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Questions and Answers
What is a contraindication for Methergine administration?
What is a contraindication for Methergine administration?
What assessment finding suggests the need to question the prescription of Methergine?
What assessment finding suggests the need to question the prescription of Methergine?
Why should the LPN/LVN question the prescription of Methergine for the client?
Why should the LPN/LVN question the prescription of Methergine for the client?
In which client scenario should a nurse take caution when administering an enema?
In which client scenario should a nurse take caution when administering an enema?
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What would be a concerning assessment finding for a client receiving an epidural infusion of a narcotic after a cesarean section?
What would be a concerning assessment finding for a client receiving an epidural infusion of a narcotic after a cesarean section?
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What is an appropriate nursing response to a client who has not had a bowel movement 2 days post-cesarean section?
What is an appropriate nursing response to a client who has not had a bowel movement 2 days post-cesarean section?
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Why is it important for the nurse to assess the client's bowel movement post-cesarean section?
Why is it important for the nurse to assess the client's bowel movement post-cesarean section?
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What could be a potential cause of constipation in a post-cesarean section client?
What could be a potential cause of constipation in a post-cesarean section client?
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Why is it important for the nurse to monitor the respiratory rate of a client receiving narcotic infusion?
Why is it important for the nurse to monitor the respiratory rate of a client receiving narcotic infusion?
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What is the rationale behind encouraging fluids and exercise for combating constipation post-surgery?
What is the rationale behind encouraging fluids and exercise for combating constipation post-surgery?
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What must a client advised to refrain from consuming while taking Paxil (paroxetine) for postpartum depression?
What must a client advised to refrain from consuming while taking Paxil (paroxetine) for postpartum depression?
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In a 1 day-postpartum client with perineal pain after receiving ibuprofen, what is an appropriate conclusion for the nurse to make?
In a 1 day-postpartum client with perineal pain after receiving ibuprofen, what is an appropriate conclusion for the nurse to make?
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When diagnosed with mastitis, what is an appropriate nursing intervention for a breastfeeding mother?
When diagnosed with mastitis, what is an appropriate nursing intervention for a breastfeeding mother?
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What is the appropriate action if a client complains of perineal pain at level 9 after receiving ibuprofen for postpartum discomfort?
What is the appropriate action if a client complains of perineal pain at level 9 after receiving ibuprofen for postpartum discomfort?
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To prevent a drug/food interaction, what should a client avoid when taking medication for postpartum depression?
To prevent a drug/food interaction, what should a client avoid when taking medication for postpartum depression?
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What should be done if a client has unresolved perineal pain after taking ibuprofen?
What should be done if a client has unresolved perineal pain after taking ibuprofen?
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What is the most appropriate nursing action for a client experiencing extreme discomfort with the urge to bear down?
What is the most appropriate nursing action for a client experiencing extreme discomfort with the urge to bear down?
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Following a traumatic delivery, a newborn receives an initial Apgar score of 3. What is the most important intervention for the nurse to implement?
Following a traumatic delivery, a newborn receives an initial Apgar score of 3. What is the most important intervention for the nurse to implement?
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What should a nurse do for a 3-hour-old infant with cyanotic hands and feet, an axillary temperature of 96.5 degrees Fahrenheit, a respiratory rate of 40 breaths per minute, and a heart rate of 165 beats per minute?
What should a nurse do for a 3-hour-old infant with cyanotic hands and feet, an axillary temperature of 96.5 degrees Fahrenheit, a respiratory rate of 40 breaths per minute, and a heart rate of 165 beats per minute?
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In what way should a nurse ensure adequate installation of ophthalmic erythromycin 5% ointment into a newborn's eyes?
In what way should a nurse ensure adequate installation of ophthalmic erythromycin 5% ointment into a newborn's eyes?
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What is the initial action a nurse should take upon observing variable deceleration on a fetal monitor in a laboring client?
What is the initial action a nurse should take upon observing variable deceleration on a fetal monitor in a laboring client?
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After delivering an infant, if a multiparous client's uterine tone remains boggy, what information should the nurse provide about this finding?
After delivering an infant, if a multiparous client's uterine tone remains boggy, what information should the nurse provide about this finding?
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What is the primary affected gender in Duchenne muscular dystrophy?
What is the primary affected gender in Duchenne muscular dystrophy?
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Which protein deficiency is associated with Duchenne muscular dystrophy?
Which protein deficiency is associated with Duchenne muscular dystrophy?
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Why should the nurse notify the healthcare provider about an increase in respiratory rate and heart rate post-operatively?
Why should the nurse notify the healthcare provider about an increase in respiratory rate and heart rate post-operatively?
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What should a nurse suggest to a woman who is recommended to take medicine along with ginger ale?
What should a nurse suggest to a woman who is recommended to take medicine along with ginger ale?
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After a normal spontaneous vaginal delivery, what hemoglobin (Hgb) and hematocrit (Hct) values would the nurse expect to see 2 days post-delivery?
After a normal spontaneous vaginal delivery, what hemoglobin (Hgb) and hematocrit (Hct) values would the nurse expect to see 2 days post-delivery?
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Which intervention would be appropriate for a G1P1001 woman with postpartum hemorrhoids following vaginal delivery?
Which intervention would be appropriate for a G1P1001 woman with postpartum hemorrhoids following vaginal delivery?
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What measure would NOT be appropriate for a woman with postpartum hemorrhoids?
What measure would NOT be appropriate for a woman with postpartum hemorrhoids?
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What advice would be incorrect for a woman experiencing postpartum hemorrhoids?
What advice would be incorrect for a woman experiencing postpartum hemorrhoids?
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Which information about postpartum hemorrhoids is inaccurate for a woman to receive during health teaching?
Which information about postpartum hemorrhoids is inaccurate for a woman to receive during health teaching?
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What is the priority nursing action during the immediate postpartum period?
What is the priority nursing action during the immediate postpartum period?
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In the immediate postpartum period, a woman is shaking uncontrollably. What is the most appropriate nursing action?
In the immediate postpartum period, a woman is shaking uncontrollably. What is the most appropriate nursing action?
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For a postpartum client with the nursing diagnosis of 'Risk for intrauterine infection,' which of the following goals should be included in the care plan?
For a postpartum client with the nursing diagnosis of 'Risk for intrauterine infection,' which of the following goals should be included in the care plan?
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After delivering an infant, if a multiparous client's uterine tone remains boggy, what information should the nurse provide about this finding?
After delivering an infant, if a multiparous client's uterine tone remains boggy, what information should the nurse provide about this finding?
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What is a common nursing intervention for a breastfeeding mother diagnosed with mastitis?
What is a common nursing intervention for a breastfeeding mother diagnosed with mastitis?
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Which action is vital for a nurse to take upon observing variable deceleration on a fetal monitor in a laboring client?
Which action is vital for a nurse to take upon observing variable deceleration on a fetal monitor in a laboring client?
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What should the nurse do if the client is not having contractions, the fetal heart rate (FHR) baseline is 144 bpm, and no FHR accelerations are occurring?
What should the nurse do if the client is not having contractions, the fetal heart rate (FHR) baseline is 144 bpm, and no FHR accelerations are occurring?
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What further assessment should the nurse perform if crepitus is identified when examining the chest of a newborn delivered vaginally?
What further assessment should the nurse perform if crepitus is identified when examining the chest of a newborn delivered vaginally?
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When a mother brings her 8-month-old baby boy to the clinic due to vomiting and diarrhea for the last 3 days, what is the most important assessment for the nurse to make?
When a mother brings her 8-month-old baby boy to the clinic due to vomiting and diarrhea for the last 3 days, what is the most important assessment for the nurse to make?
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What is the most appropriate advice for a woman experiencing tender, hard nodules in her breasts while breastfeeding?
What is the most appropriate advice for a woman experiencing tender, hard nodules in her breasts while breastfeeding?
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While obtaining vital signs for a 10-year-old who had a tonsillectomy, if the nurse observes the child swallowing every 2-3 minutes, what assessment should be implemented?
While obtaining vital signs for a 10-year-old who had a tonsillectomy, if the nurse observes the child swallowing every 2-3 minutes, what assessment should be implemented?
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Which complication should a nurse monitor a postoperative cesarean client with spinal anesthesia for more closely than an epidural client?
Which complication should a nurse monitor a postoperative cesarean client with spinal anesthesia for more closely than an epidural client?
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What action should a nurse take if a 1-day-postpartum client continues to experience perineal pain after receiving ibuprofen?
What action should a nurse take if a 1-day-postpartum client continues to experience perineal pain after receiving ibuprofen?
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In the context of postpartum psychosis, what sign/symptom would a woman exhibit?
In the context of postpartum psychosis, what sign/symptom would a woman exhibit?
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What is crucial for a nurse to do if an 8-month-old infant presents with vomiting and diarrhea?
What is crucial for a nurse to do if an 8-month-old infant presents with vomiting and diarrhea?
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What signifies the effectiveness of Methergine (methylergonovine) administration in a postpartum woman?
What signifies the effectiveness of Methergine (methylergonovine) administration in a postpartum woman?
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What advice should a nurse provide to a breastfeeding woman experiencing clogged milk ducts?
What advice should a nurse provide to a breastfeeding woman experiencing clogged milk ducts?
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Which symptom would be least likely observed in a woman experiencing postpartum psychosis?
Which symptom would be least likely observed in a woman experiencing postpartum psychosis?
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What is a necessary step in the plan of care for a newborn whose mother tested positive for hepatitis B surface antigen (HBsAg)?
What is a necessary step in the plan of care for a newborn whose mother tested positive for hepatitis B surface antigen (HBsAg)?
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Which action should be taken during the hospitalization of a newborn with a mother positive for hepatitis B surface antigen (HBsAg)?
Which action should be taken during the hospitalization of a newborn with a mother positive for hepatitis B surface antigen (HBsAg)?
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What statement made by a pregnant woman with asthma indicates a need for further education?
What statement made by a pregnant woman with asthma indicates a need for further education?
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Why is it important for a pregnant woman with controlled asthma to continue taking her medication?
Why is it important for a pregnant woman with controlled asthma to continue taking her medication?
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What is a key aspect of managing asthma during pregnancy?
What is a key aspect of managing asthma during pregnancy?
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What is a potential risk if a pregnant woman with asthma does not manage her condition effectively?
What is a potential risk if a pregnant woman with asthma does not manage her condition effectively?
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Study Notes
Maternal-Newborn Nursing
- A client who is shivering and has an urge to bear down should be encouraged to push with each contraction.
Fetal Monitoring
- A variable deceleration on a fetal monitor strip indicates the need to change the client's position.
Newborn Care
- A 3-hour-old infant with cyanotic hands and feet, an axillary temperature of 96.5°F (35.8°C), a respiratory rate of 40 breaths/minute, and a heart rate of 165 beats/minute should be gradually warmed under a radiant heat source.
- Ophthalmic erythromycin 5% ointment should be instilled in a thin ribbon into each lower conjunctival sac for newborns.
Postpartum Care
- The priority nursing action during the immediate postpartum period is to palpate the fundus.
- A woman experiencing shivering and discomfort after delivery should be provided with warm blankets.
- A client with a boggy fundus 15 minutes after delivery should be advised to apply topical anesthetic as a relief measure.
- A client at risk for intrauterine infection should have goals of drinking sufficient fluids, having a stable white blood cell count, a normal temperature, and normal-smelling vaginal discharge.
Pediatric Nursing
- A 2-week-old infant with an umbilical hernia repair should have increased respiratory and heart rates monitored, and the nurse should notify the healthcare provider of these findings.
- A child with Duchenne muscular dystrophy has an inherited X-linked recessive disorder that primarily affects male children in the family.
Pharmacological Interventions
- A breastfeeding mother taking Paxil (paroxetine) for postpartum depression should be advised to avoid consuming alcohol to prevent drug/food interactions.
- Methergine 0.2 mg IM should not be given to clients with elevated blood pressure.
Breastfeeding
- A breastfeeding mother with mastitis should be encouraged to breastfeed frequently.
- A breastfeeding mother taking a narcotic analgesic should take the medicine with orange juice.
Client Education
- A client with hemorrhoids should be advised to use a sitz bath daily as a relief measure.
- A client with asthma during pregnancy should continue taking asthma medication as prescribed and consistently.
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Description
Test your knowledge on assessing a client receiving an epidural infusion of a narcotic for pain relief after cesarean section. Identify which assessments would warrant reporting to the anesthesiologist.
