Maternal Newborn Assessment A/ Questions & Answers

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A nurse is collecting data from a client who is at 33 weeks gestation. Which of the following findings should the nurse identify as an indication of a potential complication of pregnancy? (ANS- epigas... tric pain A nurse is reinforcing teaching about interventions to treat breast engorgement with a client who is breastfeeding. Which of the following instructions should the nurse include in the teaching? (ANS- Breastfeed the newborn at least every 2 hours A nurse is assisting with collecting data from a newborn who was born 2 hours ago and has respiratory distress. Which of the following findings should the nurse report to the provider? (ANS- tachypnea nasal flaring retractions expiratory grunting A nurse is caring for a client during the postpartum period. Which of the following findings should the nurse expect during the first 24 hr following delivery? (ANS- Diuresis Discharge of clear,yellow fluid from the breasts Lower abdominal cramping A nurse is reinforcing teaching with a new parent about the prevention of newborn abduction. Which of the following statements by the parent indicates an understanding of the teaching? (ANS- "I will ask the nurse to take care of my baby in the nursery if I need to take a nap." A nurse is reinforcing teaching about formula feeding a newborn with a group of new parents. Which of the following instructions should the nurse include? (ANS- Allow 20-30 min for feedings. A nurse is caring for a client who has received methylergonovine. Which of the following should the nurse identify and document as an adverse effect of the medication? (ANS- hypertension A nurse in a maternal-newborn unit is caring for a newborn in the nursery. The newborn's grandfather asks if he may take the newborn to his daughter's room. Which of the following responses should the nurse make? (ANS- "Let me wash my hands and then I'll take your grandson to his mother." A nurse is caring for a newborn who is receiving phototherapy. Which of the following actions should the nurse take? (ANS- Place an opaque mask over the newborn's eyes. A nurse is planning to administer phytonadione (Vitamin K) to a newborn. Which of the following actions should the nurse take? (ANS- Use the vastus lateralis as the injection site. A nurse is caring for a client who delivered vaginally 6 hr ago. Which of the following should the nurse report to the provider? (ANS- Perineal pad soaked in 15 min A nurse is collecting data from a client who is at 36 weeks of gestation during a prenatal examination. Which of the following findings should the nurse report to the provider? (ANS- Blurred vision. A nurse is caring for a newborn who is large for gestational age and is jittery. Which of the following actions should the nurse take first? (ANS- Check the newborn's blood glucose level. A nurse who is caring for a client who is pregnant and has a prescription for nifedipine. Which of the following outcomes should the nurse expect from this medication? (ANS- Cessation of uterine contractions A nurse is reviewing the laboratory results of a client who is at 32 weeks of gestation. Which of the following laboratory findings should the nurse report to the provider? (ANS- Hematocrit 30% A nurse in a prenatal clinic is caring for a group of clients. Which of the following clients should the nurse recommend the provider see first? (ANS- A client who is 37 weeks of gestation and reports a persistent headache. A nurse is assisting with planning care for a client who is breastfeeding and has mastitis. Which of the following recommendations should the nurse include? (ANS- Instruct the client to apply warm compresses to the affected breast. A nurse on a postpartum unit is assisting in the care of a client who is experiencing hypovolemic shock. Which of the following actions should the nurse take? (ANS- Insert an indwelling catheter A nurse is discussing family planning with a client who is requesting information about available contraceptive methods. Which of the following client statements indicates an understanding of the teaching? (ANS- "I should use water-soluble lubricant when my partner wears a condom." A nurse in a prenatal clinic is caring for a client who is at 16 weeks of gestation and has a positive hepatitis B test result. Which of the following actions should the nurse take? (ANS- Explain to the client that she will receive the hepatitis B immune globulin immediately. [Show More]

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