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Newborn delivered by repeat cesarean birth at 40 weeks of gestation.
Birth weight 3,515 g (7 lb 12 oz)
Apgar scores 8 at 1 min and 9 at 5 min
Maternal history of methadone use during pregnancy.
Which should the Nurse report?
Respiratory findings
Temperature
Oxygen saturation
Central nervous system findings
Gastrointestinal findings - ✔✔Gastrointestinal findings
Central nervous system findings
Client reports a small amount of bright red blood in their underwear upon
awakening. Client denies contractions or abdominal pain.
External fetal monitor applied.
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,Potential Nursing Action
Indicated or Contraindicated
Assess cervical dilation
Weigh perineal pads.
Administer methotrexate.
Insert a large bore intravenous catheter. - ✔✔Contraindicated
Assess Cervical Dilation - She's currently bleeding and not in the middle of
labor, unnecessary.
Administer Methotrexate - She isn't having an ectopic pregnancy - this is
used to resolve ectopic pregnancies in the first trimester.
Indicated
Weigh Perineal Pads - We need to know how much blood she's losing.
Insert a large bore IV - Third Trimester Bleeding may lead to larger
hemorrhage - having IV access is critical if we need to administer fluids.
A nurse is assessing the newborn of a client who took selective serotonin
reuptake inhibitor during pregnancy. Which of the following manifestations
should the nurse identify as an indication of withdrawal from an SSRI? -
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, ✔✔Vomiting - Also could be irritability, agitation, tremors, or diarrhea.
These manifestations typically last 2 days.
A nurse in a family planning clinic is caring for a client who request an oral
contraceptive. Which of the following findings in the clients history show the
nurse
recognized as a contraindication to oral contraceptives. select all that apply
Cholecystitis
Hypertension
Human papillomavirus
Migraine headaches
Anxiety disorder - ✔✔Cholecystitis
Hypertension
Anxiety disorder
A nurse is caring for a newborn.Medical History
1600:Apgar Score 9 at 1 min and 9 at 5 min
Birth weight 10 lb 6 oz (4706 gm)
Gestational age 40 weeks
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