The nurse is providing care to a postpartum client with O negative blood who is antibody positive. The newborn is O negative. What is the best nursing
... [Show More] action for this client? - Correct answer-Ask the mother if she desires any more children.
The nurse is preparing a newborn for discharge. There is an order for a hepatitis B vaccination prior to discharge. When planning to administer the vaccination, what information must the nurse obtain from the infants chart? - Correct answer-Site of the vitamin K injection
The nurse instructs a laboring client to use accelerated blow breathing. The client begins to complain of tingling fingers and dizziness. Which action should the nurse take next? - Correct answer-Have the client breathe into her cupped hands.
The nurse is counseling a couple who has sought information about conceiving. The couple asks the nurse to explain when ovulation usually occurs. Which statement by the nurse is correct? - Correct answer-Two weeks before menstruation
A mother expresses fear about changing the infant's diaper after circumcision. What information should the nurse include in the teaching plan? - Correct answer-Place petroleum ointment around the glans with each diaper change and cleansing.
The clinic nurse takes a phone call from a client who reports she is at 12 weeks gestation. Which statements indicate to the nurse the client may be having a spontaneous abortion? (Select all that apply.) - Correct answer-"I am having severe abdominal cramping."
"I am passing blood clots from my vagina."
A 25-year-old client has a positive pregnancy test. One year ago she had a spontaneous abortion at 3 months of gestation. What will the nurse document in the client's chart regarding her GTPAL? - Correct answer-20010
A client in active labor is becoming increasingly fearful because her contractions are occurring more often than she had expected. Her partner is also becoming anxious. What is the nurse's best action? - Correct answer-Asking the client and her partner if they would like the nurse to stay in the room
What specific instructions will the nurse include in the pregnancy client's teaching plan who is also human immunodeficiency virus (HIV) positive? (Select all that apply.) - Correct answer-Use condoms when having sex.
Zidovudine prescription helps decrease risk of fetal exposure Breastfeeding is not recommended.
A 41-week multigravida is receiving oxytocin to augment labor. Contractions are firm and occurring every 5 minutes, with a 30- to 40-second duration. The fetal heart rate increases with each contraction and returns to baseline after the contraction. What is the next nursing action? - Correct answer-Increase the rate of the oxytocin infusion. [Show Less]