1. A nurse is assessing
Ask the client when she last voided
a client on the first
post- partum day.
Findings in- clude
fundus firm and one
fingerbreadth above
and to the right of
the umbilicus,
moderate lochia
rubra with small
clots, temperature
37.3 C (99.2 F), and
pulse
rate 52/min. Which of
the following actions IV narcotics administered to the mother during labor
should the nurse
take? The nurse should administer naloxone to reverse respiratory
depres- sion due to acute narcotic toxicity, which can result from
2. A nurse is preparing IV narcotics
to administer
naloxone to a
newborn. Which of
the following
conditions can
require administration of administration during labor.
this medication?
3. A nurse is discussing labor. Which of
epidural anesthesia
with a client who is
receiv- ing oxytocin
for induc- tion of
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25
, Learning System RN 3.0 Maternal Newborn Final Exam.
An epidural given too early can the active phase of labor usually find the progression of their
prolong labor labor to slow. The medication depresses the central nervous
system. Therefore, it will take longer for the cervix
Clients who receive anesthesia before
the following statements to dilate and ettace.
should the nurse make?
4. A nurse is caring You should eat some crackers before rising from bed in the
for a client who is morning
preg-
nant and reports
nau-
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, Learning System RN 3.0 Maternal Newborn Final Exam.
sea and vomiting.
Which of the
following instruc-
tions should the
nurse provide the
client? At 28 weeks of gestation
5. A nurse is planning The nurse should administer Rh(D) Immune Globulin to a client
care for a client who who is pregnant and has Rh-negative blood at 28 weeks of
is preg- nant and is gestation. Rh(D)
Rh-negative. In which
of the follow-
ing situations should the Immune Globulin consists of passive antibodies against
the Rh factor,
nurse administer 7. A nurse is caring for a newborn who
Rh(D) Immune was born to a client who has a nar-
Globulin? cotic use disorder. Which of the
following nursing actions should the
6. A nurse is caring for nurse identify as a contraindi-
a newborn whose
mother received
magnesium sul- fate
to treat preterm la-
bor. Which of the fol-
lowing clinical
manifes- tations in
the newborn
indicates toxicity
due to the
magnesium sulfate
therapy?
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