Maternal Newborn Practice 2024 exam graded A+

Maternal Newborn Practice 2024 exam graded A+ A nurse is assessing a client who has gestational diabetes mellitus and is experiencing hyperglycemia. Which of the following findings should the nurse expect? 1) reports increased urinary output 2) sweating 3) blurred vision 4) shallow respirations - Reports increased urinary output A nurse is caring for a client who is at 22 weeks of gestation and is HIV positive. Which of the following actions should the nurse take? - Report the client's condition to the local health department A nurse is providing teaching for a client who has a new prescription for combined oral contraceptives. Which of the following findings should the nurse include as an adverse effect of this medication? 1) depression 2) polyuria 3) hypotension 4) urticaria - Depression A nurse is providing teaching to a client who is at 40 weeks of gestation and has a new prescription for misoprostol. Which of the following instructions should the nurse include in the teaching? 1) "I can administer oxytocin 4 hours after the insertion of the medication" 2) "you will need a full bladder prior to the insertion of the medication" 3) "remain in a side-lying position for 15 minutes after medication is given" 4) "an antacid will be given 20 minutes prior to the insertion of the medication" - "I can administer oxytocin 4 hours after the insertion of the medication" A nurse is caring for a prenatal client who has parvovirus B19 (fifth disease). Which of the following actions should the nurse take? 1) administer antiviral medication 2) schedule an ultrasound 3) administer flu type b vaccine 4) schedule an indirect Coomb's test - Schedule an ultrasound examination A nurse is preparing to collect a blood specimen from a newborn via a heel stick. Which of the following techniques should the nurse use to help minimize the pain of the procedure for the newborn? 1) apply a cool pack for 10 minutes to the heel prior to the puncture 2) request IM analgesic 3) use a manual lance blade to pierce the skin 4) place the newborn skin to skin on the mothers chest - Place the newborn skin to skin on the mothers chest A nurse is performing a vaginal exam on a client who is in labor and observes the umbilical cord protruding from the vagina. After calling for assistance, which of the following actions should the nurse take? 1) Insert two gloved fingers into the vagina and apply upward pressure to the presenting part 2) wrap the cord tightly with sterile gauze 3) apply O2 at 2L via nasal cannula 4) place the client in the lithotomy position and apply fundal pressure - Insert two gloved fingers into the vagina and apply upward pressure to the presenting part A nurse is caring for a client who is at 24 weeks of gestation and has a suspected placental abruption. Which of the following laboratory tests should the nurse expect the provider to prescribe? 1) Kleihauer-Betke test 2) progesterone serum level 3) L/S ratio 4) material alpha-fetoprotein - Kleihauer-Betke test A nurse is admitting a client who is in labor. The client admits to recent cocaine use. For which of the following complications should the nurse assess? 1) abruptio placenta 2) placenta previa 3) preeclampsia 4) maternal bradycardia - Abruptio placenta A nurse is assessing a client who has severe preeclampsia. Which of the following manifestations should the nurse expect? 1) 2+ DTR 2) proteinuria of 200 mg in a 24-hr specimen 3) polyuria 4) blurred vision - Blurred Vision A nurse is providing education about family bonding to parents who recently adopted a newborn. The nurse should make which of the following suggestions to aid the family's 7-year-old in accepting the new family memeber? - Obtain an gift from the newborn to present to the sibling A nurse is assessing a client who is receiving morphine via IV bolus for pain following a C-section. The nurse notes a respiratory rate of 8/min. Which of the following medications should be administered? - Naloxon e A nurse is teaching a client who is at 10 weeks of gestation about nutrition during pregnancy. Which of the following statements by the client indicates an understanding