RN Maternal Newborn Online Practice
B
0730: Reports soreness from contractions as a 4. Client doing slow paced respiration for the
duration of contractions.
Client reports blurred vision and a frontal headache rated at a 6 on a scale of 0 to 10.
Deep tendon reflexes 3+.
Contractions: each 6-eight min, lasting forty five-60 seconds, palpate slight/mild.
Fetal heart charge: Baseline 135/min, slight variability, accelerations gift, no decelerations
mentioned.
Oxytocin infusion charge at four milliunits/minute. Magnesium sulfate at 2 g/hr with LR at 50
mL/hr infusing via peripheral IV.
1130:Client sleepy. Reports pain of a 6 because of uterine contractions. Denies headache or
visible disturbances. Deep tendon reflexes are absent.
Contractions: happening each 4-five min, lasting 60-seventy five seconds and palpate
moderate. Uterus tender among contractions.
Fetal heart rate: Baseline a hundred twenty five/min, minimal variability, no accelerations, no
decelerations.
Oxytocin infusion price at 12 milliunits/minute. - ANS-Discontinue the magnesium infusion
Administer calcium gluconate
Apply oxygen at 10 L through nonrebreather masks
0900:Client reviews, ''I've been cramping and have had low returned pain seeing that the day
prior to this. It burns once I urinate.''
Client is placed on electronic fetal display. Fundal top palpated above the umbilicus. 0930: Fetal
coronary heart price baseline a hundred and fifty/min, moderate variability, spontaneous
accelerations present, no decelerations mentioned.
Uterine contractions occurring every 2 minutes, lasting 40-60 seconds, palpate slight to mild
intensity.
Vaginal examination famous cervix is 2 cm dilated and 80% effaced.
Which of the subsequent findings ought to the nurse record to the issuer? - ANS-Temperature
38.3° C (one hundred and one° F)
Client reviews, "I've been cramping and feature had low back ache considering the day gone by.
It burns once I urinate."
Uterine contractions going on every 2 mins, lasting forty-60 seconds, palpate moderate to mild
intensity.
Vaginal examination famous cervix is 2 cm dilated and eighty% effaced.
, 1100:Newborn held skin-to-skin with customer who is breastfeeding for 1 hr and breastfed
vigorously for 30 minutes.
Large ecchymotic caput succedaneum referred to on occiput with molding of the cranium.
Anterior fontanel degree and gentle.
Respirations shallow and abnormal. Crepitus palpated over left clavicle.
Skin colour constant with toddler's genetic heritage. Acrocyanosis referred to.
Active and actions all extremities besides for left arm. Limited spontaneous movement of the left
arm referred to. Wrist unflexed. Left arm remains at side in the course of Moro reflex. Palmar
hold close reflex same bilaterally.
For each assessment finding, click on to specify if the findings is constant with a clavicle fracture
or Erb-Duchenne paralysis. - ANS-Clavicle: delivery history, crepitus, decreased motion, absent
moro reflex, palmar draw close reflex present
Erb-Duchenne paralysis: start records, absent arm motion, absent moro reflex, palmar draw
close reflex present, wrist flexion (?)
1400:Client received epidural anesthesia for reports of a pain stage of seven on a scale of zero
to ten from uterine contractions.
Contractions happening each four to 5 min, lasting 60 seconds, palpate mild.
FHR: Baseline a hundred thirty five/min, common variability, accelerations present, no
decelerations noted.
Oxytocin infusing at 8 milliunit/min. Rate closing expanded through 2 milliunits/min at 1330.
1415: Client reviews feeling mild-headed.
Contractions happening each 4 to 5 min, lasting 60 seconds, palpate slight
FHR: Prolonged deceleration of fetal coronary heart charge to 90/min, minimal variability.
Select the four moves that the nurse should take without delay. - ANS-Administer a bolus of IV
fluids
Reposition the patron to their side
Apply oxygen at 10 to twelve L/min through nonrebreather mask
Elevate the client's legs
8A nurse is offering coaching about nonpharmacological ache control to a customer who's
breastfeeding and has engorgement. The nurse should advocate the application of which of the
subsequent gadgets? - ANS-Cold cabbage leaves
A nurse in a provider's office is reviewing the medical document of a client who's in the first
trimester of being pregnant. Which of the subsequent findings ought to the nurse pick out as a
chance component for the development of preeclampsia? - ANS-Pregestational diabetes
mellitus
A nurse is admitting a purchaser who is in exertions. The consumer admits to latest cocaine
use. For which of the following headaches should the nurse verify? - ANS-abruptio placenta
B
0730: Reports soreness from contractions as a 4. Client doing slow paced respiration for the
duration of contractions.
Client reports blurred vision and a frontal headache rated at a 6 on a scale of 0 to 10.
Deep tendon reflexes 3+.
Contractions: each 6-eight min, lasting forty five-60 seconds, palpate slight/mild.
Fetal heart charge: Baseline 135/min, slight variability, accelerations gift, no decelerations
mentioned.
Oxytocin infusion charge at four milliunits/minute. Magnesium sulfate at 2 g/hr with LR at 50
mL/hr infusing via peripheral IV.
1130:Client sleepy. Reports pain of a 6 because of uterine contractions. Denies headache or
visible disturbances. Deep tendon reflexes are absent.
Contractions: happening each 4-five min, lasting 60-seventy five seconds and palpate
moderate. Uterus tender among contractions.
Fetal heart rate: Baseline a hundred twenty five/min, minimal variability, no accelerations, no
decelerations.
Oxytocin infusion price at 12 milliunits/minute. - ANS-Discontinue the magnesium infusion
Administer calcium gluconate
Apply oxygen at 10 L through nonrebreather masks
0900:Client reviews, ''I've been cramping and have had low returned pain seeing that the day
prior to this. It burns once I urinate.''
Client is placed on electronic fetal display. Fundal top palpated above the umbilicus. 0930: Fetal
coronary heart price baseline a hundred and fifty/min, moderate variability, spontaneous
accelerations present, no decelerations mentioned.
Uterine contractions occurring every 2 minutes, lasting 40-60 seconds, palpate slight to mild
intensity.
Vaginal examination famous cervix is 2 cm dilated and 80% effaced.
Which of the subsequent findings ought to the nurse record to the issuer? - ANS-Temperature
38.3° C (one hundred and one° F)
Client reviews, "I've been cramping and feature had low back ache considering the day gone by.
It burns once I urinate."
Uterine contractions going on every 2 mins, lasting forty-60 seconds, palpate moderate to mild
intensity.
Vaginal examination famous cervix is 2 cm dilated and eighty% effaced.
, 1100:Newborn held skin-to-skin with customer who is breastfeeding for 1 hr and breastfed
vigorously for 30 minutes.
Large ecchymotic caput succedaneum referred to on occiput with molding of the cranium.
Anterior fontanel degree and gentle.
Respirations shallow and abnormal. Crepitus palpated over left clavicle.
Skin colour constant with toddler's genetic heritage. Acrocyanosis referred to.
Active and actions all extremities besides for left arm. Limited spontaneous movement of the left
arm referred to. Wrist unflexed. Left arm remains at side in the course of Moro reflex. Palmar
hold close reflex same bilaterally.
For each assessment finding, click on to specify if the findings is constant with a clavicle fracture
or Erb-Duchenne paralysis. - ANS-Clavicle: delivery history, crepitus, decreased motion, absent
moro reflex, palmar draw close reflex present
Erb-Duchenne paralysis: start records, absent arm motion, absent moro reflex, palmar draw
close reflex present, wrist flexion (?)
1400:Client received epidural anesthesia for reports of a pain stage of seven on a scale of zero
to ten from uterine contractions.
Contractions happening each four to 5 min, lasting 60 seconds, palpate mild.
FHR: Baseline a hundred thirty five/min, common variability, accelerations present, no
decelerations noted.
Oxytocin infusing at 8 milliunit/min. Rate closing expanded through 2 milliunits/min at 1330.
1415: Client reviews feeling mild-headed.
Contractions happening each 4 to 5 min, lasting 60 seconds, palpate slight
FHR: Prolonged deceleration of fetal coronary heart charge to 90/min, minimal variability.
Select the four moves that the nurse should take without delay. - ANS-Administer a bolus of IV
fluids
Reposition the patron to their side
Apply oxygen at 10 to twelve L/min through nonrebreather mask
Elevate the client's legs
8A nurse is offering coaching about nonpharmacological ache control to a customer who's
breastfeeding and has engorgement. The nurse should advocate the application of which of the
subsequent gadgets? - ANS-Cold cabbage leaves
A nurse in a provider's office is reviewing the medical document of a client who's in the first
trimester of being pregnant. Which of the subsequent findings ought to the nurse pick out as a
chance component for the development of preeclampsia? - ANS-Pregestational diabetes
mellitus
A nurse is admitting a purchaser who is in exertions. The consumer admits to latest cocaine
use. For which of the following headaches should the nurse verify? - ANS-abruptio placenta
