Nurse is performing a newborn assessment, which of the following should the nurse identify as a sign of spina bifida occulta? Tuft of hair. 2) A nurse is assessing a client that is 12-hour post-par... tum, the client’s fundus is 2 fingerbreadths above the umbilicus, deviated to the right of midline, and less firm than previously noted. Which action should the nurse take? Assist the client to the restroom to void. 3) A nurse is teaching a client who is 36 weeks gestation and has a prescription for a nonstress test. Which of the following statements should the nurse include in her teaching? You will be offered orange juice and a snack during your test. 4) A nurse is admitting a client to the labor and delivery unit, when the client states, “My water just broke.” What is the nurses first action of priority? Monitor fetal heart rate. 5) Nurse is developing an educational program for adolescents about nutrition during the third trimester of pregnancy. Which of the following statements should the nurse include in the program? Consume three to four servings of dairy each day. 6) Nurse is assessing a client that is 38 weeks gestation during a weekly prenatal visit, which of the following findings should the nurse report to the doctor? Weight gain of 2.2 kg (4.8 pounds) 7) The nurse is providing discharge teaching to the parents of a newborn about using a car seat properly. Which of the following instructions should the nurse include? Position the car seat rear facing, in the back seat of the vehicle. 8) A nurse is preparing to collect a blood specimen from a newborn via heel stick, which of the following techniques should the nurse use to help minimize the pain? Place the newborn skin to skin on the mother’s chest. [Show More]
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