PN Maternal Newborn 2017 A Already Passed

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PN Maternal Newborn 2017 A Already Passed A nurse on a postpartum unit is assisting with the care of a client who has a hypotonic uterus and excessive vaginal bleeding. Which of the following actio ... ns should the nurse take first? ✔✔Provide fundal massage for the client A nurse is caring for a client who is at 11 weeks of gestation and reports frequent vomiting. Which of the following findings should the nurse identify as an indication that the client has hyperemesis gravidarum? ✔✔Ketonuria A nurse is assisting with the care of a client who has preeclampsia and is receiving magnesium sulfate via continuous IV infusion. The client has a respiratory rate of 10/min. Which of the following medications should the nurse expect a charge nurse to administer to the client? ✔✔Calcium gluconate A nurse is reviewing the laboratory results of a 4 hr old newborn. Which of the following findings should the nurse report to the provider? ✔✔Platelet count 120,000/mm3 A nurse is caring for a client who is at 20 weeks gestation and is in the clinic for a routine prenatal visit. Which of the following findings in the data from the clients medical record should the nurse report to the provider? ✔✔Fundal height 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? ✔✔A client who is at 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? ✔✔Instruct the client to apply warm compresses to the affected breast A nurse in an antepartum clinic is reinforcing teaching about how to prevent supine hypotension with a client who is at 16 weeks of gestation. Which of the following responses by the client indicates an understanding of the teaching? ✔✔I will lie on my left side with my head elevated on a pillow A nurse is reinforcing teaching with a client who has preeclampsia and is receiving magnesium sulfate via continuous IV infusion. Which of the following statements should the nurse include in the teaching? ✔✔Your fluid intake will be limited to no more than 125 milliliters per hour 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? ✔✔Blurred vision A nurse is caring for a client 6 hr after a vaginal birth who is going to breastfeed her newborn. The client reports a perineal pain of 6 on a scale from 0 to 10. The nurse also notes mild perineal edema and ecchymosis, with a fundus that is 2 cm above the umbilicus with deviation to the right. Which of the following actions is the nurse's priority? ✔✔Help the client ambulate to the toilet A nurse is assisting with the care of a client who is at 40 weeks of gestation and is in active labor. Which of the following findings should the nurse report to the charge nurse? ✔✔Prolonged deceleration of FHR A nurse is collecting date from a newborn who is 8 hr old. Which of the following findings should the nurse report to the provider? ✔✔Apical heart rate of 90/min while crying A nurse is reinforcing teaching about food sources that are high in folate with a group of women who are pregnant. Which of the following foods should the nurse recommend to this group as the best source of folate? ✔✔1/2 cup dried peas 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? ✔✔Hypertension A nurse is caring for a client who is planning to become pregnant. The client asks the nurse why folic acid supplements are necessary. The nurse should inform the client that the purpose of the folic acid supplements is to do which of the following? ✔✔Prevent certain kinds of birth defects A nurse is preparing to administer clindamycin 450 mg PO to a client who has endometritis. The amount available is clindamycin 150 mg/capsule. How many capsules should the nurse administer? ✔✔3 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? ✔✔Explain to the client that she will receive the hepatitis B immune globulin immediately A nurse is collecting data from a client who is 32 hr postpartum. Which of the following findings should the nurse expect? ✔✔Urine output of 3,000 mL in 24 hr A nurse is reinforcing teaching about car seat safety with a parent of a newborn. Which of the following statements should the nurse identify as an indication that the client understands the instructions? ✔✔If my baby rides in a car with no back seat, the passenger airbag must be turned off A nurse is observing a client bathe her 1 day old newborn. Which of the following actions should the nurse identify as an indication that the client understands how to bathe her newborn? ✔✔The client washes the newborn's hair before unwrapping her 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? ✔✔Insert an indwelling urinary catheter A nurse is caring for a newborn who is receiving phototherapy. Which of the following actions should the nurse take? ✔✔Place an opaque mask over the newborn's eyes A nurse is reviewing the medication administration record for a client who is receiving nifedipine for gestational hypertension. The nurse should identify that which of the following medications is contraindicated for use with nifedipine? ✔✔Magnesium sulfate A nurse is planning to administer terbutaline to a client who is experiencing preterm labor. Which of the following routes of administration should the nurse plan to use? ✔✔Subcutaneous 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? ✔✔Hematocrit 30% A nurse is reinforcing teaching about butorphanol tartrate with a client who is in labor. Which of the following client statements indicates an understanding of the teaching? ✔✔This medication might make me dizzy A nurse is collecting data from a client who is at 33 weeks of gestation. Which of the following findings should the nurse identify as an indication of a potential complication of pregnancy? ✔✔Epigastric pain A nurse is contributing to the plan of care for a newborn who was circumcised with a plastic bell device. Which of the following actions should the nurse include in the plan? ✔✔Apply pressure with sterile gauze if bleeding occurs at the site A nurse is reinforcing teaching with a client who requests hydrotherapy for pain management during labor. Which of the following statements should the nurse include? ✔✔You will need to be in active labor before using hydrotherapy 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? ✔✔Check the newborn's blood glucose level A nurse is planning to administer phytonadione to a newborn. Which of the following actions should the nurse take? ✔✔Use the vastus lateralis as the injection site 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? ✔✔I should use water-soluble lubricant when my partner wears a condom 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? ✔✔Breastfeed the newborn at least every 2 hours. A nurse is reinforcing discharge teaching about methods to prevent engorgement during lactation suppression with a client who is bottle-feeding her newborn. Which of the following statements should the nurse identify as an indication that the client understands the instructions? ✔✔I will apply cold cabbage leaves to my breasts throughout the day 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? ✔✔Diuresis Discharge of clean, yellow fluid from the breasts Lower abdominal cramping A nurse is reviewing the prenatal record of a client who is at 34 weeks of gestation. Which of the following results should the nurse identify as a desirable outcome? ✔✔Reactive nonstress test A nurse is collecting data from a newborn whose mother had gestation diabetes mellitus. Which of the following findings should the nurse report to the provider? ✔✔Blood glucose 28 mg/dL 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? ✔✔I will ask the nurse to take care of my baby in the nursery if i need to take a nap A nurse is caring for a client who delivered vaginally 6 hr ago. Which of the following findings should the nurse report to the provider? ✔✔Perineal pad soaked in 15 min A nurse is reinforcing teaching with a client who has a new prescription for ferrous sulfate. Which of the following instructions should the nurse include? ✔✔Increase your fluid intake with this medication A nurse is caring for a client who is at 30 weeks gestation. Which of the following findings should the nurse report to the provider? ✔✔2+ urinary protein A nurse is assisting with collecting data from a newborn who was born 2 hr ago and has respiratory distress. Which of the following findings should the nurse report to the provider? ✔✔Tachypnea Nasal flaring Retractions Expiratory grunting A nurse in a maternal newborn unit is caring for a newborn in the nursery. The newborn's grandfather asks if her may take the newborn to his daughter's room. Which of the following responses should the nurse make? ✔✔Let me wash my hands and the I'll take your grandson to his mother A nurse is assisting in the care of a client during the active phase of labor. Which of the following actions should the nurse take to promote the client's comfort? ✔✔Have the client perform relaxing breathing techniques A nurse is collecting data from a client who is in her second trimester of pregnancy. Which of the following findings should the nurse report to the provider? ✔✔Frequent uterine contractions 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? ✔✔Allow 20 to 30 min for feedings A nurse 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? ✔✔Cessation of uterine contractions A nurse is reinforcing teaching with a client who is at 9 weeks of gestation and reports frequent episodes of nausea and vomiting. Which of the following instructions should the nurse include? ✔✔Consume small meals frequently each day [Show More]

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