A charge nurse on a labor and delivery unit is teaching a newly licensed nurse how to perform Leopoid maneuvers. Which of the following images indicates
... [Show More] the first step of Leopoid maneuvers? - ANSPicture of nurse palpating top of belly; where bottom is
A nurse administers betamethasone to a client who is at 33 weeks gestation to stimulate fetal lung maturity. Which planning care for the newborn, which of the following conditions should the nurse identify as an adverse effect of this medication?
Hyperthermia
Decreased blood glucose
Rapid pulse rate
Irritability - ANSDecreased blood glucose
Betamethasone causes hyperglycemia in the client, which predisposes the newborn to hypoglycemia in the first hours after delivery. It is important to assess the newborn's blood glucose level within the first hour following birth and frequently thereafter until blood glucose levels are stable.
A nurse at a prenatal clinic is caring for a client who suspects she may be pregnant and asks the nurse how the provider will confirm her pregnancy. The nurse should inform the client that what lab test will be used to confirm her pregnancy?
a. urine test for presence of HCG
b. urine test for the presence of HCS
c. blood test for presence of estrogen
d. blood test for the amount of circulating progesterone - ANSa. urine test for presence of HCG
A nurse in a family planning clinic is caring for a client who requests an oral contraceptive. Which of the following findings in the client's hx should the nurse recognize as a contraindication to oral contraceptives? (SATA) - ANSCholecystitis is correct.
A history of gallbladder disease is a contraindication for the use of oral contraceptives.
Hypertension is correct.
Hypertension is a contraindication for the use of oral contraceptives.
Human papillomavirus is incorrect.
The presence of human papillomavirus is not a contraindication for the use of oral contraceptives.
Migraine headaches is correct. A history of migraine headaches is a contraindication for the use of oral contraceptives.
Anxiety disorder is incorrect. The presence of an anxiety disorder is not a contraindication for the use of oral contraceptives.
A nurse in a prenatal clinic is assessing a group of clients. Which of the following clients should the nurse see first? - ANSA client who is at 11 weeks of gestation and reports abdominal cramping
A nurse in a prenatal clinic is caring for a client who is within the recommended guidelines for weight. The client asks the nurse how much weight is safe for her to gain during her pregnancy. Which of the following responses should the nurse make?
"Your provider can discuss an appropriate amount of weight gain with you."
"A weight gain of about 14 pounds each trimester is suggested."
"If you eat nutritious foods when you feel hungry, the amount of weight gain is insignificant."
"A weight gain of about 25 to 35 pounds is good." - ANSA weight gain of about 25-35 pounds is good
A weight gain of 25 to 35 lb is associated with good fetal outcome. A gain of 4 lb in the first trimester and 12 lb each for the second and third trimester is recommended.
A nurse in a prenatal clinic is caring for a client who reports that her menstrual period is 2 weeks late. The client appears anxious and asks the nurse if she is pregnant. Which of the following responses should the nurse make? - ANSA. "You can miss your period for several other reasons. Describe your typical menstrual cycle."
B. "If you have been sexually active and haven't used protection, it is likely that you are pregnant."
C. "Let's check to see if you have any other signs of pregnancy. Have you noticed any abdominal enlargement yet?"
D. "Because you have missed your period, you should try taking a home pregnancy test before you start worrying."
Answer: "You can miss your period for several other reasons. Describe your typical menstrual cycle."
A. "You can miss your period for several other reasons. Describe your typical menstrual cycle."
Amenorrhea is a presumptive sign of pregnancy, not a positive sign. Therefore, the nurse should explore the client's menstrual cycle to determine other necessary interventions.
B. "If you have been sexually active and haven't used protection, it is likely that you are pregnant."
The nurse's response is assuming and confirming that the client is pregnant based only on the client's statement, which can increase the client's anxiety level.
C. "Let's check to see if you have any other signs of pregnancy. Have you noticed any abdominal enlargement yet?"
The nurse's response is making a false assumption that the client is pregnant based only on the client's statement. The nurse should gather more information from the client before making any false assumptions.
D. "Because you have missed your period, you should try taking a home pregnancy test before you start worrying."
The nurse's response dismisses the client's concerns and does not answer or address the client's question, which can increase the client's anxiety level.
A nurse in a provider's office is reviewing the medical record of a client who is in the first trimester of pregnancy. Which of the following should the nurse identify as a risk factor for the development of preeclampsia - ANSPregestational Diabetes Mellitus
A nurse in a women's health clinic is providing teaching about nutritional intake to a client who is at 8 weeks of gestation. The nurse should instruct the client to increase her daily intake of which of the following nutrients? - ANSA. Calcium
B. Vitamin E
C. Iron
D. Vitamin D
Answer: Iron
A. Calcium
The recommendation for calcium intake during pregnancy is the same as that for women who are not pregnant: 1,300 mg/day for women younger than 19 years old and 1,000 mg/day for women between the ages of 19 and 50 years old.
B. Vitamin E
The recommendation for vitamin E intake during pregnancy is 15 mg/day, the same as that for women who are not pregnant.
C. Iron
The recommendation for iron intake during pregnancy is higher than that for women who are not pregnant. For women who are pregnant, it is 27 mg/day. For women who are not pregnant, it is 15 mg/day for women younger than 19 years old and 18 mg/day for women between the ages of 19 and 50 years old.
D. Vitamin D
The recommendation for vitamin D intake during pregnancy is 600 IU/day, the same as that for women who are not pregnant.
A nurse in an antepartum clinic answers a phone call from a client who is at 37 weeks of gestation and reports, "I become very dizzy while lying in bed this morning, but the feeling went away when I turned on my side." Which of the following actions should the nurse take?
Instruct the client about vena cava syndrome and measures to prevent it.
Arrange for the client to come to the clinic for an assessment.
Check the client's chart for gestational diabetes mellitus.
Schedule a nonstress test for the client. - ANSInstruct the client about vena cava syndrome and measures to prevent it
This is the typical finding of vena cava syndrome, or hypotension that occurs in clients who are pregnant upon assuming a supine position. It is caused by compression of the inferior vena cava by the gravid uterus with a consequent reduction in venous return. A side lying position promotes uterine perfusion and fetoplacental oxygenation.
A nurse in an antepartum clinic is assessing a client who is at 32 weeks of gestation. Which of the following findings should the nurse report to the provider? - ANSReports of decreased fetal movement
A nurse in an antepartum clinic is providing care for a client who is at 26 weeks of gestation. Upon reviewing the client's medical record, which of the following findings should the nurse report to the provider? - ANSFundal Height Measurement
A nurse in the antepartum clinic is assessing a client's adaptation to pregnancy. The client states that she is, "happy one minute and crying the next." The nurse should interperate the client's statement as an indication of which of the following? - ANSA. Emotional lability
B. Focusing phase
C. Cognitive restructuring
D. Couvade syndrome
Answer: Emotional lability
A. Emotional lability
The nurse should recognize and interpret the client's statement as an indication of emotional lability. Many clients experience rapid and unpredictable changes in mood during pregnancy. Intense hormonal changes may be responsible for mood changes that occur during pregnancy. Tears and anger alternate with feelings of joy or cheerfulness for little or no reason.
B. Focusing phase
The focusing phase is the third phase of the father's emotional response to the pregnancy. It is characterized by his active involvement in the pregnancy and his relationship with the child.
C. Cognitive restructuring
Cognitive restructuring is accepting the idea of pregnancy and assimilating it into the woman's life. The degree of acceptance is shown in the mother's emotional responses.
D. Couvade syndrome
Couvade syndrome is pregnancy-like manifestations experienced by the expectant father. Manifestations include nausea, weight gain, and other physical manifestations of pregnancy.
A nurse is administering a rubella immunization to a client who is 2 days postpartum. What statement indicates to the nurse the client needs further instruction?
a. I cannot receive rubella immunization during pregnancy
b. I can conceive anytime i want after 10 days
c. I can continue to breastfeed
d. I wills till need to have my provider perform a rubella titer with my next pregnancy - ANSb. I can conceive anytime i want after 10 days
A client who receives a rubella immunization should not conceive for at least 1 month after receiving the rubella immunization to prevent injury to the fetus.
A nurse is admitting a client to the labor and delivery unit when the client states, "My water just broke". Which of the following interventions is the nurse's priority? - ANSBegin FHR monitoring
A nurse is admitting a client who is in labor and experiencing moderate bright red vaginal bleeding. What action should the nurse take?
a. obtain blood samples for baseline lab values
b. place a spiral electrode on the fetal presenting part
c. prepare the client for a transvaginal ultrasound [Show Less]