Maternal Newborn

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A nurse at a prenatal clinic is caring for a client who suspects she may be pregnant and asks the nurse how the provider will confirm her pregnancy. The nurse should inform the client that which of the following lab tests will be used to confirm her pregnancy?
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Terms in this set (99)
A nurse is admitting a client who is in labor and experiencing moderate bright red vaginal bleeding. Which of the following actions should the nurse take?Obtain blood samples for baseline lab valuesA nurse is providing teaching to a client who is at 8 weeks of gestation about manifestations to report to the provider during pregnancy. Which of the following information should the nurse include in the teaching?Blurred or double visionA nurse is caring for a client who believes she may be pregnant. Which of the following findings should the nurse identify as a positive sign of pregnancy?Palpable fetal movementA nurse is caring for a client who is at 38 weeks of gestation and reports no fetal movement for 24 hours. Which of the following actions should the nurse take?Auscultate for a fetal heart rateA nurse is teaching a client who is at 12 weeks of gestation and has HIV. Which of the following statements should the nurse include in the teaching?You should continue to take zidovudine throughout the pregnancy?A nurse is teaching a client who is at 12 weeks of gestation about manifestations of potential complications that she should report to her provider. Which of the following information should the nurse include in the teaching?Swelling of the faceA nurse is teaching a client who is at 10 weeks of gestation about an abdominal ultrasound in the first trimester. Which of the following information should the nurse include in the teaching?You need to have a full bladder during the ultrasoundA nurse is caring for a client who is at 37 weeks of gestation and is undergoing a nonstress test. The FHR is 130/min without accelerations for the past 10 min. Which of the following actions should the nurse take?Use vibroacoustic stimulation on the client's abdomen for 3 secondsA nurse is assessing a client who is at 35 weeks of gestation and is receiving magnesium sulfate via continuous IV for severe pre-eclampsia. Which of the following findings should the nurse report to the provider?Urinary output 20 mL/hrA nurse is teaching a client who is at 39 weeks of gestation about warning signs of complications that she should report to her provider. Which of the following findings should the nurse include in the teaching?Vaginal bleedingA nurse is assessing a client who is at 37 weeks of gestation and has a suspected pelvic fracture due to blunt abdominal trauma. Which of the following findings should the nurse expect?Uterine contractionsA nurse is caring for a client who is at 26 weeks of gestation and reports constipation. Which of the following responses by the nurse is appropriate?You should walk for at least 30 minutes per dayA nurse is teaching a client who is at 13 weeks of gestation about the treatment of incompetent cervix with cervical cerclage. Which of the following statements by the client indicates an understanding of the teaching?I should go to the hospital if I think I may be in laborA nurse is reviewing lab results for a client who is at 37 weeks of gestation. The nurse notes that the client is rubella non immune, positive for group A beta hemolytic streptococci, and has a blood type of O negative. Which of the following actions should the nurse take?Instruct the client to obtain a rubella immunization after deliveryA nurse is reviewing the medical record of a client who is at 39 weeks of gestation and has polyhydramnios. Which of the following findings should the nurse expect?Fetal gastrointestinal anomalyA nurse is assessing a client who is at 34 weeks of gestation and has a mild placental abruption. Which of the following findings should the nurse expect?Dark red vaginal bleedingA nurse is teaching a client who has pre-eclampsia and is to receive mag sulfate via IV infusion about expected adverse effects. Which of the following adverse effects should the nurse include in the teaching?Feeling of warmthA nurse is caring for a client who is in active labor and has meconium staining of the amniotic fluid. The nurse notes a reassuring FHR tracing from the external fetal monitor. Which of the following actions should the nurse take?Prepare equipment needed for newborn resuscitationA nurse is assessing a client who is at 35 weeks of gestation and has mild gestational hypertension. Which of the following findings should the nurse identify as the priority?480 mL urine in 24 hoursA nurse is caring for a client who is in the latent phase of labor and is receiving oxytocin via IV infusion. The nurse notes that the client is having contractions every 2 minutes which last 100 to 110 seconds and that the FHR is reassuring. Which of the following actions should the nurse take?Decrease the dose of oxytocin by halfA nurse is caring for a client who reports intestinal gas pain following a c section. Which of the following actions should the nurse take?Assist the client to ambulate in the hallwayA nurse is caring for a newborn who is premature in the neonatal intensive care unit. Which of the following actions should the nurse take to promote development?Position the naked newborn on the parent's bare chestA nurse is providing teaching to a client who is postpartum and does not plan to breastfeed her newborn. Which of the following instructions should the nurse include in the teaching?Place ice packs on your breastsA nurse is planning care for a client who is postpartum and has cardiac disease. For which of the following prescriptions should the nurse seek clarification?Monitor the client's weight weeklyA nurse is assisting a client who is 4 hours postpartum to get out of bed for the first time. The client becomes frightened when she has a gush of dark red blood from her vagina. Which of the following statements should the nurse make?Blood pools in the vagina when you are in bed.A nurse is assessing a newborn 1 hr after birth. Which of the following assessment findings should the nurse report to the provider?Jaundice of the scleraA nurse is assessing a 4 hour old newborn who is to breastfeed and notes hands and feet that are cool and slightly blue. Which of the following actions should the nurse take?Place the naked newborn on the mother's bare chest and cover both with a blanketA nurse is administering a rubella immunization to a client who is 2 days postpartum. Which of the following statements indicates to the nurse the client needs further instruction?I can conceive any time I want after 10 daysA nurse is providing teaching to a client who is planning to breastfeed her newborn. Which of the following statements by the client indicates an understanding of the teaching?It is normal for my baby to sometimes feed every hour for several hours in a rowA nurse is testing the reflexes of a newborn to assess neurologic maturity. Which of the following reflexes is the nurse assessing when she quickly and gently turns the newborn's head to one side?Tonic neckA nurse is caring for a client who is receiving mag sulfate by IV infusion. Which of the following meds should the nurse have available at the bedside?Calcium GluconateA nurse is assessing a newborn who was born at 39 weeks of gestation. Which of the following findings should the nurse expect?Symmetric rib cageA nurse is caring for a client who has a soft uterus and increased lochial flow. Which of the following meds should the nurse plan to administer to promote uterine contractions?MethylergonovineA nurse is assessing a newborn 1 min after birth. Heart rate is 136, resp rate is 36, well flexed extremities, responding to a stimuli with a cry, and blue hands and feet. Which of the following is the apgar score for the newborn?9A nurse is providing teaching to the parents of a newborn about how to care for his circumcision at home. Which of the following instructions should the nurse include in the teaching?Encourage nonnutritive sucking for pain reliefA nurse is caring for a client who is to receive a continuous IV infusion of oxytocin following a vaginal birth. Which of the following assessment findings should the nurse monitor to evaluate the effectiveness of the medication?Fundal consistencyA nurse is assessing a client who is postpartum following a vacuum assisted birth. For which of the following findings should the nurse monitor to identify a cervical laceration?A slow trickle of blood and a firm fundusA nurse is planning care for a newborn who is receiving phototherapy for an elevated bilirubin level. Which of the following actions should the nurse take?Use a photometer to monitor the lamp's energyA nurse is caring for a newborn directly after birth. Which of the following medications should the nurse administer to the newborn within 1 to 2 hours of delivery?Erythromycin ophthalmic ointmentA nurse is caring for a newborn immediately following delivery. Which of the following actions should the nurse take first?Place the newborn directly on the client's chestA nurse is providing teaching to the parents of a newborn about bottle feeding. Which of the following instructions should the nurse include in the teaching?Boil water for powdered formula for 1 to 2 minutesA nurse is assessing a client who is 14 hr postpartum and has a 3rd degree perineal laceration. The clients temp is 37.8 and her fundus is firm and slightly deviated to the right. The client reports a gush of blood when she ambulates and no BM since delivery. Which of the following actions should the nurse take?Assist the client to empty her bladderA nurse is caring for a postpartum client 8 hr after delivery. Which of the following factors places the client at risk for uterine atony?Mag sulfate infusion Distended bladder Prolonged laborA nurse is caring for a newborn who is premature at 30 weeks of gestation. Which of the following findings should the nurse expect?Abundant lanugoA nurse is assessing a newborn for congenital hip dysplasia. Which of the following findings should the nurse expect?Limited abduction of one hipA nurse is assessing a 2 day old newborn and notes an egg shaped, edematous, bluish discoloration that does not cross the suture line. Which of the following pieces of information should the nurse provide to the mother when she inquires about the finding?This will resolve within 3 to 6 weeks without treatmentA nurse is providing teaching to the parents of a newborn about home safety. Which of the following statements by the parents indicates an understanding of the teaching?I will place my baby on his back when it is time for him to sleepA nurse is assessing a 12 hr old newborn and notes a respiratory rate of 44/min with shallow respirations and periods of apnea lasting up to 10 seconds. Which of the following actions should the nurse take?Continue routine monitoringA nurse is assessing a client who is receiving mag sulfate as treatment for pre-eclampsia. Which of the following clinical findings is the nurse's priority?Urinary output 40 mL in 2 hrA nurse is caring for a client who desires an intrauterine device for contraception. Which of the following findings is a contraindication for the use of this device?MenorrhagiaA nurse is caring for a client whose membranes have ruptured and is in active labor. The fetal monitor tracing reveals late decelarations. Which of the following actions should the nurse take first?Turn the client onto her left sideA nurse is speaking with an expectant father who says that he feels resentful of the added attention others are giving to his wife since the pregnancy was announced. Which of the following responses should the nurse make?These feelings are common to expectantA nurse is providing discharge teaching to a client following the removal of a hydatidiform mole. Which of the following statements should the nurse include in the teaching?Do not become pregnant for at least 1 yearA nurse is caring for a client who is pregnant and reports nausea and vomiting. Which of the following instructions should the nurse provide the client?You should eat some crackers before rising from bed in the morningA nurse is caring for a client who is in labor. A vaginal exam reveals this info. 2cm, 50%, +1, right occiput anterior. Based on this info, which of the following fetal positions should the nurse document in the medical record?VertexA nurse is caring for a client who is at 16 weeks of gestation and has severe iron deficiency anemia. The provider prescribes and injection of iron dextran IM. Which of the following methods should the nurse use to administer the medication?Use a 20 gauge needle and use the Z track methodA nurse is assessing a newborn who is 12 hr old and notes mild jaundice of the face and trunk. Which of the following actions should the nurse take?Obtain a stat bilirubin levelA nurse is caring for a preterm newborn who is receiving oxygen therapy. Which of the following findings should the nurse identify as a potential complication from the oxygen therapy?RetinopathyA nurse is caring for a newborn who has irregular respirations of 52/min with several periods of apnea lasting approx. 5 seconds. The newborn is pink with acrocyanosis. Which of the following actions should the nurse take?Continue to routinely monitor the newbornA nurse is caring for a client who is at 8 weeks of gestation with twins and primigravida. The client states that even though she and her husband planned this pregnancy, she is experiencing many ambivalent feelings about it. Which of the following responses should the nurse make?These feelings are quite normal at the beginning of pregnancyA nurse is caring for a newborn who has neonatal abstinence syndrome. Which of the following clinical findings should the nurse expect?Exaggerated reflexesA nurse is caring for a client who is receiving oxytocin for induction of labor. Which of the following actions should the nurse take?Perform continuous fetal heart rate monitoringA nurse is assessing a client on the first postpartum day. Findings include fundus firm and 1 fingerbreadth above and to the right of the umbilicus, moderate lochia rubra with small clots, temp 37.3 and pulse 52. Which of the following actions should the nurse take?Ask the client when she last voidedA nurse is caring for a client who is in labor. The client questions the application of an internal fetal scalp electrode. Which of the following responses should the nurse make?We need to observe your baby more closelyA nurse is caring for a client who has trichomoniasis and a prescription for metronidazole. Which of the following instructions should the nurse provide to the client about the treatment plan?You and your partner need to take the medication and use a condom during intercourse until cultures are negativeA nurse is caring for a client who has a prescription for naloxone. Which of the following is the intended action of the medication in relation to the CNS?Block effects of narcotics on the CNSA nurse is planning care for a newborn who requires phototherapy for hyperbilirubinemia. Which of the following actions should the nurse include in the plan of care?Ensure the newborn's eyes are closed before applying the eye shieldA nurse in a prenatal clinic is caring for a client who is within the recommended guideline for weight. The client asks the nurse how much weight is safe for her to gain during her pregnancy. Which of the following responses should the nurse make?A weight gain of about 25 to 35 pounds is goodA nurse is caring for a client who is at 39 weeks of gestation and is in active labor. Which of the following actions should the nurse include in the plan of care?Check the cervix prior to analgesic administrationA nurse is discussing epidural anesthesia with a client who is receiving oxytocin for induction of labor. Which of the following statements should the nurse make?An epidural given too early can prolong laborA nurse is caring for a client who is 2 hr postpartum. The nurse notes the client's perineal pad has a large amount of lochia rubra with several clots. Which of the following actions should the nurse take first?Massage the fundusA nurse is preparing to administer naloxone to a newborn. Which of the following conditions can require administration of this medication?IV narcotics administered to the mother during laborA nurse receives report on a client who is in labor and is experiencing contractions 4 min apart. Which of the following patterns should the nurse expect on the fetal monitoring tracing?Contractions that last for 60 seconds each with a 3 min rest between contractionsA 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?Pelvic inflammatory diseaseA nurse is planning care for a client who has a prescription for oxytocin. Which of the following is a contraindication for the use of this medication?Active genital herpesA nurse administers betamethasone to a client who is at 33 weeks of gestation to stimulate fetal lung maturity. When planning care for the newborn, which of the following conditions should the nurse identify as an adverse effect of this medication?Decreased blood glucoseA nurse is planning care for a client who is pregnant and is Rh-negative. In which of the following situations should the nurse administer Rh(D) Globulin?At 28 weeks of gestationA nurse is caring for a client who is at 36 weeks of gestation and has pre-eclampsia. Which of the following findings should the nurse identify as the priority?Nonreactive nonstress testA nurse is caring for a client who is at 34 weeks of gestation and has a prescription for terbutaline for preterm labor. Which of the following statements by the client is the priority?My heart feels like it is racingA nurse is caring for four newborns. Which of the newborns is at greatest risk for hypoglycemia?A newborn who is large for gestational ageA nurse is teaching a client who has active genital herpes simplex virus, type 2. Which of the following statements should the nurse include in the teaching?You will have a c section prior to the onset of laborA nurse is caring for a client who is in labor and has an epidural for pain relief. Which of the following is a complication from the epidural block?HypotensionA nurse is teaching a client about a nonstress test. Which of the following statements by the client indicates an understanding of the teaching?I should press the button on the handheld marker when my baby movesA nurse is caring for a newborn who was born to a client who has a narcotic use disorder. Which of the following nursing actions should the nurse identify as a contraindication for the care of the newborn?Frequent stimulationA nurse in an antepartum clinic answers a phone call from a client who is at 37 weeks of gestation and reports, "I became very dizzy while lying in bed this morning, but the feeling went away when I turned on my side." Which of the following actions should the nurse take?Instruct the client about vena cava syndrome and measures to prevent itA nurse is planning care for a client who is at 35 weeks of gestation. Which of the following lab tests should the nurse obtain?Group B streptococcusA nurse is caring for a newborn whose mother received mag sulfate to treat preterm labor. Which of the following clinical manifestations in the newborn indicates toxicity due to the mag sulfate therapy?Respiratory depressionA nurse is discussing diaphragm use with a client. Which of the following statements by the client indicates an understanding of the teaching?I should replace my diaphragm every 2 yearsA nurse is reviewing the medical record of a client who is one day postpartum. The client had a vaginal birth with a fourth degree perineal laceration. The nurse should contact the provider regarding which of the following presecriptions?Bisacodyl rectal suppository daily as needed for constipation