UPDATED Maternal Newborn A

A nurse is reinforcing teaching about car seat safety with a parent of a newborn. Which of the following statements should the nurse identify as an indication that the client understands the instructions? "If my baby rides in a car with no back seat, the passenger air bag must be turned off." A nurse is reviewing the laboratory results of a 4-hr-old newborn. Which of the following findings should the nurse report to the provider? Platelet count 120,000/mm3 A nurse is collecting data from a newborn whose mother had gestational diabetes mellitus. Which of the following findings should the nurse report to the provider? Blood glucose 28 mg/dL A nurse is assisting in the care of a client during the active phase of labor. Which of the following actions should the nurse take to promote the client's comfort? Have the client perform relaxing breathing techniques. A nurse in an antepartum clinic is reinforcing teaching about how to prevent supine hypotension with a client who is at 16 weeks of gestation. Which of the following responses by the client indicates an understanding of the teaching? "I will lie on my left side with my head elevated on a pillow." A nurse is planning to administer terbutaline to a client who is experiencing preterm labor. Which of the following routes of administration should the nurse plan to use? Subcutaneous A nurse is reviewing the medication administration record for a client who is receiving nifedipine for gestational hypertension. The nurse should identify that which of the following medications is contraindicated for use with nifedipine? Magnesium sulfate A nurse is reinforcing teaching about butorphanol tartrate with a client who is in labor. Which of the following client statements indicates an understanding of the teaching? "This medication might make me dizzy." A nurse is caring for a newborn who is receiving phototherapy. Which of the following actions should the nurse take? Place an opaque mask over the newborn's eyes. A nurse is caring for a newborn who is large for gestational age and is jittery. Which of the following actions should the nurse take first? Check the newborn's blood glucose level. A nurse is a maternal-newborn unit is caring for a newborn in the nursery. The newborn's grandfather asks if he may take the newborn to his daughter's room. Which of the following responses should the nurse make? "Let me wash my hands and then I'll take your grandson to his mother." A nurse is planning to administer phytonadione to a newborn. Which of the following actions should the nurse take? Use the vastus lateralis as the injection site. A nurse is collecting data from a newborn who is 8 hr old. Which of the following findings should the nurse report to the provider? Apical heart rate of 90/min while crying. A nurse is reinforcing teaching with a client who is at 9 weeks of gestation and reports frequent episodes of nausea and vomiting. Which of the following instructions should the nurse include? Consume small meals frequently each day. A nurse is reinforcing teaching about interventions to treat breast engorgement with a client who is breastfeeding. Which of the following instructions should the nurse include in the teaching? Breastfeed the newborn at least every 2 hr. A nurse is reviewing the laboratory results of a client who is at 32 weeks of gestation. Which of the following laboratory findings should the nurse report to the provider? Hematocrit 30% A nurse is assisting with the neuromuscular assessment of a newborn by eliciting primitive reflexes. Which of the following images indicates a characteristic response of the tonic neck reflex? IiPYI5h2L4=s85 A nurse is caring for a client who delivered vaginally 6 hr ago. Which of the following findings should the nurse report to the provider? Perineal pad soaked in 15 min A nurse is caring for a client 6 hr after a vaginal birth who is going to breastfeed her newborn. The client reports perineal pain of a 6 on a scale from 0 to 10. The nurse also notes mild perineal edema and ecchymosis, with a fundus that is 2 cm above the umbilicus with deviation to the right. Which of the following actions is the nurse's priority? Help the client ambulate to the toilet. A nurse is assisting with collecting data from a newborn who was born 2 hr ago and has respiratory distress. Which of the following findings should the nurse report to the provider? (Select all that apply.) - Tachypnea - Nasal flaring - Retractions - Expiratory grunting A nurse is reinforcing teaching with a new parent about the prevention of newborn abduction. Which of the following statements by the parent indicates an understanding of the teaching? "I will ask the nurse to take care of my baby in the nursery if I need to take a nap." A nurse on a postpartum unit is assisting with the care of a client who has a hypotonic uterus and excessive vaginal bleeding. Which of the following actions should the nurse take first? Provide fundal massage for the client. A nurse is observing a client bathe her 1-day-old newborn. Which of the following actions should the nurse identify as an indication that the client understands how to bathe her newborn? The client washes the newborn's hair before unwrapping her. A nurse is caring for a client who is planning to become pregnant. The client asks the nurse why folic acid supplements are necessary. The nurse should inform the client that the purpose of the folic acid supplement is to do which of the following? Prevent certain kinds of birth defects. A nurse is reinforcing teaching with a client who has a new prescription for ferrous sulfate. Which of the following instructions should the nurse include? "Increase your fluid intake with this medication." A nurse is collecting data from a client who is at 33 weeks of gestation. Which of the following findings should the nurse identify as an indication of a potential complication of pregnancy? Epigastric pain