A nurse is providing care to a client who is in labor. A fetal heart tracing shows early
decelerations. Which of the following actions should the nurse take? - Answer-Continue
to monitor the fetal heart tracing.
A nurse is assessing a client who is 14 hours postpartum and has a third-degree her
new laceration. The clients temperature is 37.8°C (100°F), and her fundus is firm and
slightly deviated to the right. The client reports a gush of blood when she ambulate's
and no bowel movement since delivery. Which of the following actions should the nurse
take? - Answer-Assist the client to empty her bladders
A nurse on the antepartum unit is caring for a client who is at 28 weeks gestation and
reports dizziness when lying on her back. Into which of the following positions should
the nurse assess the client? - Answer-Lateral
A nurse is providing teaching for a client at seven weeks of gestation who is
experiencing nausea and vomiting. Which of the following client statements indicates to
the nurse and understanding of the teaching? - Answer-I should have a small snack
before bedtime
A nurse is assessing a client who is at 36 weeks of gestation which of the following
manifestations should the nurse recognize as a potential prenatal complication and
report to the provider? - Answer-Double vision
A nurse is assessing a client who is at 34 weeks gestation and has a cardiac disorder
the nurse should notify the provider about which of the following assessment findings? -
Answer-The client reports a frequent cough
A nurse is caring for a client who is in labor the client speaks a different language than
the nurse and he's been missing. Which of the following actions should the nurse take
while waiting for an interpreter? - Answer-Change the clients position
A nurse is providing teaching for a client who is pregnant and has type one diabetes
mellitus. Which of the following statements should the nurse include in the teaching? -
Answer-You should expect to decrease your insulin dosage immediately after you
deliver your baby
A nurse is caring for a client in labor and observes a pattern of early decelerations on
the fetal monitor. Which of the following actions should the nurse take? - Answer-
Document the findings and continue to monitor
,A nurse is preparing to administer naloxone to a newborn. Which of the following
conditions can require administration of this medication? - Answer-IV narcotics
administered to the mother during labor
A nurse is caring for a client labor who has an epidural for pain relief. Which of the
following is a complication of the epidural block? - Answer-Hypotension
A nurse at a prenatal clinic is teaching a client how to perform a kick count. Which of the
following statements should the nurse include in the teaching? - Answer-Before bedtime
is a good time to start counting the kicks
A nurse is teaching a group of clients who are pregnant about vitamin K for newborns.
Vitamin K helps prevent which of the following conditions in a newborn? - Answer-
Intracranial hemorrhage
A nurse is caring for a newborn who has neonatal abstinence syndrome which of the
following Clinical findings should the nurse expect? - Answer-Exaggerated reflexes
A nurse is creating a plan of care for a client who is in the active stage of labor and
expresses a desire to use nonpharmacological methods of pain relief. Which of the
following intervention should the nurse include? - Answer-Assist the client into a warm
shower
A nurse is providing teaching to a client who has come to the family planning clinic
requesting an intrauterine device IUD. Which of the following pieces of information
should the nurse provide to the client? - Answer-Your risk for ectopic pregnancy
increases with an IUD
A nurse is teaching a client who is pregnant and has pre-gestational diabetes about
dietary changes. Which of the following statements should the nurse include in the
teaching? - Answer-Carbohydrates should make up 55% of your diet
A provider does a client at 12 weeks gestation who practices Hinduism that she needs
more protein in her diet and suggest eating more meat after the provider leaves the
examination room the client tells the nurse that eating animal products will cause her to
miscarry. Which of the following responses should the nurse make? - Answer-Let's
discuss other foods that are also high in protein that you can substitute for meat
A nurse is caring for a client who is in labor. A vaginal examination reveals the following
findings: 2 cm, 50%, +1, right occiput anterior (ROA). Based on this information, which
of the following fetal position should the nurse document in the medical record? -
Answer-Vertex
,A nurse is teaching a client about squatting exercises during pregnancy. Which of the
following statements should the nurse include? - Answer-These exercises should be
done for 15 minutes each day to strengthen the peroneal muscles
A nurse is providing care to a client who is 12 hours postpartum and is receiving
oxytocin IV. The client asked the nurse, why is there so little bleeding? Which of the
following responses should the nurse make? - Answer-The bleeding is minimal until I
discontinue your IV medication
A nurse is planning care for a Client who is post partum and has cardiac disease. For
which of the following prescriptions should the nurse seek clarification? - Answer-
Monitor the clients weights weekly
A nurse is caring for a client who is at 35 weeks of gestation and he scheduled to
undergo an amniocentesis. Which of the following statements should the nurse make? -
Answer-You will feel so much discomfort during this procedure
A nurse is caring for a client who had a vaginal delivery 24 hours ago. Which of the
following findings should the nurse report to the provider? - Answer-3+ deep tendon
reflexes
A nurse is providing teaching about exercise for a client who is pregnant which of the
following pieces of information should the nurse include? - Answer-Vigorous exercise it
should be limited and should not be performed in hot humid weather
A nurse is caring for several clients. Which of the following clients should the nurse
identify as a candidate for oral contraceptives a - Answer-A client who is breast-feeding
a seven month old infant
A nurse is caring for a newborn who was born to a client with a narcotic use disorder.
Which of the following nursing actions is contraindicated in the care of this newborn -
Answer-Frequent simulation
A nurse is discussing epidural anesthesia with a client who is receiving oxytocin to
induce labor which of the following statements should the nurse make? - Answer-An
epidural given to early can prolong labor
A nurse is caring for a client who is in labor. The client questions application of an
internal fetal scalp monitor. Which of the following responses should the nurse provide?
- Answer-We need to observe your baby more closely
A nurse is providing teaching about newborn bath to a client who is two days
postpartum which of the following pieces of information should the nurse include? -
Answer-Watch the newborns face with plain warm water
, A nurse is teaching a postpartum client how to swaddle her newborn. Which of the
following assessments by the parent demonstrates an understanding of the teaching? -
Answer-I should stop swaddling my baby once she is able to roll over by herself
A nurse is receiving a report for a client who is in labor and is experiencing contractions
that are four minutes apart. Which of the following patterns to the nurse expect on the
fetal monitor tracing? - Answer-Contractions that last for 60 seconds each with a three
minute rest between the contractions
A nurse is reviewing the laboratory for it for a client with suspected HELLP Syndrome.
Which of the following findings should the nurse report to the provider as an indication
of this Disorder? - Answer-Elevated liver enzymes
A nurse is caring for a client who is in labor and has received epidural analgesia. The
clients blood pressure is 88/50, and the fetal heart tracing so is late decelerations.
Which of the following actions should the nurse take? - Answer-Increase the rate of the
primary IV infusion
A nurse is assessing a client who is receiving morphine Via a patient controlled
analgesia pump PCA Following a cesarean birth. Which of the following findings should
the nurse report to the provider? - Answer-Urine output 20 mL per hour
A nurse is planning care for a newborn who has hyperbilirubinemia And a new
prescription for photo therapy. Which of the following intervention should the nurse
include in the plan? - Answer-Reposition the newborn every three hours
A nurse is teaching the guardian of a newborn about caring for the newborns umbilical
cord. For which of the following reasons should the nurse instruct the guardian to avoid
using antibacterial agents on the cord? - Answer-They can cause delayed cord
separation
A nurse is caring for a client who states, I think I am pregnant, which of the following
findings should the nurse identify as a positive sign of pregnancy? - Answer-Fetal heart
Tones auscultated by Doppler
A nurse is assessing a postpartum client who has preeclampsia and notes A Boogie
uterus an excessive uterine bleeding. The nurse should plan to administer which of the
following medication's? - Answer-Oxytocin
A nurse in the clinic is caring for a client who is pregnant and reports a last menstrual
period that began on December 7. Which of the following dates would be the clients
estimated date of birth? - Answer-September 14
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