BoardVitals NCLEX Prep PN Ante/intra/postpartum and neonate care

BoardVitals NCLEX Prep PN Ante/intra/postpartum and neonate care Leave the first rating Students also studied Terms in this set (698) Science MedicineNursing Save

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37 terms sara A nurse is caring for a client with pregnancy - induced hypertension who is scheduled for a cesarean C-section.In which position should the nurse place the client before she is transferred to the delivery suite?Left lateral The practical nurse is checking the episiotomy Site of a client 10 hours after delivery. The nurse notes of the side is swollen and slightly red. The most appropriate next

action is:

Applying ice pack to the area A Nurse is preparing to administer capital METHERGINE to a client to treat postpartum hemorrhage. Before administering the drug priority action of the nurse is to

check:

Blood pressure Inners is caring for a client who is receiving a magnesium sulfate IV infusion and exhibiting manifestations of magnesium toxicity. Which of the following medication should the nurse expect to administer?Calcium gluconate The nurse is working in labor and delivery. The neonate that is delivered does not breathe spontaneously. The nurse knows that the following tasks Will be performed in

what order:

• The newborn Will be stimulated to cry
• The newborn will be suctioned
• The newborns heart rate will be assessed
• The umbilical cord will be cut

The nurse should know that the drug that can be safely

administered during pregnancy:

Levothyroxine

A nurse is caring for a client in preterm labor who is scheduled to undergo amniocentesis to evaluate fetal well-being and loan maturity. Which of the following test does the nurse understand will be used to assess feed a long maturity?Lecithin/sphingomyelin (L/S) ratio test A young woman reports to the prenatal clinic for her 32 weeks gestational visit. Which of the following comments made by the woman must be reported to the physician?"I can't get my wedding ring on this morning because my fingers are so swollen. " A nurse is caring for a client who is pregnant and has a torch infection which of the following findings should the nurse expect? Select all that apply Joint pain rash Decreased appetite A postpartum client asked the nurse how long her vaginal discharge will last. The nurses best response would be to

explain that it will last:

Until the placental site has healed A new mother is two days postpartum. She is breast- feeding and is ready for discharge. She states she plans to use the diaphragm she was using prior to becoming pregnant for contraception. The nurses should base for a response on which of the following?Diaphragms need to be refitted after the birth of a baby A nurse is teaching a client who is pregnant about a new prescription for iron supplements. With which of the following beverages should the nurse instruct the client to take the iron supplement?Orange juice The nurse massages the uterus of a postpartum client.Which assessment findings is the best indication that the intended effect of this nursing action has been achieved?The uterus becomes firm The nurse is caring for a new mother who is breast- feeding her first baby. The nurse should tell the new

mother that the colostrum will change to milk within:

2-3 days The nurse is working in a clinic and is talking To a pregnant woman about using a seatbelt during the second trimester of pregnancy. The clients comment that

would indicate she needs further teaching is:

"I should only wear the shoulder belt to prevent abdominal injury " The nurse is assisting a breast-feeding mother. The nurse

knows that all of the following are true except:

Breast-feeding of a newborn should occur every 6 hours A client at 28 weeks gestation has been admitted to the obstetric unit for preeclampsia. Her blood pressure has been ranging from 140/100 to 160/110. She has 3+ proteinuria and Generalized edema, and has been complaining of a headache. Which care environment would be most appropriate for this client?Private room, bed rest with bathroom privileges, vital signs with fetal heart tones every four hours, regular diet

A pregnant client in the third trimester calls the OB office and report to the nurse that she has had a severe headache for the past two days what nursing action is most appropriate?Request that the client come to the office immediately A laboring woman prefers to lie in the supine position during labor. The nurse instructed her is not a good position during labor for what reason?This position may cause her blood pressure to drop, causing the babies heart rate to decline A 25-year-old woman at 30 weeks gestation came to the outpatient department. Which of the findings by the nurse would indicate a possible complication?Positive urine test for glucose and Ketones A nurse is caring for a client who is pregnant and experiencing back aches. Which of the following Measures should the nurse tell the client to take to help relieve back aches? Select all that apply Preform the pelvic tick exercise everyday Position the knees higher than the hips when sitting A woman arrives on the obstetrical unit Reporting that her water broke and she is in labor. Which of the following symptoms and the kids the presence of placenta previa?Painless bright red vaginal bleeding Nurse is caring for a client who has severe preeclampsia and is receiving a magnesium sulfate IV infusion. The nurse should monitor the client for which of the following manifestations as a sign of magnesium sulfate toxicity?Select all that apply Respiratory rate less than 12/min Decreased level of consciousness An infant is delivered after a rapid labor and delivery. The mother requested infant be allowed to stay with her for as long as possible before being taken to the nursery.What nursing action takes priority in the immediate newborn.?Suctioning with a bulb syringe A nurse is preparing to teach a group of clients who are pregnant about some of the common discomforts of pregnancy. Which of the following findings should the nurse include in the teaching? Select all that apply -breast tenderness -excessive salivation -epistaxis And expectant mother test positive for chlamydia in her ninth month of pregnancy. She asked why she should be treated so she doesn't have any symptoms. The nurse explained she needs treatment to prevent complications

due to the risk of which of the following conditions:

Neonatal ophthalmia A nurse is caring for a client who has and I and TRAUTERINE device (IUD). The client reports abrupt, sharp, lower of Domino pain and bright red vaginal bleeding. The nurse should identify that these Our findings of which of the following conditions?Ectopic pregnancy

A nurse is teaching a client who is 24 weeks of gestation and scheduled for amniocentesis procedure. Which of the following clients statement indicates an understanding of the teaching?" I must urinate prior to the procedure" A nurse is preparing to perform a non-stress test. Which position with the nurse recommend that the client be placed in?Lateral position During the first three months of pregnancy, the need for

insulin in an insulin dependent diabetic will often:

Decrease A nurse is providing care for a client who is at 28 weeks of gestation. The client has placenta previa and is actively bleeding. Which of the following medication should the nurse expect to provider to prescribe?Betamethasone A nurse is caring for a client who suspects that she is pregnant and has presumptive signs of pregnancy. Which of the following findings should the nurse expect the client to report? Select all that apply -amenorrhea -nausea and vomiting -quickening The practical nurse is working in a clinic caring for obstetrical clients. An asthmatic patient who is 16 weeks pregnant asked if she should continue her asthma medication. The most appropriate response for the nurse

to make is:

Asthma medications do not cause harm to the fetus and should be continued during pregnancy A client Rh Antibody tighter indicates that she has not been sensitized to the RH factor. The nurse should anticipate that which of the following will be given after the delivery?Rho (D) immune globulin (RhoGAM) A nurse is performing an examination of a pregnant client in labor the nurse notes the umbilical cord protruding from the vagina. Which of the following is an initial nursing action?Please client in Trendelenburg position The nurse is caring for a pregnant client who is in labor and receive an epidural anesthesia. Which position should the nurse avoid and positioning this client?Supine The nurses working in labor and delivery and is caring for a full term client in labor who is midwife has just determined that the client cervix is dilated 6 cm. During a contraction, the client states that she is feeling the urge to push. The correct first response of the practical nurse

is to:

Instruct her to pant during each contraction