A newborn added vaginally at time period 1 min ago cried loudly at shipping, has a heart
price of a hundred and forty/min, has properly flexed arms and legs, grimaces while the
nurse rubs the soles of his feet, and is crimson with mild acrocyanosis. What Apgar score
have to the nurse assign to this newborn? - ANS-eight
A new child added vaginally at term 1 min in the past cried loudly at delivery, has a coronary
heart price of one hundred forty/min, has well flexed arms and legs, grimaces when the
nurse rubs the soles of his ft, and is crimson with mild acrocyanosis. What Apgar score need
to the nurse assign to this newborn? - ANS-eight
A nurse is assessing a patient at a routine antepartum go to. For a difficult estimate of the
number of gestational weeks the affected person is at, the nurse must degree the variety of
cm between which two anatomical landmarks?
The mons pubis and the xiphoid process
The pinnacle of the fundus and the umbilicus
The symphysis pubis and the top of the fundus
The mons pubis and the umbilicus - ANS-The symphysis pubis and the top of the fundus
A nurse is assessing a patient who's 1 day postpartum and isn't always breastfeeding. The
nurse notes the patient breast are engorged. Which of the following movements is suitable
for the nurse to take?
Applying ice packs
Wearing a loose-fitting bra
Pumping her breasts
Taking a heat bathe - ANS-Applying ice packs
A nurse is assessing a patient who is 1 day postpartum and isn't breastfeeding. The nurse
notes the patients breasts are engorged. Which of the subsequent actions is suitable for the
affected person to take?
Applying ice packs
Wearing a loose-becoming bra
Pumping her breasts
Taking a heat shower - ANS-Applying ice packs
A nurse is assessing a patient who is 20 weeks of gestation. She instructs the affected
person to make sure to file complications, blurred imaginative and prescient, and swelling of
her hands because those are warning signs of which of the subsequent complications of
pregnancy?
Gestational diabetes
Preeclampsia
Hyperemesis gravidarum
Abruptio placentae - ANS-Preeclampsia
, a nurse is assessing a affected person who is at 20 weeks gestation. She instructs the
affected person to make certain to report headaches, blurred vision, and swelling of the arms
because these are indications of which of the subsequent headaches of being pregnant?
Gestational diabetes
Preeclampsia
Hyperemesis gravidarum
Abruptio placentae - ANS-Preeclampsia
A nurse is asssessing a affected person at a routine antepartum go to. For a difficult
estimate of the quantity of gestational weeks the affected person is at, the nurse need to
measure the quantity of cm between which two anatomical landmarks?
The mons pubis and the xiphoid system
The top of the fundus and the umbilicus
The symphysis pubis and the pinnacle of the fundus
The mons pubis and the umbilicus - ANS-The symphysis pubis and the top of the fundus
A nurse is caring for a patient who is in hard work and has pain in her lower returned due to
the fact the fetal head is in a posterior position. Which of the following nonpharmacological
pain control strategies is likely to be only in relieving this sort of ache?
Counterpressure
Effleurage
Therapeutic touch
Breathing strategies - ANS-Counterpressure
A nurse is being concerned for a term newborn who has just had a circumcision the usage of
the Gomco clamp method. Which of the subsequent commands need to the nurse consist of
whilst coaching the parents to take care of the web site? (Select all that practice.)
Apply petroleum jelly to the penis for the first 24 hr.
Cleanse the penis with warm water and mild soap.
Apply gentle strain from a sterile gauze pad to control mild bleeding.
Gently wipe away any yellow exudate on the penis.
Apply the diaper loosely over the penis. - ANS--Apply petroleum jelly to the penis for the
primary 24 hr.
-Apply gentle pressure from a sterile gauze pad to control slight bleeding.
-Apply the diaper loosely over the penis.
A nurse is being concerned for a term newborn who has simply has a circumcision the use
of the Gomco clamp technique. Which of the subsequent instructions should the nurse
include when teaching the mother and father to take care of the website? (SATA)
Apply petroleum jelly to the penis for the primary 24 hr.
Cleanse the penis with warm water and slight cleaning soap.
Apply mild pressure from a sterile gauze pad to govern moderate bleeding.
Gently wipe away any yellow exudate at the penis.
Apply the diaper loosely over the penis. - ANS-Apply petroleum jelly to the penis for the first
24 hr.
Apply mild stress from a sterile gauze pad to govern moderate bleeding.
Apply the diaper loosely over the penis.