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A nurse is reinforcing teaching client about umbilical

cord care to a new mother which is indicated that


client understanding the nurse's teaching?

I will report any drainage from my baby's umbilical cord


Rational:any discharge or foul odor should be report to
the provider

monitor intake and output

A nurse is caring for a newborn who is undergoing


photo-therapy which of the intervention should the
nurse include in teaching newborn plan of care?

Beans

A nurse in the provider's office is reinforcing teaching the


client who is trying to become pregnant, the nurse should
tells the client that adequate intake of what foods will help
to prevent neural tube birth defects?

A client reports that she is changing


peri-neal pads every 15 minutes

A nurse in a postpartum unit is receiveing a shift


change report for several clients, which of the
findings should the nurse reported to the provider?

you should suspended breastfeeding


while taking this medication

A nurse is reinforcing teaching client who has been RX


methronidazole(flagyl) which of the statement should the
nurse include in teaching after reviewing the Pt's chart?

Ketonuria

A client who is pregnant present to the prenatal clinic


w/report of frequent vomiting. What additional finding
should cause the nurse to report that the client
experiencing hyperemesis gravidarum/

BP 146/94 mmHg (indicate mild


preclampsia)

A nurse is caring for a client who is 35 wks of gestation.


reveals Hgb 12.0 g/dl,wgt 410.6bs,BP100/62,and a fundus
height of 31cm.which of the findings should the nurse
reported?

fetal heart tone with Doppler , use


Doppler @12wks is appropriate

A nusre is caring for client who is 12 wks of gestation


during the routine prenatal examination,the nurse
should expected this finding to be performed?

lentils, oyster, beef liver

A nurse is teaching to client who is 30wks of gestation and


has an iron-deficiency anemia, which foods should the
nurse include in primary sources of iron?

on her left side with her slightly


elevated

A client in her third trimester report for a Non-stress test


after explaining the procedure and assisting client into
the bed, the nurse should instruct the client to position
herself?

Prolong labor

A nurse is assisting with the care of client who is 2 hrs


postpartum which of concerns the nurse should recognize
as a risk factors for a postpartum hemorrhage?

cervical laceration

A nurse is collecting data from the client who is 1 day


postpartum. the nurse notes a slow trickle of bright re
blood, and a firm fundus that is 2 cm below the umbilicus,
the nurse recognize that these findings may include?

change position slowly when


taking this medication

A nurse in a provider's office for a therapy. a client who is


28wks of gestation and taking nifedipine(flagyl) the nurse
should include and reinforcing teaching client to?

intramuscular

A nurse is preparing to administer vit


K.(Aquamephyton) to a newborn what is the
route for this medication?

apply diaper loosely with each


diaper change

A mother called in to pediatric clinic asks for an advise to


take care of her newborn 3 days old circumcised because
her baby has yellow discharge at the tip of his penis?

nasal flaring, intercostal


retraction,Grunting

A nurse is assisting with the admission of a newborn


who has respiratory distress. while collecting data
which data should the nurse reported?

reactive

A client has just completed Non stress test. the nurse


notes two FHR acceleration of 15/min over a 20 -min
period,lasting at least 15 second the nurse recognize that
this indicate of what result?

Presence of drug-resistant
organism in urine

A nurse in the postpartum unit is reviewing the plan of


care for a client admitted 2 hrs ago following a vaginal
delivery. what findings should the nurse implement
contact precaution?

Gonorrhea

A nurse is apply Erythromycin oint. to eyes of


newborn after birth. the nurse understands that
the reason for that ointment is to prevent?

1 oral glucose tolerance test result


of 145mg/dl

A nurse in the provider's office is reviewing


lab test for a group of clients which findings
should the nurse reported to the provider?

the client will need to be placed in


low protein diet
Urine specimen cup

A nurse us caring for client in the antepartum clinic the


client has a family history of phenylketonuria(PKU) and
has tested positive. what should the nurse anticipating ?

A nurse in antepartum unit collecting data of client who is


35 wks of gestation and exhibiting sings of preeclampsia
which of supplies should the nurse obtain to determine
the presence of protein?

Oxytocin

A nurse is reinforcing teaching client about the let-down


reflex to a client who is breastfeeding the nurse should
instruct client that the let-down reflex is stimulated by
which of the maternal hormones?

Consume 28 g. of fiber per day

A client in the second trimester tells the nurse that


she has been very constipated. what should the
nurse recommended the client to do?

Redness on the calf, urinary


urgency,Dysuria,crackled nipple

A nurse is caring for a client who is 48 hr


postpartum following the vaginal delivery.which
findings should the nurse reported to the provider?

"I have a pain in the upper right


abdomen"

A Client who is 39 wks of gestation which


statement should alert the nurse to a
potential complication

Elevated the client's affected limb


to reduced the swelling

A nurse is caring for a client who has been


diagnosed with DVT which of the actions
should

The cerclage will be removed at


approx 37 wks of gestation

A nurse reinforcing teaching with client who is


experiencing preterm labor. The client has an
incompetent cervix and is scheduled for a cerclage. which
of the following the nurse should include in teaching?

Erythrocyte sedimentation rate of


34mm/hr

A nurse is collecting data from a client in the


postpartum unit which of findings should the
nurse reported?

Maintain increased hydration with


water

A nurse teaching related to an travel with


client in her 2 nd trimester the nurse should
include this in?

Serum Creatinine of 2.1mg/dl

A nurse in a prenatal clinic is caring for a client at her


first prenatal visit. which lab findings the nurse
should reported to the provider?

Provide the fundal massage

A nurse is collecting data from a client during a 4 stage of


labor, the client report a gush of bleeding from her
vagina, and the nurse observe a large clot. which of action
should the nurse take first?

January 22 ( determine the first day of LMP the add7


days and then counting forward 9 months
april 15 plus 7+= 22 counting forward 9 months= jan 22

A nurse is caring for a client at her first prenatal visit.


The first day of last menstrual period was April 15,
which is client expected date of birth(EDB)?

A frewuent headache with visual


changes

A nurse is collecting data from 28 years old client who is


requesting for prescribed for an oral contraceptive. which
client's history is contraindication for the oral
contraceptives?

Help client to ambulate to the


toilet

A nurse is caring for client 6 hrs after vaginal birth who is going to
breastfeed her newborn client reported pain scale 6 0f 0-10 scale. the
nurse notes mild perineal edema and ecchymosis,with a fundus that is 2
cm above the umbilicus and deviated to the right which is the highest
priority?

Cessation of utrine contration

A nurse is caring for a pregnant client who is prescribed


nifedipine(Procardia) which expected response from this
medication?

Check the newborn blood glucose


level

A nurse is caring for a newborn who is large


for gestational age is exhibiting jitteries,
which action should the nurse takes?