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The nurse should instruct the client that depression is a common adverse effect
of combined oral contraceptives. Other common adverse effects of the
medication include amenorrhea, weight gain, headache, nausea, breakthrough
bleeding, and breast tenderness.
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? - CORRECT ANSWER -"I can administer
oxytocin 4 hours after the insertion of the medication."
The nurse can administer oxytocin no sooner than 4 hr after the last dose of
misoprostol. Oxytocin can be administered following misoprostol for clients
who have cervical ripening and have not begun labor.
a nurse is caring for a prenatal client who has parvovirus b19(fifth disease)
which of the following actions should the nurse take? - CORRECT ANSWER
-schedule an ultrasound examination
a nurse is assessing a client who has gestational diabetes Mellitus and is
experiencing hyperglycemia. which of the following findings should the nurse
expect? - CORRECT ANSWER -reports increased urinary output.
Increased urinary output, nausea and vomiting, reports of thirst, abdominal pain,
constipation, drowsiness, and headaches are manifestations of hyperglycemia.
Other manifestations include weak rapid pulse, fruity breath odor, urine positive
for sugar and acetone, and a blood glucose level greater than 200 mg/dL.
a nurse is caring for a client who is 22 weeks of gestation and is HIV positive.
which of the following actions should the nurse take? - CORRECT ANSWER
-Report the client's condition to the local health department.
The nurse should report the condition to the local health department. HIV is one
of the conditions on the list of Nationally Notifiable Infectious Conditions that
is required to be reported.
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? - CORRECT ANSWER -
depression
The nurse should schedule serial ultrasound examinations to monitor the fetus
during the pregnancy to detect the possible development of fetal hydrops. Also,
the virus can cause miscarriage, intrauterine growth restriction, fetal anemia, or
stillbirth.
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? - CORRECT ANSWER -place the
newborn skin to skin on the mother's chest.
Placing the newborn skin to skin on the mother's chest is an effective technique
to significantly decrease the newborn's pain level and anxiety. The nurse should
implement this technique before, during, and after the procedure.
a nurse is performing a vag examination 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? - CORRECT ANSWER
-Insert two gloved fingers into the vagina and apply upward pressure to the
presenting part.
The nurse should quickly apply gloves and insert two fingers into the vagina
toward the cervix, exerting upward pressure onto the presenting part to relieve
umbilical cord compression and increase oxygenation to the fetus.
a nurse is caring for a client who is at 24 weeks of gestation and has a suspected
placental abruption. which of the following lab tests should the nurse expect the
provider to prescribe? - CORRECT ANSWER -kleihauer-betke test
The nurse should expect the provider to prescribe a Kleihauer-Betke test for a
client who has suspected placental abruption to determine if fetal blood is in
maternal circulation. This test is useful to determine if Rho-(D) immune
globulin therapy should be administered to a client who is Rh-negative.