Chapter 43:
Next Generation – NGN – Maternity, Newborn, and Women's Health Nursing
A client in their third trimester is being seen in the clinic with new-onset fever,
lethargy, and painful urination. Vital signs: temperature, 101.2°F (38.4°C); blood
pressure, 110/70 mm Hg; heart rate, 98 beats/min.
Drag words from the choices below to fill in each blank in the following sentence.
The nurse recognizes that the client is at risk for developing urinary tract
infection (UTI) as evidenced by painful urination .
,The nurse in the labor and delivery unit is performing a focused assessment on a
client who is 2 hours postpartum. Assessment reveals a headache 3 out of 10 on a
scale of 0 to 10. Vital signs: temperature, 99.1°F (37.3°C); heart rate, 101
beats/min; blood pressure, 87/58 mm Hg; capillary refill time, less than 3 seconds.
Client reports a small gush of blood the first time out of bed to ambulate to the
bathroom. Three perineal pads have been saturated since birth.
Complete the following sentence(s) by choosing from the lists of options.
The client is at highest risk for developing
Postpartum hemorrhage infection
as evidenced by
three perianal pads saturated since birth.
and
blood pressure 87/58 mm Hg capillary refill time less than 3 seconds on all
extremities
A nurse is caring for a 28-year-old female client in the emergency department (ED)
who is accompanied by their partner. The client reports accidentally falling down
stairs. Assessment reveals bruising at multiple stages of healing on upper
extremities, back, and abdomen. X-ray reveals a right wrist fracture. The client
does not make eye contact with the nurse and allows their partner to answer most
of the questions.
Complete the following sentence(s) by choosing from the lists of options.
The nurse suspects the client is experiencing
Intimate partner violence vertigo
as evidenced by
stages of bruising
A nurse performs an assessment on a 35-year-old client who developed leg pain.
The client smokes one pack of cigarettes per day and drinks alcohol socially.
Assessment reveals a red, swollen right lower extremity that is warm to the touch,
and pain increases with ambulation or dorsiflexion of the right foot. Client reports
, recent nausea, vomiting, breast tenderness, and weight gain after starting oral
contraceptives.
Complete the following sentence(s) by choosing from the lists of options.
The nurse suspects the client may
have developed a deep vein thrombosis (DVT)
as evidenced by
calf pain and swelling breast tenderness weight gain
A nurse is performing an assessment on a 25-year-old white female client who is
obese and is trying to conceive. The client presents to the clinic concerned about a
newly found lump in their breast. The nurse explains to the client the difference
between benign nodules and breast cancer.
Complete the following sentence(s) by choosing from the lists of options.
The nurse determines client understanding of the difference between a lump that is
a benign nodule and a lump that is breast cancer when the client states
Soft and movable painless
is a sign of a benign nodule and
hard and fixed painful
is a sign of breast cancer.
Click to highlight the findings that will require follow-up.
A nurse is caring for a 20-year-old primigravida client who is at 18 weeks'
gestation. The client had been experiencing occasional nausea and vomiting in the
morning and now reports persistent nausea and vomiting in the past 48
hours. Client has lost 3 lb (1.36 kg) in 2 days . The nurse performs a
comprehensive assessment on the client. Vital signs: heart rate, 110 beats/min
blood pressure, 88/56 mm H g. Laboratory values: blood urea nitrogen (BUN),
25 mg/dl (8.93 mmol/l) and sodium 148 mEq/l (148 mmol/l) .
Next Generation – NGN – Maternity, Newborn, and Women's Health Nursing
A client in their third trimester is being seen in the clinic with new-onset fever,
lethargy, and painful urination. Vital signs: temperature, 101.2°F (38.4°C); blood
pressure, 110/70 mm Hg; heart rate, 98 beats/min.
Drag words from the choices below to fill in each blank in the following sentence.
The nurse recognizes that the client is at risk for developing urinary tract
infection (UTI) as evidenced by painful urination .
,The nurse in the labor and delivery unit is performing a focused assessment on a
client who is 2 hours postpartum. Assessment reveals a headache 3 out of 10 on a
scale of 0 to 10. Vital signs: temperature, 99.1°F (37.3°C); heart rate, 101
beats/min; blood pressure, 87/58 mm Hg; capillary refill time, less than 3 seconds.
Client reports a small gush of blood the first time out of bed to ambulate to the
bathroom. Three perineal pads have been saturated since birth.
Complete the following sentence(s) by choosing from the lists of options.
The client is at highest risk for developing
Postpartum hemorrhage infection
as evidenced by
three perianal pads saturated since birth.
and
blood pressure 87/58 mm Hg capillary refill time less than 3 seconds on all
extremities
A nurse is caring for a 28-year-old female client in the emergency department (ED)
who is accompanied by their partner. The client reports accidentally falling down
stairs. Assessment reveals bruising at multiple stages of healing on upper
extremities, back, and abdomen. X-ray reveals a right wrist fracture. The client
does not make eye contact with the nurse and allows their partner to answer most
of the questions.
Complete the following sentence(s) by choosing from the lists of options.
The nurse suspects the client is experiencing
Intimate partner violence vertigo
as evidenced by
stages of bruising
A nurse performs an assessment on a 35-year-old client who developed leg pain.
The client smokes one pack of cigarettes per day and drinks alcohol socially.
Assessment reveals a red, swollen right lower extremity that is warm to the touch,
and pain increases with ambulation or dorsiflexion of the right foot. Client reports
, recent nausea, vomiting, breast tenderness, and weight gain after starting oral
contraceptives.
Complete the following sentence(s) by choosing from the lists of options.
The nurse suspects the client may
have developed a deep vein thrombosis (DVT)
as evidenced by
calf pain and swelling breast tenderness weight gain
A nurse is performing an assessment on a 25-year-old white female client who is
obese and is trying to conceive. The client presents to the clinic concerned about a
newly found lump in their breast. The nurse explains to the client the difference
between benign nodules and breast cancer.
Complete the following sentence(s) by choosing from the lists of options.
The nurse determines client understanding of the difference between a lump that is
a benign nodule and a lump that is breast cancer when the client states
Soft and movable painless
is a sign of a benign nodule and
hard and fixed painful
is a sign of breast cancer.
Click to highlight the findings that will require follow-up.
A nurse is caring for a 20-year-old primigravida client who is at 18 weeks'
gestation. The client had been experiencing occasional nausea and vomiting in the
morning and now reports persistent nausea and vomiting in the past 48
hours. Client has lost 3 lb (1.36 kg) in 2 days . The nurse performs a
comprehensive assessment on the client. Vital signs: heart rate, 110 beats/min
blood pressure, 88/56 mm H g. Laboratory values: blood urea nitrogen (BUN),
25 mg/dl (8.93 mmol/l) and sodium 148 mEq/l (148 mmol/l) .
