One hour after delivery, the nurse is unable to palpate the uterine fundus of a client who had an epidural and notes a large amount of lochia on the
... [Show More] perineal pad. The nurse massages at the umbilicus and obtains current vital signs. Which intervention should the nurse implement next?
(Ans- Palpate the suprapubic area for bladder distention
After breast-feeding 10 minutes at each breast, a new mother calls the nurse to the postpartum room to help change the newborns diaper. As the mother begins the diaper change, the newborn spits up the breast milk. What action should the nurse implement first?
(Ans- Turn the newborn to the side and bulb suction the mouth and nares
A client delivers a viable infant, but begins to have excessive uncontrolled vaginal bleeding after the IV Pitocin is infused. When notifying the hcp of the clients condition, what information is most important for the nurse to provide?
(Ans- Maternal Blood pressure
The nurse is caring for a newborn infant who was recently diagnosed with congenital heart defect. Which assessment finding warrants immediate intervention by the nurse?
(Ans- Bluish tinge to the tongue
A client who delivered a healthy newborn an hour ago asks the nurse when can she go home. Which information is most important for the nurse to provide the client?
(Ans- When there is no significant vaginal bleeding
A client at 33- weeks gestation is admitted with a moderate amount of vaginal bleeding and no contractions are noted on the external monitor. Which intervention should the nurse implement?
(Ans- Weight perineal pads
A client at 20 weeks gestation comes to the antepartum clinic complaining of vaginal warts (human papillomavirus). What information should the nurse provide this client?
(Ans- Treatment options, while limited due to the pregnancy, are available
One week after missing her menstrual period, a woman performs an OTC pregnancy test and it is positive. Which hormone is responsible for producing the positive result?
(Ans- Human chorionic gonadotrophin
A new mother, who is lacto-ovo vegetarian, plans to breastfeed her infant. What information should the nurse provide prior to discharge?
(Ans- Continue prenatal vitamins with B12 while breast feeding
A primigravida at 36-weeks gestation, who is Rh negative, experienced abdominal trauma in a motor vehicle collision. Which assessment finding is most important for the nurse to report to the health care provider?
(Ans- Positive fetal hemoglobin test
The nurse is caring for a postpartal patient who is exhibiting symptoms of spinal headaches 24 hours following delivery of a normal newborn. Prior to anesthesiologists's arrival on the unit, which action should the nurse perform?
(Ans- Place procedure equipment at bedside
The nurse is counseling a client who is at 6 weeks gestation and is experiencing morning sickness, but does not want to take any drugs for this discomfort. Which herbal supplement is likely to help this client with the nausea she is experiencing?
(Ans- Ginger [Show Less]