Comprehensive Review for the NCLEX-PN EXAM Maternity with 100% complete solutions

20 minutes after a continuous epidural anesthetic is administered, a laboring clients blood pressure drops from 120/80 to 90/60 mmHG. What action should the practical nurse take immediately? A) notify the registered nurse or anesthesiologist B) continue to assess the blood-pressure q5 minutes C) place the client in a lateral position D) turn off the continuous epidural correct answersC) place the client in a lateral position Rationale: placing a client in the lateral position and placing a pillow or wedge under one hip will deflect the uterus The total bilirubin level of a 36 hour, breast-feeding newborn is 14 mg/dL. Based on this finding, which intervention should the practical nurse implement? A) provide phototherapy for 30 minutes q8h B) Feed the newborn with sterile water hourly C) encourage the mother to breast-feed frequently D) assess the newborns blood glucose level correct answersC) encourage the mother to breast feed frequently Rationale: breast milk provides calories and enhances G.I. motility, which will assist the bowel in eliminating bilirubin. The total bilirubin level is 6 to 12 mg/dL after day one of life. The infants bilirubin level is beginning to climb, and the infant should be monitored to prevent further complications. A new mother is having trouble breast-feeding her newborn son. He's making frantic rooting motions and will not grasp the nipple. Which intervention should the practical nurse implement?