The perinatal nurse prepares the laboring woman for an epidural anesthesia insertion. In order to prevent maternal hypotension, the
... [Show More] nurse:
• Question 2
At 1 minute after birth the nurse assesses the infant and notes a heart rate of 80 beats/min., some flexion of extremities, a weak cry, slight grimacing, and a pink body but blue extremities. What is the Apgar score the nurse will calculate?
• Question 3
A patient with hypertension who is receiving intravenous magnesium sulfate therapy has requested an epidural anesthetic. The perinatal nurse should first review the patient’s complete blood count (CBC) results for:
• Question 4
After a precipitous birth the nurse encourages the woman to breastfeed her newborn. The primary purpose of this activity to do what?
• Question 5
Early this morning, an infant boy was circumcised using the PlastiBell method. The nurse tells the mother that she and the infant can be discharged after what event occurs?
• Question 6
According to agency policy, the perinatal nurse provides the following intrapartal nursing care for the patient with preeclampsia:
• Question 7
A nurse is assessing a newborn born to a mother who is addicted to drugs. Which assessment finding would the nurse expect to note during the assessment of this newborn?
• Question 8
A 30-year-old woman is being prepared for an epidural anesthesia. The perinatal nurse assists the anesthesiologist with the procedure and then positions the patient in a supine position. The patient’s blood pressure drops to 90/52 mm Hg and there is a decrease in the fetal heart rate to 110 bpm. The perinatal nurse’s best response is to:
• Question 9
While evaluating an external monitor tracing of woman in active labor, the nurse notes that the fetal heart rate (FHR) for five sequential contractions begins to decelerate late in the contraction, with the nadir of the deceleration occurring after the peak of the contraction. What is the nurse's first priority?
• Question 10
A newborn is jaundiced and receiving phototherapy via ultarviolet bank lights. An appropriate intervention when caring for an infant with hyperbilitubinemia and receiving phototherapy by this method is which of the following?
• Question 11
The pediatric nurse sees fracture of the ____________________ most often in infants as a result of birth trauma.
• Question 12
When planning care for a laboring woman whose membranes have ruptured, the nurse recognizes that the woman's risk for ____________ has increased.
• Question 13
For a woman at 42 weeks gestation, which finding would require more of an assessment by the nurse?
• Question 14
A young primigravida in latent phase of labor is requesting something for pain. Her BP is 110/70, P 90, R 18, T, 97.6. Fetal heart rate is 140 with moderate variability and is contracting irregularly every 3 - 5 minutes, palpates mild. Vaginal exam is 3cm, 90% effaced and - 2 with intact membranes. What non pharmacological management could you use? (select all that apply:)
• Question 15
The pThe perinatal nurse notes a rapid decrease in the fetal heart rate (FHR) that does not recover immediately following an amniotomy. What action should the nurse perform first?
• Question 16
A G2 TPAL 2002 patient experienced a precipitous birth 90 minutes ago. Her infant weighed 4200 grams and a repair of a second-degree laceration was needed following the birth. As part of the nursing assessment, the nurse discovers that the patient’s uterus is boggy and deviated to the right. Furthermore, it is noted that the patient’s vaginal bleeding has increased. The nurse’s most appropriate first action is to:
• Question 17
The nurse caring for the laboring woman should understand that early decelerations are caused by which of the following?
• Question 18
A client with Diabetes Mellitus gives birth to a 9 pound, 10 ounce neonate at 39 weeks gestation. Which of the neonate's serum levels should be assessed immediately after birth.
• Question 19
A newborn is place under a radiant heat warmer, and the nurse evaluates the infant's body temperature every hour. Maintaining the newborn's body temperature is important for preventing what risk?
• Question 20
What is the most critical nursing action in caring for the newborn immediately after birth?
• Question 21
A nurse is discussing the signs and symptoms of mastitis with a mother who is breastfeeding. What signs and symptoms should the nurse include in her discussion? Choose all that apply
• Question 22
The perinatal nurse understands that certain actions help to decrease the risk of hyperbilirubinemia in the newborn. These actions include:
• Question 23
You are evaluating the fetal monitor tracing of your client, who is in active labor. Suddenly you see the fetal heart rate (FHR) drop from its baseline of 125 down to 89. You reposition the mother, provide oxygen, increase intravenous (IV) fluid, and perform a vaginal examination. the cervix has not changed. Five minutes have passes and the fetal heart rate remains in the 80s. What additional nursing measures should you take?
• Question 24
A woman gave birth to a 7-pound, 6-ounce infant girl 1 hour ago. The birth was vaginal, and the estimated blood loss (EBL) was approximately 1500 ml. When assessing the woman's vital signs what would concern the nurse?
• Question 25
Obstetrical emergencies can occur during the laboring process and the nurses need to be prepared to respond. Which of the following are considered emergencies in labor? (select all that apply)
• Question 26
A nurse in the labor room is caring for a client in the active stage of labor. The nurse is assessing the fetal patterns and notes a late deceleration on the monitor strip. The appropriate nursing action is to:
• Question 27
A nurse is reviewing the physician’s orders for a client admitted for premature rupture of membranes. Gestational age of the fetus is determined to be 37 weeks. Which physician’s order should the nurse question?
• Question 28
What would the nurse expect when evaluating the effectiveness of oxytocin (pitocin) induction?
• Question 29
A wo A woman is receiving oxytocin (Pitocin) via infusion. The nurse assesses the following: uterine contractions lasting 100 seconds every 1.5 minutes, uterine resting tone 36 mm Hg, baseline fetal heart rate (FHR) 108 beats/minute with absent variability. What action by the nurse takes priority?
• Question 30
When a woman is diagnosed with postpartum depression (PPD) with psychotic features what behavior is a serious concern by the nurse?
• Question 31
The nurse expects to administer an oxytocic (e.g. Pitocin, Methergine) to a woman after expulsion of her placenta. What affect will this medication have on the patient?
• Question 32
After a precipitous delivery a nurse notes that the new mother is passive and only touches her newborn infant briefly with her fingertips. The nurse should do which of the following to help the woman process what has happened?
• Question 33
In assessing a newborn the APGAR score is essential to determine the ability of the newborn to transition to extra uterine life. What does the APGAR score assess? (select all that apply)
• Question 34
What three measures should the nurse implement to provide intrauterine resuscitation? Select the response that best indicates the priority of actions that should be taken?
• Question 35
The nurse is assessing a fetus using an external fetal monitor. The nurse notes that the fetus has a baseline heart rate of 125-135. The nurse would document this as:
• Question 36
The nurse has received a report about a woman in labor. The woman's last vaginal examination was recorded as 3 cm, 30%, and -2. What is the nurses interpretation of this report?
• Question 37
The nurse is caring for a client who has just delivered vaginal delivery. After assuring there is a patent airway, which of the following actions should b the nurse's next priority in the care of the neonate?
• Question 38
When assessing the newborn, the nurse should be aware that the average expected apical pulse range of a full term quiet alert newborn is which of the following?
• Question 39
A woman gave birth 48 hours ago to a healthy infant girl. She has decided to bottle feed. During your assessment you notice that both breasts are swollen, warm and tender on palpation. Which of the following treatment plans should the nurse educate the client with?
• Question 40
A G3 TPAL 2012 woman gave birth 12 hours ago to a 9 lb 13 oz daughter. The patient complains of abdominal cramping when she breastfeeds her infant. The perinatal nurse best describes this condition as:
• Question 41
Medications that are used to manage postpartum hemorrhage (PPH) include which of the following? (select all that apply)
• Question 42
A woman gave birth vaginally to a 9 pound 12 ounce girl yesterday. Her primary health care provider has written orders for perineal ice packs, use of a sitz bath TID and stool softener. What information is most closely correlated with these orders?
• Question 43
The nurse performs an assessment of the newborn’s skin and documents the presence of a yellow coloration of the skin surface, sclera, and oral mucous membranes. What condition is most likely the cause of these findings?
• Question 44
A laboring woman received Meperidine (Demerol) intravenously 90 minutes before she gave birth. Which medication should be available to reduce the postnatal effects of Demerol on the neonate?
• Question 45
A nurse has provided discharge instructions to a client who delivered a healthy infant by cesarean section. Which statement made by the client indicates a need for further instruction?
• Question 46
The perinatal nurse providing care to a laboring woman recognizes a non-reassuring fetal heart rate tracing. An appropriate initial action is to
• Question 47
A newborn goes through many changes at the time of delivery when transitioning to extrauterine life. What is the normal change that the nurse will observe?
• Question 48
A nurse is assessing a newborn born to a mother who is addicted to drugs. Which assessment finding would the nurse expect to note during the assessment of this newborn?
• Question 49
Pain should be assessed regularly in all newborn infants. If the infant is displaying physiologic or behavioral cues indicating pain, measures should b taken to manage the pain. Examples of nonpharmacologic pain management techniques include the following. (select all that apply)
• Question 50
The perinatal nurse is providing care to a 25-year-old G1 TPAL 0000 woman hospitalized with severe hypertension at 33 weeks’ gestation. The nurse is preparing to administer the second dose of b-methasone prescribed by the physician. The patient asks: “What is this injection for again?” The nurse’s best response is: [Show Less]