MATERNITY PROCTORED NGN B A nurse is reviewing the medical record of a client who is postpartum and has preeclampsia. Which of the following lab results should the nurse report to the provider?
- Answer- Platelets 50,000/mm3
*below range*
A nurse is preparing to administer oxytocin to a client who is postpartum Which of the following findings is an indication for the administration of the medication (Select all) - Answer- Flaccid uterus
Excess vaginal bleeding
A nurse is providing teaching about family planning to a client who has a new prescription for a diaphragm. Which of the following statements should the nurse include in the teaching? - Answer- "You should leave the diaphragm in place for at least 6 hrs after intercourse"
A nurse is teaching a client who is Rh negative about Rho(D) immune globulin. Which of
the following statements by the client indicates an understanding of the teaching? - Answer- " I will need this medication if I have an aminocentesis"
A nurse in a woman health clinic is providing teaching about nutritional intake to a client who is at 8 wks gestation. The nurse should instruct the client to increase her daily intake of which of the following nutrients? - Answer- Iron
A nurse is caring for a client who is in labor and whose fetus is in the right occiput posterior position. The client is dilated to 8 cm and reports back pain. Which of the following actions should the nurse take? - Answer- Apply sacral counterpressure
A nurse is planning care for a client who is in labor and is requesting epidural anesthesia for pain control. Which of the following actions should the nurse include in the plan of care? - Answer- Monitor clients BP every 5 mins following the first dose of anesthetic solution
A nurse is caring for a client who is in labor and reports increasing rectal pressure. She is experiencing contractions 2-3 mins apart, each lasting 80-90 sec, and vaginal exam reveal the cervix is dilated to 9 cm. The nurse should identify the client is in which phase
of labor? - Answer- Transition
A school nurse is providing teaching to an adolescent about levonorgestrel contraception. Which of the following information should the nurse include in the teaching? - Answer- " You should take the medication within 72 hrs following unprotected intercourse" A nurse is assessing a newborn who is 12 hr old. Which of the following manifestation requires intervention by the nurse? - Answer- Substernal chest retractions while sleeping
A nurse is assessing a client who gave birth vaginally 12 hr ago and palpates her uterus
to the right above the umbilicus which of the following interventions should the nurse perform? - Answer- Assist the client to empty her bladder
A nurse is teaching a client who is pregestational type 1 diabetes mellitus about management during pregnancy. Which of the following statements by the client indicates an understanding of the teaching? - Answer- " I will continue taking my insulin if I experience nausea and vomiting"
A nurse is planning care for a client who is in labor and is to have aminotomy. Which of the following assessments should the nurse identify as the priority? - Answer- Temperature
A nurse is caring for a newborn who is undergoing phototherapy to treat hyperbilirubinemia. Which of the following actions should the nurse take? - Answer- Cove the newborns eyes while under the phototherapy light
A nurse is caring for a client who is at 41 wks gestation and has a positive contraction stress test. For which of the following diagnostic test should the nurse prepare the client? - Answer- Biophysical profile (BPP)
A nurse is caring for a client who is at 22 wks gestation and reports concern about the blotchy hyperpigemention on the forehead. Which of the following actions should the nurse take? - Answer- Explain to the client this is an expected occurrence
A nurse is teaching a client who is in preterm labor about terbutaline. Which of the following statements by the client indicates an understanding of the teaching? - Answer-
" I will have blood tests because my potassium might decrease"
A nurse is planning care for a client who is to undergo a nonstress test. Which of the following actions should the nurse include in the plan of care? - Answer- Instruct the client to press the provided button each time fetal movement is detected
A nurse is assessing fetal tones for a client who is pregnant. The nurse has determined the fetal position as left occipital anterior. To which of the following area of the cleint's abdomen should the nurse apply the ultrasound transducer to assess the point of maximum intensity of the fetal heart? - Answer- Left lower quadrant
A nurse is reviewing the lab report of a newborn who is 24 hr old. Which of the following
results should the nurse report to the provider? - Answer- Blood glucose of 30 (should be 40-45)
- Answer- Platelets 50,000/mm3
*below range*
A nurse is preparing to administer oxytocin to a client who is postpartum Which of the following findings is an indication for the administration of the medication (Select all) - Answer- Flaccid uterus
Excess vaginal bleeding
A nurse is providing teaching about family planning to a client who has a new prescription for a diaphragm. Which of the following statements should the nurse include in the teaching? - Answer- "You should leave the diaphragm in place for at least 6 hrs after intercourse"
A nurse is teaching a client who is Rh negative about Rho(D) immune globulin. Which of
the following statements by the client indicates an understanding of the teaching? - Answer- " I will need this medication if I have an aminocentesis"
A nurse in a woman health clinic is providing teaching about nutritional intake to a client who is at 8 wks gestation. The nurse should instruct the client to increase her daily intake of which of the following nutrients? - Answer- Iron
A nurse is caring for a client who is in labor and whose fetus is in the right occiput posterior position. The client is dilated to 8 cm and reports back pain. Which of the following actions should the nurse take? - Answer- Apply sacral counterpressure
A nurse is planning care for a client who is in labor and is requesting epidural anesthesia for pain control. Which of the following actions should the nurse include in the plan of care? - Answer- Monitor clients BP every 5 mins following the first dose of anesthetic solution
A nurse is caring for a client who is in labor and reports increasing rectal pressure. She is experiencing contractions 2-3 mins apart, each lasting 80-90 sec, and vaginal exam reveal the cervix is dilated to 9 cm. The nurse should identify the client is in which phase
of labor? - Answer- Transition
A school nurse is providing teaching to an adolescent about levonorgestrel contraception. Which of the following information should the nurse include in the teaching? - Answer- " You should take the medication within 72 hrs following unprotected intercourse" A nurse is assessing a newborn who is 12 hr old. Which of the following manifestation requires intervention by the nurse? - Answer- Substernal chest retractions while sleeping
A nurse is assessing a client who gave birth vaginally 12 hr ago and palpates her uterus
to the right above the umbilicus which of the following interventions should the nurse perform? - Answer- Assist the client to empty her bladder
A nurse is teaching a client who is pregestational type 1 diabetes mellitus about management during pregnancy. Which of the following statements by the client indicates an understanding of the teaching? - Answer- " I will continue taking my insulin if I experience nausea and vomiting"
A nurse is planning care for a client who is in labor and is to have aminotomy. Which of the following assessments should the nurse identify as the priority? - Answer- Temperature
A nurse is caring for a newborn who is undergoing phototherapy to treat hyperbilirubinemia. Which of the following actions should the nurse take? - Answer- Cove the newborns eyes while under the phototherapy light
A nurse is caring for a client who is at 41 wks gestation and has a positive contraction stress test. For which of the following diagnostic test should the nurse prepare the client? - Answer- Biophysical profile (BPP)
A nurse is caring for a client who is at 22 wks gestation and reports concern about the blotchy hyperpigemention on the forehead. Which of the following actions should the nurse take? - Answer- Explain to the client this is an expected occurrence
A nurse is teaching a client who is in preterm labor about terbutaline. Which of the following statements by the client indicates an understanding of the teaching? - Answer-
" I will have blood tests because my potassium might decrease"
A nurse is planning care for a client who is to undergo a nonstress test. Which of the following actions should the nurse include in the plan of care? - Answer- Instruct the client to press the provided button each time fetal movement is detected
A nurse is assessing fetal tones for a client who is pregnant. The nurse has determined the fetal position as left occipital anterior. To which of the following area of the cleint's abdomen should the nurse apply the ultrasound transducer to assess the point of maximum intensity of the fetal heart? - Answer- Left lower quadrant
A nurse is reviewing the lab report of a newborn who is 24 hr old. Which of the following
results should the nurse report to the provider? - Answer- Blood glucose of 30 (should be 40-45)
