a nurse is caring for a pt who is pregnant for the 4th time, she delivered 2 full term newborns and had one spontaneous abortion at 10wk of gestation, the
... [Show More] ob history is
G4 P2
a nurse is caring for a pt who is in the latent phase of labor, what clinical manifestation should the nurse expect
talkative
a nurse is conducting an infertility assessment for a newly admitted pt, what factor should the nurse identify as affecting the pt's fertility
premature ovarian failure
a nurse is caring for a newborn who has a blood glucose of 45mg/dl, what action should the nurse take
encourage the mother to breastfeed the newborn
a nurse is providing teaching about pain management to a young adult client who has dysmenorrhea, what instructions should the nurse include
use a heating pad on your lower abdomen when experiencing pain
a nurse is caring for a pt who has placenta previa, what interventions should the nurse implement for this pt
frequently assess the maternal HR
initiate bed rest with bathroom privileges
have O2 equipment available
a nurse is caring for a pt who is at 14 weeks of gestation and has hyperemesis gravidarum, what med should the nurse plan to administer
vitamin B6
a nurse is providing teaching to a pt about depot medroxyprogesterone acetate, what info should the nurse include in the teaching
loss of bone mineral density can occur
a nurse is providing teaching to a pt about pap tests, what information should the nurse include in the teaching
avoid having sex for 48h prior to the pap test
a nurse is caring for a pt who is in active labor and notes late decelerations in the FHR on the external fetal monitor, what actions is the nurse's priority
change the pt's positions
a nurse is caring for a pt who is in active labor and notes early decels of the FHR on the fetal monitor tracing, the nurse should identify that which of the following conditions causes early decels in the FHR
head compression
a nurse is providing teaching to a group of young adult women about risk factors for ovarian cancer, what should the nurse include
nulliparity
high-fat diet
hormone replacement therapy
a nurse is preparing to administer a repeat dose of butorphanol to a pt who is in labor, what finding should the nurse identify as a contraindication to the administration of the medication
respiratory rate 11/min
a nurse is teaching a pt about using an IUD for contraception, what statement by the pt indicates an understanding
i should check for the string each month after menstruation
a nurse is preparing to administer nalbuphine to a pt who is in active labor, the pt requests a bedpan to have a bowel movement, what should the nurse do first
evaluate the client's cervix
a nurse is caring for a pt who is at 38 weeks of gestation and is experiencing continuous abdominal pain and vaginal bleeding, the pt has a history of cocaine use, the nurse should identify that the pt is likely experiencing what complication
abruptio placentae
a nurse is caring for a pt at 39 weeks of gestation who is in active labor and had a positive GBS culture at 36 weeks of gestation, what action should the nurse take
administer prophylactic antibiotics
a nurse is reviewing a pt's medical records and notes that the pt is taking tamoxifen, the pt should identify that this is used to treat
breast cancer
(estrogen receptor blockers)
a nurse is assessing a pt who gave birth 1 week ago, the client states "i don't know what's wrong , i love my baby, but i feel so let down, and i seem to cry for no reason" the nurse should identify that this is
postpartum blues
(1-10 days after the birth, depression is 1-12 months after birth)
a nurse is teaching the parents of a newborn how to care for their son's uncircumcised penis, what instruction should the nurse include
wash the penis once per day with soap and water
a nurse is planning care for a pt who is in labor and has an active varicella zoster infection with skin lesions, what actions should the nurse include in the plan of care
administer varicella-zoster immune globulin (VZIG) to the newborn shortly after birth
a nurse is perfroming an assessment on a pt who is 24hr postpartum, the nurse palpates the fundus to be boggy, 3cm above the umbilicus, and is displaced to the right, what actions should the nurse take first
assist the pt to the bathroom to void
a nurse is caring for a pt who is receiving oxytocin to augment labor, the pt has an intrauterine pressure catheter and an internal fetal scalp electrode for monitoring, what is an indication that the nurse should discontinue the infusion
contraction duration of 100 seconds
a nurse is caring for a pt who is postoperative following a mastectomy, the pt expresses concern about losing her femininity and fears that she will no longer be attractive to her partner, what is a therapeutic response by the nurse
clarify the pt's concerns about her body image [Show Less]