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A primipara has delivered a stillborn fetus at 30-weeks gestation. To assist the
parents with the
grieving process, which intervention is most important for the nurse to
implement?
a. Provide an opportunity for the parents to hold their infant in privacy.
b. Assist the couple in completing a request for autopsy.
c. Encourage the couple to seek family counseling within the next few weeks.
d. Explain the possible causes of fetal demise.
a. Provide an opportunity for the parents to hold their infant in privacy.
What is the priority nursing assessment immediately following the birth of an
infant with
esophageal atresia and a tracheoesophageal (TE) fistula?
a. Body temperature.
b. Level of pain.
c. Time of first void.
d. Number of vessels in the cord.
a. Body temperature.
What is the most important assessment for the nurse to conduct following the
administration of
epidural anesthesia to a client who is at 40-weeks gestation?
a. Maternal blood pressure.
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,b. Level of pain sensation
c. Station of presenting part.
d. Variability of fetal heart rate.
a. Maternal blood pressure.
34-week primigravida woman with preeclampsia is receiving Lactated Ringer's
500ml with
magnesium sulfate 20 grams at the rate of 3g/hr. How many ml/hr should the
nurse program the
infusion pump? (Enter numeric value only.)
75ml/hr
A 6-year-old with heart failure (HF) gained 2 pounds in the last 24 hours. Which
intervention is
more important for the nurse to implement?
a. Graph the daily weight for the past week.
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b. Decrease IV flow rate.
c. Assess bilateral lung sounds.
d. Restrict intake of oral fluids.
c. Assess bilateral lung sounds.
A client in the first trimester of pregnancy calls the prenatal clinic to report she's
nauseated,
and her stools are black and thick since she started taking iron supplements last
week. How should the nurse respond? select all that applies.
A Come to the clinic today.
B Drink a full glass of tea with each iron tablet.
C Increase the consumption of milk while taking iron.
D Changes in color and consistency of stool are normal.
E Take iron supplement at bedtime.
D Changes in color and consistency of stool are normal
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,A primiparous woman presents in labor with the following labs. hemoglobin 10.9
g/dl (109
g/dl) Hematocrit 29% (0.29) hepatitis surface antigen positive, Group B
Streptococcus positive and rubella non-immune. which intervention should the
nurse implement?
A Transfuse 2 units packs red blood cells.
B Give measles mumps rubella vaccine 0.5 ML.
C Administer ampicillin 2 grams intravenously.
D Inject hepatitis B immune globulin 0.5 milliliters.
C Administer ampicillin 2 grams intravenously.
A mother spontaneously delivers a newborn infant in the taxicab while on the
way to the
hospital the emergency room nurse reported the mother as active herpes (H5V
III) lesions on the vulva.
Which intervention should the nurse implement first when admitting the neonate
to the nursery?
A Documents the temperature on the flow sheet.
B Place the newborn in the isolation area of the nursery.
C Obtain blood specimen for serum glucose level.
D Administer the vitamin K injection.
B Place the newborn in the isolation area of the nursery.
The health care provider prescribes 10 units per liters of oxytocin via IV drip to
augment a
client's labor because she's experiencing a prolonged active phase. Which finding
would cause the nurse to immediately discontinue the oxytocin
A Contraction duration of 100 seconds
B For contractions in 10 minutes
C Uterus is soft.
D early deceleration of fetal heart rate
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, A Contraction duration of 100 seconds
The nurse is receiving report for a laboring client who arrived in the emergency
center which ruptured membranes that the client did not recognize. Which is the
priority nursing action to implement when the client his admitted to the labor and
delivery suite?
A Begin a pad count.
B Prepare to start an IV.
C Take the clients temperature.
D Monitor amniotic fluid for meconium
D Monitor amniotic fluid for meconium
Four client at full term present to the labor and delivery unit at the same time.
which client should a nurse access first.
A Multipara with contractions occurring every three minutes.
B Multiple scheduled for non stress test and biophysical profile.
C Primipara with vaginal show and leaking membranes.
D Primipara with burning on urination and urinary frequency.
Multipara with contractions occurring every three minutes.
The nurse is preparing to administer phytonadione to a newborn. Which
statement makes made by the parents indicates understanding why the nurse is
administering this medication.
Improve insufficient dietary intake.
Stimulates the immune system
Help an immature liver.
Prevent hemorrhagic disorders.
Prevent hemorrhagic disorders.
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