A nurse is assisting with the care of a client who is in the first stage of labor, the nurse observes the umbilical cord protruding from the vagina. Which
... [Show More] of the following actions should the nurse take? Correct ans - Apply internal upward pressure to the presenting part using two gloved fingers
A nurse is planning care for a client who is 2 hr postpartum. Which of the following interventions should the nurse plan to implement during the taking- hold phase of postpartum behavioral adjustment? Correct ans - Demonstrate to the client how to perform a newborn bath
A nurse is teaching a client who is at 36 weeks of gestation and has a prescription for a non-stress test. Which of the following statements should be included in the teaching? Correct ans - "You will be offered orange juice to drink during the test."
A nurse in a women's health clinic is providing teaching about nutritional intake to a client who is at 8 weeks of gestation. the nurse should instruct the client to increase her daily intake of which of the following nutrients? Correct ans - Iron
A nurse is caring for a client who is at 35 weeks of gestation and has placenta previa. Which of the following actions should the nurse take? Correct ans - Initiate continuous external fetal monitoring
A nurse is assessing fetal heart tones for a client who is pregnant. The nurse has determined the fetal position as left occipital anterior. To which of the following areas of the client's abdomen should the nurse apply the ultrasound transducer to assess the point of maximum intensity of the fetal heart? Correct ans - Left lower quadrant
A nurse is preparing to administer azithromycin to a client who is at 16 weeks of gestation and has a positive chlamydia culture. The prescription states "Administer azithromycin 1 g orally now". Available is 250mg tablets. How many tablets should the nurse administer? (Round to nearest whole number) Correct ans - 4 tablets
A nurse is caring for a newborn who is undergoing phototherapy to treat hyperbilirubinemia. Which of the following actions should the nurse take? Correct ans - Cover the newborn's eyes while under the phototherapy light.
A school nurse is providing teaching to an adolescent about levonorgestrel contraception. Which of the following information should the nurse include in
the teaching? Correct ans - "You should take the medication within 72 hours following unprotected sexual intercourse."
A nurse is providing teaching about family planning to a client who has a new prescription for a diaphragm. Which of the following statements should the nurse include in the teaching? Correct ans - "You should leave the diaphragm in place for at least 6 hours after intercourse."
A nurse is caring for a client who is at 22 weeks of gestation and reports concern about the blotchy hyperpigmentation on her forehead. Which of the following actions should the nurse take? Correct ans - Explain to the client this is an expected occurrence.
A nurse is teaching a client who is in preterm labor about terbutaline. Which of the following statements by the client indicates an understanding of the teaching? Correct ans - "I will have blood tests because my potassium might decrease."
A nurse is assessing the newborn of a client who took a SSRI during pregnancy. Which of the following manifestations should the nurse identify as an indication of withdrawal from an SSRI? Correct ans - Vomiting
A nurse is assessing a newborn who is 12 hours old. Which of the following manifestations requires intervention by the nurse? Correct ans - Substernal chest retractions while sleeping
A nurse in the antepartum clinic is assessing a client's adaptation to pregnancy. The client states that she is "happy one minute and crying the next." The nurse should interpret the client's statement as an indication of which of the following? Correct ans - Emotional lability
A nurse on the antepartum unit is caring for four clients. Which of the following clients should the nurse identify as the priority? Correct ans - A client who is at 34 weeks of gestation and reports epigastric pain
A nurse is assessing a client who is at 30 weeks of gestation during a routine prenatal visit. Which of the following findings should the nurse report to the provider? Correct ans - Swelling of the face
A nurse is providing discharge teaching to a client who is postpartum. For which of the following manifestations should the nurse instruct the client to monitor and report to the provider? Correct ans - Unilateral breast pain
A nurse is teaching a new mother how to use a bulb syringe to suction her newborn's secretions. Which of the following instructions should the nurse
include? Correct ans - Stop suctioning when the newborn's cry sounds clear.
A nurse is reviewing laboratory results of a newborn who is 4 hr old. Which of the following findings should the nurse report to the provider? Correct ans - Bilirubin 9 mg/dL
A nurse in a family planning clinic is caring for a client who requests an oral contraceptive. Which of the following findings in the client's history should the nurse recognize as a contraindication to oral contraceptives? (SATA) Correct ans - Cholecystitis
Hypertension Migraine headaches
A nurse is teaching a postpartum client about steps the nurses will take to promote the security and safety of the client's newborn. Which of the following statements should the nurse make? Correct ans - "Staff members who take care of your baby will be wearing a photo identification badge."
A nurse is teaching a client who has a new prescription for combined oral contraceptives about potential adverse effects of the medications. For which of the following findings should the nurse instruct the client to notify the provider? Correct ans - Shortness of breath
A nurse is caring for a client following an amniocentesis at 18 weeks of gestation. Which of the following findings should the nurse report to the provider as a potential complication? Correct ans - Leakage of fluid from the vagina
A nurse is calculating a client's expected DOB using Nagele's rule. The client tells the nurse that her LMP started on November 27th. Which is the client's expected DOB? Correct ans - September 3rd
A nurse is caring for a client who is at 41 weeks of gestation and has a positive con [Show Less]