VN 36 CLO Final Exam Study Guide - Berg

why should a nurse monitor a newborn after a c-section more closely than a vaginal birth - more trauma to newborn, respiratory problems occur the nurse determines the infant is starting to show yellowish staining on the head and face. what action should LPN prioritize? - Report to RN and document nurse observes a newborn with a RR of 66, nasal flaring, and grunting sound during expiration. what is infant experiencing - Respiratory distress the nurse is preparing a pregnant client with severe HTN for an emergent amniocentesis for possible early delivery of fetus. nurse will explain to the client that the health care provider is evaluating what parameter - level of fetal surfactant 38 yr old client presents to the clinic desiring to get pregnant. she reports she had tubal ligation in her early 20s. after learning client recently underwent a reversal of the tubal ligation, the nurse will warn the client of what potential risk? - ectopic pregnancy nursing instructor is illustrating the circulatory flow between mother and fetus. insrtuctor determines the session is successful when the class correctly chooses which structure with what route? - the one umbilical vein carries oxygen rich blood to the fetus from placenta the nursing instructor is teaching a session on the birth process . during which stage does the womans cardiac output increase 80% above pre labor level? - immediately after birthnurse is preparing to teach a group of new parents about the labor process. when does seldom happen? - shoulder presentation what are the four essential components of labor known as the four P's - passageway, passenger, powers,psyche a client at 42 weeks gestation presents for induction of labor. which assessment should the nurse prioritze as the best indicator for induction to proceed? - bishop score of 7 the nurse is evaluating the neonate for gestational age. which assessment findings would the nurse note when detemining infant is POST-TERM? - wide eye, hyperalert, little lanugo vernix, long fingernails, dry/cracked skin, cartilage thick and pinna stiff which best illustrates proximodistal development in an infant? - ability to hold something in hand before being able to use fingers to pick up object a homeless mother arrives at the ED with her 4 yr old daughter who appears to have mumps. during physical exam the nurse discovers child is behind on immunizations. what information what nurse provide for this family - list of organizations to assist with food, shelter and medical benefits a 14 yr old boy presents to the ED with facial lacerations and a fx left arm . he has body tattoos and piercings. in addition for treatment of fracture and laceration, what additional care would be the highest priority for this child - HIV testing and counseling