Description

A nurse is assessing a client who is 14 hr postpartum and has a third-degree her new laceration. The clients temperature is 37.8°C (100°F), and her fundus is firm and slightly deviated to the right. The client reports a gush of blood when she ambulates and no bowel movement since delivery. Which of the following actions should the nurse take? Assist the client to empty her bladders a nurse is caring for a client who is in labor and is receiving IV oxytocin. The nurse notes contractions lasting 3 min each. What action should the nurse take? Stop the oxytocin infusion AD A nurse is assessing a 12-hour old newborn notes mild jaundice of the face and trunk. Which of the following actions should the nurse take? Obtain a stat prescription for bilirubin level A nurse is caring for a client in the third trimester of pregnancy who reports difficulty sleeping. Which of the following instructions should the nurse provide? Use additional pillows to support extremities and abdomen A nurse is providing care to a client who is in labor. A fetal heart tracing shows early decelerations. Which of the following actions should the nurse take? Continue to monitor the fetal heart tracing. A nurse on the antepartum unit is caring for a client who is at 28 weeks gestation and reports dizziness when lying on her back. Into which of the following positions should the nurse assess the client? Lateral A nurse is providing teaching for a client at seven weeks of gestation who is experiencing nausea and vomiting. Which of the following client statements indicates to the nurse and understanding of the teaching? I should have a small snack before bedtime A nurse is assessing a client who is at 36 weeks of gestation which of the following manifestations should the nurse recognize as a potential prenatal complication and report to the provider? Double vision A nurse is assessing a client who is at 34 weeks gestation and has a cardiac disorder the nurse should notify the provider about which of the following assessment findings? The client reports a frequent cough A nurse is caring for a client who is in labor the client speaks a different language than the nurse and he's been missing. Which of the following actions should the nurse take while waiting for an interpreter? Change the clients position A nurse is providing teaching for a client who is pregnant and has type one diabetes mellitus. Which of the following statements should the nurse include in the teaching? You should expect to decrease your insulin dosage immediately after you deliver your baby A nurse is caring for a client in labor and observes a pattern of early decelerations on the fetal monitor. Which of the following actions should the nurse take? Document the findings and continue to monitor AD A nurse is preparing to administer naloxone to a newborn. Which of the following conditions can require administration of this medication? IV narcotics administered to the mother during labor A nurse is caring for a client labor who has an epidural for pain relief. Which of the following is a complication of the epidural block? Hypotension A nurse at a prenatal clinic is teaching a client how to perform a kick count. Which of the following statements should the nurse include in the teaching? Before bedtime is a good time to start counting the kicks A nurse is teaching a group of clients who are pregnant about vitamin K for newborns. Vitamin K helps prevent which of the following conditions in a newborn? Intracranial hemorrhage A nurse is caring for a newborn who has neonatal abstinence syndrome which of the following Clinical findings should the nurse expect? Exaggerated reflexes A nurse is creating a plan of care for a client who is in the active stage of labor and expresses a desire to use nonpharmacological methods of pain relief. Which of the following intervention should the nurse include? Assist the client into a warm shower A nurse is providing teaching to a client who has come to the family planning clinic requesting an intrauterine device IUD. Which of the following pieces of information should the nurse provide to the client? Your risk for ectopic pregnancy increases with an IUD A nurse is teaching a client who is pregnant and has pre-gestational diabetes about dietary changes. Which of the following statements should the nurse include in the teaching? Carbohydrates should make up 55% of your diet A provider does a client at 12 weeks gestation who practices Hinduism that she needs more protein in her diet and suggest eating more meat after the provider leaves the examination room the client tells the nurse that eating animal products will cause her to miscarry. Which of the following responses should the nurse make? Let's discuss other foods that are also high in protein that you can substitute for meat A nurse is caring for a client who is in labor. A vaginal examination reveals the following findings: 2 cm, 50%, +1, right occiput anterior (ROA). Based on this information, which of the following fetal position should the nurse document in the medical record? Vertex AD A nurse is teaching a client about squatting exercises during pregnancy. Which of the following statements should the nurse include? These exercises should be done for 15 minutes each day to strengthen the peroneal muscles A nurse is providing care to a client who is 12 hours postpartum and is receiving oxytocin IV. The client asked 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