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Terms in this set (66)
A nurse is developing a plan Remove all clothing form the newborn except the diaper
of care for a newborn who is
to undergo phototherapy for
hyperbilirubinemia. Which
of the following actions
should the nurse include in
the plan?
Monitor the FHR
A nurse is caring for a client
who is at 15 weeks
gestation, is Rh-negative,
and has just had an
amniocentesis. Which of
the following interventions
is the nurse's priority
following the procedure?
,A nurse in an antepartum Reports of decreased fetal movement
clinic is assessing a client
who is at 32 weeks of
gestation. Which of the
following findings should
the nurse report to the
provider?
A nurse is admitting a client Begin FHR monitoring
to the labor and delivery
unit when the client states,
"My water just broke".
Which of the following
interventions is the nurse's
priority?
A nurse is caring for a client Biophysicial profile
who is at 36 weeks of
gestation and has a positive
contraction stress test. The
nurse should plan to
prepare the client for which
of the following diagnostic
test?
50 ml/hr
A nurse is preparing to
administer magnesium
sulfate 2g/hr IV to a client
who is in preterm labor.
Available is 20 g magnesium
sulfate in 500 mL of
dextrose 5% in water (D5W).
The nurse should set the IV
infusion pump to administer
how many mL/hr?
,A nurse is caring for a client BUN 25 mg/dL
who has hyperemesis
gravidarum and is receiving
IV fluid replacement. Which
of the following findings
should the nurse report to
the provider?
A nurse is assessing a late Respiratory distress
preterm newborn. Which of
the following manifestations
is an indication of
hypoglycemia?
A nurse in a provider's office Pregestational Diabetes Mellitus
is reviewing the medical
record of a client who is in
the first trimester of
pregnancy. Which of the
following should the nurse
identify as a risk factor for
the development of
preeclampsia
A nurse in an antepartum Fundal Height Measurement
clinic is providing care for a
client who is at 26 weeks of
gestation. Upon reviewing
the client's medical record,
which of the following
findings should the nurse
report to the provider?
A nurse is assessing a Substernal Retractions
newborn who is 16 hr old.
Which of the following
findings should the nurse
report to the provider?
, A nurse is caring for a client Administer oxygen via a nonrebreather mask
who is at 26 weeks of
gestation and has epilepsy.
The nurse enters the room
and observes the client
having a seizure. After
turning the client head to
the side, which of the
following actions should the
nurse take immediately
after the seizure?
A nurse is providing teaching Cold cabbage leaves
about nonpharmological
pain management to a client
who is breastfeeding and has
engorgement. The nurse
should recommend the
application of which of the
following items?
A nurse is assessing a client Vaginal pressure
who is 1 day postpartum and
has a vaginal hematoma.
Which of the following
manifestations should the
nurse expect?
Minimal arm recoil
A nurse is assessing a
newborn who was born at
26 weeks of gestation using
the New Ballard Score.
Which of the following
findings should the nurse
expect?