(best answer) (graded A+) (updated version)
The nurse should expect the provider to prescribe a Kleihauer-Betke test for a
client who has suspected placental abruption to determine if fetal blood is in
maternal circulation. This test is useful to determine if Rho-(D) immune globulin
therapy should be administered to a client who is Rh-negative.
a nurse is admitting a client who is in labor. the client admits to recent cocaine use.
for which of the following complications should the nurse assess? -
ANSWER✔abruptio placenta
cocaine use increases the risk for vasoconstriction and possible abruptio placenta.
a nurse is assessing a client who has severe preeclampsia. which of the following
manifestations should the nurse expect. - ANSWER✔blurred vision
The nurse should identify that a client who has severe preeclampsia can have
arteriolar vasospasms and decreased blood flow to the retina which can lead to
visual disturbances, such as blurred vision, double vision, or dark spots in the
visual field.
a nurse is providing education about family bonding to parents who recently
adopted a newborn. the nurse should make which of the following suggestions to
aid the family's 7 yr old child in accepting the new family member? -
ANSWER✔Obtain a gift from the newborn to present to the sibling.
Presenting a gift from the newborn to the sibling is a strategy to facilitate a school-
age sibling's acceptance of a new family member. This ensures that the sibling
does not feel left out and that they understand their role in the family.
a nurse is assessing a client who is receiving morphine via iv bolus for pain
following a C section. the nurse notes a resp rate of 8 per min. which of the
following medications should the nurse administer? - ANSWER✔naloxone
Morphine is a common opioid analgesic used for postoperative pain management
that can cause central nervous system depression and can cause respiratory
, depression. The nurse should administer naloxone, an opioid antagonist, to reverse
the opioid-induced respiratory depression in the client.
a nurse is teaching a client who is at 10 weeks of gestation about nutrition during
pregnancy. which of the following statements by the client indicates an
understanding of the teaching. - ANSWER✔"I should take 600 micrograms of
folic acid each day."
A client who is pregnant should increase folic acid intake to 600 mcg daily. Folic
acid assists with preventing neural tube birth defects.
a nurse is assessing a newborn 12hr after birth. which of the following
manifestations should the nurse report to the provider? - ANSWER✔jaundice.
Jaundice occurring within the first 24 hr of birth is associated with ABO
incompatibility, hemolysis, or Rh-isoimmunization. The nurse should report this
manifestation to the provider.
a nurse is observing a new parent caring for her crying newborn who is bottle
feeding. which of the following actions by the parent should the nurse recognize as
a positive parenting behavior? - ANSWER✔Lays the newborn across her 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 teaching a newly licensed nurse about collecting a specimen for the
universal newborn screening. which of the following statements should the nurse
include in the teaching? - ANSWER✔Ensure that the newborn has been receiving
feedings for 24 hours prior to obtaining the specimen."
The nurse should ensure that the newborn has been receiving regular feedings for
at least 24 hr prior to testing.
a nurse is caring for a client who has uterine atony and is experiencing postpartum
hemorrhage. which of the following actions is the nurse's priority? -
ANSWER✔massage the client's fundus.