A nurse in an 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?
0%
Reports increased urinary output
0%
Reports of decreased fetal movement
0%
Monitor the FHR continously
0%
A newborn who is 18 hr old and has an axillary temperature of 99.9° F
Q.2.
A nurse is caring for a client who is experiencing preeclampsia and has a new prescription for IV magnesium sulfate. Which of the following medications should the nurse anticipate administering if the client develops magnesium toxicity?
0%
BUN 25 mg/dL
0%
Biophysicial profile
0%
Premature rupture of membranes
0%
Calcium Gluconate
Q.3.
A nurse is caring for a client who is at 26 weeks of gestation and has epilepsy. The nurse enters the room and observes the client having a seizure. After turning the client head to the side, which of the following actions should the nurse take immediately after the seizure?
0%
Premature rupture of membranes
0%
To locate the pocket of fluid
0%
Respiratory rate 10/min
0%
Administer oxygen via a nonrebreather mask
Q.4.
A nurse is developing a plan of care for a newborn who is to undergo phototherapy for hyperbillirubinemia. Which of the following actions should the nurse include in the plan?
0%
Picture of nurse palpating top of belly; where bottom is
0%
Remove all clothing form the newborn except the diaper
0%
Monitor the FHR continously
0%
A newborn who is 18 hr old and has an axillary temperature of 99.9° F
Q.5.
A nurse is caring for a client who is anemic at 32 weeks of gestation and is in preterm labor. The provider prescribed bethamethasone 12 mg IM. Which of the following outcomes should the nurse expect?
0%
Have the client change positions
0%
Premature rupture of membranes
0%
A reduction in respiratory distress in the newborn
0%
Place the newborn skin to skin on the mothers chest
Q.6.
A nurse is creating a plan of care who is postpartum and adheres to traditional Hispanic cultural beliefs. Which of the following cultural practices should the nurse include in the plan of care?
0%
Protects the client's head and feet from cold air
0%
Remove all clothing form the newborn except the diaper
0%
Picture of nurse palpating top of belly; where bottom is
0%
Monitor the FHR continously
Q.7.
A nurse is admitting a client who is in labor. The client admits to recent cocaine use. For which of the following complications should the nurse assess?
0%
Blurred Vision
0%
Begin FHR monitoring
0%
Abruptio placenta
0%
Petechiae over the head
Q.8.
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 tests should the nurse expect the provider to prescribe?
0%
To locate the pocket of fluid
0%
Kleihauer-Betke test
0%
Biophysicial profile
0%
Premature rupture of membranes
Q.9.
A nurse is assessing a client who is receiving morphine via IV bolus for pain following a C-section. The nurse notes a respiratory rate of 8/min. Which of the following medications should be administered?
0%
Hypertension
0%
Naloxone
0%
Reports increased urinary output
0%
Weight gain of 2.2 kg (4.8 lb)
Q.10.
A nurse in an antepartum clinic is providing care for a client who is at 26 weeks of gestation. Upon reviewing the client's medical record, which of the following findings should the nurse report to the provider?
0%
To locate the pocket of fluid
0%
Perform Leopold Maneuvers
0%
Fundal Height Measurement
0%
Hemoglobin 10 g/dL
Q.11.
A nurse is caring for a prenatal client who has parvovirus B19 (fifth disease). Which of the following actions should the nurse take?
0%
Maintain the client of bed rest
0%
Massage the client's fundus
0%
Have the client change positions
0%
Schedule an ultrasound examination
Q.12.
A nurse is assessing a client who is 1 day postpartum and has a vaginal hematoma. Which of the following manifestations should the nurse expect?
0%
Report of visual disturbances
0%
Blurred Vision
0%
Minimal arm recoil
0%
Vaginal pressure
Q.13.
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?
0%
"You should press the handheld button when you feel your baby move."
0%
"I can administer oxytocin 4 hours after the insertion of the medication"
0%
A reduction in respiratory distress in the newborn
0%
"I should take 600 micrograms of folic acid every day"
Q.14.
A nurse is providing teaching to a client about the physiological changes that occur during pregnancy. The client is at 10 weeks of gestation and has a BMI within the expected reference range. Which of the following client statements indicates an understanding of the teaching?
0%
"I will likely need to use alternative positions for sexual intercourse".
0%
Place the newborn skin to skin on the mothers chest
0%
Cold cabbage leaves
0%
"You can still become pregnant if you are breastfeeding"
Q.15.
A nurse is assessing a newborn who is 16 hr old. Which of the following findings should the nurse report to the provider?
0%
Minimal arm recoil
0%
Substernal Retractions
0%
Report of visual disturbances
0%
Reports increased urinary output
Q.16.
A nurse is caring for a client who has uterine atony and is experiencing postpartum hemorrhage. Which of the following actions is the nurse priority?
0%
Report the client's condition to the local health department
0%
Perform Leopold Maneuvers
0%
Massage the client's fundus
0%
Have the client change positions
Q.17.
A nurse is teaching a newly licensed nurse about collecting a specimen for the universal newborn screening. Which of the following statements should the nurse include in the teaching?
0%
"You should press the handheld button when you feel your baby move."
0%
"Ensure that the newborn has been receiving feeding for 24 hours prior to obtaining the specimen"
0%
"I can administer oxytocin 4 hours after the insertion of the medication"
0%
Insert two gloved fingers into the vagina and apply upward pressure to the presenting part
Q.18.
A nurse is performing a vaginal exam on a client who is in labor and observes the umbilical cord protruding from the vagina. After calling for assistance, which of the following actions should the nurse take?
0%
AcrocyanosisPositive Babinski reflexTwo umbilical arteries visible is correct
0%
"I can administer oxytocin 4 hours after the insertion of the medication"
0%
Obtain an gift from the newborn to present to the sibling
0%
Insert two gloved fingers into the vagina and apply upward pressure to the presenting part
Q.19.
A nurse is caring for a postpartum client who is receiving heparin via a continuous IV infusion for thrombophlebitis in her left calf. Which of the following actions should the nurse take?
0%
Maintain the client of bed rest
0%
Perform Leopold Maneuvers
0%
Kleihauer-Betke test
0%
Have the client change positions
Q.20.
A nurse is providing education about family bonding to parents who recently adopted a newborn. The nurse should make which of the following suggestions to aid the family's 7-year-old in accepting the new family memeber?
0%
"I can administer oxytocin 4 hours after the insertion of the medication"
0%
Place the newborn skin to skin on the mothers chest
0%
"You can still become pregnant if you are breastfeeding"
0%
Obtain an gift from the newborn to present to the sibling
Q.21.
A nurse is assessing four newborns. Which of the following findings should the nurse report to the provider?
0%
Report of visual disturbances
0%
A newborn who is 18 hr old and has an axillary temperature of 99.9° F
0%
Monitor the FHR continously
0%
Protects the client's head and feet from cold air
Q.22.
A nurse is providing teaching about nonpharmological pain management to a client who is breastfeeding and has engorgement. The nurse should recommend the application of which of the following items?
0%
Biophysicial profile
0%
Depression
0%
Cold cabbage leaves
0%
Monitor the FHR
Q.23.
A nurse is caring for a client who is at 32 weeks of gestation and has gonorrhea. The nurse should identify that the client is at an increased risk for which of the following complications?
0%
Maintain the client of bed rest
0%
To locate the pocket of fluid
0%
Premature rupture of membranes
0%
Perform Leopold Maneuvers
Q.24.
A nurse is assessing a client who is at 38 weeks of gestation during a weekly prenatal visit. Which of the following findings should the nurse report to the provider?
0%
Petechiae over the head
0%
Maintain the client of bed rest
0%
Report of visual disturbances
0%
Weight gain of 2.2 kg (4.8 lb)
Q.25.
A nurse is caring for a client who is at 35 weeks of gestation and is undergoing a nonstress test that reveals a variable deceleration in the FHR. Which of the following actions should the nurse take?
0%
Massage the client's fundus
0%
Have the client change positions
0%
To locate the pocket of fluid
0%
Maintain the client of bed rest
Q.26.
A nurse is caring for a client who is at 15 weeks gestation, is Rh-negative, and has just had an amniocentesis. Which of the following interventions is the nurse's priority following the procedure?
0%
Monitor the FHR
0%
BUN 25 mg/dL
0%
Kleihauer-Betke test
0%
Maintain the client of bed rest
Q.27.
A nurse is assessing a late preterm newborn. Which of the following manifestations is an indication of hypoglycemia?
0%
Substernal Retractions
0%
Blurred Vision
0%
Respiratory distress
0%
Report of visual disturbances
Q.28.
A charge nurse on a labor and delivery unit is teaching a newly licensed nurse how to perform Leopoid maneuvers. Which of the following images indicates the first step of Leopoid maneuvers?
0%
Remove all clothing form the newborn except the diaper
0%
Picture of nurse palpating top of belly; where bottom is
0%
A newborn who is 18 hr old and has an axillary temperature of 99.9° F
0%
A client who is at 11 weeks of gestation and reports abdominal cramping
Q.29.
A nurse is performing a physical assessment of a newborn. Which of the following clinical finding should the nurse expect?
0%
"You can still become pregnant if you are breastfeeding"
0%
"Ensure that the newborn has been receiving feeding for 24 hours prior to obtaining the specimen"
"I can administer oxytocin 4 hours after the insertion of the medication"
Q.30.
A nurse is observing a new parent caring for her crying newborn who is bottle feeding. Which of the following actions by the parent should the nurse recognize as a positive parenting behavior?
0%
A reduction in respiratory distress in the newborn
0%
"I should take 600 micrograms of folic acid every day"
0%
Maintain the client of bed rest
0%
Lays the newborn across her lap and gently sways
Q.31.
A nurse is caring for a client who is at 22 weeks of gestation and is HIV positive. Which of the following actions should the nurse take?
0%
Massage the client's fundus
0%
Maintain the client of bed rest
0%
Schedule an ultrasound examination
0%
Report the client's condition to the local health department
Q.32.
A nurse is caring for a client who is at 30 weeks of gestation and has a prescription for magnesium sulfate IV to treat preterm labor. The nurse should notify the provider of which of the following adverse effects?
0%
Calcium Gluconate
0%
Respiratory rate 10/min
0%
Maintain the client of bed rest
0%
Biophysicial profile
Q.33.
A nurse is providing discharge teaching to a client who had a cesarean birth 3 days ago. Which of the following instructions should the nurse include?
0%
AcrocyanosisPositive Babinski reflexTwo umbilical arteries visible is correct
0%
Report the client's condition to the local health department
0%
"You can still become pregnant if you are breastfeeding"
0%
Verify that the parent's identification band matches the newborn's identification band
Q.34.
A nurse is caring for a client who is at 36 weeks of gestation and has a prescription for an amniocentesis. For which of the following reasons should the nurse prepare the client for an ultrasound?
0%
To locate the pocket of fluid
0%
Maintain the client of bed rest
0%
Premature rupture of membranes
0%
Have the client change positions
Q.35.
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 of this medication?
0%
Depression
0%
Monitor the FHR
0%
Naloxone
0%
Hemoglobin 10 g/dL
Q.36.
A nurse is assessing a newborn who was born at 26 weeks of gestation using the New Ballard Score. Which of the following findings should the nurse expect?
0%
Respiratory distress
0%
Vaginal pressure
0%
Minimal arm recoil
0%
Petechiae over the head
Q.37.
A nurse is assessing a client who has severe preeclampsia. Which of the following manifestations should the nurse expect?
0%
Report of visual disturbances
0%
Blurred Vision
0%
Vaginal pressure
0%
Hypertension
Q.38.
A nurse is caring for a client who is to receive oxytocin to augment her labor. Which of the following findings contraindicates the infusion of the oxytocin infusion and should be reported to the provider?
0%
Massage the client's fundus
0%
Cold cabbage leaves
0%
To locate the pocket of fluid
0%
Late Decelerations
Q.39.
A nurse is assessing a client who is at 36 weeks of gestation. Which of the following findings should the nurse report to the provider?
0%
Report the client's condition to the local health department
0%
Reports increased urinary output
0%
Report of visual disturbances
0%
Weight gain of 2.2 kg (4.8 lb)
Q.40.
A nurse is developing a plan of care for a client who has preeclampsia and is receiving magnesium sulfate via a continuous IV infusion. Which of the following interventions should the nurse include in the plan?
0%
Remove all clothing form the newborn except the diaper
0%
Maintain the client of bed rest
0%
A newborn who is 18 hr old and has an axillary temperature of 99.9° F
0%
Monitor the FHR continously
Q.41.
A nurse is preparing to administer magnesium sulfate 2g/hr IV to a client who is in preterm labor. Available is 20 g magnesium sulfate in 500 mL of dextrose 5% in water (D5W). The nurse should set the IV infusion pump to administer how many mL/hr?
0%
BUN 25 mg/dL
0%
Depression
0%
50 ml/hr
0%
Calcium Gluconate
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