Nace care of childbearing family
A nurse is explaining physiological jaundice to a nursing student.Which of the following
should the nurse include when discussing risk factors for neonatal physiological
jaundice?
Gestational age of 35-38 weeks.
A baby boy is circumcised on the day of discharge.Which observation should the nurse
make prior to the infant’s discharge?.
Make sure the baby can urinate normally without pain The time and amount of the
first post-procedure voiding.
A patient who is 38 weeks pregnant is admitted to the hospital in active labor.On
admission, the patient says, “For the past ten hours, I have been leaking small amounts
of urine.” Which action should the nurse take initially?
Test the patient's vaginal secretions with nitrazine paper.
A nurse is caring for a female client who suspects she is pregnant.Which question, if
asked by the nurse, is consistent with signs of early pregnancy?
"Have you noticed any tenderness in your breasts?".
A nurse is caring for a newborn with a gestational age of 42 weeks.Which finding would
the nurse expect during the assessment of this newborn?.
Dryness and flaking of the skin on the hands and feet.
A patient who is 37 weeks pregnant and has gestational diabetes is admitted to the
labor and delivery unit for induction.The patient is placed on an external fetal monitor
and receives an epidural anesthesia.Which action should the nurse take to identify a
potential side effect of the epidural?
Monitor the patient's blood pressure.
,epidural anesthesia can cause
Hypotension which can affect placental blood flow and fetal oxygenation
preeclampsia is characterized by
hypertension, edema and proteinuria
Deep tendon reflexes can be affected by
Magnesium
a medication used to prevent seizures in patients with preeclampsia
Magnesium Sulfate
A patient is receiving magnesium sulfate.Which side effect should the nurse monitor for
with this patient?
Decreased Respirations it can slow down or stop breathing
Babinski reflex
big toe bends upward and the other toes fan out when the sole of the foot is
stroked.
A nurse is caring for a patient who is in labor and is placed on a monitor.How should
the nurse determine the duration of contractions?
Count the time from the beginning of one contraction to the end of the same
contraction.
A nurse is caring for a patient being evaluated for sexually transmitted infection (STI).A
negative rapid plasma reagin (RPR) indicates that a patient is probably not infected with
which STI?
Syphilis
gonorrhea is a bacterial infection caused by
Neisseria gonorrhoeae
, condylomata are genital warts caused by
human papillomavirus (HPV),
A patient comes to the family planning clinic requesting information.Which information
should the nurse obtain initially to determine the patient's knowledge base?.
The reason for the patient's visit at this time.
A nurse is caring for a newborn of a diabetic mother (IDM).What should the nurse
monitor for during care of the newborn?
Jitteriness
Is hypoglycemia or hyperglycemia the cause of jitters in infants of diabetic mothers
(IDM)
Hypoglycemia
Hypoglycemia in infants can also cause symptoms such as
Jitteriness, seizures, lethargy, poor feeding, sweating, trembling, and pale
complexion.
Normal ranges for blood glucose in newborns
40 to 150 mg/dL (2.2 to 8.3 mmol/L).
A nurse is assessing a newborn.Which finding may indicate a problem?
The newborn's nostrils flare slightly during respiration.
The nurse suspects drug abuse in a patient admitted with no prenatal care and a
diagnosis of abruptio placentae.Which question would elicit the most information from
the patient concerning the suspected drug use?
"What drugs have you used during your pregnancy?".
A patient with no prenatal care is admitted to the labor and delivery unit.She is placed
on an external fetal monitor, and an intravenous infusion is begun.A tentative diagnosis
of abruptio placentae is made.Which finding would support this diagnosis?
Sustained uterine hypertonicity
A nurse is explaining physiological jaundice to a nursing student.Which of the following
should the nurse include when discussing risk factors for neonatal physiological
jaundice?
Gestational age of 35-38 weeks.
A baby boy is circumcised on the day of discharge.Which observation should the nurse
make prior to the infant’s discharge?.
Make sure the baby can urinate normally without pain The time and amount of the
first post-procedure voiding.
A patient who is 38 weeks pregnant is admitted to the hospital in active labor.On
admission, the patient says, “For the past ten hours, I have been leaking small amounts
of urine.” Which action should the nurse take initially?
Test the patient's vaginal secretions with nitrazine paper.
A nurse is caring for a female client who suspects she is pregnant.Which question, if
asked by the nurse, is consistent with signs of early pregnancy?
"Have you noticed any tenderness in your breasts?".
A nurse is caring for a newborn with a gestational age of 42 weeks.Which finding would
the nurse expect during the assessment of this newborn?.
Dryness and flaking of the skin on the hands and feet.
A patient who is 37 weeks pregnant and has gestational diabetes is admitted to the
labor and delivery unit for induction.The patient is placed on an external fetal monitor
and receives an epidural anesthesia.Which action should the nurse take to identify a
potential side effect of the epidural?
Monitor the patient's blood pressure.
,epidural anesthesia can cause
Hypotension which can affect placental blood flow and fetal oxygenation
preeclampsia is characterized by
hypertension, edema and proteinuria
Deep tendon reflexes can be affected by
Magnesium
a medication used to prevent seizures in patients with preeclampsia
Magnesium Sulfate
A patient is receiving magnesium sulfate.Which side effect should the nurse monitor for
with this patient?
Decreased Respirations it can slow down or stop breathing
Babinski reflex
big toe bends upward and the other toes fan out when the sole of the foot is
stroked.
A nurse is caring for a patient who is in labor and is placed on a monitor.How should
the nurse determine the duration of contractions?
Count the time from the beginning of one contraction to the end of the same
contraction.
A nurse is caring for a patient being evaluated for sexually transmitted infection (STI).A
negative rapid plasma reagin (RPR) indicates that a patient is probably not infected with
which STI?
Syphilis
gonorrhea is a bacterial infection caused by
Neisseria gonorrhoeae
, condylomata are genital warts caused by
human papillomavirus (HPV),
A patient comes to the family planning clinic requesting information.Which information
should the nurse obtain initially to determine the patient's knowledge base?.
The reason for the patient's visit at this time.
A nurse is caring for a newborn of a diabetic mother (IDM).What should the nurse
monitor for during care of the newborn?
Jitteriness
Is hypoglycemia or hyperglycemia the cause of jitters in infants of diabetic mothers
(IDM)
Hypoglycemia
Hypoglycemia in infants can also cause symptoms such as
Jitteriness, seizures, lethargy, poor feeding, sweating, trembling, and pale
complexion.
Normal ranges for blood glucose in newborns
40 to 150 mg/dL (2.2 to 8.3 mmol/L).
A nurse is assessing a newborn.Which finding may indicate a problem?
The newborn's nostrils flare slightly during respiration.
The nurse suspects drug abuse in a patient admitted with no prenatal care and a
diagnosis of abruptio placentae.Which question would elicit the most information from
the patient concerning the suspected drug use?
"What drugs have you used during your pregnancy?".
A patient with no prenatal care is admitted to the labor and delivery unit.She is placed
on an external fetal monitor, and an intravenous infusion is begun.A tentative diagnosis
of abruptio placentae is made.Which finding would support this diagnosis?
Sustained uterine hypertonicity
