be an indication of sepsis. Therefore, the nurse should report this finding to the provider
A nurse is caring for a client who is anemic at 32 weeks of gestation and is in preterm labor. The provider prescribed betamethasone 12 mg IM. Which of the following outcomes should the nurse expect?
A reduction in respiratory distress in the NEWBORN. Betamethasone is a glucocorticoid that is given to stimulate fetal lung maturity and prevent respiratory distress.
nurse is performing assessment on newborn upon admission to the nursery. which manifestations should the nurse expect
Acrocyanosis is correct. Acrocyanosis is an expected finding for at least the first 24 hr following birth. Poor peripheral perfusion leads to bluish discoloration in the newborn's hands and feet. Positive Babinski reflex is correct. Newborns should exhibit a positive Babinski sign following birth. The nurse should stroke the newborn's foot upward from the heel to the toes. The toes should hyperextend, and dorsal flexion of the big toe should occur. The absence of this finding requires neurological evaluation. The Babinski reflex is no longer present after 1 year of age. Two umbilical arteries visible is correct. The nurse should observe two arteries and one vein in the umbilical cord. The presence of only one artery can indicate a renal anomaly.
nurse is caring for client who is 36wks and has positive ctx stress test. nurse should plan to prepare the client for which of the following dx testing
BPP 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.
nurse is reviewing labs on client thats 24 hours postpartum following vaginal delivery. which lab results should indicate an infection
ESR 26mm/hr
nurse is performing routine an assessment client who is 18wks. which findings should you expect
FHR 152/min The expected range for the FHR is 110/min to 160/min. The FHR is higher earlier in gestation with an average of approximately 160/min at 20 weeks of gestation. Therefore, this is an expected finding by the nurse.
nurse is teaching client who is 35 wks about potential complications to report to providers. which manifestations should you include
HA that is unrelieved by analgesics
nurse is assessing client who received carboprost for PPH. what finding is an adverse effect
HTN The nurse should recognize that carboprost is a vasoconstrictor that can cause hypertension.
nurse is performing assessment on newborn. what should you expect to find
Heart rate 154/min is correct. The expected reference range for a newborn's heart rate is from 110/min to 160/min while awake. Respiratory rate 58/min is correct. The expected reference range for a newborn's respiratory rate is from 30/min to 60/min. Weight 2.6 kg (5 lb 12 oz) is correct. The expected reference range for a newborn's weight is from 2,500 to 4,000 g (5.5 lb to 8.8 lb).
nurse is reviewing the prenatal lab results for client at 12wks gestation. which lab finding should nurse report
Hgb 10g/dL A hemoglobin of 10 g/dL is below the expected reference range of greater than 11 g/dL for a client who is pregnant. The nurse should report this finding to the provider to obtain a prescription for ferrous iron supplementation because of anemia.
nurse is caring for client who is 24 wks and has suspected placental abruption. what lab test should nurse expect provider to prescribe
Kleihauer-Betke test The nurse should expect the provider to prescribe a Kleihauer-Betke test for a client who has suspected placental abruption to determine if fetal blood is in maternal circulation. This test is useful to determine if Rho-(D) immune globulin therapy should be administered to a client who is Rh-negative.
nurse is caring for client who is 32wks of gestation and has gonorrhea. nurse should identify that client is at increased risk for what complications
PROM The nurse should identify that a client who is pregnant and has gonorrhea is at an increased risk for premature rupture of membranes, chorioamnionitis, preterm birth, neonatal sepsis, and intrauterine growth restriction.
nurse is caring for a client who is at 30wks of gestation and has a RX for Mag IV to treat preterm labor. the nurse should notify the provider of which of the following adverse effects
RR 10/min The nurse should report a respiratory rate of less than 12/min to the provider, because this is a manifestation of magnesium toxicity. The nurse should ensure that the antidote, calcium gluconate, is readily available.
nurse in antepartum clinic is assessing client who is 32 wks. what should nurse report to provider
Report of decreased fetal movement The nurse should identify that a client who reports decreased fetal movement could be experiencing a complication related to fetal well-being. A decrease in fetal movement can indicate fetal distress.
nurse is caring for client thats anemic at 32wks and is in PTL. provider prescribes betamethasone. what outcomes should the nurse expect
a reduction in respiratory distress in newborn
nurse is performing vag exam on client whose in labor and reports sever pressure and pain in back. you note fetal head is in posterior position. whats the best nonpharmacological interventions to relieve discomfort
counter pressure
nurse is admitting a client who is in labor. client admits to recent cocaine use, what complication should nurse assess
abruptio placenta Cocaine use increases the risk for vasoconstriction and possible abruptio placenta.
nurse is caring for client thats 26wks and has epilepsy. nurse enters the room and notices pt having seizure. after turning pts head to one side which is the next action you should take
admin o2 via nonrebreathable mask
nurse is caring for client who is 26wks and has epilepsy. nurse enters room and sees client having seizure. nurse turns client to one side, what should the nurse do immediately
administer oxygen in nonrebreather mask When using the airway, breathing, and circulation approach to client care, the nurse should place the priority on administering oxygen to the client via a nonrebreather mask at 10 L/min to ensure adequate oxygenation to the fetus.
nurse on postpartum is caring for client following C/S. which assessment is the nurses priority
amount of lochia
nurse is caring for client who is in labor and whose fetus is in rop. pt is 8cm dilated and reports back pain. which action should the nurse take
apply sacral counterpressure
nurse is providing dc teaching to parent whose newborn just had a circumcision. which instructions should the nurse include
apply slight pressure with sterile gauze pad for mild bleeding
nurse is asssessing client who gave birth vaginally 12 hours aho and palpates her fundus. its to the right of the umillicus. which intervention should the nurse take
assist client in emptying their bladder
nurse is assessing client whose 12hr postpartum. fundus is two fingerbreadths above umbillicus deviated to the right. which action should you take
assist client to bathroom to void
nurse is performing vaginal exam for pt in active labor. client is 8/100/-2. fetus is in OP. which action should you take
assist client to hands and knees position
nurse is caring for client whose 40wks and is in early labor. platelet count is 75000 and wants pain relief. which treatment modalitites should the nurse anticipate
attention focusing
nurse is admitting pt to LND because she stated "my water broke". which interventions is the nurses priority
begin FHR monitoring The greatest risk to the client and her fetus following a rupture of membranes is umbilical cord prolapse. The nurse should monitor the fetus closely to ensure well-being. Therefore, this is the priority action the nurse should take.
nurse is reviewing med records on client who is one day postpartum. client had a vaginal delivery with a 4th degree repair. the nurse should contact the provider regarding which prescription
bisacodyl rectal suppository daily for constipation
nurse is assessing client with severe preeclampsia. which of the following manifestations should the nurse expect
blurred vision The nurse should identify that a client who has severe preeclampsia can have arteriolar vasospasms and decreased blood flow to the retina which can lead to visual disturbances, such as blurred vision, double vision, or dark spots in the visual field.
nurse is caring for client who has hyperemesis gravidarum and is receiving iv fluids. which findings should the nurse report to the provider
bun 25 mg/dl The nurse should report an elevated BUN to the provider since it can indicate dehydration.
nurse is caring for newborn whose undergoing phototherapy to treat hyperbilirubinemia. which action should the nurse take
cover newborns eyes while under the light
nurse is discussing differences between true/false labor. which characteristics should the nurse include when discussing true labor
ctxs become stronger with walking
nurse is caring for client who is experiencing pre-e and has RX for IV mag sulfate. what med does nurse prepare to admin if client get mag toxic
calcium gluconate The nurse should anticipate administering calcium gluconate if the client develops magnesium toxicity. Calcium gluconate is the antidote.
nurse is assessing newborn following circumcision. which findings should the nurse identify as an indication that the newborn is experiencing pain
chin quivering
nurse in family planning clinic is caring for pt who requests oral contraception. which findings in the clients history should the nurse recognize as a contraindication to oral contraceptives
cholecystitis hypertension migraine headaches
nurse on antepartum unit is caring for four clients. which patient is a priority
client thats 34wks experiencing epigastric px
nurse is providing teaching about nonpharmacological pain management to client breastfeeding and has engorgement. nurse should recommend to apply what
cold cabbage leaves The application of fresh, raw cabbage leaves that have been chilled is an effective nonpharmacological method to relieve the pain associated with engorgement. The nurse should instruct the client to place the cabbage leaves on the breasts for 15 to 20 min, repeating the application for two to three sessions as needed. More frequent applications could decrease the client's milk supply.
nurse is developing an education program for adolescents about nutrition during third trimester. which statement should the nurse include in the program
consume 3-4 servings of dairy a day
nurse is assessing client whose in active labor and notes early decels. client is 39 wks and receiving continuous iv of oxytocin. what action should you take
continue monitoring the client
nurse is assessing client who is postpartum and has ITP. which finding should the nurse expect
decreased platelet count
nurse is assessing client whose 26wks. which manifestations should the nurse report to the provider
decreased urinary output
nurse is planning care on client whose 2 hours postpartum. which interventions should the nurse plan to implement during the taking hold phase or postpartum behavioral adjustment
demonstrate how to perform newborn bath
nurse is providing teaching for client with new RX for combined oral contraceptives. what should nurse include as adverse effect
depression The nurse should instruct the client that depression is a common adverse effect of combined oral contraceptives. Other common adverse effects of the medication include amenorrhea, weight gain, headache, nausea, breakthrough bleeding, and breast tenderness.
nurse is caring for client who becomes unresponsive upon delivery of the placenta. which action should you take first
determine resp function
nurse is caring for full term newborn immediately after birth. which action should the nurse take
dry the newborn
nurse is teaching client thats pregnant about managing N/V. which instructions should you include
eat high-carbohydrate foods
nurse in antepartum clinic is assessing pts adaptation to pregnancy. she states "happy one minute and crying the next". nurse should interpret this statment as an indication of what
emotional lability
nurse is teaching newly licensed nurse about universal newborn screening. which statement should the nurse include in the teaching
ensure newborn has been receiving feedings for 24 hours prior to test The nurse should ensure that the newborn has been receiving regular feedings for at least 24 hr prior to testing.
nurse is caring for 22wk that reports concern about her blotchy hyperpigmentation on her forehead. what action should you take
explain that this is an expected occurence
bathing newborn steps
eyes (inner to outer) neck by lifting chin around umbilical stump wash legs and feet clean diaper area
nurse is demonstrating how to bathe newborn. whats the order of bathing a newborn
eyes from inner to outer wash neck by lifting chin cleanse umbillical cord wash legs and feet cleans genitals
nurse is assessing client who is in labor and notes early decels on fetal monitor. which findings should the nurse identify as possible cause of earl decels
fetal head compression
nurse is preparing to admin Oxytocin to client who is postpartum. which of the following findings is an indication for oxytocin
flaccid uterus excessive vaginal bleeding
nurse in antepartum clinic providing care for client thats 26wks. upon reviewing med records which findings should you report to the provider.
fundal height measurement of 30cm A fundal height measurement of 30 cm should be reported to the provider. Fundal height should be measured in centimeters and is the same as the number of gestational weeks plus or minus 2 weeks from 18 to 32 weeks gestation. Therefore, the nurse should report this finding to the provider.
nurse is teaching client thats 24wks regarding 1hr glucose tolerance test. which statement should the nurse include in her teaching
glucose of 130-140 is considered a positive screening result
nurse is caring for client at 35wks and is undergoing NST that has a variable deceleration. which action should the nurse take
have the client change position
nurse is caring for a client who is at 35wks of gestation and is undergoing a nonstress test that reveals a variable decel. which action should the nurse take
have the client change position Having the client change position is an appropriate intervention for a variable deceleration to relieve umbilical cord compression.
nurse is assessing client whose received carboprost for pph. which of the following findings is an adverse effect of medications
htn
nurse is teaching client thats 10wks about nutrition in pregnancy. which statement by the client indicates and understanding
i should take 600mcg of folic acid each day
nurse is teaching client who has pregestational t1dm about management during pregnancy. which statement indicates and understanding by the client
i will continue taking insulin if i experience N.V
nurse is teaching group of parents about newborn safety. which statement by the parent indicates an understanding
i will dress my baby in flame retardent clothing
nurse is providing dietary teaching on client who has hyperemesis gravidarum. which statement indicates and understanding by the client
i will eat foods that appeal to my taste instead of trying to balance my meals
nurse is teaching client whose in PTL about terbutaline. which statement by the client indicates an understanding
i will have a blood test because my K might decrease
nurse providing teaching to client about physiological changes that occur during pregnancy. client is 10wks and has BMI within expected range. which statement indicates an understanding
i will likely need to use alternative positions for sexual intercourse
nurse is teaching client about rh0 (d) immune globulin. which statement by the client indicates and understanding
i will need this medication if i have an amniocentesis
nurse is caring for client who has recently experienced a perinatal death. which statement should the nurse make to the client
im sad for you
nurse is assessing a client who has GDM and experiencing hyperglycemia. what are expected findings
increased urine output Increased urinary output, nausea and vomiting, reports of thirst, abdominal pain, constipation, drowsiness, and headaches are manifestations of hyperglycemia. Other manifestations include weak rapid pulse, fruity breath odor, urine positive for sugar and acetone, and a blood glucose level greater than 200 mg/dL.
nurse is performing a vag exam on client in labor and observes umbilical cord protruding from vagina. after calling for assistance what should the nurse do
insert 2 gloved fingers into the vagina and apply upward pressure on presenting part The nurse should quickly apply gloves and insert two fingers into the vagina toward the cervix, exerting upward pressure onto the presenting part to relieve umbilical cord compression and increase oxygenation to the fetus.
nurse is planning care for client undergoing NST. which action should the nurse include in the plan
instruct client to push button every time they feel fetal movement
nurse in womans clinic is providing teaching about nutritional intake to a client thats 8wks. nurse should instruct client to increase daily intake of which nutrients
iron
nurse is assessing newborn at 12 hours of birth. which manifestation should you report to the provider
jaundice Jaundice occurring within the first 24 hr of birth is associated with ABO incompatibility, hemolysis, or Rh-isoimmunization. The nurse should report this manifestation to the provider.
nurse is caring for client thats pregnant and at end of first trimester. where would you find the heart rate with a doppler
just above symphysis pubis
nurse is caring for client whose receiving oxytocin. which findings contraindicates the initiation of oxytocin infusion and should report to the provider
late decels
A nurse is caring for a client who is to receive oxytocin to augment her labor. which of the following findings contraindicates the initiation of the oxytocin infusion and requires notification of the provider
late decels Late decelerations are indicative of uteroplacental insufficiency. Therefore, this is a contraindication for the administration of oxytocin and should be reported to the provider.
nurse is observing new parent caring for crying newborn who is bottle feeding. which action by the mother should the nurse recognize as a positive parenting behavior
lay newborn across lap and gently sway This is a correct technique for quieting a newborn. This tactile stimulation promotes a sense of security for the newborn.
nurse is caring for client following an amniocentesis at 18wks. which findings should the nurse report to the provider as a potential complication
leakage of fluid from the vagina
nurse is providing teaching about family planning to a client who has a new prescription for a diaphragm. which statement should the nurse include
leave the diaphragm in place for atleast 6 hours after intercourse
nurse is assessing FHR. fetal position is LOA. where should you apply the us
left lower
nurse is caring for postpartum client receiving heparin via IV infusion for thrombophlebitis in her left calf. what action should you take
maintain client on bedrest The client should remain on bed rest to decrease the risk of dislodging the clot, which could cause a pulmonary embolism. Elevation of the affected leg is recommended.
nurse on postpartum unit is caring for client who is experiencing hypovolemic shock. after notifying the provider whats your next action
massage clients fundus
nurse is caring for client who has uterine atony and is experiencing pph. which actions the nurses priority
massage the clients fundus Uterine atony and postpartum hemorrhage indicate that this client is at the greatest risk for hypovolemic shock. This can compromise the perfusion to the client's vital organs, which can lead to death. Therefore, the nurse's priority is to massage the client's fundus to minimize blood loss.
nurse is assessing newborn who was born at 26wks. which findings should you expect when using the new ballard score
minimal arm recoil The nurse should expect a newborn who was born at 26 weeks of gestation to have decreased muscular tone, or minimal arm recoil.
nurse is caring for 15 wk pt thats RH negative and just had an amniocentesis, which intervention is the priority following the procedure
monitor FHR
nurse is caring for client who is 15wks, Rh neg and just had anmiocentesis. which of the following interventions is the nurse's priority
monitor FHR The greatest risk to this client and her fetus is fetal death. Therefore, the priority nursing intervention is to monitor the FHR following an amniocentesis.
nurse is developing plan of care for client with pre-e and is receiving mag. which intervention should the nurse include in the plan
monitor FHR continuously Magnesium sulfate, which is used to prevent seizures in clients who have preeclampsia, is a high-alert medication that requires close monitoring. The FHR and uterine contractions should be monitored continuously while the client is receiving magnesium sulfate.
nurse is planning care for client whose in labor and requesting an epidural. which action should the nurse include in the plan of care
monitor bp every 5 minutes following first dose
nurse is assessing client who is getting morphine IV bolus for pain after c-section. nurse notes RR of 8, what med should nurse give
naloxone Morphine is a common opioid analgesic used for postoperative pain management that can cause central nervous system depression and can cause respiratory depression. The nurse should administer naloxone, an opioid antagonist, to reverse the opioid-induced respiratory depression in the client.
nurse is assessinf four newborns. which one should you report to the provider
newborn wihose 18hr old and has axillary temp of 37.7
nurse is teaching client in prenatal class about folic acid. nurse should instruct client to consume folic acid to prevent what abnormalitites
nueral tube defects
nurse is providing education about family bonding to parent who recently adopted. which suggestion should you make to aid the familys 7yr old in accepting the new family member
obtain a gift from the newborn to the present sibling Presenting a gift from the newborn to the sibling is a strategy to facilitate a school-age sibling's acceptance of a new family member. This ensures that the sibling does not feel left out and that they understand their role in the family.
nurse is caring for client who is 38wks. which action should the nurse take prior to applying external fetal monitor
perform leopolds maneuver
nurse is providing teaching for client who gave birth 2 hours ago about facility policy for newborn safety. which statement by the client indicates an understanding
person who comes to take pictures will be wearing a photo id badge All personnel working on the unit should be wearing a photo identification badge. The nurse should instruct the parent to never allow anyone who is not wearing an identification badge to come in contact with the newborn.
nurse is assessing newborn who was delivered vaginally and experienced tight nuchal cord. which manifestations should the nurse expect
petechiae over the head Nuchal cord, or the umbilical cord being wrapped tightly around the neck, can cause bruising and petechiae over the face, head, and neck.
nurse is preparing to collect blood specimen from newborn via heel stick. which technique should the nurse follow to minimize pain
place newborn skin to skin on mom Placing the newborn skin to skin on the mother's chest is an effective technique to significantly decrease the newborn's pain level and anxiety. The nurse should implement this technique before, during, and after the procedure.
nurse is reviewing medical records of client who is postpartum and has pre-e. which lab results should the nurse report to the provider
platelets 50000
nurse is providing dc teaching about car seat safety. what instructions should you include
position rear facing in the back seat
nurse in provider office is reviewing med records of client in first trimester. which findings should the nurse identify as a risk factor for the development of pre-e
pregestational DM Pregestational diabetes mellitus increases a client's risk for the development of preeclampsia. Other risk factors include preexisting hypertension, renal disease, systemic lupus erythematosus, and rheumatoid arthritis.
nurse is teaching client who is 37 wks and has RX nonstress test, what are nurses instructions
press button when you feel baby move The nurse should instruct the client to press the handheld button when the fetus moves. This action will mark the fetal monitor tracing with the client's reports of fetal movement. This will assist in the interpretation of the nonstress test to determine if it is reactive or nonreactive.
nurse is creating plan of care for client who is postpartum and adheres traditional hispanic cultural beliefs. which of the following cultural practices should the nurse include in the plan of care
protect clients head and feet from cold air Protecting the client's head and feet from cold air should be included in the plan of care because this is a traditional Hispanic practice during the postpartum period.
staff nurse on obstetric unit is caring for client who is scheduled for induced abortion. the nurse informs the manager that she has a moral issue with the pts decision. which action should be done by the manager
reassign the client to another nurse
nurse is planning care of 24wk and reports daily mild headaches. which instructions should the nurse include in the plan of care
recommend that the client perform consious relaxation techniques daily
nurse is developing plan of care for newborn who is to undergo phototherapy for hyperbilirubinemia. which actions should the nurse include in the plan
remove clothing expect diaper The nurse should remove all the newborn's clothing except the diaper while under phototherapy. Maximum skin exposure to the ultraviolet light is needed to break down the excess bilirubin.
nurse is caring for a client who is 22wks gestation and is HIV pos. which of the following actions should nurse take
report client's condition to the local health department The nurse should report the condition to the local health department. HIV is one of the conditions on the list of Nationally Notifiable Infectious Conditions that is required to be reported.
nurse is assessing client who is 36wks. which of the following should the nurse report to provider
report of visual disturbances Visual disturbances such as blurred vision are a potential prenatal complication associated with hypertension. The nurse should report this finding to the provider so that additional fetal and maternal evaluation can be performed.
nurse is assessing full term newborn 15 min after birth. which findings requires intervention
resp 18
nurse is assessing late preterm newborn. which of the following clinical manifestations is an indication of hypoglycemia
resp distress Late preterm newborns are at an increased risk for hypoglycemia due to decreased glycogen stores and immature insulin secretion. Respiratory distress is a manifestation of hypoglycemia. Other manifestations of hypoglycemia include an abnormal cry, jitteriness, lethargy, poor feeding, apnea, and seizures.
nurse caring for client and partner who experiences a fetal death. which action should you take
take photos of the newborn to give to the parent
nurse is caring for prenatal client who has parvo (fifth disease) which action should the nurse take
schedule an US The nurse should schedule serial ultrasound examinations to monitor the fetus during the pregnancy to detect the possible development of fetal hydrops. Also, the virus can cause miscarriage, intrauterine growth restriction, fetal anemia, or stillbirth.
nurse is calculating clients expected due date using Naegels rule. LMP is nov 27th. whats the clients EDD
sep 3rd
nurse is providing prenatal teaching to client thats 26wks. which position should the nurse recommend the client to increase circulation to the placenta
side lying
nurse is teaching new mother about steps she will take to promote security and sefety for the newborn. which statement would you make
staff members who take care of your baby will be wearing a photo id badge
nurse is teaching new mother how to use bulb syringe to suction newborns secretions. which instructions should the nurse include
stop suction when newborns cry sounds clear
nurse is assessing newborn whose 12 hours old. which manifestations requires intervention by the nurse
substernal chest retractions while sleeping
nurse is assessing newborn who is 16hr old. which of the following findings should nurse report
substernal retractions The nurse should identify that substernal retractions, apnea, grunting, nasal flaring, and tachypnea are manifestations of neonatal infection or respiratory distress in the newborn. The nurse should report these findings to the provider for immediate intervention.
nurse is assessing client who is 30wks during routine exam. which findings should you report to the provider
swelling of the face
nurse is caring for client who is 36wks and has Rx for amniocentesis. why should nurse prepare client for ultrasound
to locate pocket of fluid An ultrasound is done to locate a pocket of amniotic fluid and the placenta prior to an amniocentesis. This decreases the risk of injury to the fetus.
nurse caring for client who is 36wks and has prescription for amniocentesis. whats the reason to prepare the client for an US
to locate the pocket of fluid
nurse is caring for client whose in labor and reports rectal pressure. her ctxs are 2-3 min apart and lasting 80-90sec. her cervix is 9cm. which phase of labor is she in
transition
nurse is providing dc teaching to client who is postpartum. which manifestation should the nurse instruct the pt to monitor and report to the provider
unilateral breast pain
nurse is assessing client who is 1 day postpartum and has vaginal hematoma. which manifestation should the nurse expect
vaginal pressure The nurse should expect a client who has a vaginal hematoma to report pressure in the vagina due to the blood that leaked into the tissues.
nurse is caring for newborn who was transferred to nursery 30 minutes after delivery. which action should the nurse take first
verify newborns id
nurse is transporting a newborn back to the parent's room following a procedure. which of the following actions should the nurse take
verify the parent's ID band matches newborn's The nurse should verify the newborn's identity every time the newborn is returned to the parents. The nurse should match the information on the parent's identification band to the information on the newborn's identification band.
nurse assessing newborn of client who took selective serotonin reuptake inhibitor during pregnancy. which manifestation should the nurse identify is an indication of withdrawal from SSRI
vomiting
nurse is assessing client who is 38wks during prenatal visit. which findings should the nurse report to the provider
weight gain of 2.2 kg A weight gain of 2.2 kg (4.8 lb) in a week is above the expected reference range and could indicate complications. Therefore, this finding should be reported to the provider.
nurse in prenatal clinic caring for client who reports her menstrual period is 2 wks late. client appears anxious and asks if she is pregnant. which response should you make
you can miss your period for several reasons. describe your typical menstrual cycle
nurse is teaching a new mom about newborn safety. which instructions should the nurse include in the teaching
you can share your room with your baby for the next few weeks
nurse is providing dc teaching to client who had c/s 3 days ago. what instructions should the nurse include
you can still become pregnant if you are breast feeding The nurse should instruct the client that breastfeeding does not prevent ovulation. Therefore, the client can become pregnant. The nurse should discuss contraception that is safe to use while breastfeeding.
nurse is teaching client whose 8wks about exercise. which instructions should you include
you should exercise 30 minutes each day
