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Terms in this set (60)
A nurse is reviewing The nurse should not administer a rectal
the medical record suppository or enema to a client who has
of a client who is a fourth-degree perineal laceration. These
one day can cause separation of the suture line,
postpartum. The bleeding, or infection.
client had a vaginal
birth with a fourth-
degree perineal
laceration. The
nurse should
contact the
provider regarding
which of the
following
prescriptions?
,A nurse is preparing STEP 8: Reassess to determine whether
to administer the amount to administer makes sense. If
hepatitis B immune there are 10 mcg/mL and the prescription
globulin to a reads 5 mcg, it makes sense to administer
newborn. The 0.5 mL. The nurse should administer
prescription states, hepatitis B immunoglobulin 0.5 mL IM.
"Administer 5 mcg
IM once today."
Available is a 5 mL
vial with 10 mcg/mL.
How many mL
should the nurse
administer? (Round
the answer to the
nearest tenth. Use a
leading zero if it
applies. Do not use
a trailing zero.)
A nurse is teaching The nurse should instruct the client to
a client who is at 8 engage in 30 min of moderate exercise
weeks of gestation every day to improve muscle tone
about exercise. throughout her pregnancy.
Which of the
following
instructions should
the nurse include in
the teaching?
,A nurse is assessing The nurse should identify fetal head
a client who is in compression as a likely cause of the early
labor and notes decelerations on the fetal monitor. Early
early decelerations decelerations are an expected fetal
on the fetal monitor. pattern caused by fetal head compression
Which of the due to uterine contractions, fundal
following findings pressure, and vaginal examinations.
should the nurse
identify as a
possible cause of
the early
decelerations?
A nurse is caring for Take photos of the newborn to give to the
a client and her parents.
partner who have
experienced a fetal The nurse should create a memory box
death. Which of the that includes mementos of the newborn
following actions (for example, photos, the newborn's ID
should the nurse bands, the newborn's hat, and the
take? newborn's blanket).
A nurse is observing Lays the newborn across her lap and
a new mother gently sways.
caring for her
crying newborn This is a correct technique for quieting a
who is bottle newborn. This tactile stimulation promotes
feeding. Which of a sense of security for the newborn.
the following
actions by the
mother should the
nurse recognize as
a positive parenting
behavior?
, A nurse on an Epigastric pain is a clinical manifestation
antepartum unit is of preeclampsia and indicates hepatic
caring for four involvement, which is an urgent finding.
clients. Which of the Therefore, the nurse should identify this
following clients client as the priority.
should the nurse
identify as the
priority?
Flaccid uterus is correct. Oxytocin
increases the contractility of the uterus.
Cervical laceration is incorrect. Bleeding
resulting from a cervical laceration
A nurse is preparing continues even when the uterus is
to administer contracted and firm. It will require repair
oxytocin to a client by the provider.
who is postpartum.
Which of the Excess vaginal bleeding is correct.
following findings is Oxytocin enhances uterine contractility,
an indication for the decreasing vaginal bleeding.
administration of
the medication?
(Select all that Increased afterbirth cramping is incorrect.
apply.) The use of oxytocin will increase, rather
than decrease, afterbirth cramping.
Increased maternal temperature is
incorrect. The use of oxytocin will have no
effect on maternal temperature.