ASSESSMENT
A health facility nurse is reviewing dietary commands with a client who is 20 weeks gestation
and taking iron dietary supplements. WHich of the subsequent statements through the
customer indicated an know-how of the instructions?
1. "I should take my iron with a cup of coffee"
2. "I must double my dose if i forget about and miss an afternoon"
three. "I should increase my fluid consumption while i am taking iron"
4. "I have to limit the fiber in my eating regimen because i am taking iron" - ANS-3. "I need to
increase my fluid intake at the same time as i'm taking iron"
A nurse in a clinic is assisting with the plan of take care of a purchaser who's 36 weeks
gestation. Which of the following moves should the nurse encompass within the plan of
care?
1. Obtain a culture for institution B streptococcus B-hemolytic
2. Collect a blood sample or maternal serum alpha-fetoprotein
3. Administer Rh0(D) immune globulin
4. Perform a 1-hr glucose tolerance check - ANS-1. Obtain a culture for organization B
streptococcus B-hemolytic
- display in customers who are 35-37 weeks of gestation
A nurse in a hospital is being concerned for a purchaser who tests advantageous for
gonorrhea. Which of the following findings must the nurse expect during facts series?
1. Chronic pelvic pain
2. Blood within the urine
3. Painless labial lesions
four. Perineal itching - ANS-1. Chronic pelvic pain
A nurse in a prenatal hospital is reinforcing dietary teaching with a purchaser who's at 10
weeks gestation. Which of the following statements by way of the consumer indicated an
information of the preparation?
1. "I consume a 6-ounce can of white tuna each other day"
2. "I ensure that I get 1,000 milligrams of calcium in line with day"
3. "I am ingesting three hundred Micrograms of folate every day"
4. "I limit my caffeine intake to three cups of espresso every day" - ANS-2. "I make sure that
I get 1,000 milligrams of calcium in step with day"
- to assist fetal bone and enamel improvement
A nurse in an antepartum medical institution is amassing facts from a client hwo is at 12
weeks of gestation. Which of the subsequent findings have to the nurse report to the issuer?
1. Hematocrit of 35%
2. Weight increase of 3 kg (6.6 lb) in one month
3. Urine dipstick poor for ketones
4. Fetal coronary heart auscultated simply above the symphysis pubis - ANS-2. Weight
increase of 3 kg (6.6 lb) in one month
, - a client with regular pregnancy ought to gain weight 2.2-four.4.Lb in the course of first
trimester
A nurse in an antepartum health center is reinforcing coaching with a purchaser who's 32
weeks of gestation and is scheduled for a nonstress test. Which of the subsequent statistics
need to the nurse consist of in the teaching?
1. "You can be mendacity to your back at some point of the take a look at"
2. "You may be given IV oxytocin to stimulate contractions throughout the check"
three. "You will be requested to press a button when you sense your toddler flow at some
point of the take a look at"
four. "You will need to drink as a minimum 32 oz of fluid to fill your bladder before the take a
look at" - ANS-three. "You will be requested to press a button while you feel your infant move
in the course of the test"
A nurse is an antepartum health facility is collecting information from a purchaser who is 28
weeks gestation. Which of the subsequent findings have to the nurse discover as an
indication of a capability worry?
1. Fetal heart rate one hundred twenty/min
2. Dysuria
3. Leukorrhea
four. Fasting blood glucose 80 mg/dL - ANS-2. Dysuria
-unexpected finding that can suggest a UTI
A nurse is supporting with amassing records from a new child who is 4hr vintage. Which of
the following findings is the concern for the nurse to file to the provider?
1. Generalized petechiae
2. Cephalhematoma
three. Heart price one hundred seventy/min
4. Temp 97.6F - ANS-1. Generalized petechiae
A nurse is assisting with discharge teaching approximately pain control to a patron who had
a c-phase birth and is experiencing gas ache. Which of the following instructions need to the
nurse consist of int he teaching?
1. Drink fluids via a straw
2. Rock in a rocking chair
3. Lie supine when in mattress
4. Consume complete milk with meals - ANS-2. Rock in a rocking chair
A nurse is supporting with the admission of a client who has pertussis and is 28 weeks
gestation. Which of the subsequent varieties of transmission-based isolation precautions
ought to the nurse initiate for the patron?
1. Airborne
2. Contrast
three. Droplet
4. Protective surroundings - ANS-three. Droplet
A nurse is helping with the admission of a purchaser whose labor is being prompted. The
purchaser reports the usage of heroin 6 hrs ago. For which of the subsequent manifestations
of abstinence need to the nurse monitor the consumer?
1. Constipation
2, Insomnia
3. Flaccid muscle tissues
four. Euphoria - ANS-2. Insomnia