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A nurse in a prenatal clinic is assessing a group of clients. Which of the following
clients should the nurse see first?
A client who is at 11 weeks of gestation and reports abdominal cramping
A client who is at 15 weeks of gestation and reports tingling and numbness in
right hand
A client who is at 20 weeks of gestation and reports constipation for the past 4
days
A client who is at 8 weeks of gestation and reports having three bloody noses in
the past week - A client who is at 11 weeks of gestation and reports
abdominal cramping
When using the urgent vs nonurgent approach to client care, the nurse should
determine that the priority finding is a client who is at 11 weeks of gestation and
reports abdominal cramping. Abdominal cramping can indicate an ectopic
pregnancy or manifestations of spontaneous abortion. The nurse should request
that the provider see this client first.
A nurse is providing teaching about nonpharmacological pain management to a
client who is breastfeeding and has engorgement. The nurse should recommend
the application of which of the following items?
Cold cabbage leaves
Purified lanolin cream
A snug-fitting support bra
,Breast shells - Cold cabbage leaves
The application of fresh, raw cabbage leaves that have been chilled is an effective
nonpharmacological method to relieve the pain associated with engorgement.
The nurse should instruct the client to place the cabbage leaves on the breasts for
15 to 20 min, repeating the application for two to three sessions as needed. More
frequent applications could decrease the client's milk supply.
A nurse is observing a new parent caring for their crying newborn who is bottle
feeding. Which of the following actions by the parent should the nurse recognize
as a positive parenting behavior?
Lays the newborn across their lap and gently sways
Places the newborn in the crib in a prone position
Offers the newborn a pacifier dipped in formula
Prepares a bottle of formula mixed with rice cereal - Lays the newborn
across their lap and gently sways
This is a correct technique for quieting a newborn. This tactile stimulation
promotes a sense of security for the newborn.
A nurse is caring for a client who is at 26 weeks of gestation and has epilepsy. The
nurse enters the room and observes the client having a seizure. After turning the
clients head to one side, which of the following actions should the nurse take
immediately after the seizure?
Monitor the FHR.
Assess uterine activity.
, Administer oxygen via a nonrebreather mask.
Start a bolus of IV fluids. - Administer oxygen via a nonrebreather mask.
When using the airway, breathing, and circulation approach to client care, the
nurse should place the priority on administering oxygen to the client via a
nonrebreather mask at 10 L/min to ensure adequate oxygenation to the fetus.
A nurse is caring for a client who is at 26 weeks of gestation and has a positive
contraction stress test. The nurse should plan to prepare the client for which of
the following diagnostic tests?
Biophysical profile
Amniocentesis
Cordocentesis
Kleihauer-Betke test - Biophysical profile
A positive contraction stress test indicates that further evaluation of the fetus is
necessary. A biophysical profile will provide further evaluation with a real-time
ultrasound.
A nurse is teaching a newly liscensed nurse about collecting a specimen for the
universal newborn screening. Which of the following statements should the nurse
include in the teaching?
"Obtain an informed consent prior to obtaining the specimen."
"Collect at least 1 milliliter of urine for the test."