A nurse is providing teaching about danger signs during pregnancy to a client who is at 20 weeks of gestation. The nurse should instruct the client to
... [Show More] report headaches, blurred vision, and epigastric pain because these are indications of which of the following complications of pregnancy?
Gestational diabetes
Preeclampsia
Hyperemesis gravidarum
Abruptio placentae
Preeclampsia
A nurse is caring for a patient who is in early labor and has a fetus in the occipitoposterior presentation. The client reports pain in their lower back with contractions. Which of the following pain management techniques is most likely to be effective in relieving low back pain caused by this type of fetal presentation?
Counterpressure
Effleurage
Therapeutic touch
Breathing techniques
Counterpressure
A nurse is assigning a 1-minute Apgar score to a newborn who is crying loudly. The newborn has a heart rate of 140/min, has well flexed arms and legs, grimaces when the nurse rubs the soles of their feet, and is pink with mild acrocynosis. What Apgar score should the nurse assign to this newborn?
8
A nurse is assessing the fundal height for a client who is at 28 weeks of gestation. The nurse should measure the distance in centimters between which two anatomicall landmarks?
the mons pubis and the xiphoid process
The top of the fundus and the umbilicus
The symphysis pubis and the top of the fundus
The mons pubis and the umbilicius
The symphysis and the top of the fundus
A nurse is teaching the parents of a newborn about bathing techniques. Which of the following instructions should the nurse include?
Bathe the newborn once per day.
Bathe the newborn after a feeding.
Clean the newborn's face first using plain water.
Clean the newborn's ears and nose with cotton swabs.
Clean the newborn's face first using plain water.
A nurse is providing teaching about breastfeeding to a client who gave birth 8 hours ago. Which of the following information should the nurse include?
The newborn should be fed six times in 24 hr.
The newborn should have six wet diapers per day after day 4.
The breasts will become engorged within 24 hr of the first feeding.
The newborn should be breastfed on a set schedule
The newborn should have six wet diapers per day after day 4.
A nurse is providing discharge teaching to a client who is 3 days postpartum and is formula feeding their newborn. Which of the following instructions should the nurse include when discussing engorgement?
Apply ice packs to the breasts for 15 min to relieve swelling and discomfort.
Wear a loose-fitting bra for 1 week to minimize pressure on the breasts.
Manually express small amounts of breastmilk three times per day.
Allow warm water from a shower to run over the breasts twice a day.
Apply ice packs to the breasts for 15 min to relieve swelling and discomfort.
The nurse is teaching circumcision care to the parents of a newborn who was circumcized using the Gomco clamp method. Which of the following instructions should the nurse include? (Select all that apply).
Apply petroleum jelly to the penis with each diaper change for one week.
Cleanse the penis with warm water and mild soap twice a day.
Apply gentle pressure from a sterile gauze pad to control slight bleeding.
Gently remove any yellow exudate that forms on the circumcision site.
Apply the diaper loosely over the penis.
Apply petroleum jelly to the penis with each diaper change for one week.
Apply gentle pressure from a sterile gauze pad to control slight bleeding.
Apply the diaper loosely over the penis.
A nurse is assessing a newborn who was born 2 days ago. Which of the following findings should the nurse report to the provider?
Blackening of the stump of the umbilical cord
Redness of the skin at the base of the umbilical cord stump
Scant amount of dried blood on the skin around the umbilical cord stump
Hardening of the umbilical cord stump
Redness of the skin at the base of the umbilical cord stump
A nurse is performing a gestational age assessment using the New Ballard Score. Which of the following findings should indicate to the nurse that the newborn is preterm?
Flexion of the extremities at rest
Creases over the entire plantar surface
Leathery skin
Flat areola
Flat areola [Show Less]