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A nurse is caring for a client who is at 15 weeks of gestation and is RH negative and just had an amniocentesis which of the following interventions as the nurses priority following the procedure - �... �✔Monitor the fetal heart rate The greatest risk to this client and her fetus is fetal death. Therefore, the priority nursing intervention is to monitor the FHR following an amniocentesis. A nurse is teaching a newly night licensed nurse about collecting a specimen for the universal newborn screening which of the following statement should the nurse include in the teaching - ✔✔Ensure that the newborn has been receiving feedings for 24 hours prior to obtaining the specimen The nurse should ensure that the newborn has been receiving regular feedings for at least 24 hr prior to testing. A nurse in antepartum clinic is assessing a client who is at 32 weeks of gestation which of the following findings should the nurse report to the provider - ✔✔Report of decreased fetal movement The nurse should identify that a client who reports decreased fetal movement could be experiencing a complication related to fetal well-being. A decrease in fetal movement can indicate fetal distress. A nurse is caring for a client who is experiencing preeclampsis in has a new prescription for IV magnesium sulfate which of the following medications to the nurse anticipate administering the client develops magnesium toxicity - ✔✔Calcium gluconate The nurse should anticipate administering calcium gluconate if the client develops magnesium toxicity. Calcium gluconate is the antidote. The nurse is assessing a client that is one day postpartum and has vaginal hematoma which of the following manifestation should the nurse expect - ✔✔Vaginal pressure The nurse should expect a client who has a vaginal hematoma to report pressure in the vagina due to the blood that leaked into the tissues. A nurse is caring for a client who is at 35 weeks of gestation is undergoing a nonstress test that reveals a variable deceleration in the fetal heart rate which of the following actions should the nurse take - ✔✔Have the client change position Having the client change position is an appropriate intervention for a variable deceleration to relieve umbilical cord compression. Elevating the client's legs is an acceptable intervention for late decelerations associated with maternal hypotension. A nurse is providing teaching for a client who has a new prescription for combined oral contraceptives which of the following findings should the nurse include as an adverse effect on this medication - ✔✔Depression The nurse should instruct the client that depression is a common adverse effect of combined oral contraceptives. Other common adverse effects of the medication include amenorrhea, weight gain, headache, nausea, breakthrough bleeding, and breast tenderness. A nurse is caring for a client who is at 24 weeks of gestation and has a suspected placental abruption which of the following laboratory test should the nurse expect the provider to prescribe - ✔✔Kleihauer betke test The nurse should expect the provider to prescribe a Kleihauer-Betke test for a client who has suspected placental abruption to determine if fetal blood is in maternal circulation. This test is useful to determine if Rho-(D) immune globulin therapy should be administered to a client who is Rh-negative. A nurse is creating a plan of care for client who has postpartum and adheres to traditional Hispanic cultural beliefs which of the following cultural practices should the nurse include in the plan of care - ✔✔Protect the clients head and feet from cold air Protecting the client's head and feet from cold air should be included in the plan of care because this is a traditional Hispanic practice during the postpartum period. A nurse is teaching a client who is at 10 weeks of gestation about nutrition during pregnancy which of the following statements by the client indicates an understanding of the teaching - ✔✔I should take 600mcg of folic acid each day A client who is pregnant should increase folic acid intake to 600 mcg daily. Folic acid assists with preventing neural tube birth defects. A client who is pregnant should increase protein intake to 71 g each day during the second and third trimesters. A client who is pregnant should consume 3 L of water each day. A client who is pregnant should increase caloric intake by 340 cal during the second trimester and by 452 cal during the third trimester. A nurse is caring for a client who is at three weeks of gestation has prescription for magnesium sulfate IV to treat preterm labor the nurse to notify the provider which of the following adverse effects - ✔✔Respiratory rate of 10 per minute The nurse should report a respiratory rate of less than 12/min to the provider, because this is a manifestation of magnesium toxicity. The nurse should ensure that the antidote, calcium gluconate, is readily available. A nurse and a prenatal clinic is assessing a group of clients which of the following clients should the nurse see first - ✔✔A client who is 11 weeks gestation and reports abdominal cramping When using the urgent vs nonurgent approach to client care, the nurse should determine that the priority finding is a client who is at 11 weeks of gestation and reports abdominal cramping. Abdominal cramping can indicate an ectopic pregnancy or manifestations of spontaneous abortion. The nurse should request that the provider see this client first. A nurse is caring for a client who is at 26 weeks of gestation and has epilepsy the nurse enters the room and observed the client having a seizure after trying the clients [Show More]

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