RN maternal newborn 2019- proctor

a nurse is assessing a client who is at 37 weeks of gestation. which of the following statement by the client requires immediate intervention by the nurse?

"I have been seeing spots this morning"

a nurse is providing discharge teaching to a new parent about care seat safety. which of the following statements by the parent indicates an understanding of the teaching

"I should place the carseat rear facing until my baby is 12 months old"

a nurse is providing teaching to a client who has mild preeclampsia and will be caring for herself at home during the last 2 months of pregnancy. which of the following statements by the client indicates an understanding of the teaching

"I will count baby kicks every other day"

a nurse is planning to teach a group of clients who are about to start breastfeeding after returning to work which of the following infections should the nurse include in the teaching

"great mil can be stored in a deep freezer for 12 months"

a nurse on a labor and delivery unit is providing teaching to a client who plans to use hypnosis to control labor pain. which of the following information should the nurse include

"synchronized breathing will be required during hypnosis"

a nurse is providing teaching about terbutaline to a client who is experiencing preterm labor. which of the following statement by client indicates an understanding of the teaching

"the medication could cause me to experience heart palpitations"

a nurse is providing teaching to a client about exercise safety during pregnancy. which of the following statements by the client indicates an understanding of the teaching? select all that apply

- I will check my heart rate every 15 min during exercise sessions - I should rest by lying on my side for 10 minutes following exercise

a nurse in a providers office is assessing a client at her first antepartum visit. the client states that the first day of her last menstrual period was march 8th. use nageles rule to calculate the estimated date

December 15th

a nurse is reviewing laboratory results for client who is pregnant. the nurse should expect which of the following laboratory values to increase?

RBC count

a nurse is caring for a newborn who is 24 hr old. which of the following laboratory findings should the nurse report to the provider

WBC count 32,000

a nurse is teaching a client who is at 41 weeks of gestation about a non stress test. which of the following information should the nurse include in the teaching

"this test will confirm fetal lung maturity"

a nurse is providing teaching about expected changes during pregnancy to a client who is at 24 weeks of gestation. which of the following information should the nurse include?

"you should expect your uterus to double in size"

a nurse is reviewing signs of effective breathing with a fluent who is 5 days postpartum. which of the following information should the nurse include in the teaching?

"you should feel a tugging sensation when the baby is sucking"

a nurse is caring for a client following a vaginal delivery of a term fetal demise. which of the following statements should the nurse make?

"you should name the baby so she can have an identity"

a nurse is providing teaching to a client who is at 38 weeks of gestation and has a prescription to receive misoprostol intravaginally. which of the following statements should the nurse make?

"you will receive an IV infusion of oxytocin 1 hr after your last dose"

a nurse is teaching a prenatal class regarding false labor. which of the following information should the nurse include?

"your contractions will become temporarily regular"

a community health nurse is providing education on gestational diabetes to a group of clients who are pregnant when discussing risk factors. which of the following ethnicities should the nurse identify as having the lowest incidence of DM?

- non hispanic white American

a nurse is providing nutritional guidance to a client who is pregnant and follows a vegan diet. the client asks the nurse which foods she should eat to ensure adequate calcium intake. the nurse should instruct the client that which of the following foods has the highest amount of calcium

1 cup cooked broccoli

a nurse is caring for a client who is receiving prenatal care and is at her 24 week appointment. which of the following laboratory tests should the nurse plan to conduct?

1-hr glucose tolerance test

a nurse is caring for a newborn immediately following birth and notes a large amount of mucus in the newborns mouth and nose. identify the sequence the nurse should follow when performing suction with a bulb syringe

1= compress the bulb syringe 2= place the bulb syringe in the newborns mouth 3= use the bulb syringe to suction the newborns nose 4= assess the newborn for reflex bradycardia

a nurse is caring for a client who is experiencing preterm labor and has a prescription for 4 doses of dexamethasone 6 mg IM 12 h4. available is dexamethasone 10 mg/dL. how many mL of dexamethasone should the nurse administer per dose

6 mg/10 mg x 1 mL= 0.6 mL per dose

a nurse is caring for four clients. for which of the following clients should the nurse auscultate the featl heart rate during the prenatal visit

a client who has felt quickening for the first time

a nurse on the labor and delivery unit is assessing four clients. which of the following clients is a candidate for an induction of labor with misoprostol?

a client who has gestational diabetes mellitus

a nurse on an antepartum unit is reviewing the medical records for four clients. which of the following clients should the nurse assess first

a client who has hyperemesis gravidarum and a sodium level of 110 mEq/L

a nurse on the postpartum unit is caring for four clients. for which of the following clients should the nurse notify the provider

a client who is receiving magnesium sulfate and has absent deep tendon reflexes

a nurse is caring for four newborns. which of the following newborns should the nurse assess first

a newborn who has nasal flaring

a nurse is caring for a client who has active genital herpes simplex virus type 2. which of the following medications should the nurse plan to administer

acyclovir

a nurse is planning care for a client who is pregnant and has HIV. which of the following actions should the nurse include in the plan of care?

administer a pneumococcal immunization to the newborn within 4 hr following birth

a nurse is caring for a 2 day old newborn who was born at 35 weeks of gestation. which of the following actions should the nurse take?

administer nitric oxide inhalation therapy in the newborn

a nurse is assessing a client following an amniocentesis. which of the following findings should the nurse recognize as complications? select all that apply

amniotitis UTI leakage of amniotic fluid preterm labor

a nurse on a postpartum unit caring for four clients. which of the following client should receive rh immunoglobulin to prevent rh- immunization

an Rh negative mother who has an Rh positive infant

a nurse is caring for a newborn who is 1 hr old and has a respiratory rate of 50/min, a heart rate of 130/min, and an ancillary temp of 97. which of the following actions should the nurse take?

apply a cap to the newborns head (slightly hypothermic)

a nurse is caring for a client who is in the transition phase of labor and reports a pain level of 7 on a scale of 0-10. which of the following actions should the nurse take?

assist the client with patterned paced breathing

a nurse is caring for a client who is in labor and requests non pharmacological pain management. which of the following nursing actions promotes client comfort

assisting the client into squatting position

a nurse is planning care for a full term newborn who is receiving phototherapy. which of the following actions should the nurse include in the plan of care

avoid using lotion or ointment on the newborns skin

a nurse is caring for a client who is receiving an epidural block with an opioid analgesic. the nurse should monitor for which of the following findings as an adverse affect of the medication

bilateral crackles

a nurse is preparing to administer methylergonovine 0.2 mg orally to a client who is postpartum and has a boggy uterus. for which of the following assessment findings should the nurse withhold the medication

blood pressure 142?92 mmHG

a nurse on a labor and delivery unit is receiving infection control standards with a newly licensed nurse. the nurse should instruct the newly licensed nurse to don gloves for which of the following procedures

performing a newborns initial bath

a nurse is assessing a newborn upon admission to the nursery. which of the following should the nurse expect?

chest circumference 2 cm

a nurse in a woman's health clinic is obtaining a health history from a client. which of the following findings should the nurse identify as increasing the clients risk for developing pelvic inflammatory pain

chlamydia infection

a charge nurse is teaching a group of staff nurses about fetal monitoring during labor. which of the following findings should the charge nurse instruct the staff members to report to the provider

contraction durations of 95-100 seconds

a nurse is caring for a client who is experiencing sore nipple from breastfeeding. which of the following actions should the nurse take?

plan a snug dressing on the clients nipple when not breastfeeding

a nurse is assessing a client who is at 27 weeks of gestation and has preeclampsia. which of the following findings should the nurse report to the provider?

platelet count 60,000/mm3

a nurse is caring for a client who is receiving oxytocin for induction of labor and notes late decelerations of the fetal heart rate on the monitor tracing. which of the following actions should the nurse take

decrease maintenance IV solution infusion rate

a nurse is planning care for a newborn who is scheduled to start phototherapy using a lamp. which of the following actions should the nurse include in the plan of care

ensure the newborn eyes are closed beneath the shield

a nurse is assessing a newborn following a forceps assisted birth. which of the following clinical manifestations should the nurse identify as a complication of the birth method

facial palsy

a nurse is providing prenatal teaching to a client who practices a vegan diet and is trying to increase intake of vitamin B12. which of the following foods should the nurse recommended?

fortified milk

a nurse is receiving laboratory results for a term newborn who is 24 hr old. which of the following results require intervention by the nurse

ftlucose 20 mg/dL

a nurse is caring for a client following an amniocentesis. the nurse should observe the client for which of the following complications

hemorrhage

a nurse is teaching a prenatal class about immunizations that newborns receive following birth. which of the following immunizations should the nurse include in the teaching?

hepatitis b

a nurse is teaching a client who is 28 weeks of gestation and not up to date on current immunization. which of the following immunizations should the nurse inform the client to anticipate receiving following birth

human papilloma virus (HPV)

a nurse is caring for an infant who has signs of neonatal abstinence syndrome. which of the following actions should the nurse take?

initiate seizure precautions

a nurse is caring for a client who is 4 hr postpartum and is experiencing hypovolemic shock. which of the following actions should the nurse take

insert a second using 22 gauge IV Catheter

a nurse is assessing a client who is at 37 weeks of gestation. which of the following statements by the client requires immediate intervention by the nurse

it burns when I urinate

a nurse caring for a client who is at 20 weeks of gestation and has trichomoniasis. which of the following findings should the nurse expect?

malodorous discharge

a nurse is reviewing the electronic medical record of a postpartum client. the nurse should identify that which of the following factors places the client at risk for infection

meconium stained fluid

a nurse is caring for a client who has bacterial vaginosis. which of the following medication should the nurse expect to administer

metronidale

a nurse is caring for a client who is 14 weeks of gestation. at which of the following locations should the nurse place the doppler device when assessing the fetal heart rate?

midline 2-3cm in above the symphysis pubis - at 14 weeks AOG this is where to place the doppler probe to not FHT

a nurse is assessing a preterm nebonq who is at 32 weeks of gestation. which of the following findings should the nurse expect

minimal arm recoil

a nurse is assessing a newborn who was born post term. which of the following findings should the nurse expect

nails extending over tips of fingers

a nurse is caring for a newborn who is 6 hr old and has a bedside glucometer reading of 65 mg/dL. the newborns mother has type 2 diabetes. which of the following actions should the nurse take

reassess the blood glucose level prior to the next feeding

a nurse is assessing a newborn immediately following a vaginal birth. for which of the following findings should the nurse intervene

sternal retractions

a nurse is planning care for a newborn who has neonatal abstinence syndrome. which of the following interventions should the nurse include in the plan of care

swaddle the newborn in a flexed position

a nurse is caring for a client who is in the second stage of labor, which of the following manifestations should the nurse expect

the client delivers the newborn

a nurse is developing an educational program about hemolytic diseases in newborns for a group of newly licensed nurses. which of the following genetic information should the nurse include in the program as a cause of hemolytic disease?

the mother is Rh negative and the father is Rh positive

a nurse is teaching about clomiphene citrate to a client who is experiencing infertility. which of the following adverse affect should the nurse include?

tinnitus

a nurse is planning care for a client who is receiving oxytocin by continuous iV infusion for labor induction. which of the following interventions should the nurse include in the plan?

titrate the infusion rate by 4 miliuntis/min

a nurse is monitoring a client who has preeclampsia and is receiving magnesium sulfate by continuous IV infusion. which of the following findings should the nurse report to the provider?

urinary output 20 mL/hr (should be 30 mL/hr)

a nurse is caring for a client who has hyperemeis gravidarum. which of the following laboratory tests should the nurse anticipate

urine ketones

a nurse is assessing a client who is 6 hr postpartum and has endometritis. which of the following findings should the nurse expect?

uterine tenderness