PN Maternal Newborn Practice 2017 B Already Passed

A nurse is collecting data from a client who is at 38 weeks of gestation. Which of the following findings should the nurse report to the provider? -Leg Cramps -Insomnia -Glycosuria -Leukorrhea Glycosuria- it is a potential complication of gestational diabetes mellitus & the nurse should report this finding to the provider. A nurse is reinforcing discharge teaching about home care with the patient of a newborn. Which of the following instructions should the nurse include? -"Dress your newborn with two extra layer for the first week at home." -"Give you newborn a bath once a day in the morning." -"Cover your newborn with a lightweight blanket during naps." -"Ensure the water temperature during your newborns bath is maintained at 100 degrees Fahrenheit." "Ensure the water temperature during your newborns bath is maintained at 100 degrees Fahrenheit."- the nurse should instruct the parent to keep the water temperature at 38 degrees Celsius (100 degrees Fahrenheit) when bathing the newborn. A water temperature below this range can cause cold stress in the newborn, and a water temperature above this range increases the risk of burn injuries. A nurse is caring for a client who is 2 hr postpartum. The nurse locate the client's fundus 2 cm above the umbilicus, with displacement to the right of the midline, and notes it is boggy. The nurse should identify which of the following complications as the likely cause of these findings? -Uterine bleeding -Bladder distention -Cervical laceration -Retention of placental fragments Bladder distention- this pushes the client's uterus out of the pelvis and often displaces it to the right of the midline. The nurse can palpate the fundus above the umbilicus and to the right of the midline. A nurse is reviewing the medical record of a client who is at 26 weeks of gestation. Which of the following should the nurse identify as a risk factor for the development of preeclampsia? -Rheumatoid arthritis -BMI of 24 -Iron-deficiency anemia -Oligohydramnios Rheumatoid arthritis- the nurse should identify that connective tissue diseases, such as rheumatoid arthritis and systemic lupus erythematosus, increase a client's risk for preeclampsia. A nurse is caring for a client who is receiving oxytocin. Which of the following manifestations should the nurse report to the provider? -Urinary output of 120mL in 4hr -Nausea & vomiting without food consumption -More than 5 contractions in 10 mins -BP 110/70 mmHg More than 5 contractions in 10 mins- oxytocin is a hormone that stimulates uterine contractions. Common adverse effects include nausea, vomiting, headache, and hypotension. Uterine tachysystole is a medical emergency with manifestations such as more than 5 contractions in 10 min or single contractions lasting longer than 2 mins. A nurse is collecting data from a client who gave birth 18 hr ag. Which of the following finding should the nurse identify as an indication of a postpartum complication? -Temperature is 38 deg Celsius (100.4 deg Fahrenheit) -Fundus is palpable at 2 cm above the umbilicus -Lochia increases after breastfeeding -The perineal pad contains several small blood clots Fundus is palpable at 2 cm above the umbilicus- the fundus should be located at the level of the umbilicus during the first 24 hr postpartum, and decrease 1 cm each day after that. A fundus is palpable at a higher than expected level could be an indication of uterine atony, which can result in maternal hemorrhage.