PN maternal newborn online practice 2020 A Already Passed

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PN maternal newborn online practice 2020 A Already Passed A nurse is caring for a client who is at 11 weeks of gestation and reports frequent vomiting. Which of the following findings should the nu... rse identify as an indication that the client has hyperemesis gravidarum ✔✔Ketonuria A nurse is collecting data from a client who is at 36 weeks gestation during a prenatal examination. Which of the following findings should the nurse report to the provider ✔✔blurred vision A nurse is caring for a newborn who has a high-pitched cry and does not respond to consoling efforts. Which of the following neonatal data collection tolls should the nurse expect to complete ✔✔Neonatal Abstinence scoring system A nurse is caring for a newborn who is receiving phototherapy. Which of the following actions should the nurse take ✔✔place an opaque mask over the newborn's eyes A nurse is collecting data from a newborn who is 8 hr old. which of the following findings should the nurse report to the provider ✔✔apical HR of 90/minute while crying A nurse is caring for a client 6 hr after a vaginal birth who is going to breastfeed her newborn. The client reports perineal pain of 6 on a scale of 1 to 10. The nurse also notes mild perineal edema and ecchymosis, with a fundus that is 2 cm above the umbilicus with deviation to the right. Which of the following actions in the nurse's priority ✔✔Help the client ambulate to the toilet A nurse is reinforcing teaching with a client who is at 20 weeks of gestation and has gestational diabetes mellitus. Which of the following should the nurse include in the teaching ✔✔Consume at least 2.000 cal/day A nurse is reinforcing teaching about risk factors for respiratory distress syndrome (RDS) in newborns with a group of clients who are pregnant. Which of the following risk factors should the nurse include ✔✔prematurity A nurse is caring for a client who is planning to become pregnant. The client asks the nurse why folic acid supplements are necessary. The nurse should inform the client that the purpose of folic acid supplements is to do which of the following? ✔✔prevent certain kinds of birth defects A nurse is reinforcing discharge teaching about methods to prevent engorgement during lactation suppression with a client who is bottle-feeding her newborn. Which of the following statements should the nurse identify as an indication that the client understands the instructions ✔✔I will apply cold cabbage leaves to my breasts throughout the day A nurse is assisting with the care of a client who is at 40 weeks of gestation and is in active labor. Which of the following findings should the nurse report to the charge nurse ✔✔prolonged decelerations of the FHR A client requests information about the use of a diaphragm for birth control. Which of the following statements should the nurse make? ✔✔You will need to replace the diaphragm every 2 years a nurse is reinforcing teaching with a client who is at 9 weeks gestation and reports frequent episodes of nausea and vomiting. Which of the following instructions should the nurse include? ✔✔consume small meals frequently each day A nurse on a postpartum unit is assisting in the care of a client who is experiencing hypovolemic shock. Which of the following actions should the nurse take? ✔✔insert an indwelling urinary catheter a nurse is assisting with planning care for a client who is breastfeeding and had mastitis. Which of the following recommendations should the nurse include ✔✔instruct the client to apply warm compresses to the affected breast A nurse is reinforcing teaching about care seat safety with the parent of a newborn. Which of the following client statements indicates an understanding of the teaching ✔✔if my baby rides in a car with no backseat, the passenger airbag must be turned off A nurse is planning to administer terbutaline to a client who is experiencing preterm labor. Which of the following routes of administration should the nurse plan to use ✔✔Subcutaneous A nurse is reviewing the laboratory results of a 4-hr-old newborn. Which of the following findings should the nurse report to the provider ✔✔platelet count 120,000/mm3 A nurse is caring for a client who is at 32 weeks gestation and has a prescription for nifedipine. Which of the following outcomes should the nurse expect from this medication ✔✔cessation of uterine contractions A nurse is reinforcing teaching about food sources that are high in folate with a group of clients who are pregnant. Which of the following foods should the nurse recommend to this group as a best source of folate? ✔✔1/2 cup dried peas A nurse is reinforcing teaching with a client who has asked about continuing routine exercise during pregnancy. Which of the following responses should the nurse make? ✔✔Drink plenty of water after exercising A nurse is caring for a client during the postpartum period. Which of the following findings should the nurse expect during the first 24-48 hr following the birth? ✔✔Diuresis Discharge of clear, yellow fluid from the breasts lower abdominal cramping A nurse in a maternal-newborn unit is caring for a newborn in the nursery. The newborn's grandfather asks is he may take the newborn to his daughter's room. Which of the following responses should the nurse make? ✔✔let me wash my hands and then ill take the baby to his mother a nurse is collection data from a client who is at 33 weeks of gestation. Which of the following findings should the nurse identify as an indication of a potential complication of pregnancy? ✔✔epigastric pain A nurse is assisting with collecting data from a newborn who was born 2 hr ago and had respiratory distress. Which of the following findings should the nurse report to the provider? ✔✔Tachypnea Nasal flaring retractions expiratory grunting A nurse is reinforcing family planning options with a client who is requesting information about contraceptives. Which of the following client statements indicates an understanding of the teaching ✔✔I can use a water-soluble lubricant when my partner wears a latex condom a nurse is assisting with the care of a client who is postpartum and is receiving magnesium sulfate IV by continuous infusion to treat preeclampsia. Which of the following findings should the nurse identify as manifestations of magnesium toxicity ✔✔Decreased respiratory rate polyuria decreased LOC double vision a nurse is reinforcing teaching with a client who has preeclampsia and is receiving magnesium sulfate via continuous IV infusion. Which of the following statements should the nurse include in the teaching ✔✔Your fluid intake will be limited to no more than 125 milliliters per hour a nurse in a prenatal clinic is caring for a group of clients. Which of the following clients should the nurse recommend the provider see first ✔✔a client who is at 37 weeks gestation and reports a persistent h/a A nurse is caring for a client who is at 30 weeks of gestation. Which of the following findings should the nurse report to the provider ✔✔2+ urinary protein A nurse is assisting with monitoring a newborn who is 3 days old and has received phototherapy. Which of the following laboratory results should the nurse recognize as an indication that the therapy has been effective ✔✔total bilirubin 5mg/dl a nurse is reinforcing teaching with a new parent about the prevention of newborn abduction. Which of the following statements by the parents indicates an understanding of teaching ✔✔i will ask the nurse to take my baby back to the nursery if i need to leave my room A nurse is collecting data from a newborn whose mother had gestational diabetes mellitus. Which of the following findings should the nurse report to the provider ✔✔blood glucose 28 mg/dl a nurse is collecting data from a client who is 32 hr postpartum. Which of the following findings should the nurse expect ✔✔urine output of 3.000 mL in 24 hr A nurse is reviewing the laboratory results of a client who is at 32 weeks of gestation. Which of the following laboratory findings should the nurse report to the provider ✔✔Hematocrit 30% a nurse in a prenatal clinic is caring for a client who is at 16 weeks gestation and has a positive hepatitis b test result. Which of the following actions should the nurse take ✔✔Explain to the client that they will receive the hepatitis B immune globulin immediately a nurse is reinforcing teaching about formula feeding a newborn with a group of new parents. Which of the following instructions should the nurse include ✔✔position the bottle at a 25 degree angle during feedings A nurse is reinforcing home care safety with the guardians of a newborn prior to discharge. Which of the following statement by the guardian indicates understanding of the teaching ✔✔I should place my baby's crib away from windows A nurse is observing a client bathe her 1-day-old newborn. Which of the following actions should the nurse identify as an indication that the client understands how to bathe the newborn? ✔✔The client washes the newborns hair before unwrapping them A nurse is reviewing the prenatal record of a client who is at 34 weeks gestation. Which of the following results should the nurse identify as a desirable outcome ✔✔reactive nonstress test A nurse is caring for a newborn who is large for gestational age and is jittery. Which of the following actions should the nurse take first ✔✔check the newborn's glucose level A nurse is caring for a client who is experiencing postpartum hemorrhage. Which of the following medications should the nurse expect the provider to prescribe ✔✔Methylergonovine A nurse is caring for a client who is at 20 weeks of gestation and is in the clinic for a routine prenatal visit. Which of the following findings in the data from the clients medical record should the nurse report to the provider ✔✔Fundal height A nurse on a postpartum unit is assisting with the care of a client who has a hypotonic uterus and excessive vaginal bleeding. Which of the following action should the nurse take first ✔✔Provide fundal massage for the client A nurse in an antepartum clinic is reinforcing teaching about how to prevent supine hypotension with a client who is at 16 weeks of gestation. Which of the following responses by the client indicates an understanding of the teaching ✔✔I will lie on my left side with my head elevated on a pillow A nurse is caring for a client who has received methylergonovine. Which of the following should the nurse identify and document as an adverse effect of the medication ✔✔Hypertension A nurse is reinforcing teaching with a client who is at 20 weeks of gestation and reports having constipation. Which of the following information should the nurse include ✔✔Consume 28 g of fiber per day A nurse is collecting data from a client who is in the second trimester of pregnancy. Which of the following findings should the nurse report to the provider ✔✔Frequent uterine contractions [Show More]

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