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Terms in this set (40)
nurse is planning care for a requires phototherapy for hyperbilirubinemia. Which of the following actions should the nurse
include inthe plan of care
Ensure the newborns eyes are closed before applying the eye shield
A nurse is caring for a client at 34 weeks gestation and has a prescription for terbutaline for preterm labor. Which of the
following statements by the patient is the priority?
"My heart feels as if it is racing."
, A nurse is planning care for a client who is pregnant and is Rh-negative. In which of the following situations should the
nurse administer Rh(D) Immune Globulin?
At 28 weeks of gestation
A nurse is caring for a client who is at 39 weeks of gestation and is in active labor. Which of the following actions should
the nurse include in the plan of care?
Check the cervix prior to analgesic administration.
A nurse is planning care for a client who is at 35 weeks of gestation. Which of the following lab tests should the nurse
obtain?
Group B streptococcus Beta-hemolytic (GBS)
A nurse is caring for a newborn whose mother received magnesium sulfate to treat preterm labor. Which of the following
clinical manifestations is the newborn indicates toxicity due to the magnesium sulfate therapy?
Respiratory depression
A nurse is caring for a client who is in labor and has an epidural for pain relief. Which of the following is a complication
from the epidural block?
hypotension
A nurse is caring for a client who has trichomoniasis and a prescription for metronidazole. Which of the following
instructions should the nurse provide to the client about the treatment plan?
"You and your partner need to take the medication and use a condom during intercourse until cultures are negative."
A nurse in a prenatal clinic is caring for a client who is within the recommended guideline for weight. The client asks the
nurse how much weight is safe for her to gain during her pregnancy. Which of the following responses should the nurse
make?
A weight gain of 25 - 35 lbs is good
A nurse is caring for a client who has a prescription for naloxone. Which of the following is the intended action of the med
in relation to the CNS?
Block effects of narcotics on the CNS
A nurse is discussing diaphragm use with a client. Which of the following statements by client indicates an understanding
of the teaching?
I should replace my diaphragm every 2 years
A nurse is teaching a client about a nonstress test. Which of the following statements by the client indicates an
understanding of the teaching?
I should press the button on the handheld marker when my baby moves
A nurse is caring for a client who is 2 hr postpartum. The nurse notes the client's perineal pad has a large amount of
lochia rubra with several clots. Which of the following actions should the nurse take first?
Massage the fundus
A nurse is caring for a preterm newborn who is receiving oxygen therapy. Which of the following findings should the nurse
identify as a potential complication from the oxygen therapy?
retinopathy
A nurse is caring for a client who is receiving oxytocin for induction of labor. Which of the following actions should the
nurse take?
Perform continuous fetal heart rate monitoring
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Terms in this set (40)
nurse is planning care for a requires phototherapy for hyperbilirubinemia. Which of the following actions should the nurse
include inthe plan of care
Ensure the newborns eyes are closed before applying the eye shield
A nurse is caring for a client at 34 weeks gestation and has a prescription for terbutaline for preterm labor. Which of the
following statements by the patient is the priority?
"My heart feels as if it is racing."
, A nurse is planning care for a client who is pregnant and is Rh-negative. In which of the following situations should the
nurse administer Rh(D) Immune Globulin?
At 28 weeks of gestation
A nurse is caring for a client who is at 39 weeks of gestation and is in active labor. Which of the following actions should
the nurse include in the plan of care?
Check the cervix prior to analgesic administration.
A nurse is planning care for a client who is at 35 weeks of gestation. Which of the following lab tests should the nurse
obtain?
Group B streptococcus Beta-hemolytic (GBS)
A nurse is caring for a newborn whose mother received magnesium sulfate to treat preterm labor. Which of the following
clinical manifestations is the newborn indicates toxicity due to the magnesium sulfate therapy?
Respiratory depression
A nurse is caring for a client who is in labor and has an epidural for pain relief. Which of the following is a complication
from the epidural block?
hypotension
A nurse is caring for a client who has trichomoniasis and a prescription for metronidazole. Which of the following
instructions should the nurse provide to the client about the treatment plan?
"You and your partner need to take the medication and use a condom during intercourse until cultures are negative."
A nurse in a prenatal clinic is caring for a client who is within the recommended guideline for weight. The client asks the
nurse how much weight is safe for her to gain during her pregnancy. Which of the following responses should the nurse
make?
A weight gain of 25 - 35 lbs is good
A nurse is caring for a client who has a prescription for naloxone. Which of the following is the intended action of the med
in relation to the CNS?
Block effects of narcotics on the CNS
A nurse is discussing diaphragm use with a client. Which of the following statements by client indicates an understanding
of the teaching?
I should replace my diaphragm every 2 years
A nurse is teaching a client about a nonstress test. Which of the following statements by the client indicates an
understanding of the teaching?
I should press the button on the handheld marker when my baby moves
A nurse is caring for a client who is 2 hr postpartum. The nurse notes the client's perineal pad has a large amount of
lochia rubra with several clots. Which of the following actions should the nurse take first?
Massage the fundus
A nurse is caring for a preterm newborn who is receiving oxygen therapy. Which of the following findings should the nurse
identify as a potential complication from the oxygen therapy?
retinopathy
A nurse is caring for a client who is receiving oxytocin for induction of labor. Which of the following actions should the
nurse take?
Perform continuous fetal heart rate monitoring
