A nurse in a maternal-newborn unit is assisting in the care of a newborn in the nursery. The newborn's
grandparent asks if they may take the newborn to their daughter's room. Which of the following responses
should the nurse make? - ans"Let me wash my hands and then I'll take the baby to their mother."
A nurse in a prenatal clinic is assisting in the care of a client who is at 16 weeks of gestation and has a positive
hepatitis B test result. Which of the following actions should the nurse take? - ansExplain to the client that they
will receive the hepatitis B immune globulin immediately
A nurse in a prenatal clinic is assisting in the care of a group of clients. Which of the following clients should the
nurse recommend the provider see first? - ansA client who is at 37 weeks of gestation and reports a persistent
headache
A nurse in a provider's office is assisting in the care of an adolescent. Which of the following findings should the
nurse identify as requiring further evaluation? - ansSexual Activity
Last Menstrual period
Pain in abdomen
Temperature
Vulvar edema
Vaginal Discharge
A nurse in an antepartum clinic is reinforcing teaching about how to prevent supine hypotension with a client
who is at 16 weeks of gestation. Which of the following responses by the client indicates an understanding of
the teaching? - ans"I will lie on my left side with my head elevated on a pillow."
A nurse is assisting in the care of a client during the active phase of labor. Which of the following actions should
the nurse take to promote the client's comfort? - ansHave the client perform relaxing breathing techniques
A nurse is assisting in the care of a client following a cesarean birth. Which of the following actions should the
nurse take to decrease the client's risk of developing thrombophlebitis? - ansHave the client ambulate several
times each day
, A nurse is assisting in the care of a client who is in labor. The client's assessment and documentation are
performed by the RN - ansPlace the client in Trendelenburg position
Provide oxygen at 8 to 10 L/min via non breather mask
Wrap the cord in warm, sterile, saline compresses
A nurse is assisting in the care of a client who is in preterm labor and is receiving betamethasone. Which of the
following actions should the nurse take? - ansInject the medication into the client's vests laterals muscle
A nurse is assisting in the care of a client who is planning to become pregnant. The client asks the nurse why
folic acid supplements are necessary. The nurse should inform the client that the purpose of the folic acid
supplement is to do which of the following? - ansPrevent certain kinds of birth defects
A nurse is assisting in the care of a newborn who has a high-pitched cry and does not respond to consoling
efforts. Which of the following neonatal data collection tools should the nurse expect to complete? -
ansNeonatal Abstinence Scoring System
A nurse is assisting in the care of a newborn who is large for gestational age and is jittery. Which of the
following actions should the nurse take first? - ansCheck the newborn's blood glucose level
A nurse is assisting in the care of a newborn. Which of the following actions should the nurse plan to
implement? - ansRemind the parents to begin range-of-motion (ROM) exercises on the affected arm after 1
week-INDICATED
Secure padding in the newborn's fist on the affected side-NONESSENTIAL
Immobilize the arm across the abdomen by pinning the newborn's sleeve to their shirt-INDICATED