A nurse is caring a client who is in active Labor and has gonorrhea for
which of the following potential complications should the nurse
monitor
Premature rupture of membranes
- The nurse should identify that a client
...
A nurse is caring a client who is in active Labor and has gonorrhea for
which of the following potential complications should the nurse
monitor
Premature rupture of membranes
- The nurse should identify that a client who is pregnant and has gonorrhea is at an
increased risk for premature rupture of membranes, chorioamnionitis, preterm birth,
neonatal sepsis, and intrauterine growth restriction.
A nurse is providing teaching to a postpartum client who has a
prescription for Rubella immunization which of the following client
statements indicates understanding of the teaching
"I must avoid getting pregnant for 1 month."
Nurses provide prenatal teaching to a client who practices a vegan diet
and is trying to increase intake of vitamin B 12. Which of the following
foods should the nurse recommend?
Cheese, eggs, and fish.
A nurse is performing an initial assessment of a newborn who was
delivered with a nuchal cord. Which of the following clinical findings
should the nurse expect.
Facial petechiae
A nurse is caring for a newborn who is six hours old and has a bedside
glucose meter reading 65 milligrams DLL live once a mother has type
two diabetes, which of the following actions should the nurse take?
A nurse in a prenatal clinic was reviewing the lab reports for a client
who was 12 weeks of gestation. Which of the following actions should
the nurse take?
A client who is 16 weeks of gestation asks a nurse how to prepare her
toddler to have a younger sibling. Which of the following statements
should the nurse make?
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A nurse is planning care for a newborn who is planning to start
phototherapy is in which of the following should the nurse include in
the plan.
c. use photometer to monitor the lamp's energy
A nurse is assessing a client during her first prenatal visit. The clients
reports her LMP was March 20, using Niagels rule to calculate
estimated date of delivery
A nurse is caring for a client who has placenta previa. Which of the
following findings should the nurse expect?
a large amount of bright red vaginal bleeding without pain
With placenta previa, the placenta implants in the lower part of the uterus, partly or
completely obstructing the cervical os, or outlet to the vagina. Clients who have
placenta previa have sudden, painless vaginal bleeding, typically in the third trimester.
A nurse manager on the labor and delivery unit is teaching the licensed
nurses about maternal cytomegalovirus. Which of the following
information should the nurse manager include in the teaching
transmission can occur via the saliva and the urine of the newborn
A nurse is providing discharge instruction so the client is 24 hour
postpartum and has decided not to breastfeed. Which of the following
instructions should the nurse teach?
A nurse is assessing a client who was at 32 weeks of gestation and
receiving magnesium sulfate via IV infusion which of the following
findings should the nurse report to the provider.
Urinary output 20 mL/hr;
The nurse should report a urinary output of 20 mL/hr because this can indicate
inadequate renal perfusion, increasing the risk of magnesium sulfate toxicity. A
decrease in urinary output can also indicate a decrease in renal perfusion secondary to
a worsening of the client's pre-eclampsia.
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A nurse is caring for a newborn who has an extro trophy of the bladder.
Which of the following actions should the nurse take prior to the
beginning of surgical correction?
A nurse is teaching a client and her partner about the technique of
counter pressure during labor which of the following statements by the
nurse is appropriate
A nurse is providing dietary teaching to a client who has 32 weeks of
gestation and has cholethiasis which of the following foods should the
nurse recommend for the client to include in her diet
Nurses cared for a client who was 32 weeks gestation and has
gestational diabetes which of the following findings should the nurse
report to the provider
A nurse is caring for a client who is at 30 weeks of gestation and
receiving magnesium sulfate for preeclampsia, the nurse should
recognize which of the following manifestations as an adverse
reaction.
Feeling of warmth
The nurse should tell the client to expect the feeling of warmth all over her body while
the magnesium sulfate is infusing (BP decreases b/c of magnesium, generalized prates
could mean an allergic reaction)
A nurse is assessing a client in the six hours postpartum and has
endometriosis. Which of the following findings should the nurse expect
Nurses provided discharge instructions to a client who is breastfeeding
her newborn. Which of the following instructions should the nurse
include?
A nurse is reviewing the electronic medical record of a postpartum
client the nurse should identify which of the following factors places
the client at risk for an infection.
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A nurse is caring for a client in labor and just received epidural
anesthesia, the client's blood pressure is 90/50. Which of the following
actions should the nurse take?
Turn onto the left side or raise the legs.
A nurse is reviewing the results of NST for an antepartum patient at 35
weeks. Which of the following results indicate a need for further
diagnostic testing?
A nurse is caring for a client of pre gestational diabetes which of the
following clinical findings should indicate to the nurse the client has
hyperglycemia.
A nurse is preparing to perform a fundal massage for a postpartum
client experiencing uterine atony. In which order should the nurse plan
to perform the following actions?
If the cause of the hemorrhage is uterine atony, continual fundal massage with lower
uterine segment support is mandatory. While one member of the team massages the
fundus, another nurse establishes intravenous access with a large-bore needle and
administers oxytocic drugs, starting with oxytocin. The other options are all useful in
controlling postpartum hemorrhage, but oxytocin should be administered first
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