MATERNAL HEALTH

MATERNAL HEALTH 1. A nurse on a postpartum unit is contributing to the discharge teaching plan for a client. Which of the following instructions should the nurse suggest for the plan? Use a firm mattress in the newborn's crib. 2. A nurse is reinforcing teaching about car seat safety with the guardian of a newborn. Which of the following statements by the guardian indicates an understanding of the teaching? "I will position the retainer clip at the level of the baby's armpits." 3. A nurse is contributing to the plan of care for a client who is pregnant and has intermittent constipation. Which of the following interventions should the nurse recommend in the plan? Drink 2 L of water per day. 4. A nurse is caring for a client who is receiving oxytocin. Which of the following manifestations should the nurse report to the provider? More than 5 contractions in 10 min. 5. A nurse is reinforcing teaching about newborn umbilical cord care with a client who is postpartum. Which of the following statements should the nurse identify as an indication that the client understands the instructions? "I will report any drainage from my baby's umbilical cord." 6. A nurse is reinforcing discharge teaching with a client who has mastitis of the left breast. Which of the following instructions should the nurse include? Pump the affected breast frequently 7. A nurse is reinforcing teaching with a client who is at 8 weeks of gestation. Which of the following responses by the client indicates an understanding of the teaching? "I should expect to have a white vaginal discharge during pregnancy." 8. A nurse is caring for a client who gave birth to a newborn who is large for gestation age (LGA) 16 hr. ago. Which of the following findings should the nurse identify as a complication of the birth of a newborn who is LGA? Hemorrhage 9. A nurse in a prenatal clinic is assessing a group of clients. Which of the following clients should the nurse request the provider see first? A client who is at 11 weeks of gestation and reports abdominal cramping 10. A nurse is assessing a client who gave birth vaginally 12 hr ago and palpates her uterus to the right above the umbilicus. Which of the following interventions should the nurse perform? Assist the client to empty her bladder. 11. A nurse is caring for a postpartum client who is receiving heparin via a continuous IV infusion for thrombophlebitis in her left calf. Which of the following actions should the nurse take? Maintain the client on bed rest. 12. A nurse is providing teaching about comfort measures to a client who is breastfeeding and is experiencing engorgement. Which of the following non-pharmacological measures should the nurse include in the teaching? “You should use cold compresses after each feeding.” 13. A nurse is teaching a new mother about steps the nurses will take to promote the security and safety of the newborn. Which of the following statements should the nurse make? “Staff members who take care of your baby will be wearing a photo identification badge.” 14. A nurse is reinforcing teaching about newborn home safety precautions with a group of new mothers. Which of the following instructions should the nurse include? "Crib slats should be no more than 2.25 inches apart." 15. A nurse is reinforcing teaching with a client who is at 16 weeks of gestation, has diabetes mellitus, and has a BMI of 31. Which of the following statements should the nurse identify as an indication that the client understands the teaching? "My intake should be 25 calories per kilogram of my body weight or less per day." 16. A nurse is planning to reinforce discharge teaching about formula feeding with the guardian of a newborn. Which of the following instructions should the nurse plan to include? Provide the newborn with six to eight feedings during a 24-hr period. 17. A nurse in a clinic is collecting data from a client who is at 12 weeks of gestation. Which of the following actions should the nurse take? Use an ultrasound stethoscope to listen to fetal heart tones. 18. A nurse is caring for 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 0-10. Which of the following should the nurse take? (SATA) 1) Promote the use of witch hazel pads 2) Give the client ice packs 3) Have the client take a cool water sitz bath 4) Encourage the client to practice relation techniques 19. A nurse is reinforcing teaching with a client who has a new prescription of medroxyprogesterone acetate injection for contraception. Which of the following statements by the client indicates understanding of the teaching? "I am likely to gain weight while taking this medication." 20. A nurse is collecting data from a client who is at 38 weeks of gestation. Which of the following findings should the nurse report to the provider? Glycosuria 21. A nurse is teaching a client who is at 10 weeks of gestation about nutrition during pregnancy. Which of the following statements by the client indicates an understanding of the teaching? “I should take 600 micrograms of folic acid each day.” 22. A nurse is caring for a prenatal client who has parvovirus B19 (fifth disease). Which of the following actions should the nurse take? Schedule an ultrasound examination 23. A charge nurse on a labor and delivery unit is teaching a newly licensed nurse how to perform Leopold maneuvers. Which of the following images indicates the first step of Leopold maneuvers? Evidence-based practice indicates the nurse should perform this step first when performing Leopold maneuvers. During this step, the nurse palpates the client's abdomen with her palms to determine which fetal part is in the uterine fundus. This step also identifies the lie (transverse or longitudinal) and presentation (cephalic or breech) of the fetus. 24. A nurse is caring for a client who is pregnant and is at the end of her first trimester. The nurse should place the Doppler ultrasound stethoscope in which of the following locations to begin assessing for the fetal heart tones (FHT)? Just above the symphysis pubis 25. A nurse is preparing to administer hepatitis B immune globulin to a newborn. The prescription states, "Administer 5 mcg IM once today." Available is a 5 mL vial with 10 mcg/mL. How many mL should the nurse administer? (Round the answer to the nearest tenth. Use a leading zero if it applies. Do not use a trailing zero.) The nurse should administer hepatitis B immunoglobulin 0.5 mL IM. 26. A nurse is assessing a client who is in labor and notes early decelerations on the fetal monitor. Which of the following findings should the nurse identify as a possible cause of the early decelerations? Fetal head compression 27. A nurse is providing teaching about family planning to a client who has a new prescription for a diaphragm. Which of the following statements should the nurse include in the teaching? “You should leave the diaphragm in place for at least 6 hours after intercourse.” 28. A nurse is caring for a client who is at 36 weeks of gestation and has a prescription for an amniocentesis. For which of the following reasons should the nurse prepare the client for an ultrasound? To locate a pocket of fluid. 29. A nurse is caring for a client who becomes unresponsive upon delivery of the placenta. Which of the following actions should the nurse take first? Determine respiratory function 30. A nurse is monitoring a client who is in the first stage of labor and received IV fentanyl citrate 10 min ago for pain. The client has slurred speech and an altered mental status. Which of the following actions should the nurse take first? Determine the client's oxygen saturation level. 31. A nurse in an antepartum clinic is reviewing laboratory test results for multiple clients. The nurse should notify the provider of which of the following results? Hematocrit 31% 32. A nurse is reviewing the medical record of a client who is at 26 weeks of gestation. Which of the following findings should the nurse identify as a risk factor for the development of preeclampsia? Rheumatoid arthritis 33. A nurse is contributing to the plan of care for a client who has hyperemesis gravidarum. Which of the following interventions should the nurse recommend? Monitor intake and output 35. A nurse is caring for a client who is 2 hr. postpartum. The nurse locates the client's fundus 2 cm above the umbilicus, with displacement to the right of the midline, and notes it is boggy. The nurse should identify which of the following complications as the likely cause of these findings? Bladder distention 36. A nurse is contributing to the plan of care for a client who has eclampsia. Which of the following interventions should the nurse identify and plan to include as the priority immediately following a seizure? Administer oxygen via facemask at 10L/min. 37. A nurse is contributing to the plan of care for a client who is postpartum and follows kosher dietary laws. Which of the following indicates a meal the nurse should offer this client? Foods that avoid eating meat and dairy products together. The meal choice with American cheese 38. A nurse is caring for a client who is postpartum and is receiving carboprost. Which of the following statements should the nurse identify as an indication that the client understands the purpose of this medication? "This medication will slow down my bleeding." 39. A nurse is collecting data from a client who is primigravida and has hyperthyroidism. Which of the following findings should the nurse expect? Diaphoresis 40. A nurse on a postpartum unit is caring for a client who is experiencing hypovolemic shock. After notifying the provider, which of the following actions should the nurse take next? Massage the client’s fundus. 41. A nurse is reviewing the medical record of a client who is one day postpartum. The client had a vaginal birth with a fourth-degree perineal laceration. The nurse should contact the provider regarding which of the following prescriptions? Bisacodyl rectal suppository daily as needed for constipation 42. A nurse is caring for a client who is at 26 weeks of gestation and has epilepsy. The nurse enters the room and observes the client having a seizure. After turning the client's head to one side, which of the following actions should the nurse take next? Administer oxygen via a nonrebreather mask. 43. A nurse in a prenatal clinic is caring for a client who reports that her menstrual period is 2 weeks late. The client appears anxious and asks the nurse if she is pregnant. Which of the following responses should the nurse make? “You can miss your period for several other reasons. Describe your typical menstrual cycle.” 44. A nurse is providing discharge teaching to a client who is postpartum and was taking insulin for gestational diabetes mellitus. Which of the following instructions should the nurse include in the teaching? “You should get a 2-hour oral glucose tolerance test in 6 to 12 weeks.” 45. A nurse on an antepartum unit is caring for four clients. Which of the following clients should the nurse identify as the priority? A client who is at 34 weeks of gestation and reports epigastric pain. 46. A nurse is preparing to administer oxytocin to a client who is postpartum. Which of the following findings is an indication for the administration of the medication? (Select all that apply.) Flaccid uterus Excess vaginal bleeding 47. A nurse is caring for a client who is in active labor and has had no cervical change in the last 4 hr. Which of the following statements should the nurse make? “Your provider will insert an intrauterine pressure catheter to monitor the strength of your contractions.” 48. A nurse on a postpartum unit is caring for a client who is experiencing hypovolemic shock. After notifying the provider, which of the following actions should the nurse take next? Massage the client’s fundus. 49. A nurse is reviewing the medical record of a client who is one day postpartum. The client had a vaginal birth with a fourth-degree perineal laceration. The nurse should contact the provider regarding which of the following prescriptions? Bisacodyl rectal suppository daily as needed for constipation 50. A nurse is assessing a newborn who was born at 26 weeks of gestation using the New Ballard Score. Which of the following findings should the nurse expect? Minimal arm recoil