A nurse is assessing the respiratory status of a newborn who was born 2 hours ago. Which of the following findings should the nurse identify as a
... [Show More] manifestation of respiratory distress?
Expiratory grunting
A nurse in a providers office is caring for a client who is in the first trimester of pregnancy. Which of the following psychological tasks should the nurse expect the client to accomplish during this trimester?
Accepting the pregnancy
The parents of a child with phenylketonuria ask the nurse if their second unborn child could have the same condition. The nurse should base the response on which of the following inheritance patterns responsible for PKU?
Autosomal recessive
A nurse in an antepartum clinic is caring for a client who is at 24 weeks gestation. Which of the following findings should the nurse report to the provider?
Frequent Headaches
A nurse is caring for a client who experienced a fetal loss. When initiating communication with this client. Which of the following statements should the nurse make?
I’m here for you if you would like to talk
A nurse is assessing a client who is at 35 weeks gestation and has mild gestational hypertension. Which of the following findings should the nurse identify as the priority?
480 mL urine output in 24 hours
A nurse is caring for a client at 34 weeks gestation who presents with vaginal bleeding. Which of the following assessments will indicate whether the bleeding is caused by placenta previa or an abruptio placenta?
Uterine tone
A nurse is caring for a client who has a BMI of 22.6 and expresses concern about weight gain during pregnancy. Which of the following responses should the nurse make?
Gaining weight will promote a healthy pregnancy
A nurse is determining an Apgar score for a newborn who was born 1 minute ago. For which of the following findings should the nurse assign a score of 1?
Weak cry
A nurse is caring for a client who is 12 hour postpartum. Which of the following interventions should the nurse implement?
Administer ferrous sulfate orally
A nurse in the labor and delivery suite is planning care for a group of 4 clients. Which of the following clients should the nurse see first?
A client who is in active labor and has late decelerations on the fetal heart monitor strip
A nurse is caring for a client at 37 weeks gestation who is undergoing a nonstress test. The fetal heart rate is 130/min without acceleration for the past 10 min. which of the following actions should the nurse take?
Use vibroacoustic stimulation on the clients abdomen for 3 sec
A nurse is caring for a client who has a prescription for naloxone. Which of the following is the intended action of the medication in relation to the central nervous system?
Block the effects of narcotics on the CNS
A nurse is providing care for a pregnant adolescent who is at 12 weeks gestation and verbalizes a fear of gaining weight during pregnancy. Which of the following actions should the nurse take?
Provide examples of how eating well will help maintain a healthy weight during pregnancy.
A nurse is providing care to a client who is 2 hour postpartum and is receiving an oxytocin iv. The client asks the nurse, “ why is there so little bleeding”? which of the following responses should the nurse make?
The bleeding is minimal until I discontinue your iv medication
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