For each of the following assessment findings, select "yes" to indicate that the finding is
consistent with hypoglycemia, hyperbilirubinemia, or sepsis. Respiratory distress-
hypoglycemia, Sepsis
Yellow sclera and oral mucosa- Hyperbilirubinemia, Sesis
According to the latest data collection results, the nurse should assist the RN in doing
which of the following? - Answer Apply oxygen at 10 L/min via nonbreather mask
Stop the magnesium infusion
Administer calcium gluconate
The nurse is providing care for a client 18 hr postpartum with a fourth-degree perineal
laceration. The client reports pain at a 4 on a scale of 0 to 10. Which of the following
should the nurse do? - Answer Encourage the use of witch hazel pads
Apply ice packs to the client
Position the client in a water sit bath
Encourage the client to practice relaxation techniques
A nurse is assisting in the care of a client who is at 30 weeks of gestation. Which of the
following findings should the nurse report to the provider? - Answer 2+ urinary protein
(negative)
A nurse is caring for a client who has been diagnosed with deep-vein thrombosis. Which
of the following nursing actions is appropriate for this client? - Answer Elevate the
, client's affected limb
A nurse helping to care for a client who is pregnant in an antepartum clinic. Which of the
following findings should the nurse notify the provider about? Choose the 3 findings that
should be notified. - Answer Uterine contractions
Gestational age
Vaginal examination
A nurse is caring for a newborn who is 24 hr old. Complete the following sentence by
selecting the correct statement from the options below. Answer The newborn is at
greatest risk for developing HYPOGLYCEMIA as evidence by the newborn's
TEMPERATURE
A nurse is reviewing the prenatal record of a client who is at 34 weeks of gestation.
Which of the following results should the nurse identify as a desirable outcome? Answer
Reactive nonstress test
A nurse is contributing to the plan of care for a client who has eclampsia. Which of the
following interventions should the nurse plan to include as the priority immediately
following a seizure? Answer Administer oxygen via facemask at 10 L/min
The nurse is collecting data from a client who is in the second trimester of pregnancy.
For which of the following findings would the nurse have a reason to notify the provider?
Answer Frequent uterine contractions
The nurse is reinforcing teaching about car seat safety with the guardian of a newborn.
Which of the following statements by the guardian indicates understanding of the
teaching? Response "I will place the retainer clip at the level of the baby's armpit"
A nurse is reinforcing teaching to a client who is breastfeeding her 6-day-old newborn.
Which of the following client statements indicates an understanding of the teaching? -
Answer "My baby should have at least 6 wet diapers per day"
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