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A nurse is assessing a client who is at 30 weeks of gestation during a routine prenatal visit.
Which of the following findings should the nurse report to the provider? - Answer>>> Swelling
of the face, sacral area, and hands can indicate gestational hypertension or preeclampsia.
Reduction in renal perfusion leads to sodium and water retention. Fluid moves out of the
intravascular compartment into the tissues, causing edema.
A nurse is assessing a client who gave birth vaginally 12 hr ago and palpates her uterus to the
right above the umbilicus. Which of the following interventions should the nurse perform? -
Answer>>> The nurse should assist the client to empty her bladder because the assessment
findings indicate that the client's bladder is distended. This can prevent the uterus from
contracting, resulting in increased vaginal bleeding or postpartum hemorrhage.
A nurse is providing discharge teaching to a client who is postpartum and was taking insulin for
gestational diabetes mellitus. Which of the following instructions should the nurse include in the
teaching? - Answer>>> The nurse should instruct the client to get a 2-hr oral glucose tolerance
test 6 to 12 weeks postpartum and every 3 years to screen for type 2 diabetes mellitus
A nurse is caring for a client who is anemic at 32 weeks of gestation and is in preterm labor. The
provider prescribed betamethasone 12 mg IM. Which of the following outcomes should the nurse
expect? - Answer>>> Betamethasone is a glucocorticoid that is given to stimulate fetal lung
maturity and prevent respiratory distress.
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 client's head to one side,
which of the following actions should the nurse take next? - Answer>>> 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 to ensure adequate oxygenation to
the fetus.
, A nurse is reviewing the laboratory report of a client who is 24 hr postpartum following a
vaginal delivery. Which of the following laboratory results should the nurse identify as an
indication of a postpartum infection? - Answer>>> The nurse should realize that this value
exceeds the expected reference range for a postpartum client and indicates an infection.
A nurse is preparing to administer oxytocin to a client who is postpartum. Which of the
following findings is an indication for the administration of the medication? (Select all that
apply.) - Answer>>> Flaccid uterus is correct. Oxytocin increases the contractility of the uterus.
Cervical laceration is incorrect. Bleeding resulting from a cervical laceration continues even
when the uterus is contracted and firm. It will require repair by the provider.
Excess vaginal bleeding is correct. Oxytocin enhances uterine contractility, decreasing vaginal
bleeding.
Increased afterbirth cramping is incorrect. 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.
A nurse is teaching a client who is at 35 weeks of gestation about clinical manifestations of
potential pregnancy complications to report to the provider. Which of the following
manifestations should the nurse include? - Answer>>> A headache that is unrelieved by
analgesia may indicate preeclampsia and should be reported to the provider.