A nurse is planning discharge for a client who is 3 days postpartum. Which of the
following non pharmacological interventions should the nurse include in
... [Show More] the plan
of care for lactation suppression?
A) Place warm, moist packs on the breast.
B) Apply cabbage leaves to the breast.
C) Wear a loose- fitting bra.
D) Put green tea bags on the breasts. - B) Apply cabbage leaves to the breasts.
A nurse is performing a physical assessment of a newborn. Which of the following
clinical findings should the nurse expect? ( Select all that apply).
Heart Rate 154/min
Axillary temperature 96.8 F
Respiratory rate 58/min
Length 43 cm (16.9in)
Weight 5lb 12 oz - Heart rate
Respiratory
Weight
A nurse is caring for a client and her partner who have experienced a fetal death.
Which of the following actions should the nurse take?
A) Take photos of the newborn to give to the parents.
B) Tell the parents that they can consider organ donations.C) Encourage the parents to avoid allowing older children to visit them in the
hospital.
D) Explain to the parents the need to name the newborn. - Take photos of the
newborn to give to the parents.
A nurse is caring for a client who is 36 weeks of gestation and has a prescription
for an amniocentesis. For which of the following reasons should the nurse prepare
the client for an ultrasound?
A) to estimate fetal weight
B) to locate a pocket of fluid
C) to determine multiparity
D) to pre-screen for fetal anomalies - B) to locate a pocket of fluid
A nurse in the antepartum clinic is assessing a client's adaptation to pregnancy. The
client states that she is, ''happy one min and crying the next.'' The nurse should
interpret the client's statement as an indication of which of the following?
A) Emotional lability
B) Focusing phase
C) Cognitive restructuring
D) Couvade syndrome - A) Emotional lability
A nurse is teaching a newly licensed nurse about collecting a specimen for the
universal newborn screening. Which of the following statements should the nurse
include in the teaching?
A) Obtain an informed consent prior to obtaining the specimen
B) Collect at least milliliter of the urine for the test
C) Ensure that the newborn has been receiving feedings for 24 hours prior to
obtaining the specimen.D) Premature newborns may have false negative tests due to immature
development of liver enzymes. - C) Ensure that the newborn has been receiving
feedings for 24 hrs prior to obtaining the specimen.
A nurse is assessing a newborn 12 hr after birth. Which of the following
manifestations should the nurse report to the provider?
A) Acrocyanosis
B) Transient strabismus
C) Jaundice
D) Caput succedaneum - c) jaundice
A nurse is assessing the newborn of a client who took a selective serotonin
reuptake inhibitor ( SSRI) during pregnancy. Which of the following
manifestations should the nurse identify as an indication of withdrawal from an
SSRI?
A) Large for gestational age
B) Hyperglycemia
C) Bradypnea
D) Vomiting - D) Vomiting
A nurse is assessing a newborn following a circumcision. Which of the following
should the nurse identify as an indication that the newborn is experiencing pain ?
A) Decreased heart rate
B) Chin quivering
C) Pinpoint pupils
D) Slowed respirations - B) Chin quiveringA nurse is demonstrating to a client how to bathe her newborn. In which order
should the nurse perform the following actions? ( Use all the steps and list them in
order)
A) Clean the newborn's diaper area
B) Wash the newborn's neck by lifting the newborn's chin.
C) Wipe the newborn's eyes from the inner canthus outward.
D) Cleanse the skin around the newborn's umbilical cord stump.
E) Wash the newborn's legs and feet. - C,B,D,E,A [Show Less]