CMS Maternal Newborn Practice B

CMS Maternal Newborn Practice B A nurse in a clinic is collecting data from a client who is at 12 weeks of gestation. Which of the following actions should the nurse take? a. Use an ultrasound stethoscope to listen to fetal heart tones. b. Obtain a blood sample for the maternal serum alpha-fetoprotein (MSAFP) screen. c. Collect a vaginal and an anal specimen for group B streptococcus (GBS) d. Measure fundal height for gestational age. - ANSWER a. Use an ultrasound stethoscope to listen to fetal heart tones. A nurse is assisting in the care of a client during the active phase of labor. Which of the following actions should the nurse take to promote the client's comfort? a. prepare the client for a pudendal nerve block b. administer a sedative to the client c. encourage the client to push d. have the client perform relaxing breathing techniques - ANSWER d. have the client perform relaxing breathing techniques A nurse is reinforcing teaching with a client who requests hydrotherapy for pain management during labor. Which of the following statements should the nurse include? a. You must be at least at 37 weeks of gestation before you can use hydrotherapy. b. you will receive an injection of sterile water into your lower back during hydrotherapy c. you can continue to use hydrotherapy as long as you do not develop a fever greater than 101 degrees Fahrenheit d. You should keep the water temperature above 100 degrees Fahrenheit during hydrotherapy. - ANSWER a. You must be at least at 37 weeks of gestation before you can use hydrotherapy. A nurse is reinforcing teaching about newborn umbilical cord care with a client who is postpartum. Which of the following statements should the nurse identify as an indication that the client understands the instructions? a. I will report any drainage from my baby's umbilical cord b. I will wash my baby's umbilical cord with soapy water. c. I will expect my baby's umbilical cord to fall off in 2-3 days. d. I will secure the diaper over my baby's umbilical cord - ANSWER a. I will report any drainage from my baby's umbilical cord A nurse is reinforcing discharge teaching about home care with the parent of a newborn. Which of the following instructions should the nurse include? a. Dress your newborn with two extra layers for the first week at home. b. Give your newborn a bath once a day in the morning c. cover your newborn with a lightweight blanket during naps. d. Ensure the water temperature during your newborn's bath is maintained at 100 degrees Fahrenheit - ANSWER d. Ensure the water temperature during your newborn's bath is maintained at 100 degrees Fahrenheit A nurse is assisting with the admission of a newborn who has respiratory distress. While collecting data, which of the following should the nurse report to the provider? select all that apply. a. nasal flaring b. respiratory rate 60/min c. intercostal retractions d. grunting e. heart rate 120/min - ANSWER a. nasal flaring c. intercostal retractions d. grunting A nurse in a provider's office is reinforcing teaching with a client. Which of the following statements should the nurse include? a. you should discontinue your medication if your urine appears dark in color b. you should douche every other day for 1 week while taking your medication. c. you might experience a metallic taste in your mouth while taking your medication. d. your partner will require medication - ANSWER c. you might experience a metallic taste in your mouth while taking your medication.