PN Maternal Newborn Practice 2017 B Already Passed

PN Maternal Newborn Practice 2017 B Already Passed A nurse is collecting data from a client who is at 38 weeks of gestation. Which of the following findings should the nurse report to the provider? -Leg Cramps -Insomnia -Glycosuria -Leukorrhea Glycosuria- it is a potential complication of gestational diabetes mellitus & the nurse should report this finding to the provider. A nurse is reinforcing discharge teaching about home care with the patient of a newborn. Which of the following instructions should the nurse include? -"Dress your newborn with two extra layer for the first week at home." -"Give you newborn a bath once a day in the morning." -"Cover your newborn with a lightweight blanket during naps." -"Ensure the water temperature during your newborns bath is maintained at 100 degrees Fahrenheit." "Ensure the water temperature during your newborns bath is maintained at 100 degrees Fahrenheit."- the nurse should instruct the parent to keep the water temperature at 38 degrees Celsius (100 degrees Fahrenheit) when bathing the newborn. A water temperature below this range can cause cold stress in the newborn, and a water temperature above this range increases the risk of burn injuries. A nurse is caring for a client who is 2 hr postpartum. The nurse locate the client's fundus 2 cm above the umbilicus, with displacement to the right of the midline, and notes it is boggy. The nurse should identify which of the following complications as the likely cause of these findings? -Uterine bleeding -Bladder distention -Cervical laceration -Retention of placental fragments Bladder distention- this pushes the client's uterus out of the pelvis and often displaces it to the right of the midline. The nurse can palpate the fundus above the umbilicus and to the right of the midline. A nurse is reviewing the medical record of a client who is at 26 weeks of gestation. Which of the following should the nurse identify as a risk factor for the development of preeclampsia? -Rheumatoid arthritis -BMI of 24 -Iron-deficiency anemia -Oligohydramnios Rheumatoid arthritis- the nurse should identify that connective tissue diseases, such as rheumatoid arthritis and systemic lupus erythematosus, increase a client's risk for preeclampsia. A nurse is caring for a client who is receiving oxytocin. Which of the following manifestations should the nurse report to the provider? -Urinary output of 120mL in 4hr -Nausea & vomiting without food consumption -More than 5 contractions in 10 mins -BP 110/70 mmHg More than 5 contractions in 10 mins- oxytocin is a hormone that stimulates uterine contractions. Common adverse effects include nausea, vomiting, headache, and hypotension. Uterine tachysystole is a medical emergency with manifestations such as more than 5 contractions in 10 min or single contractions lasting longer than 2 mins. A nurse is collecting data from a client who gave birth 18 hr ag. Which of the following finding should the nurse identify as an indication of a postpartum complication? -Temperature is 38 deg Celsius (100.4 deg Fahrenheit) -Fundus is palpable at 2 cm above the umbilicus -Lochia increases after breastfeeding -The perineal pad contains several small blood clots Fundus is palpable at 2 cm above the umbilicus- the fundus should be located at the level of the umbilicus during the first 24 hr postpartum, and decrease 1 cm each day after that. A fundus is palpable at a higher than expected level could be an indication of uterine atony, which can result in maternal hemorrhage. A nurse is caring for a client who is in preterm labor and is receiving betamethasone. Which of the following actions should the nurse take? -Check the client's blood pressure every 15 mins for 1 hr after administration -Monitor the client's magnesium level -Inject the medication into the client's vastus lateralis muscle -Inform the client that the medication can cause dizziness Inject the medication into the client's vastus lateralis muscle- the nurse should administer the medication IM into the vastus lateralis muscle and administer a second dose 24 hr later. A nurse is reinforcing education about the prevention of newborn abduction with a client who recently delivered. Which of the following statements should the nurse identify as an indication that the client understands the instructions? - "I can carry the baby back to the nursery in my arms." - "An alarm will sound if someone removes my baby's safety device." - "It is okay to send my baby back to the nursery with my mother." - "I can leave my baby in the bassinet while I take a shower." "An alarm will sound if someone removes my baby's safety device."- an alarm will sound if someone removes the newborn's safety device, or if someone transports the newborn past an established facility parameter. A nurse is reinforcing teaching with a client who is pregnant and will undergo a 1 hr oral glucose tolerance test. Which of the following instructions should the nurse include? -Provide a urine sample at the start of the test. -Fast for 12 hr before the test. -Avoid caffeine the morning of the test. Eat a low-carb diet 24 hr prior to test. Avoid caffeine the morning of the test- the client should avoid caffeine the morning of the test because it can increase glucose levels. A nurse is collecting data from a client who is a primigravida and has hyperthyroidism. Which of the following findings should the nurse expect? -Lethargy -Hoarseness -Diaphoresis -Cold intolerance Diaphoresis- diaphoresis, heat intolerance, and tachycardia are expected findings with hyperthyroidism. A nurse is reinforcing teaching about formula preparation with the mother of a newborn. Which of the following information should the nurse include? -Warmed formula can increase spitting up. -Overdiluted formula can result in inadequate growth. -The water used to prepare the formula must be sterile. -Formula left in the bottle can be given at the next feeding. Overdiluted formula can result in inadequate growth- overdiluted formulas can result in inadequate growth. Overly concentrated formula can stress the newborns renal system. A nurse is reinforcing teaching about a nonstress test with a client who is at 33 weeks of gestation. Which of the following statements should the nurse include? - "You will receive IV fluids throughout the test." - "You will press a button when you feel the baby move." - "You will need to avoid eating for 4 hours prior to the test." - "You will be prompted to massage your nipples for the test." "You will press a button when you feel the baby move."- the nurse should instruct the client that a nonstress test is noninvasive and does not require an IV infusion. A contraction stress test might require an IV infusion for the administration of oxytocin. A nurse is collecting data from a client who is 1 day postpartum. Which of the following findings should the nurse identify as an indication of infection?