VATI RN Maternal Newborn Exam 3 2024

A nurse is caring for a client who has clinical manifestations of an ectopic pregnancy. Which of the following findings is a risk factor for an ectopic pregnancy? - Pelvic Inflammatory Disease - Obtain a stat prescription for a bilirubin level A nurse is caring for four newborns. Which of the following findings should the nurse report to the provider? - A 12-hr old newborn who has a heart rate of 70/min while sleeping A nurse is caring for a client who has trichomoniasis and a prescription for metronidazole. Which of the following instructions should the nurse reinforce with 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." A nurse is assisting the plan of care for a client who is pregnant and is Rf-negative. In which of the following situations should the nurse administer Rh(D)Immune Globulin? - At 28 weeks of gestation 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 assisting with caring for a client who is at 36 weeks of gestation and has pre-eclampsia. Which of the following findings should the nurse identify as the priority? - Nonreacttive nonstress test A nurse in a prenatal clinic is caring for a client who is within the recommended guideline for weight. The client asks the nurse how much weight is safe for her to gain during her pregnancy. Which of the following responses should the nurse make? - " A weight gain of about 25 to 35 pounds is good." SHOW HINT A nurse is assisting in the plan of care for a newborn who requires phototherapy for hyperbilirubinemia. Which of the following actions should the nurse include in the plan of care? - Ensure the newborn's eyes are closed before applying the eye shield. A nurse is caring for who is at 34 weeks of gestation and has a prescription for terbutaline for preterm labor. Which of the following statements bythe client is the nurse's priority? - "My heart feels as if it is racing." A nurse is speaking with an expectant father who says that he feels resentful of the added attention others are giving to his wife since the pregnancy was announced several weeks ago. Which of the following responses should the nurse make? - " These feelings are common for expectant fathers in early pregnancy." A nurse is caring for four newborns. Which of the following newborns is at greatest risk for hypoglycemia? - A newborn who is large gestational age A nurse is reinforcing teaching with a client who is breastfeeding. Which of the following information should the nurse include? - "Your baby should have bursts of 15 sucks or swallows at a time." A nurse is assisting with the care of a newborn who has a myelomeningocele. Which of the following actions should the nurse take? - Initiate a latex free environment A nurse is reinforcing teaching with a client about a nonstress test. Which of the following statements by the client indicates an understanding of the teaching? - "I should press the button on the hand held marker when my baby moves." A nurse is assisting with the plan of care for a client who is at 35 weeks of gestation. Which of the following laboratory tests should the nurse obtain? - Group B streptococcus B-hemolytic culture A nurse is caring for a client who is at 8 weeks of gestation with twins and is primigravida. The client states that even though she and her husband planned this pregnancy, she is experiencing many ambivalent feelings about it. Which of the following responses should the nurse make? - "These feelings are normal at the beginning of pregnancy." A nurse is reinforcing teaching with a client who is pregnant. Which of the following instructions should the nurse include? - "You should use fluoride-based toothpaste to prevent dental caries." A nurse is collecting data from 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 a client who is pregnant for an ultrasound. Which of the following information is the most important for the nurse to collect? - The time of the client's last void A nurse is contributing to the plan of care for a client who plans to formula feed her newborn. Which of the following actions should the nurse include in the plan? - Have the client place ice packs on her breasts four times per day.