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Terms in this set (61)A charge nurse on the postpartum unit is observing a newly licensed nurse who is preparing o administer pain medication to a client. The charge nurse should intervene when the newly licensed nurse uses which of the following secondary id to identify the client? The client's room number A nurse is providing discharge teaching to a patient whose newborn has just had a circumcision. Which of the following instructions should the nurse include? Apply slight pressure with a sterile gauze pad for mild bleeding A nurse is teaching about effective breastfeeding to a client who is 3 days postpartum. Which of the following information should the nurse include? Your newborn should appear content after feeding A nurse planning care for a client who is in labor and is requesting epidural anesthesia for pain control. Which of the following actions should the nurse include in the plan of care? Monitor the clients B/P every 5 min following the first dose of anesthetic solution A nurse is teaching a new mother how to use a bulb syringe to suction her newborn's secretions. Which of the following instructions should the nurse include? Stop suctioning when the newborn cry sounds clear A nurse is assessing a client who is 12hr postpartum. The client's fundus is two finger breadths 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? Assist the client to the bathroom to void A nurse is reviewing the medical record at 1800 for a client who is at 34wks gestation. Based in the chart findings and documentation the nursing plan of care should include which of the following actions? Administer terbutaline A nurse is assessing a full-term newborn 15min after birth. Which of the following findings requires intervention by the nurse? Respiratory rate of 18/min A nurse us assessing a client who is at 26wks gestation. Which of the following clinical manifestations should the nurse report to the provider? Decreased urine output A nurse is providing teaching to a client about the physiological changes that occur during preg. The client is at 10 wks of gestation and has a BMI w/in the expected reference range. Which of the following client statements indicate an understanding of the teaching? "I will likely need to use alternative positions for sexual intercourse" A nurse in a woman health clinic is providing teaching about nutritional intake to a client who is at 8wks of gestation. The nurse should instruct the client to increase her daily intake of which of the following nutrients? Iron 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 wks of gestation and is receiving a continuous IV infusion of oxytocin. Which of the following actions should the nurse take? Continue monitoring the client A nurse is caring for a newborn who was transferred to the nursery 30 min after delivery. Which of the following actions should the nurse take first? Verify the newborn's ID A nurse is providing education about the family bonding to parents who recently adopted a newborn. The nurse should make which of the following suggestions to aid the family 7-yr old in accepting the new family member? Obtain a gift from the newborn to present to the sibling A nurse is teaching a client who has pre-gestational type 1 DM about management during preg. Which of the following statements by the client indicates an understanding of the teaching? "I will continue to take my insulin if I experience n/v" A nurse is providing d/c teaching to a client who is postpartum. For which of the following clinical manifestations should the nurse instruct the client to monitor and report to the provider? Unilateral breast pain A nurse is assessing a client who rec'd carboprost for postpartum hemorrhage. Which of the following findings is an adverse effect of this medication? HTN A nurse is caring for a client who is in labor and reports increasing rectal pressure. She is experiencing contractions 2-3 mins apart each lasting 80-90 seconds and a vaginal examination reveals that her cervix is dilated to 9cm. The nurse should identify that the client is in which of the following phases of labor? Transition A nurse is teaching clients in a prenatal class about the importance of taking folic acid during preg. The nurse should instruct the clients to consume an adequate amount of folic acid from various sources to precent which of the following fetal abnormalities? Neural tube defect A school nurse is providing teaching to an adolescent about levonorgestrel contraception. Which of the following information should the nurse include in the teaching? You should take the medication w/in 72 hrs following unprotected sexual intercourse A nurse is preparing to collect a blood specimen from a newborn via a heel stick. Which of the following techniques should the nurse use to help minimize the pain of the procedure for the newborn? Place the newborn skin to skin on the mothers chest A nurse is assessing a newborn who is 12hr old. Which of the following clinical s/s requires intervention by the nurse? Substernal chest retractions while sleeping A nurse is caring for a client who is at 40 wks of gestation and is in early labor. The client has a platelet count of 75,000/mm3 and is requesting pain relief. Which of the following treatment modalities should the nurse anticipate? Attention-focusing A nurse is providing d/c teaching to a client who had a C-section birth 3 days ago. Which of the following instructions should the nurse include? You can still become preg if you are breastfeeding A nurse is assessing a client who is 1 day postpartum and has a vaginal hematoma. Which of the following s/s should the nurse expect? Vaginal pressure A nurse is caring for a client who has recently experienced a perinatal death. Which of the following statements should the nurse make to the client? "Im
sad for you" A nurse is speaking with a client who is trying to make a decision about uterine tube occlusion. The client asks what effects will this procedure have on my sec life? Which of the following responses should the nurse make? This process should have no effect on your sexual performance or adequacy A nurse is teaching a group parents about newborn safety. Which of the following statements by a patent indicates an understanding of the teaching? I will dress my baby in flame retardant clothing 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? Begin FHR monitoring A nurse is providing teaching for a client who gave birth 2 hr ago about the facility policy for newborn safety. Which of the following client statements indicates an understanding of the teaching? The person who come sin to take my baby's pictures will be wearing a photo ID badge A nurse is caring for a client who has uterine hypotonicity and is experiencing postpartum hemorrhage. Which of the following actions is the nurses priority? Massage the client's fundus 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 (99.9F) A nurse is assessing a client who is at 38 wks gestation during a weekly prenatal visit. Which of the following findings should the nurse report to the provider? Weight gain of 2.2 kg (4.8lbs) Math 50ml/hr A nurse is assessing a newborn who was delivered vaginally and experienced a tight nuchal cord. Which of the following clinical manifestations should the nurse expect? Petechiae over the head A nurse is caring for a client who is to rec oxytocin to augment her labor. Which of the following findings contraindicates the initiation of the oxytocin infusion and should be reported to the provider? Late decelerations A nurse is caring for a client who is at 22 wks gestation and reports concern about the blotchy hyper pigmentation of her forehead. Which of the following actions should the nurse take? Explain to the client this is an expected occurrence A nurse is assessing FHR for a client who is preg. The nurse has determined as left occipital anterior (LOA). To which of the following areas of the clients abdomen should the nurse apply the ultrasound transducer in order to assess the PMI of the fetal heart? Left lower quadrant A nurse in a provider's office is reviewing the medical record of a client who is in her first trimester of preg. Which of the following findings should the nurse identify as a risk factor for the development of preeclampsia? Pregestional DM A nurse is discussing the differences between true labor and false labor with a group of expectant parents. Which of the following characteristics should the nurse include when discussing true labor? Contractions become stronger with walking A nurse is developing an educational program for adolescents about nutrition during the third trimester of preg. Which of the following statements should the nurse include in the program? "Consume three to four servings of dairy each day" A nurse is performing a vaginal exam on a client who is in labor and reports severe pressure and pain in the lower back. he nurse notes that the fetal head is in a posterior position. The nurse should identify that which of the following is the best non-pharm intervention to perform to relieve the client's discomfort? Counter-pressure A nurse is assessing a late preterm newborn. Which of the following clinical manifestation is an indication of hypoglycemia? Resp distress A nurse is performing a physical assessment of a newborn upon admission to the nursery. Which of the following s/s should the nurse expect Creases over two thirds of the soles of the feet, molding of the head, lanugo on the shoulders 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? Demonstrate to the client how to perform a newborn bath A nurse is developing a plan of care for a client who has preeclampsia and is rec magnesium sulfate via a IV. Which of the following interventions should the nurse include in the plan? Monitor the FHR continuously A nurse is caring for a newborn who is undergoing phototherapy to treat hyperbilirubinemia. Which of the following actions should the nurse take? Cover the newborn's eye's while under the phototherapy light A nurse caring for a client who is at 15 wks of gestation, is Rh neg and has just had an amniocentesis. Which of the following interventions is the nurse's priority following the procedure? Monitor the FHR A nurse is planing care for a client who is at 24 wks of gestation and reports daily mild headaches. Which of the following instructions should the nurse include in the plan of care? Recommend that the client perform conscious relaxation techniques daily Nurse assess for spina bifida first picture A nurse is performing vaginal exam for a client who is in active labor and reports back pain. The nurse determines that the client is 8 cm dilated, 100% effaced, -2 station, and that the fetus is in the occiput posterior position. Which of the following actions should the nurse take? Assist the client to the hands and knees position A nurse is teaching a client who is at 24 wks regarding a 1 hr glucose tolerance test. Which of the following statements should the nurse include in her teaching? A blood glucose of 130-140 is considered a positive screening result A nurse is providing dietary teaching to a client who has hyperemesis gravidarum. Which of the following statements by the client indicates an understanding of the teaching? "I will eat
foods that appeal to my taste instead of trying to balance my meals" A nurse is providing prenatal teaching to a client who is at 26 wks. Which of the following positions should the nurse recommend for the client to increase circulation to the placenta? Side-lying A nurse in a family planning clinic is caring for a client who requests an oral contraceptive. Which of the following findings in the client's hx should the nurse recognize as a contraindication to oral contraceptives Cholecystjts, HTN, Migraine headaches A nurse id assessing a client who is postpartum and has idioathis thrombocytopenia purpura (ITP). Which of the following findings should the nurse expect? Decreased platelet count A nurse is teaching a client who is at 36 wks of gestation and has a rx for NST. Which of the following statements should the nurse include in the teaching? You will be offered OJ to drink during the test A nurse is providing d/c teaching to the parents of a newborn about using a car seat properly. Which of the following instructions should the nurse include? Position the car seat rear-facing in the back seat of the vehicle A nurse is providing teaching about non-pharm pain management to a client who is breast-feeding and has engorgement. The nurse should recommend the application of which of the following items? Cold cabbage leaves A nurse is preparing to preform Leopold maneuvers for a client. Identify the sequence the nurse should follow. (Move the steps into the box on the right, placing them in the selected order of performance. Use all the steps.) The first step the nurse should take when performing Leopold maneuvers is to palpate the client's fundus to identify the fetal part. Second, the nurse should detemine the location of the fetal back. Third, the nurse should palpate for the fatal part presenting at the inlet. Finally, the nurse should palpate the cephalic prominence to identify the attitude of the head. A nurse is preforming a newborm assessment. Which of teh following images should the nurse identify as n indication of spina bifida occulta? (images) R: the nurse should identify this image as spina bifida occulta. External indications of this neural tube defect include a dimpled area over the defwect and the presence of a birthmark or hairy patch above the area. (Images of: mongolian spots, spina bifida manifesta in the form of a myelomeningocele that is open, and spina bifida manifesta in the form of a myelomeningocele that is closed) Sets with similar termsMaternal A60 terms hgabrielle21 Maternal Newborn (Practice questions)99 terms Marina_Pavon Maternal Newborn 2017 A60 terms elizabethlorenzo Sets found in the same folderOB atiii study guide60 terms G_Cruzz OB study guide #259 terms G_Cruzz Maternal Newborn Practice B50 terms aimwilli maternal newborn ATI mastery115 terms alisha_marie86 Other sets by this creatorAbbreviations/symbols NS102 terms mckaylacarmody Theory 11: Endocrine Issues: Thyroid and…59 terms mckaylacarmody Medical-Surgery Hematology204 terms mckaylacarmody Medical Surgery Hematology 1128 terms mckaylacarmody Other Quizlet setsPN Maternal Newborn Online Practice B22 terms kirsten_flakePLUS Maternal Newborn 2017 B Q&A only49 terms dine_rjas PN Maternal Newborn 2017 A50 terms Lupita_DLS Related questionsQUESTION What factors influence the onset of labor? 15 answers QUESTION What do you do if cord prolapses? 14 answers QUESTION How much folic acid should a woman take during pregnancy? 12 answers QUESTION what are some symptoms of HELLP syndrome? 15 answers |