PN Maternal Newborn Final 2023/2024

PN Maternal Newborn Final A nurse is caring for a client who has clinical manifestations of an ectopic pregnancy. Which of the following findings is a risk factor for an ectopic pregnancy? - ANSWER Pelvic Inflammatory Disease. An ectopic pregnancy occurs when the fertilized egg implants in tissue outside of the uterus, and the placenta and fetus begin to develop there. The most common site is within a fallopian tube, but ectopic pregnancies can occasionally occur in the ovary or the abdomen. Most cases are a result of scarring caused by a previous tubal infection or tubal surgery. Therefore, pelvic inflammatory disease (PID) places the client at risk for an ectopic pregnancy. A nurse is collecting data for a NB who is 12 hr old and notes mild jaundice of the face and trunk. Which of the following should the nurse take? - ANSWER Obtain a stat prescription for a bilirubin level. Jaundice in the first 24 hr of life is pathologic. The nurse should notify the provider and obtain a stat prescription for a bilirubin level. A nurse is caring for four newborns. Which of the following findings should the nurse report to the provider? - ANSWER A 12-hr old newborn who has a heart rate of 70/min while sleeping. An average heart rate for a newborn is 80 to 100/min while sleeping. A newborn's heart rate can increase to 180/min during episodes of crying. A heart rate less than 80/min is bradycardia and should be reported to the provider. A nurse is caring for a client who has trichomoniasis and a prescription for metronidazole. Which of the following instructions should the nurse reinforce with the client about the treatment plan? - ANSWER "You and your partner need to take the medication and use a condom during intercourse until cultures are negative." Trichomonas vaginalis is the organism that causes the sexually transmitted infection trichomoniasis. Both men and women can be infected with trichomoniasis. Clinical findings include yellowish to greenish, frothy, mucopurulent, copious discharge with an unpleasant odor, as well as itching, burning, or redness of the vulva and vagina. Trichomoniasis can be treated easily with metronidazole. However, for the treatment to work, it is important to make sure both sexual partners receive treatment to prevent reinfection. Instruct the client to use condoms during sexual intercourse while being treated. A nurse is assisting the plan of care for a client who is pregnant and is Rf-negative. In which of the following situations should the nurse administer Rh(D)Immune Globulin? - ANSWER At 28 weeks of gestation.