MATERNAL NEWBORN

MATERNAL NEWBORN Maternal newborn A nurse in a health clinic is reviewing contraceptive use with a group of adolescent clients. Which of the following statements by an adolescent reflects an understanding of the teaching? water-soluble lubricant should be used with condoms. A nurse in a clinic is teaching a client about her new prescription for medroxyprogesterone . Which of the following information should the nurse include in the teaching? (Select all that apply.) -You should increase your intake of calcium -Irregular vaginal spotting can occur A nurse is caring for a couple who is being evaluated for infertility. Which of the following statements by the nurse indicates understanding of the infertility assessment process? The man is the easiest to assess, and the provider will usually begin there A nurse is reviewing the health record of a client who is to undergo hysterosalpingography. Which of the following data alert the nurse that the client is at risk for a complication related to this procedure? History and Physical A nurse in a prenatal clinic is caring for a client who is in the first trimester of pregnancy. the client’s health record includes this data: g3 t1 p0 a1 l1. how should the nurse interpret this information? (select all that apply.) -A client has delivered one newborn at term -The client has had two prior pregnancies -Client has one living child A nurse in a clinic receives a phone call from a client who believes she is pregnant and would like to be tested in the clinic to confirm her pregnancy. Which of the following information should the nurse provide to the client? You should collect urine from the first morning void A nurse is caring for a client who is pregnant and reviewing signs of complications the client should promptly report to the provider. Which of the following complications should the nurse include in the teaching? Vaginal bleeding A client who is at 8 weeks of gestation tells the nurse that she isn’t sure she is happy about being pregnant. Which of the following responses should the nurse make? It is normal to have these feelings during the first few months of pregnancy A nurse in a prenatal clinic is providing education to a client who is in the 8th week of gestation. the client states that she does not like milk. Which of the following foods should the nurse recommend as a good source of calcium? Dark green leafy vegetables A nurse in a clinic is teaching a client of childbearing age about recommended folic acid supplements. Which of the following defects can occur in the fetus or neonate as a result of folic acid deficiency? Neural tube defects nurse is reviewing findings of a client’s biophysical profile (BPP). the nurse should expect which of the following variables to be included in this test? (select all that apply.) -Fetal breathing movement -fetal tone -amniotic fluid volume A nurse is caring for a client who is pregnant and undergoing a nonstress test. the client asks why the nurse is using an acoustic vibration device. Which of the following responses should the nurse make? It awakens sleeping fetus A nurse is providing care for a client who is at 32 weeks of gestation and who has a placenta previa. The nurse notes that the client is actively bleeding. Which of the following types of medications should the nurse anticipate the provider will prescribe? Betamethasone A nurse at an antepartum clinic is caring for a client who is at 4 months of gestation. The client reports continued nausea and vomiting and scant, prune-colored discharge. She has experienced no weight loss and has a fundal height larger than expected. Which of the following complications should the nurse suspect? Hydatdiform mole A nurse is caring for a client who has gonorrhea. Which of the following medications should the nurse anticipate the provider will prescribe? ceftriaxone A nurse manager is reviewing ways to prevent a TORCH infection during pregnancy with a group of newly licensed nurses. Which of the following statements by a nurse indicates understanding of the teaching? woman should avoid consuming under cooked meat while pregnant. A nurse is caring for a client who has suspected hyperemesis gravidarum and is reviewing the client’s laboratory reports. Which of the following findings is a manifestation of this condition? Urine ketones present A nurse is administering magnesium sulfate IV to a client who has severe preeclampsia for seizure prophylaxis. Which of the following indicates magnesium sulfate toxicity? (select all that apply.) -Respirations less than 12/min -Urinary output less than 30 ml/hr -decreased level of consciousness A nurse is caring for a client who is receiving nifedipine for prevention of preterm labor. the nurse should monitor the client for which of the following manifestations? Dizziness A nurse is reviewing discharge teaching with a client who has premature rupture of membranes at 26 weeks of gestation. Which of the following instructions should the nurse include in the teaching? Keep a daily record of fetal kick count A nurse in the labor and delivery unit receives a phone call from a client who reports that her contractions started about 2 hr ago, did not go away when she had two glasses of water and rested, and became stronger since she started walking. Her contractions occur every 10 min and last about 30 seconds. she hasn’t had any fluid leak from her vagina. However, she saw some blood when she wiped after voiding. based on this report, which of the following clinical findings should the nurse recognize that the client is experiencing? True contractions A client experiences a large gush of fluid fr om her vagina while walking in the hallway of the birthing unit. Which of the following actions should the nurse take first? Monitor fetal heart rate for distress A nurse is caring for a client who is at 40 weeks of gestation and experiencing contractions every 3 to 5 min and becoming stronger. A vaginal exam reveals that the client’s cervix is 3 cm dilated, 80% effaced, and -1 station. the client asks for pain medication. Which of the following actions should the nurse take? (Select all that apply.) -Encourage use of patterned breathing techniques -Administer opioid analgesic medication -Suggest application of cold A nurse is caring for a client following the administration of an epidural block and is preparing to administer an IV fluid bolus. The client’s partner asks about the purpose of the IV fluids. Which of the following is an appropriate response for the nurse to make? It is needed to counteract hypotension A nurse is reviewing the electronic monitor tracing of a client who is in active labor. the nurse should know that a fetus receives more oxygen when which of the following appears on the tracing? Relaxation between uterine contractions A nurse is caring for a client who is in labor and observes late decelerations on the electronic fetal monitor. Which of the following is the first action the nurse should take? Assist the client into the left-lateral position A nurse is caring for a client and her partner during the second stage of labor. The client’s partner asks the nurse to explain how he will know when crowning occurs. Which of the following responses should the nurse make? The vaginal area will bulge as the baby’s head appears A nurse is caring for a client who is in the first stage of labor and is encouraging the client to void every 2 hr. Which of the following statements should the nurse make? A distended bladder reduces pelvic space needed for birth A nurse is caring for a client who is receiving oxytocin for induction of labor and has an intrauterine pressure catheter (IUPC) placed to monitor uterine contractions. For which of the following contraction patterns should the nurse discontinue the infusion of oxytocin? Duration of 90-120 seconds A nurse educator in the labor and delivery unit is reviewing the use of chemical agents to promote cervical ripening with a group of newly hired nurses. Which of the following statements by a nurse indicates understanding of the teaching? They are administered in an oral form A nurse is caring for a client who is at 42 weeks of gestation and in active labor. Which of the following findings is the fetus is at risk for developing? Meconium Aspiration A nurse is caring for a client in active labor. When last examined 2 hr ago, the client’s cervix was 3 cm dilated, 100% effaced, membranes intact, and the fetus was at a -2 station. the client suddenly states “my water broke.” the monitor reveals a FHR of 80 to 85/min, and the nurse performs a vaginal examination, noticing clear fluid and a pulsing loop of umbilical cord in the client’s vagina. Which of the following actions should the nurse perform first? Call for assistance A nurse is completing postpartum discharge teaching to a client who had no immunity to varicella and was given varicella vaccine. Which of the following statements by the client indicates understanding of the teaching? I need a second vaccination at my postpartum visit A nurse is assessing a postpartum client for fundal height, location, and consistency. The fundus is noted to be displaced laterally to the right, and there is uterine atony. The nurse should identify which of the following conditions as the cause of the uterine atony? Urinary retention A nurse is caring for a client who is 2 days postpartum. The client states, “My 4-year old son was toilet trained and now he is frequently wetting himself.” Which of the following statements should the nurse provide to the client? Your son is showing an adverse sibling response A nurse in the delivery room is planning to promote maternal-infant bonding for a client who just delivered. Which of the following is the priority action by the nurse? Position the neonate skin to skin on the clients chest A nurse is providing discharge instructions to a postpartum client following a cesarean birth. The client reports leaking urine every time she sneezes or coughs. Which of the following interventions should the nurse suggest? Kegel exercises A nurse is providing care to four clients on the postpartum unit. Which of the following clients is at greatest risk for developing a postpartum infection? A client who does not wash her hands between perineal care and breastfeeding A nurse educator on the postpartum unit is reviewing risk factors for postpartum hemorrhage with a group of nurses. Which of the following factors should the nurse include in the teaching? (select all that apply.) -Precipitous labor -Inversion of the uterus -Retained placental fragments A nurse on the postpartum unit is performing a physical assessment of a client who is being admitted with a suspected deep-vein thrombosis (DVT). Which of the following clinical findings should the nurse expect? (select all that apply.) -Calf tenderness to palpitation -Elevated temperature -Area of warmth A nurse on the postpartum unit is caring for four clients. Which of the following clients should the nurse recognize as the greatest risk for development of a postpartum infection? A client who had premature rupture of membranes and prolonged labor A nurse is caring for a client who has mastitis. Which of the following is the typical causative agent of mastitis? Staphylococcus aureus A nurse is caring for a postpartum client who delivered her third infant 2 days ago. the nurse recognizes that which of the following findings are suggestive of postpartum depression? (select all that apply.) -Fatigue -Insomnia -flat affect A nurse is caring for a client who has postpartum psychosis. Which of the following actions is the nurse’s priority? Ask the client if she has any thoughts of harming herself or her infant A nurse is caring for a newborn who was born at 38 weeks of gestation, weighs 3,200 g, and is in the 60th percentile for weight. based on the weight and gestational age, the nurse should classify this neonate as which of the following? Appropriate for gestational age A nurse is teaching a newly licensed nurse how to bathe a newborn and observes a bluish marking across the newborn’s lower back. t he nurses should include which of the following information in the teaching? This is frequently seen in newborns who have dark skin.” A nurse is preparing to administer a vitamin K (phytonadione)injection to a newborn. which of the following responses should the nurse make to the newborn’s mother regarding why this medication is given? It assists with blood clotting. A nurse is teaching a group of new parents about proper techniques for bottle feeding. which of the following instructions should the nurse provide? Keep the nipple full of formula throughout the feeding A nurse is providing discharge teaching to the parents of a newborn regarding circumcision care. Which of the following statements made by a parent indicates an understanding of the teaching? I will clean his penis with each diaper change A nurse is teaching a newly licensed nurse about neonatal abstinence syndrome. which of the following statements by the newly licensed nurse indicate understanding of the teaching? The newborn will have a continuous highpitched cry