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Maternal Newborn Practice B with NGN
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Maternal Newborn Practice B with NGN
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Maternal Newborn Practice B withNGN
A nurse is planning care for a client who is in labor and is to have an
amniotomy. Which of the following assessments should the nurse identify as
the priority? - -Temperature
-A nurse in a prenatal clinical is caring for a client who reports that her
menstrual period is 2 weeks late. The client appears anxious and akss the
nurse if she is pregnant. Which of the following responses should the nurse
make? - -"You can miss your period for several other reasons. Describe your
typical menstrual cycle."
-A nurse is calculating a client's expected date of birth using Nagele's rule.
The client tells the nurse that her last menstrual cycle started on November
27th. Which of the following dates is the client's expected date of birth? - -
September 3rd
-A nurse is assessing fetal heart tones for a client who is pregnant. The
nurse has determined the fetal position as left occipital anterior. To which of
the following areas of the client's abdomen should the nurse apply the
ultrasound transducer to assess the point of maximum intensity of the fetal
heart? - -Left lower quadrant
-A nurse is reviewing the medical record of a client who is postpartum and
has preeclampsia. Which of the following lab results should the nurse report
to the provider? - -Platelets 50,000/mm
-A nurse is caring for a client who is at 41 weeks of gestation and has a
positive contraction stress test. For which of the following diagnostic tests
should the nurse prepare the client? - -Biophysical profile (BPP)
-A nurse is teaching a client who is Rh negative about Rh0(D) immune
globulin. Which of the following statements by the client indicates an
understanding of the teaching? - -"I will need this medication if I have an
amniocentesis"
-A nurse is a family planning clinic is caring for a client who requests an oral
contraceptive. Which of the following findings in the client's history should
the nurse recognize as a contraindication to oral contraceptives?
Select all that apply - -Cholecystitis
Hypertension
Migraine Headaches
, -A nurse is assessing the newborn of a client who took a selective serotonin
reuptake inhibitor (SSRI) during pregnancy. Which of the following
manifestations should the nurse identify as an indication of withdrawal from
SSRI? - -Vomiting
-A nurse is teaching a postpartum client about steps the nurses will take to
promote the security and safety of the client's newborn. Which of the
following statements should the nurse make? - -"Staff members who take
care of your baby will be wearing a photo identification badge."
-A school nurse is providing teaching to an adolescent about levonorgestrel
contraception. Which of the following information should the nurse include in
her teaching? - -"You should take the medication within 72 hours following
unprotected sexual intercourse."
-A nurse is caring for a newborn who was transferred to the nursery 30 min
after birth because of mild respiratory distress. Which of the following
actions should the nurse take first? - -Verify the newborn's identification
-A nurse is caring for a client who is in labor and whose fetus is in the right
occiput posterior position. The client is dilated to 8 cm and reports back pain.
Which of the following actions should the nurse take? - -Apply sacral
counterpressure
-A nurse is teaching a client who is in preterm labor about terbutaline. Which
of the following statements by the client indicates an understanding of the
teaching? - -"I will have blood tests because my potassium might decrease."
-A nurse is assessing a client who gave birth vaginally 12 hr ago and
palpates her uterus to the right above the umbilic. Which of the following
interventions should the nurse perform? - -Assist eh client to empty her
bladder
-A nurse is teaching a client who is pregestational type 1 diabetes mellitus
about management during pregnancy. Which of the following statements by
the client indicates understanding of the teaching? - -"I will continue taking
my insulin if I experience nausea and vomiting."
-A nurse is reviewing the lab report of a newborn who is 24 hr old. Which of
the following results should the nurse report to the provider? - -Blood
glucose 30 mg/dL
-A nurse is providing teaching about family planning to a client who has a
new prescription for a diaphragm. Which of the following statements should
the nurse include in the teaching? - -"You should leave the diaphragm in
place for at least 6 hours after intercourse."
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