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A nurse is caring for a client who is at 26 weeks of gestation and has epilepsy. The nurse interest the room and observes the client having a seizure. After turning the Clients head to one side, which of the following actions should the nurse take immediately after the seizure? (Ans- Administer oxygen via a nonrebreather mask A nurse is transporting a newborn back to the patient's room following a procedure. Which of the following actions should the nurse take? (Ans- Verify that the parents identification van matches the newborns identification band A nurse is providing teaching about nonpharmacological pain management to a client who is breast-feeding and has engorgement. The nurse should recommend the application of which of the following items? (Ans- Cold cabbage leaves A nurse is assessing a client who is at 36 weeks of gestation period which of the following findings should the nurse report to the provider? (Ans- Report of visual disturbances A nurse is providing discharge teaching to a client who had a cyst Syrian birth three days ago. Which of the following instructions should the nurse include? (Ans- You can still become pregnant if you are breast-feeding A nurse in antepartum Clinic is providing care for a client who is at 26 weeks of gestation. Upon reviewing the clients medical record, which of the following findings should the nurse report to the provider? (Ans- Fundal height measurement I nurse is assessing a client who is at 38 weeks of gestation during our weekly prenatal visit. What should the following findings should the nurse report to the provider? (Ans- Weight gain of 2.2 kg (4.8lb) A nurse is admitting a client who is in labor. The client admits to recent cocaine use. For which of the following complication should the nurse assess? (Ans- Abrupto placenta A nurse is performing a physical assessment of a newborn upon admission to the nursery. Which of the following manifestation should the nurse expect? Select all that apply (Ans- Acrocyanosis Positive babinski reflex Two umbilical arteries visible A nurse is preparing to administer magnesium sulfate 2 g/h IV to a client who is in preterm labor. Available is 20 g magnesium sulfate in 500 mL of dextrose 5% and water (D5W). The nurse should set the IV infusion pump to administer how many milliliters per hour? (Ans- 50 mL/hr A nurse is assessing four newborns. Which of the following findings should the nurse report to the provider? (Ans- A newborn who is 18 hours old and has an axillary temperature of 37.7°C (99.9 degrees Fahrenheit) A nurse is performing a routine assessment on a client who is at 18 weeks of gestation period which of the following findings should the nurse expect? (Ans- FHR 152/min A nurse is performing a vaginal examination on a client who is in labor and observe the umbilical cord protruding from the vagina. After calling for assistance, which of the following actions should the nurse take? (Ans- Insert to go out fingers into the vagina and apply upward pressure to the presenting part A nurse is caring for a client who has uterine atony And is experiencing postpartum hemorrhage. Which of the following actions is the nurses priority? (Ans- Massage the clients fundus. A nurse is caring for a client who is anemic at 32 weeks of gestation and is in preterm labor. The provider prescribed betamethasone 12mg IM. Which of the following outcome should the nurse expect? (Ans- A reduction in respiratory distress in a newborn They charge nurse on the labor and delivery unit is teaching a newly licensed nurse how to perform Leopold maneuvers which of the following images in the case the first step of Leopold maneuvers? (Ans- Picture where both of the nurses hands are on the superior surface of the fundus A nurse is assessing a late preterm newborn. Which of the following manifestations is an indication of hypoglycemia? (Ans- Respiratory distress 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 statement indicates an understanding of the teaching? (Ans- I will likely need to use alternative positions for sexual intercourse A nurse is caring for a client who is at 38 weeks of gestation period which of the following actions should the nurse take prior to applying and external transducer for fetal monitoring? (Ans- Perform Leopold maneuvers: The nurse should perform Leopold maneuvers to assess the position of the fetus to best determine the optimal placement for the external fetal monitoring transducer. I nurse is caring for a client who has hyperemesis gravidarum and is receiving IV fluid replacement. Which of the following findings should the nurse report to the provider? (Ans- BUN 25 mg/dL: The nurse should report an elevated BUN to the provider since it can indicate dehydration. A nurse is assessing a newborn who has delivered vaginally and experienced a tight nuchal cord. Which of the following findings should the nurse expect? (Ans- Petechiae over the head: Nuchal cord, or the umbilical cord being wrapped tightly around the neck, can cause bruising and petechiae over the face, head, and neck.
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