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Terms in this set (37)A nurse is caring for a newborn immediately following birth, which of the following actions should she take first? Drying the baby - b/c the greatest risk to a newborn is cold stress A nurse is caring for a client who is at 36 weeks gestation and has a positive contraction stress test. The nurse should plan the client for which of the following next diagnostic test? Biophysical profile - a positive contraction stress test means more further evaluation of the fetus is necessary, and a biophysical profile will provide further evaluation of real time ultrasound A nurse in a prenatal clinic is assessing a group of pts. Which of the following pts. should the nurse request the provider see first? The client who is 11 weeks and reports abdominal cramping - which could be a sign of miscarriage or ectopic pregnancy. A nurse is demonstrating how to wash a newborn. What are the steps? Clean - dry method starting with the eyes, neck, skin around umbilical cord area, feet and legs and then the diaper area for last A nurse is assessing a client who is at 30 weeks gestation during a routine prenatal visit. Which of the following should the nurse report to the provider? Swelling of the face - in the face, hands, and sacral area can be indicative of hypertension and preclampsia A nurse is assessing a newborn 12 hours after birth. Which should be reported to the provider?
Jaundice - b/c 24 hours after birth would be indicative of a ABO incompatibility, hemolysis, or Rh- isoimmunization A newborn is following a circumsition. Which is indicative of pain for a newborn? Facial expressions including chin quivering, grimicing, furrowing of the brow. A client has a perscription for a diaphram, which should the nurse teach? You should teach the pt to keep the diaphragm in for 6 hours following pregnancy. (A diaphragm is a dome-shaped, silicone cup that's inserted in the vagina hours before sex to prevent pregnancy. To work effectively, it needs to be used with spermicide to block sperm from reaching eggs.) A nurse is teaching a client who is 10 weeks about pregnancy. Which of the following statements indicate good teaching? I should take 600 micrograms of folic acid daily - folic acid prevents neural tube birth defects including spina bifida A nurse is developing a plan of care for a newborn who has to undergo phototherapy due to hyperbilirubinemia. Which of the following actions should the nurse include in the plan? Remove all clothing from the newborn except the diaper - b/c maximum skin exposure to ultraviolet light is needed to breakdown the excess bilirubin A nurse on the antepardum unit is caring for a few clients. Which is the priority pt? The patient who is 34 weeks of gestation and reports having epigastric pain. B/c epigastric pain can be a sign of preclampsia and indicates hepatic involvement A nurse is teaching a client who is 35 weeks gestation about potential manifestations that should be reported to the provider. Which is it? Headache unrelieved by analgia - can be indicative of preclampsia A nurse is teaching a client who is in preterm labor about terbutaline. What should she inform the pt about? An adverse affect of this med is hypokalemia, so blood tests to check potassium levels are needed. Terbutaline is a medication that helps prevent or slow contractions of the uterus, aids in preterm labor. A nurse is caring for a client who has parvovirus B19 (fifth disease), which of the following actions should the nurse take? Schedule an ultrasound examination - to monitor fetus during pregnancy in order to detect fetal hydrops (abnormal accumilation of fluid in spaces in the baby) A nurse is caring for a client who is anemia at 32 weeks and preterm labor. The provider described betamethasone 12 mg IM. Which should the nurse expect? A reduction of respiratory distress in the newborn. - the med is a glucocorticosteroid that is given to stimulate fetal lung maturity and rep distress. A nurse is caring for a client at 36 weeks and has a perscription for an amniocentesis. Why should the client get an ultrasound before hand? To locate pocket fluid - an ultrasound is done to locate amniotic pocket fluid also in the placenta before the procedure is done. Decreases risk for injury with the fetus. A nurse is teaching a client who is Rh negative about Rh0D immune globin. Which is an understanding of the teaching? "I will need this med if i have an amniocentesis" - b/c Rh0D immunoglobin is given to Rh negative clients b/c of potential fetal RBC's entering maternal circulation Normally, being Rh-negative has no risks. But during pregnancy, being Rh-negative can be a problem if your baby is Rh-positive. If your blood and your baby's blood mix, your body will start to make antibodies that can damage your baby's red blood cells. This could cause your baby to develop anemia and other problems.
At 35 weeks of gestation the pt is undergoing a stress test and a variable decelaration is shown on the fetal heart monitor. What should action should the nurse do next? Change position might relieve cord compression for FHR Before placing an external transducer to monitor fetus on patient. who is 38 weeks pregnant. What should the nurse do? Perform Leopold
manuvers (can be done after 34 weeks but contraindicated in preterm labor and vaginal bleeding). A nurse is performing a routine assessment on a pt who is 18 weeks. What should the nurse expect? FHR of 152/min the first trimester is from week 1 to the end of week 12. A client is at the end of her first trimester. The nurse should place the doppler ultrasound sethoscope in which location? Above the symphysis
publis. A nurse is in postpartum caring for a client who has traditional hispanic beliefs. What should the nurse prepare to do that matches those beliefs?
Protect the clients head and feet from cold air. A nurse on a postpartum unit is caring for a pt. who is experiencing hypovolemic shock. After notifying the provider, which of the following actions should the nurse take next? The nurse should massage the clients fundus so that it will expel blood clots and promote contractions A nurse is assessing a newborn who is 26 week pregnant using the newballard score. Which of the following findings should the nurse expect? Minimal arm recoil and decreased muscle tone Newborn physical examination findings also allow clinicians to estimate gestational age using the new Ballard score. The Ballard score is based on the neonate's physical and neuromuscular maturity and can be used up to 4 days after birth (in practice, the Ballard score is usually used in the first 24 hours). A nurse is on the postpartum unit following a pt who had a c section, what is the priority in assessing for the pt? Lochia - which is the normal discharge after birth bc the greatest risk a pt can be expelling is a post partum hemmorage. Non stress test for client Fetal movement may not be evident on the fetal monitor and tracing. Instructing the client to press the button when she detects fetal movement will ensure that the fetal movement is noted. A nurse is teaching a mother about newborn safety. Which is appropriate? Sleeping in the same room but NOT the same bed - as this can be indicative of fetal infant death syndrome A nurse is caring for a client who is in active labor and has no cervical change in the last 4 hours. Which of the following statements should the nurse make? Your provider will insert an intrauterine pressure catheter to monitor the strength of your contractions. Insertion of an intrauterine pressure catheter is necessary to determine uterine contraction intensity, which will identify whether or not the contractions are adequate for progression of labor.
A nurse is planning care for a client in labor who is to have a amniotomy. Which is the nurses priority? Temperature An amniotomy is essentially premature rupture of the membrane (breaking the water-sac). Infection prevention is the priority. A nurse is caring for a client who is recieving heparin bc of thrombopheltis on the left calf. Which of the following actions should the nurse take? Keep the client on bedrest - having her walk might break off and disloge the clot elsewhere - like a pulmonary embolism. Newborn assessment EXPECT A heart rate of 154/min is correct. The expected reference range for a newborn's heart rate is from 110/min to 160/min while awake.An axillary temperature of 36° C (96.8° F) is incorrect. A healthy newborn's temperature averages 37° C (98.6° F), with a range of 36.5° to 37.5° C (97.7° to 99.5° F).A respiratory rate of 58/min is correct. The expected reference range for a newborn's respiratory rate is from 30/min to 60/min.A length of 43 cm (16.9 in) is incorrect. The expected reference range for a newborn's length is from 45 to 55 cm (17.7 to 21.7 in).A weight of 2.6 kg (5 lb 12 oz) is correct. The expected reference range for a newborn's weight is from 2.5 to 4 kg (5.5 lb to 8.8 lb). A nurse is preparing to administer oxytocin to a client who is postpartum. Which of the following is an indication of this medication? Flaccid uterus is correct. Oxytocin increases the contractility of the uterus. Excess vaginal bleeding is correct. Oxytocin enhances uterine contractility, decreasing vaginal bleeding. A nurse is providing teaching to a client who is postpardum and had gestational diabetes. Which of the following should the nurse include in teaching? You should get a 2 hour oral glucose test in 6-12 weeks postpartum and every 3 years A nurse is teaching a client who is pregnant about managing nausea and vomiting. Which should the nurse include in teaching? Eat high carbohydrate foods The nurse should instruct the client to eat high-carbohydrate foods (for example, toast, potatoes, and rice) to decrease nausea and vomiting. The nurse should also instruct the client to avoid spicy, fatty, or fried foods. A nurse is assessing the newborn of a client who took a selective serotonin reuptake inhibitor during pregnancy. Which is a manifestation of withdrawl from an SSRI Expected clinical manifestation associated with fetal exposure to SSRIs include irritability, agitation, tremors, diarrhea, and vomiting. These manifestations typically last 2 days. A nurse is assessing a client in labor who is experiencing early decelarations on the fetal monitor. Which of the following findings should the nurse identify as a possible cause of early decelerations? Fetal head compressions The nurse should identify fetal head compression as a likely cause of the early decelerations on the fetal monitor. Early decelerations are an expected fetal pattern caused by fetal head compression due to uterine contractions, fundal pressure, and vaginal examinations A client is 34 weeks gestation and asks the nurse how she would know that she was truly in labor and when to go to the hospital. The nurse explains that blood tinged discharge coming from vagina is indicative of going to the hospital. The cervix begins to efficate and dialate. Sets found in the same folderMaternal/newborn53 terms RN_Zu RN Maternal Newborn A59 terms Nathaniel_Schaus Maternal newborn practice B61 terms mckaylacarmody maternal newborn ATI mastery115 terms alisha_marie86 Other sets by this creatorQuiz 2 OB Study81 terms aryall_jardines ATI Maternal Newborn Practice 2016B39 terms aryall_jardines OB Quiz 1: Weeks 1 & 2117 terms aryall_jardines Chapter 1-4 Pharm10 terms aryall_jardines Other Quizlet setsNew Monarchs/Exploration/Religious Wars43 terms calvingrigalPLUS General Evidence 1-368 terms kahlen_manthey Music Therapy with Children final13 terms lauraclairemoore OT 423 Quiz #355 terms AlexisBraun11 Related questionsQUESTION what are the 3 stages of lochia 15 answers QUESTION What is the treatment for breast abscess? 15 answers QUESTION What is the treatment for postpartum thyroiditis? 15 answers QUESTION What is the softening of the lower uterine segment in pregnancy? 15 answers |
A nurse is caring for a client who is at 36 weeks of gestation and has a positive contraction test
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