Study guides, Class notes & Summaries

A nurse is planning care for a client who is in labor and is to have an amniotomy. Which of the following assessments should the nurse identify as the priority? - Answer Temperature A nurse in a prenatal clinical is caring for a client who reports that her menstrual period is 2 weeks late. The client appears anxious and akss the nurse if she is pregnant. Which of the following responses should the nurse make? - Answer "You can miss your period for several other reasons. Describe your typ...

A nurse is planning care for a newborn who is receiving phototherapy for an elevated bilirubin level. What action should the nurse take? a. apply barrier ointment to the newborn's perianal region b. offer the newborn glucose water between feedings c. use photometer to monitor the lamp's energy d. keep the newborn's eye patches on during feedings - Answer c. use photometer to monitor the lamp's energy the nurse should monitor the lamp's energy throughout the therapy to ensure the ne...

Vaginal bleeding during pregnancy - Answer Always abnormal and must be investigated to determine the cause Spontaneous Abortion - Answer When a pregnancy is terminated before 20 weeks of gestation Types of abortion - Answer Threatened, inevitable, incomplete, complete, and missed Chromosomal abnormalities - Answer Account for 50% of abortions Diagnostic and therapeutic procedures used for abortion - Answer Ultrasound, examination of cervix, dilation and currettage, dilation...

A nurse is caring for a client who is a primigravida, at term, and having contractions but is stating that she is "not really sure if she is in labor or not." Which of the following should the nurse recognize as a sign of true labor? A. Rupture of the membranes B. Changes in the cervix C. Station of the presenting part D. Pattern of contractions - Answer B. Changes in the cervix Assessment of progressive changes in the effacement and dilation of the cervix is the most accurate indic...

A nurse is monitoring a 1-hr-old newborn for hypoglycemia. For which of thee following findings should the nurse monitor? (Select all that apply) - Answer Hypothermia Twitching Tachypnea A nurse is reinforcing teaching about car seat safety with the guardian of a newborn. Which of the following client statements indicates an understanding of the teaching? - Answer "If my baby rides in a car with no back seat, the passenger air bag must be turned off." A nurse on an antepartum unit ...

A nurse is caring for a client who is 8 hours postpartum and is experiencing hemorrhage. Which of the following actions should the nurse implement after notifying the provider? (Select all that apply) A. Massage the fundus. B. Give oxygen at 2L/min via nasal cannula. C. Administer oxytocin. D. Insert an indwelling catheter. E. Place the client in a lateral position with her legs elevated 30 degrees. - Answer A, C, D, E While assessing a client in the fourth stage of labor, the nurse su...

nurse is planning care for a requires phototherapy for hyperbilirubinemia. Which of the following actions should the nurse include inthe plan of care - Answer Ensure the newborns eyes are closed before applying the eye shield - Overexposure to the lights during treatment can cause damage to the newborn's corneas. Therefore, the nurse should gently close the newborn's eyes prior to applying the eye shield. A nurse is caring for a client at 34 weeks gestation and has a prescription for terb...

A nurse is assisting with the preparation of a laboring client who is scheduled to receive an intrauterine pressure catheter. The client asks why this type of monitoring is needed. Which of the following responses should the nurse make? A. "This type of monitoring is necessary for timing of the frequency of your contractions." B. "This type of monitoring is noninvasive, so it is the best to monitor your labor contractions." C. "This type of monitor allows us to evaluate your baby's he...

A nurse is assessing a client who has gestational diabetes mellitus and is experiencing hyperglycemia. Which of the following findings should the nurse expect? A) Reports increased urinary output B) Diaphoresis C) Reports blurred vision D) Shallow respirations - Answer A) Reports increased urinary output Increased urinary output, nausea and vomiting, reports of thirst, abdominal pain, constipation, drowsiness, and headaches are manifestations of hyperglycemia. Other manifestations inclu...

Chadwick's sign - Answer Blueish-purple coloration of vagina and cervix -A probable sign of pregnancy Hegar's sign - Answer Softening of lower uterus -A probable sign of pregnancy Ballottment - Answer Light tap of the examiner's fingers on cervix causes the fetus to rise in the amniotic fluid, then rebound to it's original position (rebound of unengaged fetus); occurs at 16-18 wks -A probable sign of pregnancy Quickening - Answer A woman's first awareness of fetal ...