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A nurse is reviewing the medical record of a client who is one day postpartum. The
client had a vaginal birth with a 4th degree perineal laceration. The nurse should contact
the provider regarding which of the ff prescriptions?
a. Docusate sodium 100mg PO TID
b. Sitz bath 2 to 3x/day PRN for pain
c. Bisacodyl rectal suppository PRN for constipation
d. Ibuprofen 600mg PO q6h PRN for pain - ANSWER>>c. Bisacodyl rectal suppository
PRN for constipation
R: Should not administer a rectal suppository or enema to a client who has 4th degree
perineal laceration. These can cause separation of suture line, bleeding, or infection.
A nurse is preparing to administer Hep B immune globulin to a newborn. The rx states,
"Administer 5mcg IM qday." Available is 5mL w/ 10mcg/mL. How many mL should the
nurse administer? - ANSWER>>0.5mL
A nurse is teaching a client who is at 8 wks of gestation about exercise. Which of the ff
instructions should the nurse include in the teaching?
a. Increase weight bearing exercises as pregnancy progresses
b. Lie on your back to rest for 5 mins after exercising
c. Take pulse every 20mins while you are exercising
d. Exercise for 30 mins each day. - ANSWER>>d. Exercise for 30 mins each day
R: Engage in 30 min of moderate exercise every day to improve muscle tone throughout
her pregnancy
A nurse is assessing a client who is in labor and notes early decels on the fetal monitor.
Which of the ff findings should the nurse identify as a possible cause of the early
decels?
a. prolapsed umbilical cord
b. placenta previa
c. fetal head compression
d. maternal hypotension - ANSWER>>c. fetal head compression
R: Early decels are an expected fetal pattern caused by the fetal head compression due
to uterine contractions, fundal pressure, and vaginal examinations.
*Prolapsed umbilical cord: variable decels
*Placenta previa and maternal hypotension: late decels
A nurse is caring for a client and her partner who have experience a fetal death. Which
of the ff actions should the nurse take?
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