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The nurse should clarify the prescription for Rho (D) immune globulin because of the
client's blood type.
A nurse is preparing to assist with the
administration of medications to a client who
is 72 hr postpartum following a Caesarean
Birth.
Labs: Blood type O+, WBC: 9,500/mm3,
Creatinine 0.8 mg/dL
MAR: Ibuprofen 800mg PO q6h PRN pain,
Doxycycline 100mg PO q12, Ferrous Sulfate
325mg PO BID, Folic Acid 0.5mg PO Daily,
Bisacodyl 10mg PO daily, Rho Immune
Globulin 300mcg IM x1
Which of the following medications requires
clarification prior to administration?
Action to take: Plan to administer broad spectrum antibiotic medication, administer
oxytocin medication
41 weeks of gestation. Cesarean birth
following prolonged rupture of membranes Conditions most likely: Endometritis
and cephalopelvic disproportion. A nurse is
assisting with the care of a postpartum client Parameter to Monitor: Temp and Lochia amount and odor
who gave birth 3 days ago..
You will be prescribed Methadone
A nurse is reinforcing teaching with a client
who is at 24 weeks of gestation and has
opioid use disorder. Which of the following
statements should the nurse make?
You will press the provided button when you feel the baby moving during the test
A nurse in a provider's office is reinforcing
teaching with a client who is pregnant and is
scheduled for a nonstress test. Which of the
following statements should the nurse
make?
Urination urgency and frequency
A nurse is reinforcing teaching with a client
about common discomforts during the first
trimester or pregnancy. Which of the
following discomforts should the nurse
include in the teaching?
Suggest the client apply warm compresses to the affected breast
A home health nurse is caring for a client
who has unilateral mastitis and is
experiencing discomfort in the affected
breast. Which of the following instructions
should the nurse include?
You should use a breast pump if you plant to return to work.
A nurse is reinforcing teaching about
preventing mastitis with a client who is
breastfeeding. Which of the following
instructions should the nurse include?
A stroke upward on the lateral aspect of the sole of the newborn's foot
A nurse is checking the reflexes of a new
born. Which of the following actions should
the nurse use to elicit the Babinski reflex?
Perform unbiased teaching
A nurse is caring for a client who inquires
about available methods of contraception.
Which of the following actions should the
nurse take?
Urinalysis of ketones
A nurse is assisting with the admission of a
client who has hyperemesis gravidarum.
Which of the following laboratory tests is the
priority to complete?
Oral contraceptives decrease the risk of endometrial cancer
A nurse is reinforcing teaching with a client
about various contraceptive methods. Which
of the following statements should the nurse
include in the teaching?
I have contractions more often than every 10 minutes, I might be in preterm labor.
A nurse is reinforcing teaching about
preterm labor with a client who is at 28
weeks of gestation. Which of the following
statements by the client indicates an
understanding of the teaching?
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Administer the medication within 72h after birth
A nurse is planning to administer RhoD
immune globulin to a client who is
postpartum. Which of the following actions
should the nurse take
1 cup kale
A nurse is reinforcing teaching with a client
who is pregnant and does not consume
dairy products. Which of the following food
options should the nurse recommend as the
best source of dietary calcium?
A nurse is collecting data from a newborn.
The nurse should recognize that which of
the following images demonstrates a
positive Babinski reflex?
Eat dry bland foods in the morning
A nurse is caring for a client who is at 9
weeks of gestation and reports nausea in
the morning that continues until
midafternoon. Which of the following actions
should the nurse encourage the client to
take/
A multiple marker screening will be performed to identify neural tube defects
A nurse is reinforcing teaching with a client
about laboratory testing during pregnancy.
Which of the following statements should the
nurse include in the teaching?
Encourage the client to continue to breastfeed
A nurse is contributing to the plan of care for
a client who is postpartum and has mastitis.
Which of the following actions should the
nurse plan to take?
Remove the newborn from phototherapy every 2 hr for breastfeeding
A nurse is caring for a 2 day old newborn
who is undergoing phototherapy for
treatment of hyperbilirubinemia. Which of the
following actions should the nurse take?
Hyporeflexia
A nurse in an antepartum unit is assisting
with the care of a client who has
preeclampsia and is receiving IV magnesium
sulfate therapy. For which of the following
adverse effects should the nurse monitor
and report to the provider?
I will place the retainer clip at the level of my baby's armpits
A nurse is reinforcing teaching about car
seat safety with a parent of a newborn.
Which of the following statements by the
parent indicates an understanding of the
teaching?
retained placental fragments
A charge nurse is discussing risk factors for
postpartum hemorrhage with a newly
licensed nurse. Which of the following
conditions should the nurse include as a risk
factor?
Give a bolus of Lactated Ringers
A nurse is assisting with the care of a client
who is in labor and has an epidural infusion
for pain management. The client's BP is
80/40mm Hg. Which of the following actions
should the nurse take?
Take a break and walk at least once every hour during long trips
A nurse is reinforcing teaching about travel
with a client who is pregnant. Which of the
following instructions should the nurse
include?
Supine
A nurse is reinforcing discharge teaching
about home safety with a client who is
postpartum. In which of the following
positions should the nurse instruct the client
to place their newborn in the crib?
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