A nurse is obtaining the blood stress of a purchaser who is pregnant. The customer's blood
stress is 1422/ninety mmHg. Which of the subsequent actions should the nurse take?
A. Repeat the measurement without delay the use of the other arm
B. Repeat the dimension after permitting the patron to sit for five to 10 minutes
C. Repeat the measurement after repositioning the client in order that her feet are off the
floor
D. Repeat the dimension at the same time as making sure the purchaser's arm is dangling at
her aspect
B. Repeat the size after permitting the client to sit for five to ten mins
A nurse is teaching a purchaser who's pregnant about nonstress checking out. Which of the
following pieces of records ought to the nurse consist of?
A. "This check is an invasive method that offers minimum risk to the fetus."
B. "If the take a look at is reactive, meaning your child's coronary heart fee is wholesome."
C. "When your child moves, the take a look at need to report the baby's heart lowering by
way of approximately 15 beats in step with minute."
D. "The results of the check might be recorded as fine if no fetal movement takes place in
the course of th
B. "If the check is reactive, which means your infant's coronary heart rate is healthy."
A nurse is assessing a client who's at 35 weeks of gestation and has preeclampsia with out
intense features. Which of the subsequent findings ought to the nurse discover as the
priority?
A. 480 mL urine output in 24 hr
B. Blood pressure one hundred forty four/ninety two mmHg
C. +2 edema of the toes
D. 1+ protein in urine
A. 480 mL urine output in 24 hr
A nurse is offering take care of a pregnant adolescent who is at 12 weeks gestation and
verbalizes a fear of gaining weight at some point of being pregnant. Which of the following
moves must the nurse take?
A. Have the purchaser watch a video on fetal increase and improvement during pregnancy
B. Supply pamphlets that talk the importance of nutrition all through being pregnant
C. Explain how bad vitamins can prevent the baby from growing nicely
D. Provide examples of the way eating well will help maintain a wholesome weight
D. Provide examples of the way ingesting well will assist hold a healthy weight at some point
of pregnancy
,A nurse is being concerned for a consumer at 35 weeks gestation who has excessive
pre-eclampsia. Which of the subsequent exams gives the maximum accurate information
concerning the purchaser's fluid and electrolyte repute?
A. Blood strain
B. Intake and output
C. Daily weight
D. Severity of edema
C. Daily weight
A nurse is assessing a consumer who's suspected of having hyperemesis gravidarum.
Which of the subsequent laboratory assessments ought to the nurse test first?
A. Complete blood count
B. Liver enzymes
C. Bilirubin degree
D. Urine ketones
D. Urine ketones
A nurse in a prenatal clinic is being concerned for a consumer who's inside the encouraged
guiding principle for weight. The customer asks the nurse how a good deal weight is safe for
her to advantage at some point of her being pregnant. Which of the subsequent responses
should the nurse offer?
A. "Your company can speak the correct quantity of weight advantage with you."
B. "A weight benefit of about 14 lb each trimester is recommended."
C. "If you consume nutritious foods when you feel hungry, the quantity of weight gain is
insignificant."
D. "A weigh
D. "A weight benefit of approximately 25 to 35 lb is good."
A nurse is assessing a four-hour-old newborn previous to breastfeeding and notes palms
and feet which are cool and slightly blue. Which of the subsequent movements should the
nurse take?
A. Apply an oxygen hood over the newborn's head and neck
B. Check the newborn's temperature the usage of a temporal thermometer
C. Place the bare newborn on the mom's bare chest and cowl each with a blanket.
D. Give the newborn glucose water between feedings
C. Place the bare new child on the mom's bare chest and cover both with a blanket.
A nurse is assessing a customer who's in the fourth degree of labor. Which of the following
findings have to the nurse count on?
A. Breast engorgement
B. Hypothermia
C. Urinary retention
D. Rupture of membranes
,C. Urinary retention
A nurse is worrying for a consumer who is in labor. Which of the subsequent assessment
findings should the nurse file to the provider?
A. Fetal coronary heart rate baseline of ninety bpm
B. Maternal temperature of 37.Eight°C (100°F)
C. Uterine rest for 1 min among contractions
D. Uterine contractions increasing in intensity
A. Fetal coronary heart charge baseline of 90 bpm
A nurse is assessing a consumer at 27 weeks of gestation. The purchaser has placenta
previa and reviews vaginal bleeding. Which of the subsequent additional manifestations
have to the nurse anticipate?
A. The fundal top measures extra than gestational age
B. A rigid stomach is cited on palpation
C. The client reviews a ache stage of 8 on a zero-to-10 ache scale
D. A urine drug display is fantastic for cocaine
A. The fundal peak measures greater than gestational age
A nurse is caring for a newly admitted new child who is huge for gestational age. After 30
min, the newborn turns into jittery and torpid with hypotonic muscle tissues and a cry that is
distinctive from the time of admission. Which of the following moves must the nurse take?
A. Perform a heel stick to check the new child's glucose stage
B. Obtain a prescription for serum substance screening
C. Provide a feeding of sterile water
D. Screen the new child for phenylketonuria
A. Perform a heel stick to check the new child's glucose stage
A nurse is being concerned for a purchaser inside the 1/3 trimester of pregnancy who
reviews issue slumbering. Which of the following instructions have to the nurse offer?
A. Eat a excessive-fats snack earlier than mattress
B. Exercise inside the night earlier than mattress
C. Sleep within the supine position
D. Use additional pillows to help extremities and stomach
D. Use additional pillows to guide extremities and stomach
, A nurse is instructing a customer who's at 10 weeks gestation and reports common nausea
and vomiting. Which of the following statements need to the nurse encompass in the
coaching?
A. "You must devour ingredients served at heat temperatures."
B. "You have to brush your tooth right once you consume."
C. "You need to try to consume candy foods whilst you sense nauseated."
D. "You should eat dry ingredients which can be high in carbohydrates while you wake up."
D. "You ought to devour dry meals which might be high in carbohydrates whilst you awaken."
A nurse is supporting with monitoring the fetal coronary heart fee tracings of a customer
who's in labor. Which of the subsequent findings need to the nurse report to the company?
A. Baseline fetal coronary heart fee of one hundred ten to a hundred thirty/min
B. Moderate baseline variability
C. Accelerations in response to fetal stimulation
D. Late decelerations with fetal bradycardia
D. Late decelerations with fetal bradycardia
A nurse is acting a bodily assessment of a male newborn. Which of the following findings
have to the nurse document to the company?
A. Superficial cracking and peeling are obtrusive on the skin of the palms and ft
B. The palmar draw close takes place spontaneously whilst new child is sucking
C. The bulge of the testes is palpable in the inguinal canal
D. There is decreased belly movement with respiration
D. There is decreased abdominal movement with respiration
A nurse is caring for a purchaser in labor whose cervix is dilated to 9 cm. She is
experiencing robust contractions every 2 min lasting 75 sec. The nurse ought to apprehend
that the purchaser is wherein of the following phases or tiers of exertions?
A. Latent section of first degree
B. Active phase of first stage
C. Second level
D. Transition segment of first level
D. Transition section of first degree
A nurse is teaching a customer who had a vacuum-assisted vaginal transport. Which of the
following statements have to the nurse discover as an illustration that the customer
understands the records?
A. "My infant's head will be cone-formed for approximately 2 months."
B. "My health practitioner accomplished this process due to the fact I did not dilate past 6
centimeters."
C. "My physician completed this technique due to the fact my hemoglobin turned into low."
D. "My toddler has a better hazard of developing jaundice."
D. "My toddler has a higher danger of growing jaundice."