After repeating the vital signs for a newborn who is 4 hours old, the practical nurse (PN) obtains an
axillary temperature of 97.2 F and places the newborn under a radiant heat warmer. Which additional
finding should the PN observe in the newborn? - Tremors of the hands during crying.
Which information should the practical nurse (PN) provide the parents about the purpose of instilling
erythromycin (llotycin) ophthalmic ointment in the newborn's eyes. - Prophylactic treatment for
gonorrheal and chlamydia infection.
What is the most important action by the practical nurse (PN) in preventing neonatal infection? - Hand
washing.
a client who took iron supplements during pregnancy delivers and infant by cesarean section. On the
second postpartum day, the client reports having a constipated stool that is greenish-black in color.
Which action should the practical nurse (PN) implement? - Record color and consistency of the stool.
A client is 5 weeks pregnant call the clinic to report that her home pregnancy test is positive. She asks
what she should be concerned about during the weeks before her first visit. Which signs and symptoms
should the practical nurse (PN) tell the client to report immediately to the healthcare provider? (select
all that apply) - A. Vaginal bleeding
D. Membrane rupture
E. Severe headaches
A 3-day-old newborn who weighed 7 pounds, 8 ounces at birth is breast feeding and now weighs 6
pound and 15 ounces. Which action should the practical nurse take? - Document the weight loss
Which medication is prescribed for the prevention of ophthalmia neonatorum? - Erythromycin (iilotycin)
A multiparous client's membranes rupture after 8 hours of labor. which action should the practical nurse
implement at this time? - Assess the fetal heart rate (FHR) and pattern.
The practical nurse (PN) palpates fundal height at the umbilicus of a multiparous client who has just
given birth to an 8-pound boy when dark red blood comes from the client's vagina. What action is most
important for the PN to implement? - Continue to massage the fundus until firm.
Which client should the practical nurse (PN) closely monitor for severe after pains? - A multigravida who
is breastfeeding.
The practical nurse (PN) is assessing a client 2 hours after a vaginal delivery of a 7-pound 3-ounce
newborn and determines the client's bladder is distended. Which additional finding should the PN
report to the charge nurse? - Excessive bleeding on the perineal pad.
The practical nurse (PN) places a newborn who is 4 hours old with an axillary temperature of 97.2 F
under the radiant heat warmer. Which rationale supports the PN's action? - The newborn's thin layer of
subcutaneous fat provides poor insulation.
Which strategy should the practical nurse (PN) implement to prevent a puerperal infection for a client
during the first postpartum week? - Implement strict medical and aseptic technique.
Which client is a candidate for the administration of human immune globulin (RhoGam) after delivery? -
The Rh-negative mother who delivers a Rh-positive baby.
Which physiological cause(s) for constipation during pregnancy should the practical nurse (PN) explain
to a client in the first trimester? (Select all that apply.) - A. Displacement of the colon.
A 14-week gestational client, who weighed 125 pounds before pregnancy, comes into the health clinic
for a prenatal appointment. The client's weight today is 129 pounds. What action should the practical
nurse (PN) implement? - Document the finding in the medical record.
The practical nurse (PN) is reviewing the informational packets with a client who is at risk for
preeclampsia. Which information is most important for the PN reinforce with the client? - Notify the
clinic if any vision changes are experienced.
A primigravida at 33-weeks gestation is admitted after being involved in a motor vehicle collision (MVC).
The client has no complaints of abdominal pain and no evidence of vaginal bleeding. Which action
should the practical nurse (PN) anticipate implementing for the client? - Obtain a biophysical profile.
A primigravida client asks the practical nurse (PN). "How will i know that I will be going into labor soon?"
Which sign should the PN provide that is a common sign? - Burst of energy.
A primigravida client who is at 39-weeks gestation arrives at the clinic and tells the practical nurse (PN)
she is having contractions every 5 minutes. The healthcare provider determines she is dilated 3 cm and
in early labor. What action should the practical nurse (PN) implement when the client groans with each
contraction? - Demonstrate simple relaxation measures.
A primiparous client asks the practical nurse (PN) how much her newborn baby should sleep every day.
What information should the PN provide? - A newborn sleeps most of the day and gradually will have
increasing periods of wakefulness.
The mother asks the practical nurse (PN) what her infant may need if the phenylketonuria(PKU) test is
positive. What type of treatment should the PN tell the mother will be required? - Lifelong dietary
management.
The practical nurse (PN) is discussing aspects of newborn hygiene with the new parents as they prepare
for discharge. Which information should the PN provide? - Create a draft-free environment when
bathing the baby.
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