OB Test #2
A nurse is caring for a client who is 2 days postpartum, is breastfeeding, and reports nipple soreness. Which of the following measures should the nurse suggest to reduce discomfort during breastfeeding? (Select all that apply)
- Apply breast milk to the nipples before each feeding - Change the infant's position protect the nipple - Start breastfeeding with the nipple that is less sore
A nurse is reinforcing teaching about reducing perineal infection with a client following a vaginal delivery. Which of the following should the nurse include in the teaching? (Select all that apply)
- Clean the perineal area from front to back. - Perform hand hygiene before and after voiding. - Wash the perineal area using a squeeze bottle of warm water after each voiding. - Blot the perineal area dry after cleansing.
A nurse is assisting with the care of a newborn immediately following birth. Which of the following medications should the nurse anticipate administering?
- Hepatitis B immunization - Vitamin K injection - antibiotic ointment to both eyes
A nurse in a clinic is assessing a client who is at 8 weeks of gestation and has hyperemesis gravidarum. Which of the following findings should the nurse expect?
- History of migraines - Twin gestations - First pregnancy
A nurse is caring for a client who had a vaginal delivery 2 hr ago. Which of the following actions should the nurse anticipate in the care of this client?
- Observe the lochia during palpation of fundus. - Determine whether the fundus is midline. - Massage uterus if boggy. - Document fundal height.
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)
- Provide a dark, quiet environment. - Ensure that calcium gluconate is readily available. - Administer magnesium sulfate IV.
(I cannot find the question)
A caput succedaneum occurs due to compression of blood vessels.
On examination a woman who have birth 5 hours ago, the nurse finds that the woman has completely saturated a perineal pad within within 15 minutes. The nurse's first action is to:
Assess the uterus for position and consistency and message the woman's fundus
A nurse in the emergency department is caring for a client who comes to the emergency department reporting severe abdominal pain in the left lower quadrant. The provider suspects a ruptured ectopic pregnancy. Which of the following signs indicates to the nurse that the client has blood in the peritoneum?
Cullen's sign
A nurse in a prenatal clinic is caring for a client who is suspected of having a hydatidiform mole. Which of the following findings should the nurse expect to observe in this client?
Excessive uterine enlargement
A nurse is caring for a client who is 6 hours postpartum and asks the nurse to feed her newborn. Which of the following responses should the nurse provide?
Feeding an infant can feel a little intimidating at first, but I'll stay and help you
A nurse is planning care for a newborn who is small for gestational age (SGA). Which of the following is the priority intervention the nurse should include in the newborn's plan of care?
Monitor blood glucose levels.
A nurse is caring for a preterm newborn who has a nasogastric tube and who recently began intermittent gavage feedings of formula. The nurse notes increased abdominal distention, lethargy, bloody stools, and increasing gastric residuals before feedings. The nurse should suspect which of the following?
Necrotizing enterocolitis
A nurse is caring for a client who has suspected ectopic pregnancy at 8 weeks of gestation. Which of the following manifestations should the nurse expect to identify as consistent with the diagnosis?
Unilateral, abdominal pain
A nurse is completing discharge instructions for a new mother and her 2-day-old newborn. The mother asks, "How will I know if my baby gets enough breast milk?" Which of the following responses should the nurse make?
Your baby should wet 6 to 8 diapers per day
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 extra blankets from my baby's crib."
A nurse is completing discharge instructions for a new mother and her 2-day-old newborn. The mother asks, "How will I know if my baby gets enough breast milk?" Which of the following responses should the nurse make?
"Your baby should wet 6 to 8 diapers per day" A nu
A nurse is assessing a newborn 1 hr after birth. Which of the following respiratory rates is within the expected reference range for a newborn?
48/min
A nurse is caring for a newborn and calculating the Apgar score. At 1 min after delivery, the following findings are noted: heart rate if 110/min; slow, weak cry; some flexion of extremities; grimace in response to suctioning of the nares; body pink in color with blue extremeities. Calculate the newborn's Apgar score and fill in the blank: ______ points
6
A nurse is caring for a newborn immediately following birth. After assuring a patent airway, what is the priority nursing action?
Dry the skin
A nurse is caring for a client who is 12 hr postpartum following a vaginal delivery. Which of the following findings should the nurse expect?
Fundus firm, at the level of the umbilicus
A nurse is assessing a client who is 8 hr postpartum and multiparous. Which of the following findings should alert the nurse to ( i cant read the question)... need to urinate?
Fundus three finger breaths above the umbilicus
A 32-year-old primigravida is admitted with a diagnosis of ectopic pregnancy. Nursing care is based on the knowledge that:
Hemorrhage is the major concern
A nurse is caring for a client who is 3 days postpartum and is attempting to breastfeed. Which of the following indicate mastitis?
Red and painful area in one breast
A nurse is assisting a client with breastfeeding. The nurse explains that which of the following reflexes will promote the newborn to latch?
Rooting