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Terms in this set (59)
A nurse is speaking with a client who is trying to make "This procedure should have no effect on your sexual performance or
a decision about tubal ligation. The client ask, "What adequacy."
effects will this procedure have on my sex life?"
Which of the following responses should the nurse
make?
A nurse is reviewing the laboratory report of a Blood glucose 30 mg/dL
newborn who is 24 hr old. Which of the following
results should the nurse report to the provider?
, A nurse is providing discharge teaching to a client Unilateral breast pain
who is postpartum. For which of the following
manifestations should the nurse instruct the client to
monitor and report to the provider?
A nurse is caring for a client who is at 35 weeks of Initiate continuous external fetal monitoring.
gestation and has placenta previa. Which of the
following actions should the nurse take?
A nurse is performing a vaginal examination on a Apply internal upward pressure to the presenting part using two gloved
client who is in labor and observes the umbilical cord fingers.
protruding from the vagina. After calling for
assistance, which of the following actions should the
nurse take next?
A nurse is assessing a client who gave birth vaginally Assist the client to empty her bladder.
12 hr ago and palpates her uterus to the right above
the umbilicus. Which of the following interventions
should the nurse perform?
A nurse is assessing a newborn who is 12 hr old. Substernal chest retractions while sleeping.
Which of the following manifestations requires
intervention by the nurse?
A nurse is planning care for a client who is in labor Temperature.
and is to have an amniotomy. Which of the following
assessments should the nurse identify as the priority?
A nurse is caring for a client who is experiencing "This medication stimulates fetal lung maturity."
preterm labor at 29 weeks of gestation and has a
prescription for betamethasone. Which of the
following statements should the nurse make about the
indication for medication administration?
A school nurse is providing teaching to an adolescent "You should take the medication within 72 hours following unprotected
about levonorgestrel contraception. Which of the sexual intercourse."
following information should the nurse include in the
teaching?
A nurse is caring for a client who is in active labor and "Your provider will insert an intrauterine pressure catheter to monitor the
has had no cervical change in the last 4 hr. Which of strength of your contractions."
the following statements should the nurse make?
A nurse is planning care for a client who is 2 hr Demonstrate to the client how to perform a newborn bath.
postpartum. Which of the following interventions
should the nurse plan to implement during the taking-
hold phase of postpartum behavioral adjustment?
A nurse in a family planning clinic is caring for a client Cholecystitis, Hypertension, Migraine headaches
who requests an oral contraceptive. Which of the
following findings in the client's history should the
nurse recognize as a contraindication to oral
contraceptives? (Select all that apply.)
A nurse is teaching a client who is at 35 weeks of Headache that is unrelieved by analgesia
gestation about manifestations of potential pregnancy
complications to report to the provider. Which of the
following manifestations should the nurse include?
A nurse is reviewing the laboratory results for a client Hemoglobin 10 g/dL
who is at 10 weeks of gestation. Which of the
following laboratory findings should the nurse report
to the provider?
A nurse is calculating a client's expected date of birth September 3rd
using Nagele's rule. The client tells the nurse that her
last menstrual cycle started on November 27th. Which
of the following dates is the client's expected date of
birth?
A nurse is providing discharge teaching to the parents Place the retainer clip at the level of the newborn's armpits.
of a newborn about car seat safety. Which of the
following instructions should the nurse include?
A nurse is performing a newborn assessment. Which
of the following images should the nurse identify as
an indication of spina bifida occulta?
A nurse is teaching a client who is at 24 weeks of "A blood glucose of 130 to 140 is considered a positive screening result."
gestation regarding a 1-hr glucose tolerance test.
Which of the following statements should the nurse
include in the teaching?