✔✔ 10 The nurse is preparing a young couple and their 24 -hour -old infant for discharge from the hospital. In conducting discharge ... A. Ensure that they have the pediatric clinic's pho ne number. B. Provide the results of the infant's hearing test to the parents. C. Request a return demonstration of a diaper change. D. Evaluate infant feeding technique prior to discharge . - CORRECT ANSWER ✔✔
D. Evaluate infant feeding technique prior to discharge. A 30-year-old primigravida delivers a 9 -pound (4082 gram) infant vaginally after a 30-hour labor. What is the priority nursing action for this client? A. Gently massage the fundus every 4 hours. B. Observe for signs of uterine hemorrhage. C. Encourage direct contact with the infant. D. Assess the blood pressure for hypertension. - CORRECT ANSWER ✔✔ A. Gently massage the fundus every 4 hours. A multiparous client with active herpes lesion is admitted to the unit with spontaneous rupture of me mbranes. Which action should the nurse do first? A. Obtain blood cultures. B. Cover the lesion with a dressing. C. Administer penicillin. D. Prepare for a cesarean section . - CORRECT ANSWER ✔✔ D. Prepare for a cesarean section. The nurse is caring for a n ewborn who is 18 inches long, weighs 4 pounds, 14 ounces, has a head circumference of 13 inches, and a chest circumference of 10 inches. Based on these physical findings, assessments for which condition has the highest priority? A. Hyperbilirubinemia B. Polycythemia C. Hyperthermia D. Hypoglycemia - CORRECT ANSWER ✔✔ D. Hypoglycemia While assessing a 40 -week gestation primigravida in active labor, the client's membranes rupture spontaneously and the nurse notices that the amniotic fluid is meconium stained. Which additional finding is most important for the nurse to report to the heal thcare provider? A. Maternal blood pressure of 130/85 mmHg. B. Fetal heart rate of 100 to 110 bpm. C. Vaginal exam reveals a cervix 6cm dilated.