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Terms in this set (98)
a nurse is assisting in the care of a client following a have the client ambulate several times each day
cesarean birth. which of the following actions should the
nurse take to decrease the client's risk of developing
thrombophlebitis?
a nurse is assisting in the care of a client who is in preterm inject the medication into the client's vastus lateralis muscle
labor and is receiving betamethasone. which of the following
actions should the nurse take?
a nurse is assisting in the care of a client who is in labor. the place the client in Trendelenburg position, provide oxygen at 8 to 10 L/min via
client's assessment and documentation are performed by nonrebreather mask, wrap the cord in warm, sterile, saline compresses
the RN. based on the assessment findings, which of the
following actions should the nurse take? select all that apply.
a nurse on an antepartum unit is assisting in the care for a Insert a large-bore intravenous catheter: indicated
client. which of the following actions should the nurse plan to Request a prescription for methotrexate: contraindicated
take? for each potential nursing action, click to specify if the Position client for assessment of cervical dilation by RN: contraindicated
intervention is indicated, nonessential, or contraindicated for Obtain blood specimen for an hCG level: nonessential
the client. Weigh perineal pads: indicated
a nurse is assisting in the care of a newborn. which of the Remind the parents to begin ROM exercises on the affected arm after 1 week:
following actions should the nurse plan to take? for each indicated
potential nursing action, click to specify if the intervention is Secure padding in the newborn's fist on the affected side: nonessential
indicated, nonessential, or contraindicated for the newborn. Immobilize the arm across the abdomen by pinning the newborn's sleeve to their shirt:
indicated
Reinforce to parents to limit physical handling for 2 weeks: contraindicated
Monitor extremity for edema: nonessential
a nurse is observing a client bathe their 1-day-old newborn. the client washes the newborn's hair before unwrapping them
which of the following actions should the nurse identify as an
indication that the client understands how to bathe the
newborn?
, a nurse in an antepartum clinic is reinforcing teaching about "I will lie on my left side with my head elevated on a pillow"
how to prevent supine hypotension with a client who is at 16
weeks of gestation. which of the following responses by the
client indicates an understanding of the teaching?
a nurse is collecting data from a newborn whose mother had hypoglycemia
gestational diabetes mellitus. which of the following findings
should the nurse report to the provider?
a nurse is planning to administer terbutaline to a client who subcutaneous
is experiencing preterm labor. which of the following routes
of administration should the nurse plan to use?
a nurse is collecting data from a client who is a primigravida diaphoresis
and has hyperthyroidism. which of the following findings
should the nurse expect?
a nurse is reinforcing teaching with a client who is at 8 "I should expect to have while vaginal discharge during pregnancy"
weeks of gestation. which of the following responses by the
client indicates an understanding of the teaching?
a nurse on a postpartum unit is assisting with the care of a provide fundal massage for the client
client who has a hypotonic uterus and excessive vaginal
bleeding. which of the following actions should the nurse
take first?
a nurse is monitoring a 1-hr-old newborn for hypoglycemia. hypothermia, twitching, tachypnea
for which of the following findings should the nurse monitor?
(select all that apply.)
a nurse is assisting with collecting data from a newborn who tachypnea, nasal flaring, retractions, expiratory grunting
was born 2 hr ago and has respiratory distress. which of the
following findings should the nurse report to the provider?
(select all that apply.)
a nurse is planning to reinforce discharge teaching about provide the newborn with six to eight feedings during a 24-hr period
formula feeding with the parent of a newborn. which of the
following instructions should the nurse plan to include?
a nurse is reinforcing family planning options with a client "I can use water-soluble lubricant when my partner wears a latex condom"
who is requesting information about contraceptives. which of
the following client statements indicates an understanding of
the teaching?
a nurse is planning to perform a blood collection via heel wrap the newborn's heel with a cloth moistened with warm water
stick on a newborn. after performing hand hygiene and
donning gloves, which of the following actions should the
nurse plan to take next?
a nurse is assisting with planning care for a client who is instruct the client to apply warm compresses to the affected breast
breastfeeding and has mastitis. which of the following
recommendations should the nurse include?
a nurse is teaching about newborn home safety precautions "you should ensure that crib slats are no more than 2.25 inches apart"
with a group of parents. which of the following instructions
should the nurse include?
a nurse is reviewing the laboratory results of a 4-hr-old WBC count
newborn. which of the following laboratory findings should
the nurse identify as a finding associated with neonatal
sepsis and report to the provider?
a nurse is assisting in the care of a newborn who is large for check the newborn's blood glucose level
gestational age and is jittery. which of the following actions
should the nurse take first?
a nurse is assisting with the care of a client who is at 39 "I have pain in my upper right abdomen"
weeks of gestation. which of the following statements should
alert the nurse as a sign of a potential complication?
a nurse is reinforcing teaching about car seat safety with the "if my baby rides in a car with no back seat, the passenger air bag must be turned off"
guardian of a newborn. which of the following client
statements indicates an understanding of the teaching?
a nurse in a provider's office is assisting in the care of an abdominal pain, vaginal discharge, temperature, sexual activity, last menstrual period,
adolescent. which of the following findings should the nurse vulvar edema
identify as requiring further evaluation? select all that apply.
the nurse is continuing to assist in the care of the the nurse should... administer ceftriaxone into the adolescent's ventrogluteal muscle...
adolescent. the nurse is continuing to care for the and... reinforce education to the adolescent about safe sex practices.
adolescent. which of the following actions should the nurse
take? complete the following sentence by using the list of
options.
A
TI
M
at
e
r
ni
ty
Fi
n
al
E
x
a
m
Students
also
studied
Terms in this set (98)
a nurse is assisting in the care of a client following a have the client ambulate several times each day
cesarean birth. which of the following actions should the
nurse take to decrease the client's risk of developing
thrombophlebitis?
a nurse is assisting in the care of a client who is in preterm inject the medication into the client's vastus lateralis muscle
labor and is receiving betamethasone. which of the following
actions should the nurse take?
a nurse is assisting in the care of a client who is in labor. the place the client in Trendelenburg position, provide oxygen at 8 to 10 L/min via
client's assessment and documentation are performed by nonrebreather mask, wrap the cord in warm, sterile, saline compresses
the RN. based on the assessment findings, which of the
following actions should the nurse take? select all that apply.
a nurse on an antepartum unit is assisting in the care for a Insert a large-bore intravenous catheter: indicated
client. which of the following actions should the nurse plan to Request a prescription for methotrexate: contraindicated
take? for each potential nursing action, click to specify if the Position client for assessment of cervical dilation by RN: contraindicated
intervention is indicated, nonessential, or contraindicated for Obtain blood specimen for an hCG level: nonessential
the client. Weigh perineal pads: indicated
a nurse is assisting in the care of a newborn. which of the Remind the parents to begin ROM exercises on the affected arm after 1 week:
following actions should the nurse plan to take? for each indicated
potential nursing action, click to specify if the intervention is Secure padding in the newborn's fist on the affected side: nonessential
indicated, nonessential, or contraindicated for the newborn. Immobilize the arm across the abdomen by pinning the newborn's sleeve to their shirt:
indicated
Reinforce to parents to limit physical handling for 2 weeks: contraindicated
Monitor extremity for edema: nonessential
a nurse is observing a client bathe their 1-day-old newborn. the client washes the newborn's hair before unwrapping them
which of the following actions should the nurse identify as an
indication that the client understands how to bathe the
newborn?
, a nurse in an antepartum clinic is reinforcing teaching about "I will lie on my left side with my head elevated on a pillow"
how to prevent supine hypotension with a client who is at 16
weeks of gestation. which of the following responses by the
client indicates an understanding of the teaching?
a nurse is collecting data from a newborn whose mother had hypoglycemia
gestational diabetes mellitus. which of the following findings
should the nurse report to the provider?
a nurse is planning to administer terbutaline to a client who subcutaneous
is experiencing preterm labor. which of the following routes
of administration should the nurse plan to use?
a nurse is collecting data from a client who is a primigravida diaphoresis
and has hyperthyroidism. which of the following findings
should the nurse expect?
a nurse is reinforcing teaching with a client who is at 8 "I should expect to have while vaginal discharge during pregnancy"
weeks of gestation. which of the following responses by the
client indicates an understanding of the teaching?
a nurse on a postpartum unit is assisting with the care of a provide fundal massage for the client
client who has a hypotonic uterus and excessive vaginal
bleeding. which of the following actions should the nurse
take first?
a nurse is monitoring a 1-hr-old newborn for hypoglycemia. hypothermia, twitching, tachypnea
for which of the following findings should the nurse monitor?
(select all that apply.)
a nurse is assisting with collecting data from a newborn who tachypnea, nasal flaring, retractions, expiratory grunting
was born 2 hr ago and has respiratory distress. which of the
following findings should the nurse report to the provider?
(select all that apply.)
a nurse is planning to reinforce discharge teaching about provide the newborn with six to eight feedings during a 24-hr period
formula feeding with the parent of a newborn. which of the
following instructions should the nurse plan to include?
a nurse is reinforcing family planning options with a client "I can use water-soluble lubricant when my partner wears a latex condom"
who is requesting information about contraceptives. which of
the following client statements indicates an understanding of
the teaching?
a nurse is planning to perform a blood collection via heel wrap the newborn's heel with a cloth moistened with warm water
stick on a newborn. after performing hand hygiene and
donning gloves, which of the following actions should the
nurse plan to take next?
a nurse is assisting with planning care for a client who is instruct the client to apply warm compresses to the affected breast
breastfeeding and has mastitis. which of the following
recommendations should the nurse include?
a nurse is teaching about newborn home safety precautions "you should ensure that crib slats are no more than 2.25 inches apart"
with a group of parents. which of the following instructions
should the nurse include?
a nurse is reviewing the laboratory results of a 4-hr-old WBC count
newborn. which of the following laboratory findings should
the nurse identify as a finding associated with neonatal
sepsis and report to the provider?
a nurse is assisting in the care of a newborn who is large for check the newborn's blood glucose level
gestational age and is jittery. which of the following actions
should the nurse take first?
a nurse is assisting with the care of a client who is at 39 "I have pain in my upper right abdomen"
weeks of gestation. which of the following statements should
alert the nurse as a sign of a potential complication?
a nurse is reinforcing teaching about car seat safety with the "if my baby rides in a car with no back seat, the passenger air bag must be turned off"
guardian of a newborn. which of the following client
statements indicates an understanding of the teaching?
a nurse in a provider's office is assisting in the care of an abdominal pain, vaginal discharge, temperature, sexual activity, last menstrual period,
adolescent. which of the following findings should the nurse vulvar edema
identify as requiring further evaluation? select all that apply.
the nurse is continuing to assist in the care of the the nurse should... administer ceftriaxone into the adolescent's ventrogluteal muscle...
adolescent. the nurse is continuing to care for the and... reinforce education to the adolescent about safe sex practices.
adolescent. which of the following actions should the nurse
take? complete the following sentence by using the list of
options.
