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Terms in this set (81)
A charge nurse is teaching a newly licensed nurse Encourage client who are prescribed methadone to breastfeed.
about substance use disorders during pregnancy.
Which of the following statements by the newly
licensed nurse indicates an understanding of the
teaching?
, A nurse is caring for a client who received terbutaline Decreased frequency of contractions.
subcutaneously. Which of the following findings is an
indication the medication was effective?
A charge nurse is discussing care of clients who are Placing a fetal scalp electrode.
in labor with a newly licensed nurse. Which of the
following actions should the charge nurse include in
the teaching regarding situations requiring an
amniotomy?
A nurse is reviewing the medical record of a client Heart rate 54/min
who has preeclampsia prior to administering labetalol.
For which of the following findings should the nurse
withhold the medication?
A nurse is caring for a client who is at 30 weeks of 1. Stand posterior to the client.
gestation and observes the client choking while eating 2. Position arms under the client's axilla and across the client's chest.
lunch. The client is unable to speak or cough. Identify 3. Place thumb-side of a clenched fist to the client's mid-sternum area.
the sequence of steps the nurse should take to clear 4. Initiate chest thrust to the client using a backward motion.
the airway obstruction. -If the client becomes unconscious, the nurse should perform CPR and
activate emergency medical services.
A nurse is preparing to administer an opioid analgesic Maternal blood pressure.
to a client who is in active labor. Which of the Pain level.
following assessments should the nurse perform? Fetal heart rate.
(SATA)
A nurse is reviewing the medical records of a client Rheumatoid Arthritis.
who is at 8 wks. of gestation. Which of the following
findings should the nurse identify as a risk factor for
developing preeclampsia?
A nurse is reviewing the laboratory results for a International normalized ratio (INR).
postpartum client who is receiving warfarin for deep-
vein thrombosis. Which of the following laboratory
tests should the nurse monitor?
A nurse is monitoring a client who is in the active Montevideo units (MVU) of 220 mm Hg.
phase of labor and has an intrauterine pressure
catheter and fetal scalp electrode. Which of the
following findings should the nurse expect?
A nurse is assessing a client who has just undergone Administer oxygen by nonrebreather face mask.
a cesarean birth and was given epidural morphine for
postpartum pain relief 1hr ago. The nurse notes that
the clients respiratory rate is 10/min. Which of the
following actions should the nurse take first?
A nurse is assessing a client who has placenta previa Painless vaginal bleeding.
and is receiving fetal monitoring. Which of the
following clinical findings should the nurse expect?
A nurse is assessing a client who is at 33wks of Episodes of blurred vision.
gestation. Which of the following findings should the
nurse report to the provider?
A nurse is assessing a client who is at 8wks of 1. Tachycardia.
gestation and has hyperemesis gravidarum. Which of 2. Dry mucous membranes.
the following are findings of this condition? (SATA) 3. Poor skin turgor.
A nurse is reviewing the laboratory results for a client BUN 30 mg/dL
who is at 29wks of gestation. Which of the following
results should the nurse identify as an indication of a
prenatal complication?
A nurse is assessing a client who is 2hr postpartum Firmly massage the fundus.
and has saturated a perineal pad in 15min. The
clients skin is cool and clammy to touch. Which of the
following actions should the nurse take first?
A nurse is caring for a client who is at 28wks of Heart rate: 132/min
gestation and has received two doses of terbutaline
subcutaneously. Which of the following adverse
effects is the priority for the nurse to report to the
provider?
A nurse is providing teaching for a client who is 2wks Apply moist heat to the affected breast.
postpartum and has mastitis. Which of the following
instructions should the nurse include in the teaching?
V
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M
at
e
r
n
al
N
e
w
b
o
r
n
A
s
s
e
s
s
m
e
n
t
Students
also
studied
Terms in this set (81)
A charge nurse is teaching a newly licensed nurse Encourage client who are prescribed methadone to breastfeed.
about substance use disorders during pregnancy.
Which of the following statements by the newly
licensed nurse indicates an understanding of the
teaching?
, A nurse is caring for a client who received terbutaline Decreased frequency of contractions.
subcutaneously. Which of the following findings is an
indication the medication was effective?
A charge nurse is discussing care of clients who are Placing a fetal scalp electrode.
in labor with a newly licensed nurse. Which of the
following actions should the charge nurse include in
the teaching regarding situations requiring an
amniotomy?
A nurse is reviewing the medical record of a client Heart rate 54/min
who has preeclampsia prior to administering labetalol.
For which of the following findings should the nurse
withhold the medication?
A nurse is caring for a client who is at 30 weeks of 1. Stand posterior to the client.
gestation and observes the client choking while eating 2. Position arms under the client's axilla and across the client's chest.
lunch. The client is unable to speak or cough. Identify 3. Place thumb-side of a clenched fist to the client's mid-sternum area.
the sequence of steps the nurse should take to clear 4. Initiate chest thrust to the client using a backward motion.
the airway obstruction. -If the client becomes unconscious, the nurse should perform CPR and
activate emergency medical services.
A nurse is preparing to administer an opioid analgesic Maternal blood pressure.
to a client who is in active labor. Which of the Pain level.
following assessments should the nurse perform? Fetal heart rate.
(SATA)
A nurse is reviewing the medical records of a client Rheumatoid Arthritis.
who is at 8 wks. of gestation. Which of the following
findings should the nurse identify as a risk factor for
developing preeclampsia?
A nurse is reviewing the laboratory results for a International normalized ratio (INR).
postpartum client who is receiving warfarin for deep-
vein thrombosis. Which of the following laboratory
tests should the nurse monitor?
A nurse is monitoring a client who is in the active Montevideo units (MVU) of 220 mm Hg.
phase of labor and has an intrauterine pressure
catheter and fetal scalp electrode. Which of the
following findings should the nurse expect?
A nurse is assessing a client who has just undergone Administer oxygen by nonrebreather face mask.
a cesarean birth and was given epidural morphine for
postpartum pain relief 1hr ago. The nurse notes that
the clients respiratory rate is 10/min. Which of the
following actions should the nurse take first?
A nurse is assessing a client who has placenta previa Painless vaginal bleeding.
and is receiving fetal monitoring. Which of the
following clinical findings should the nurse expect?
A nurse is assessing a client who is at 33wks of Episodes of blurred vision.
gestation. Which of the following findings should the
nurse report to the provider?
A nurse is assessing a client who is at 8wks of 1. Tachycardia.
gestation and has hyperemesis gravidarum. Which of 2. Dry mucous membranes.
the following are findings of this condition? (SATA) 3. Poor skin turgor.
A nurse is reviewing the laboratory results for a client BUN 30 mg/dL
who is at 29wks of gestation. Which of the following
results should the nurse identify as an indication of a
prenatal complication?
A nurse is assessing a client who is 2hr postpartum Firmly massage the fundus.
and has saturated a perineal pad in 15min. The
clients skin is cool and clammy to touch. Which of the
following actions should the nurse take first?
A nurse is caring for a client who is at 28wks of Heart rate: 132/min
gestation and has received two doses of terbutaline
subcutaneously. Which of the following adverse
effects is the priority for the nurse to report to the
provider?
A nurse is providing teaching for a client who is 2wks Apply moist heat to the affected breast.
postpartum and has mastitis. Which of the following
instructions should the nurse include in the teaching?
