OB 2020 A NGN QUESTIONS AND ANSWERS ALREADY PASSED

OB 2020 A NGN QUESTIONS AND ANSWERS ALREADY PASSED A nurse is reinforcing teaching about food sources that are high in folate with a group of clients who are pregnant. Which of the following foods should the nurse recommend to this group as the best source of folate. 1/2 cup dried peas. A nurse is caring for a newborn who has a high-pitched cry and does not respond to consoling efforts. Which of the following neonatal data collection tools should the nurse expect to complete. Neonatal abstinence scoring system. A nurse is reinforcing teaching with a new parent about the prevention of newborn abduction. Which of the following statements by the parent indicates an understanding of the teaching. I will ask the nurse to take my baby back to the nursey if I need to leave my room. A nurse is reviewing the prenatal record of a client who is 34 weeks of gestation. Which of the following results should the nurse identify as a desirable outcome. Reactive nonstress test A nurse is reinforcing teaching with a client who has asked about continuing routine exercise during pregnancy. Which of the following responses should the nurse make? Drink plenty of water after exercising. A nurse in a prenatal clinic is caring for a group of clients. Which of the following clients should the nurse recommend the provider see first? A client who is at 37 weeks of gestation and reports a persistent headache. A nurse is reinforcing teaching with a client who has preeclampsia and is receiving magnesium sulfate via continuous IV infusion. Which of the following statements should the nurse include in the teaching? Your fluid intake will be limited to no more than 125 ML per hour. A nurse is caring for a client who is planning to become pregnant. The client asks the nurse why folic acid supplements are necessary. The nurse should inform the client that the purpose of the folic acid supplement is to do which of the following. Prevent certain kinds of birth defect A nurse is collecting data from a client who is at 33 weeks of gestation. Which of the following findings should the nurse identify as an indication of a potential complication of pregnancy. Epigastric pain A nurse is preparing to administer clindamycin 450 mg PO to client who has endometritis. The amount available is clindamycin 150 mg/cap. How many capsules should the nurse administer? 3 Caps. A nurse is assisting in the care of a newborn who is 24 hr old. The newborn is at greatest risk for developing HYPOGLYCEMIA as evidenced by the newborn's TEMPATURE A nurse is reinforcing home care safety with the guardian of a newborn prior to discharge. Which of the following statements by the guardian indicates an understanding of the teaching? I should place my baby's crib away from windows. A nurse is collecting data from a client who is 32 HR postpartum. Which of the following findings should the nurse expect. Urine output of 3,000 mL in 24 HR A nurse is caring for a client during the postpartum period. Which of the following findings should the nurse expect during the first 24 HR following birth? Diuresis;Discharge of clear, yellow fluid from the breasts; Lower abdominal cramping A nurse is reinforcing teaching about car seat safety with the parent of a newborn. Which of the following client statements indicates an understanding of the teaching. If my baby rides in a car with no back seat, the passenger air bag must be turned off A nurse is reinforcing discharge teaching about methods to prevent engorgement during lactation suppression with a client who is bottle-feeding her newborn. Which of the following statements should the nurse identify as an indication that the client understands the instructions. I will apply cold cabbage leaves to my breast throughout the day. A nurse in a maternal-newborn unit is caring for a newborn in the nursey. The newborn's grandfather asks if he may take the newborn to his daughter's room. Which of the following responses should the nurse make. Let me wash my hands and then I'll take the baby to his mother. A nurse is caring for a client who is pregnant in an antepartum clinic. Which of the following findings should the nurse report to the provider? Uterine contraction Gestation age Vaginal examination A nurse is caring for a client 6 HR after a vaginal birth who is going to be breastfeed her newborn. The client reports perineal pain of 6 on a scale from 0 -10. The nurse also notes mild perineal edema and ecchymosis with a fundus that is 2 cm above the umbilicus with deviation to the right. Which of the following actions is the nurse's priority? Help the client ambulate to the toilet A nurse is reinforcing teaching with a client who is at 20 weeks of gestation and reports having constipation. Which of the following information should the nurse include? Consume 28 G of fiber per day. A nurse is caring for a client who is 30 weeks of gestation. Which of the following findings should the nurse report to the provider. 2+ urinary protein. A nurse is caring for a client who is at 20 weeks of gestation and is in the clinic for routine prenatal visist. Which of the following findings in the data from the client's medical records should the nurse report to the provider. Fundal height. A nurse is assisting with monitoring a newborn who is 3 days old and has received phototherapy. Which of the following laboratory values should the nurse recognize as an indication that the therapy has been effective? Total bilirubin 5mg/Dl A nurse is collecting data from a newborn who is 8 hr old. Which of the following findings should the nurse report to the provider. Apical heart rate of 90/min while crying. A nurse in a clinic is caring for a 16- year-old adolescent. Which of the following findings should the nurse report to the provider? Abdominal assessment; Vaginal discharge; Treunia The nurse is reviewing the assessment finding. Trichomoniasis, Gonorrhea, Candidiasis Abdominal pain is consistent with gonorrhea; Greenish discharge is consistent with trichomoniasis and gonorrhea; Diabetes is consistent with candidiasis; Pain on urination is consistent with trichomoniasis, gonorrhea, and candidiasis; Absence of condom use is consistent with trichomoniasis and gonorrhea. The nurse is reviewing the adolescent's medical record. Which of the following conditions is the client most likely developing? The adolescent is most likely developing pelvic inflammatory disease as evidenced by C-REACTIVE PROTEIN. The nurse is contributing to the plan of care for the adolescent. Drag the words The nurse should anticipate a provider's prescription for CEFTIAXONE and DOXYCYCLINE. The nurse is reviewing the provider's prescription in the adolescent medical chart. Reinforcing education on medication; Administering ceftriaxone. The nurse reinforced the discharge teaching with the adolescent. *I should continue taking all my medications even if I don't show any symptoms- indicates an understanding *If I continue to get this type of infection, it can affect my ability to have kids in the future-indicates an understanding *I should go to the emergency department if my urine turns dark- FURTHER EDCATION * As long as I keep my IUD, I don't need to use condoms- FUTHER EDUCATION *I'm more likely to get a sunburn while taking medications- Indicates an understanding. A nurse is assisting with the care of a client who is at 40 weeks of gestation and is in active labor. Which of the following findings should the nurse report to the charge nurse? Prolonged deceleration of FHR A nurse is assisting with planning care for client who is breastfeeding and has mastitis. Which of the following recommendations should the nurse include. Instruct the client to apply warm compresses to the affected breast. A nurse is reinforcing teaching with a client who is at 9 weeks of gestation and reports frequent episodes of nausea and vomiting. Which of the following instructions should the nurse include? Consume small meals frequently each day. A nurse is caring for a newborn who is receiving phototherapy. Which of the following actions should the nurse take? Place an opaque mask over the newborn's eyes. A nurse is assisting with collecting data from a newborn who was born 2 hr ago and has respiratory distress. Which of the following findings should the nurse report to the provider? Tachypnea; Nasal flaring; Retraction; Expiratory grunting; A nurse is reinforcing family planning options with a client who is requesting information about contraceptive. Which of the following client statements indicates an understanding of the teaching? I can use water-soluble lubricant when my partner wears a latex condom. A nurse is reinforcing teaching about formula feeding a newborn with a group of new parents. Which of the following instructions should the nurse include? Position the bottle at a 45 angle during feedings. Which of the following actions should the nurse plan to implement? For each potential nursing action, click to specify if the intervention is indicated or contraindication for the newborn. *Remind the parents to being ROM exercises on the affected arm after 1 week is indicated. *Check grasp reflex is indicated *Immobilize the arm across the abdomen by pinning the newborn's sleeve to their shirt is indicated *Reinforce to parent to limit physical handling for 2 weeks is contraindicated. A nurse is reinforcing teaching about risk factors for respiratory distress syndrome (RDS) in newborns with a group of clients who are pregnant. Which of the following risk factors should the nurse include. Prematurity A nurse is planning to administer terbutaline to a client who is experiencing preterm labor. Which of the following routes of administration should the nurse plan to use? Subcutaneous A nurse in a prenatal clinic is caring for a client who is at 16 weeks of gestation and has a positive hepatitis B test result. Which of the following actions should the nurse take? Explain to the client that they will receive the hepatitis B immune globulin immediately. A nurse is reviewing the laboratory results of a client who is at 32 weeks of gestation. Which of the following laboratory findings should the nurse report the provider? Hematocrit 30% A nurse is reviewing the laboratory results of 4 HR-old newborn. Which of the following findings should the nurse report to the provider? Platelet Count 120,000/mm3 A nurse is assisting with the care of a client who is postpartum and is receiving magnesium sulfate IV by continuous infusion to treat preeclampsia. Which of the following findings should the nurse identify as manifestations of magnesium toxicity? ; Decreased respiratory rate; Decreased level of consciousness; Double vision For each assessment finding, click to specify if the finding is consistent with hypoglycemia, hyperbilirubinemia, or sepsis. Each finding may support more than one disease process. Decreased temperature is associated with hypoglycemia and sepsis. Yellow sclera and oral mucosa are associated with hyperbilirubinemia and sepsis. Poor feeding is associated with hypoglycemia, hyperbilirubinemia and sepsis. Ecchymotic caput succedaneum is associated hyperbilirubinemia. Respiratory distress is associated with hypoglycemia and sepsis. Lethargy is associated with hypoglycemia and sepsis. A nurse is observing a client bathe her 1-day-old newborn. Which of the following actions should the nurse identify as as an indication that the client understands how to bathe the newborn. The client washes the newborn's hair before unwrapping them. A nurse is caring for a client who has received methylergonovine. Which of the following should the nurse identify and document as an adverse effect of the medication. Hypertension. A nurse is caring for a client who is at 32 weeks of gestation and has a prescription for nifedipine. Which of the following outcomes should the nurse expect from this medication. Cessation of uterine contractions A nurse is collecting data from a newborn whose mother had gestational diabetes mellitus. Which of the following findings should the nurse report to the provider? Blood glucose 28 MG/ DL A client request information about the use of a diaphragm for birth control. Which of the following statements should the nurse make. You will need to replace your diaphragm every 2 years.