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1) A nurse in a woman'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
Calcium
The recommendation for calcium intake during pregnancy is the same as that for women who are not
pregnant: 1,300 mg/day for women younger than 19 years old and 1,000 mg/day for women between the
Vitamin E
The recommendation for vitamin E intake during pregnancy is 15 mg/day, the same as that for women who
Iron
The recommendation for iron intake during pregnancy is higher than that for women who are not pregnant.
For women who are pregnant, it is 27 mg/day. For women who are not pregnant, it is 15 mg/day for women
younger than 19 years old and 18 mg/day for women between the ages of 19 and 50 years old.
Vitamin D
The recommendation for vitamin D intake during pregnancy is 600 IU/day, the same as
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2) A nurse is caring for a client who has uterine hypotonicity and is experiencing postpartum
It is important for the nurse to monitor capillary refill in order to track baseline data for this client. However,
Uterine hypotonicity and postpartum hemorrhage indicate that this client is at the greatest risk for
hypovolemic shock. This can compromise the perfusion to the client's vital organs, causing death to occur.
Therefore, the nurse's priority is to massage the client's fundus in order to minimize blood loss.
It is important for the nurse to insert an indwelling urinary catheter in order to assess the client for
It is important for the nurse to prepare the client for a blood transfusion in order to replace the amount of
blood lost from postpartum hemorrhage. However, another action is the nurse's priority.
3) A nurse is providing discharge teaching to a parent whose newborn has just had a
Apply slight pressure with a sterile gauze pad for mild bleeding.
The nurse should instruct the client to attempt to stop mild bleeding by applying pressure with sterile gauze.
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Inspect the circumcision site every 6 to 8 hr.
The client should change the newborn's diaper and examine the circumcision site at least every 4 hr.
Use baby wipes containing alcohol to cleanse the penis with each diaper change.
Baby wipes containing alcohol can irritate the skin and should be avoided until the circumcision has healed,
which usually takes 5 to 6 days. During each diaper change, the penis should be washed gently with warm
The client should not attempt to remove any yellow exudate from the circumcision site because it is part of
the healing process, which begins within 24 hr and continues for 2 to 3 days. Disrupting it can cause pain
and bleeding.
A nurse is caring for an infant who begins displaying manifestations of neonatal abstinence
syndrome ( NAS). Which of the following actions should the nurse take?
A nurse is teaching a client about squatting excercises during pregnancy. Which of the following
statements should the nurse include?
These exercises should be done for 15 minutes each day to strengthen the perineal muscle
A nurse is caring for a clinet at 39 weeks gestation who is in the active phase of labor. The nurse
observes late decelerations in the fatal heart rate. Which of the following findings should the nurse
identify as the cause of late decelerations?
Uteroplacental insufficiency
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