A multigravida purchaser at 40+ weeks gestation is brought on the usage of oxytocin
(Pitocin). An intrauterine pressure catheter (IUPC) is in place whilst the consumer's
membranes rupture after five hours of lively hard work. Which locating should require the
nurse to put in force further movement?
A. Labor has improved at 1 cm/hr dilation.
B. Intensity of contractions is one hundred thirty mm Hg.
C. Contractions are lasting 60 to eighty seconds.
D. Oxytocin is infusing at a price ot 30 mU/min.
B. Intensity of contractions is a hundred thirty mm Hg.
A patron with allergies who's eight hours post-transport is experiencing postpartum
hemorrhage. Which prescription ought to the nurse administer?
A. Oxytocin (Pitocin).
B. Ibuprofen (Motrin).
C. Fentanyl (Sublimaze).
D. Hemabate (Carboprost).
A. Oxytocin (Pitocin).
A customer at eight-weeks gestation ask the nurse approximately the hazard for a congenital
heart disorder (CHD) in her child. Which response satisfactory explains when a CHD might
also arise?
A. It relies upon on what the causative elements are for a CHD.
B. We don't certainly realize what or when CHDs occur.
C. They usually arise within the first trimester of being pregnant.
D. The coronary heart develops in the 1/3 to 5th weeks after theory.
D. The heart develops in the 0.33 to 5th weeks after concept.
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What action must the nurse put into effect when caring for a newborn receiving
phototherapy?
A. Reposition every 6 hours.
B. Place an eye fixed-protect over the eyes.
C. Limit the intake of formula.
D. Apply an oil-based lotion to the pores and skin.
B. Place an eye-shield over the eyes.
,The nurse prepares to manage an injection of vitamin K to a new child toddler. The mother
tells the nurse, "Wait! I don't need my toddler to have a shot." Which response could be
satisfactory for the nurse to make?
A. Inform the mom that the injection turned into prescribed through the healthcare company.
B. Explore the mother's issues approximately the infant receiving an injection of vitamin K.
C. Explain that vitamin K is required with the aid of kingdom law and compliance is
mandatory.
D. Remind the mom that all toddlers get hold of this shot and it is enormously painless.
B. Explore the mother's issues about the infant receiving an injection of vitamin K.
The nurse is providing discharge teaching for a gravid customer who is being released from
the health center after placement of cerclage. Which practise is the maximum crucial for the
client to recognize?
A. Plan for a probable cesarean delivery.
B. Arrange for home uterine tracking.
C. Make arrangements for care at domestic.
D. Report uterine cramping or low backache.
D. Report uterine cramping or low backache.
A neonate who's receiving an alternate transfusion for hemolytic sickness develops
breathing distress, tachycardia, and a cutaneous rash. What nursing intervention must be
applied first?
A. Inform the healthcare issuer.
B. Stop the transfusion.
C. Administer calcium gluconate.
D. Monitor critical signs electronically.
B. Stop the transfusion.
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A multiparous purchaser is admitted to the postpartum unit after a rapid exertions and birth
of an little one weighing four,000 grams. The consumer's fundus is boggy, lochia is heavy,
and vital signs and symptoms are unchanged. After having the consumer void and
massaging the uterus, the customer's fundus remains difficult to find, and the rubra lochia
stays heavy. What movement ought to the nurse enforce next?
A. Recheck the consumer's critical signs and symptoms.
B. Notify the healthcare company.
C. Insert an indwelling urinary catheter.
D. Massage the fundus in half-hour.
B. Notify the healthcare company.
, A 36-week gestation patron with being pregnant-prompted high blood pressure (PIH) is
receiving an IV infusion of magnesium sulfate. Which assessment locating ought to the
nurse report to the healthcare provider?
A. Blood pressure of 100/60 mm Hg.
B. Fetal heart fee of one hundred twenty to a hundred twenty five beats/minute.
C. Contractions happening every half-hour.
D. Respiratory charge of 11 breaths/minute.
D. Respiratory rate of 11 breaths/minute.
An toddler born at 37-weeks gestation, weighing 4.1 kg (nine.02 kilos) is two hours old and
looks huge for gestational age, flushed, and tremulous. What system must the nurse follow
to put in force a glucose screening? (Arrange the examination method from first on top to
ultimate on the lowest.)
1. Collect a spring-loaded automated puncture tool.
2. Cleanse puncture web site at the lateral aspect of the heel.
3. Restrain the newborn's foot along with your loose hand.
Four. Wrap the toddler's foot with a heel hotter for five mins.
Four. Wrap the little one's foot with a heel hotter for 5 minutes.
1. Collect a spring-loaded computerized puncture device.
3. Restrain the newborn's foot with your free hand.
2. Cleanse puncture website online at the lateral component of the heel.
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A girl client who wants to delivery at domestic asks the nurse to explain the function of a
nurse-midwife in presenting obstetric care. What statistics need to the nurse provide?
A. Birth inside the home placing is the desire for a the use of a midwife for transport.
B. The pregnancy must development usually and be taken into consideration low danger.
C. Natural child delivery without analgesia is used to manage pain at some stage in labor.
D. An obstetrician should also comply with the purchaser all through being pregnant.
B. The pregnancy need to development generally and be considered low hazard.
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A customer supplies her first infant and asks the nurse if her pores and skin changes from
pregancy are permanent. Which exchange must the nurse inform the client will stay after
pregnancy?
A. Pruritus.
B. Chloasma.
C. Vascular spiders.
D. Striae gravidarum.