*NURSING > QUESTIONS and ANSWERS > Maternal Newborn Practice A (All)

Maternal Newborn Practice A

Document Content and Description Below

Maternal Newborn Practice A A nurse is planning d/c for a client who is 3 days postpartum. Which of the ff nonpharmacological interventions should the nurse include in the plan of care for lactat ... ion suppression? a. place warm, moist packs on the breasts b. apply cabbage leaves to the breasts c. wear loose-fitting bra d. put green tea bags on the breasts R: Plant sterols and salicylates from cabbage leaves can help to relieve swelling and discomfort caused by breast engorgement. A nurse is reviewing the laboratory report of a client who is 24 hr postpartum ff a vaginal delivery. Which of the ff laboratory results should the nurse identify as an indication of a postpartum infection? a. Platelets 300,00/mm b. WBC 9,000/mm c. Erythrocyte Sedimentation Rate (ESR) 26mm/hr d. C-reactive protein 0.8mg/dL R: Value exceeds the expected reference range for a postpartum client and indicates an infection A nurse is assessing a newborn 12hr after birth. Which of the ff manifestations should the nurse report to the provider? a. Accryocyanosis b. Transient strabismus c. Jaundice d. Caput succedaneum R: Jaundice occurring within the first 24hr of birth is associated w/ ABO incompatibility, hemolysis, or Rh-immunization. The nurse should report this manifestation to the provider. Accrocyanosis: bluish discoloration of extremities, normal Transient strabismus: normal variation of newborn's eye until 4 months Caput succedaneum: benign, edematous area of scalp A nurse on postpartum unit is caring for a client who is experiencing hypovolemic shock. After notifying the provider, which of the ff actions should the nurse take next? a. Massage the client's fundus b. Insert an indwelling urinary catheter c. Administer O2 at 10L/min d. Elevate the client's R. hip R: Greatest risk to the client is hemorrhage. Next action the nurse should take is to massage the client's fundus to expel clots and promote contractions. Indwelling catheter to monitor perfusion of the kidneys. O2 and elevate's R. hip enhance perfusion. A nurse is caring for a full-term newborn immediately ff birth. Which of the ff actions should the nurse take first? a. Apgar scores b. Weigh the newborn c. Place identification bracelets d. Dry the newborn R: Greatest risk to the newborn is cold stress. [Show More]

Last updated: 3 years ago

Preview 1 out of 20 pages

Buy Now

Instant download

We Accept: