Exam
For each an assessment finding click to specify if the finding is consistent with
hypoglycemia, hyperbilirubinemia, or sepsis.
Respiratory distress- Hypoglycemia, Sepsis
Yellow sclera and oral mucosa- Hyperbilirubinemia, Sesis
Decreased Temperature- Hypoglycemia, Sepsis
Ecchymotic caput succedaneum- Hyperbilirubemia
Lethargy- Hypoglycemia, Sepsis
Poor feeding- Hypoglycemia, Hyperbilirubinemia, Sepsis
Based on the most recent data collection findings, the nurse should assist the RN in
taking which of the following actions?
Applying oxygen at 10 L/min via nonbreather mask
Discontinue the magnesium infusion
Administer calcium gluconate
, A nurse is assisting in the care of a client who is 18 hr postpartum and has a fourth-
degree perineal laceration. The client reports a pain rating of 4 on a scale from 0 to 10.
Which of the following actions should the nurse take?
Promote the use of witch hazel pads
Give the client ice packs
Have the client take a water sit bath
Encourage the client to practice relaxation techniques
A nurse is assisting in the care of a client who is at 30 weeks of gestation. Which of the
following findings should the nurse report to the provider?
2+ urinary protein (negative)
A nurse is assisting in the care of a client who has deep-vein thrombosis (DVT). Which
of the following actions should the nurse take?
Elevate the client's affected limb
A nurse assisting in the care of a client who is pregnant in an antepartum clinic. Which
of the following findings should the nurse report to the provider? Select the the 3
findings that should be reported.
Uterine contractions