Newborn delivered by repeat cesarean birth at 40 weeks of gestation.
Birth weight 3,515 g (7 lb 12 oz)
Apgar scores 8 at 1 min and 9 at 5 min
Maternal history of methadone use during pregnancy.
Which should the Nurse report?
Respiratory findings
Temperature
Oxygen saturation
Central nervous system findings
Gastrointestinal findings
Gastrointestinal findings
Central nervous system findings
,Client reports a small amount of bright red blood in their underwear upon awakening. Client denies contractions or
abdominal pain.
External fetal monitor applied.
Potential Nursing Action
Indicated or Contraindicated
Assess cervical dilation
Weigh perineal pads.
Administer methotrexate.
Insert a large bore intravenous catheter.
Contraindicated
Assess Cervical Dilation - She's currently bleeding and not in the middle of labor, unnecessary.
Administer Methotrexate - She isn't having an ectopic pregnancy - this is used to resolve ectopic pregnancies in the first
trimester.
Indicated
Weigh Perineal Pads - We need to know how much blood she's losing.
Insert a large bore IV - Third Trimester Bleeding may lead to larger hemorrhage - having IV access is critical if we need to
administer fluids.
A nurse is assessing the newborn of a client who took selective serotonin reuptake inhibitor during pregnancy. Which of the
following manifestations should the nurse identify as an indication of withdrawal from an SSRI?
Vomiting - Also could be irritability, agitation, tremors, or diarrhea. These manifestations typically last 2 days.
, A nurse in a family planning clinic is caring for a client who request an oral
contraceptive. Which of the following findings in the clients history show the nurse
recognized as a contraindication to oral contraceptives. select all that apply
Cholecystitis
Hypertension
Human papillomavirus
Migraine headaches
Anxiety disorder
Cholecystitis
Hypertension
Anxiety disorder
Birth weight 3,515 g (7 lb 12 oz)
Apgar scores 8 at 1 min and 9 at 5 min
Maternal history of methadone use during pregnancy.
Which should the Nurse report?
Respiratory findings
Temperature
Oxygen saturation
Central nervous system findings
Gastrointestinal findings
Gastrointestinal findings
Central nervous system findings
,Client reports a small amount of bright red blood in their underwear upon awakening. Client denies contractions or
abdominal pain.
External fetal monitor applied.
Potential Nursing Action
Indicated or Contraindicated
Assess cervical dilation
Weigh perineal pads.
Administer methotrexate.
Insert a large bore intravenous catheter.
Contraindicated
Assess Cervical Dilation - She's currently bleeding and not in the middle of labor, unnecessary.
Administer Methotrexate - She isn't having an ectopic pregnancy - this is used to resolve ectopic pregnancies in the first
trimester.
Indicated
Weigh Perineal Pads - We need to know how much blood she's losing.
Insert a large bore IV - Third Trimester Bleeding may lead to larger hemorrhage - having IV access is critical if we need to
administer fluids.
A nurse is assessing the newborn of a client who took selective serotonin reuptake inhibitor during pregnancy. Which of the
following manifestations should the nurse identify as an indication of withdrawal from an SSRI?
Vomiting - Also could be irritability, agitation, tremors, or diarrhea. These manifestations typically last 2 days.
, A nurse in a family planning clinic is caring for a client who request an oral
contraceptive. Which of the following findings in the clients history show the nurse
recognized as a contraindication to oral contraceptives. select all that apply
Cholecystitis
Hypertension
Human papillomavirus
Migraine headaches
Anxiety disorder
Cholecystitis
Hypertension
Anxiety disorder
