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A 30-year old gravida 2. para 1 client is admitted to the
hospital at 26-weeks gestation in preterm labor. She is
started on am IV solution of terbutaline (Brethine). Which
assessment is the highest priority for the nurse to monitor
during the administration of the drug? - ANSWER--B.
maternal and fetal heart rates
A full term infant is admitted to the newborn nursery. After
careful assessment, the nurse suspects that the infant
,may have an esophageal atresia. Which symptoms are
this newborn likely to exhibit? - ANSWER--A. choking,
coughing, and cyanosis.
The nurse attempts to help an unmarried teenager deal
with her feelings following a spontaneous abortion at 8-
weeks gestation. What type of emotional response should
the nurser anticipate? - ANSWER--A. Grief related to her
perceptions about the loss of this child.
The nurse is teaching breastfeeding to prospective
parents in a childbirth education class. Which instruction
should the nurse include as content int the class? -
ANSWER--C. Feed your baby every 2 to 3 hours or on
demand, whichever comes first.
,The nurse is assessing the umbilical cord of a newborn.
Which finding constitutes a normal finding? - ANSWER--C.
3 vessels: 2 arteries and a vein.
A new mother is afraid to touch her baby's head for fear of
hurting the 'large soft spot." Which explanation should the
nurse give to this anxious client? - ANSWER--D. There's a
strong, tough membrane there to protect the baby so you
need not be afraid to wash or comb his/her hair.
The nurse caring for a laboring client encourage her to
void at least q2h, and records each time the client empties
her bladder.What is the primary reason for implementing
this nursing intervention? - ANSWER--B. An over-
, distended bladder could be traumatized during labor, as
well as prolong the progress of labor.
A client who is attending antepartum classes asks the
nurse why her healthcare provider has prescribed iron
tablets. The nurse's response is based on what
knowledge? - ANSWER--B. It is difficult to consume 18 mg
of additional iron by diet alone.
A woman who thinks she could be pregnant calls her
neighbor, a nurse, to ask when she could use a home
pregnancy test to diagnose pregnancy. Which response is
appropriate? - ANSWER--A. a home pregnancy test can
be used right after your first missed period.