Kap maternity A NGN || with Perfect Answers.
The nurse provides education on increasing dietary iron to a client diagnosed with anemia. The
nurse recommends the client eat which food? correct answers 1. Chicken livers
5. Spinach
6. Tofu
The nurse provides care for a client in labor The fetus is displaying occasional category 2 fetal
heart rate patterns on the monitor Which is the first action for the nurse to perform ? correct
answers 4. When the fetal heart rate is baseline perform fetal stimulation to assess for heart rate
acceleration
The nurse provides care for a 41 - year - old pregnant client who comes to the emergency
department ( ED ) with a report of vaginal bleeding.
Nurse's Notes ( ED )
0900: Client is a Gravida 4 Term 1 Preterm 0 Abortion 2 Living 1 (GTPAL) history with 2
elective abortions. Client has recieved no prenatal care and is uncertain about her estimated date
of conception (EDC). Client believes that she conceived while breast feedimg her last child;
estimates current gestation 32 weeks. The client is wearing a perineal pad and a moderate
amount of bright red vaginal blood is noted. Client is crying loudly and asking for someone to
call her partner. "I don't understand why im bleeding! Nothing hurts at all." Fetal heart tones
(FHT) at 148 beats/minute with fetal activity palpable externally.
0945: Abdominal unltrasound complete. Client transported to obstetrics unit.
>>> Click to highlight the information in the nurses n correct answers 1. received no prenatal
care
2. uncertain about her estimated date of conception EDC
3. current gestation is 32 weeks .
4. A moderate amount of bright red vaginal blood is noted
5. Nothing hurts at all
Complete the following sentence by choosing from the list of options correct answers The nurse
recognizes the client is likely exhibiting
(1. placenta previa)
as evidenced by
(2. painless vaginal bleeding)
Nurse's Notes OB
1000: Client admitted to OB unit . External fetal monitoring applied . FHT regular at 140 beats /
minute with adequate variability and no decelerations noted . Skin warm and dry Denies
discomfort . Perineal pad in place . IV LR infusing in the left forearm at 100 mL / hr per pump .
Assisted to void clear yellow urine per bedpan . Partner at bedside .
1400: Client having increased bright bleeding , soaking 2 perineal pads past in 30 minutes .
Client notes irregular mild contractions . Diminished FHT variability noted , and FHT baseline
decreasing to 110 bpm with occasional late decelerations correct answers An abdominal
ultrasound indicates that the placenta is partially covering the cervix . The client is admitted to
the obstetrics unit and the physician writes several orders
, >>> Which intervention does the nurse question ? Select all that apply
1. Vaginal assessment of cervical dilatation
5. Encourage activity as tolerated
The nurse from the Neonatal Intensive Care Nursing ( NICU ) meets with the client and partner
to explain the challenges and possible care interventions for the baby in the event the child is
delivered before 36 weeks gestation
>>> Which information is correct for the NICU nurse to discuss with the client ? ( Select all that
apply . ) correct answers 1. The baby might have breathing problems and need supplemental
oxygen by cannula
2. The baby might require medications and may need insertion of umbilical IV line
3. The baby might have trouble staying warm and implementation of kangaroo care will help
with thermoregulation
5. The baby might become jaundice and may need photo therapy
Vital Signs 0900 1000 1400
0900 BP 124/76 mmHg
1000 BP 128/70 mmHg
1400 BP 110/62 mmHg
0900 Pulse 70
1000 Pulse 74
1400 Pulse90
0900 Respirations 18
1000 Respiration 20
1400 Respirations 22
0900 Temp oral° F 97.9 ( 36.6 ° C )
1000 Temp oral ° F 98.1 ( 36.7 ° C )
1400 Temp oral ° F 98.1 ( 36.7 ° C )
0900 Pulse Oximetry 95 % ( room air )
1000 Pulse Oximetry 97 % ( room air )
1400 Pulse Oximetry 94 % ( room air ) correct answers The nurse assesses the client's vital signs
. The client has a sudden increase in vaginal bleeding and dropping baseline in the fetal heart
tones ( FHT) with late decelerations noted.
>>> Complete the following sentences from the lists of options.
The nurse immediately (1. applies oxygen by mask at 5 L / minute). It is a priority for the nurse
to (2. turn the client onto the left side). The nurse will (3. increase the IV rate to wide open). The
nurse ensures the (4. amount of bleeding is measured).
The nurse reassesses the client in 20 minutes correct answers For each assessment finding
below , click to specify whether the finding indicates the client's condition has improved ,
declined , or remained unchanged
BP 88/60 , HR 98= Declined
FHT 100 bpm = Declined
Skin cool , clammy = Declined
Client has 1 perineal saturated pad with bright bleeding= Declined
The nurse provides education on increasing dietary iron to a client diagnosed with anemia. The
nurse recommends the client eat which food? correct answers 1. Chicken livers
5. Spinach
6. Tofu
The nurse provides care for a client in labor The fetus is displaying occasional category 2 fetal
heart rate patterns on the monitor Which is the first action for the nurse to perform ? correct
answers 4. When the fetal heart rate is baseline perform fetal stimulation to assess for heart rate
acceleration
The nurse provides care for a 41 - year - old pregnant client who comes to the emergency
department ( ED ) with a report of vaginal bleeding.
Nurse's Notes ( ED )
0900: Client is a Gravida 4 Term 1 Preterm 0 Abortion 2 Living 1 (GTPAL) history with 2
elective abortions. Client has recieved no prenatal care and is uncertain about her estimated date
of conception (EDC). Client believes that she conceived while breast feedimg her last child;
estimates current gestation 32 weeks. The client is wearing a perineal pad and a moderate
amount of bright red vaginal blood is noted. Client is crying loudly and asking for someone to
call her partner. "I don't understand why im bleeding! Nothing hurts at all." Fetal heart tones
(FHT) at 148 beats/minute with fetal activity palpable externally.
0945: Abdominal unltrasound complete. Client transported to obstetrics unit.
>>> Click to highlight the information in the nurses n correct answers 1. received no prenatal
care
2. uncertain about her estimated date of conception EDC
3. current gestation is 32 weeks .
4. A moderate amount of bright red vaginal blood is noted
5. Nothing hurts at all
Complete the following sentence by choosing from the list of options correct answers The nurse
recognizes the client is likely exhibiting
(1. placenta previa)
as evidenced by
(2. painless vaginal bleeding)
Nurse's Notes OB
1000: Client admitted to OB unit . External fetal monitoring applied . FHT regular at 140 beats /
minute with adequate variability and no decelerations noted . Skin warm and dry Denies
discomfort . Perineal pad in place . IV LR infusing in the left forearm at 100 mL / hr per pump .
Assisted to void clear yellow urine per bedpan . Partner at bedside .
1400: Client having increased bright bleeding , soaking 2 perineal pads past in 30 minutes .
Client notes irregular mild contractions . Diminished FHT variability noted , and FHT baseline
decreasing to 110 bpm with occasional late decelerations correct answers An abdominal
ultrasound indicates that the placenta is partially covering the cervix . The client is admitted to
the obstetrics unit and the physician writes several orders
, >>> Which intervention does the nurse question ? Select all that apply
1. Vaginal assessment of cervical dilatation
5. Encourage activity as tolerated
The nurse from the Neonatal Intensive Care Nursing ( NICU ) meets with the client and partner
to explain the challenges and possible care interventions for the baby in the event the child is
delivered before 36 weeks gestation
>>> Which information is correct for the NICU nurse to discuss with the client ? ( Select all that
apply . ) correct answers 1. The baby might have breathing problems and need supplemental
oxygen by cannula
2. The baby might require medications and may need insertion of umbilical IV line
3. The baby might have trouble staying warm and implementation of kangaroo care will help
with thermoregulation
5. The baby might become jaundice and may need photo therapy
Vital Signs 0900 1000 1400
0900 BP 124/76 mmHg
1000 BP 128/70 mmHg
1400 BP 110/62 mmHg
0900 Pulse 70
1000 Pulse 74
1400 Pulse90
0900 Respirations 18
1000 Respiration 20
1400 Respirations 22
0900 Temp oral° F 97.9 ( 36.6 ° C )
1000 Temp oral ° F 98.1 ( 36.7 ° C )
1400 Temp oral ° F 98.1 ( 36.7 ° C )
0900 Pulse Oximetry 95 % ( room air )
1000 Pulse Oximetry 97 % ( room air )
1400 Pulse Oximetry 94 % ( room air ) correct answers The nurse assesses the client's vital signs
. The client has a sudden increase in vaginal bleeding and dropping baseline in the fetal heart
tones ( FHT) with late decelerations noted.
>>> Complete the following sentences from the lists of options.
The nurse immediately (1. applies oxygen by mask at 5 L / minute). It is a priority for the nurse
to (2. turn the client onto the left side). The nurse will (3. increase the IV rate to wide open). The
nurse ensures the (4. amount of bleeding is measured).
The nurse reassesses the client in 20 minutes correct answers For each assessment finding
below , click to specify whether the finding indicates the client's condition has improved ,
declined , or remained unchanged
BP 88/60 , HR 98= Declined
FHT 100 bpm = Declined
Skin cool , clammy = Declined
Client has 1 perineal saturated pad with bright bleeding= Declined
