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, Terms in this set (40)
A nurse is assessing a client on the first postpartum day. Findings include fundus firm and one fingerbreadth above and to
the right of the umbilicus, moderate lochia rubra with small clots, temperature 37.3 C (99.2 F), and pulse rate 52/min.
Which of the following actions should the nurse take?
Ask the client when she last voided
A nurse is preparing to administer naloxone to a newborn. Which of the following conditions can require administration of
this medication?
IV narcotics administered to the mother during labor
A nurse is discussing epidural anesthesia with a client who is receiving oxytocin for induction of labor. Which of the
following statements should the nurse make?
An epidural given too early can prolong labor
A nurse is caring for a client who is pregnant and reports nausea and vomiting. Which of the following instructions should
the nurse provide the client?
You should eat some crackers before rising from bed in the morning
A nurse is planning care for a client who is pregnant and is Rh-negative. In which of the following situations should the
nurse administer Rh(D) Immune Globulin?
At 28 weeks of gestion
A nurse is caring for a newborn whose mother received magnesium sulfate to treat preterm labor. Which of the following
clinical manifestations in the newborn indicates toxicity due to the magnesium sulfate therapy?
Respiratory depression
A nurse is caring for a newborn who was born to a client who has a narcotic use disorder. Which of the following nursing
actions should the nurse identify as a contraindication for the care of the newborn?
Frequent stimulation
A nurse is caring for a client who is in labor. A vaginal examination reveals the following information: 2cm, 50%, +1, right
occiput anterior. Based on this information, which of the following position should the nurse document in the medical
record?
Vertex
A nurse is caring for a client who desires an intrauterine device (IUD) for contraception. Which of the following findings is
a contraindication for the use of this device?
Menorrhagia
A nurse is caring for a client who is at 39 weeks of gestation and is in active labor. Which of the following actions should
the nurse include in the plan of care?
Check the cervix prior to analgesic administration
A nurse is caring for a client who has trichomoniasis and a prescription for metronidazole. Which of the following
instructions should the nurse provide to the client about the treatment plan?
You and your partner need to take the medication and use a condom during intercourse until cultures are negative