Focus on Maternity Verified Test |Updated

Focus on Maternity Verified Test |Updated The delivery room nurse performing an initial assessment on a newborn notes that the ears are low set. Based on this finding, which nursing action is appropriate initially? - ANSWER Notify the primary health care provider A client with preeclampsia who is receiving magnesium sulfate in an intravenous infusion exhibits signs of magnesium toxicity. The nurse immediately prepares for the administration of: - ANSWER Calcium gluconate The nurse provides instructions to a breastfeeding mother who is experiencing breast engorgement about measures for treating the problem. What does the nurse tell the mother to do? - ANSWER Gently massage the breasts during breastfeeding to help empty the breasts The home care nurse is instructing a client with hyperemesis gravidarum about measures to ease the nausea and vomiting. What does the nurse tell the client to do? - ANSWER Eat carbohydrates such as cereals, rice, and pasta A neonate is irritable, cries incessantly, and has a temperature of 99.4 F. The neonate is also tachypneic, diaphoretic, feeding poorly, and hyperactive in response to environmental stimuli. What does the nurse determine that these signs/symptoms are consistent with? - ANSWER Neonatal abstinence syndrome The nurse, performing an assessment of a pregnant client is preparing to take the client's blood pressure. How does the nurse position the client? - ANSWER In a sitting position with the arm in a horizontal position at heart level The nurse assessing a pregnant woman in labor notes the presence of early decelerations on the fetal monitor tracing. Which situation would the nurse suspect based on this observation? - ANSWER Pressure on the fetal head during a contraction The nurse is assessing a newly delivered large for gestational age neonate. The nurse is aware of what manifestations of this neonate category? Select all that apply. - ANSWER Increased risk for infection Respiratory distress occurs Provide stimulation, such as touch and cuddling A nurse is caring for a client in precipitous labor. In which position does the nurse place the client? - ANSWER left lateral Sims Immediately after the delivery of a newborn infant, the nurse prepares to deliver the placenta. What does the nurse initially do? - ANSWER Instruct the mother to push when signs of separation have occurred The nurse is caring for a postpartum client with suspected endometritis. What manifestations of this condition would the nurse expect to note? Select all that apply. - ANSWER Foulsmelling lochia backache tender uterus The nurse is told that a newborn with myelomeningocele will be admitted to the newborn nursery. In which position does the nurse plan to place the infant? - ANSWER Prone A nurse is caring for a postpartum client who had a low-lying placenta. What does the nurse assess the client most closely for? - ANSWER Hemorr