Podcast
Questions and Answers
You are the nurse reviewing the medical record of a client who experienced a vaginal birth 2 hours ago. The nurse should identify which of the following findings places the client as a risk for postpartum depression?
You are the nurse reviewing the medical record of a client who experienced a vaginal birth 2 hours ago. The nurse should identify which of the following findings places the client as a risk for postpartum depression?
A nurse is collecting data from a client who is 3 days postpartum
and is breastfeeding. Her fundus is three fingerbreadths below the
umbilicus, and her lochia rubra is moderate. Her breasts feel hard
and warm. Which of the following recommendations should the
nurse give the client?
A nurse is collecting data from a client who is 3 days postpartum and is breastfeeding. Her fundus is three fingerbreadths below the umbilicus, and her lochia rubra is moderate. Her breasts feel hard and warm. Which of the following recommendations should the nurse give the client?
A nurse is preparing to administer methylergonovine IM for a client
who had a vaginal delivery earlier that day. The nurse should
explain to the client that this medication will help prevent which
of the following?
A nurse is preparing to administer methylergonovine IM for a client who had a vaginal delivery earlier that day. The nurse should explain to the client that this medication will help prevent which of the following?
A nurse is caring for a postpartum client who saturates a perineal pad in 10 min. Which of the following actions should the nurse take first?
A nurse is caring for a postpartum client who saturates a perineal pad in 10 min. Which of the following actions should the nurse take first?
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A nurse is caring for a client who has unrelieved episiotomy pain 8hr following delivery. Which of the following actions should the nurse take?
A nurse is caring for a client who has unrelieved episiotomy pain 8hr following delivery. Which of the following actions should the nurse take?
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A nurse is assisting with the care of a client who is receiving oxytocin via IV infusion following a vaginal delivery. Which of the following findings should the nurse monitor to evaluate effectiveness of this medication?
A nurse is assisting with the care of a client who is receiving oxytocin via IV infusion following a vaginal delivery. Which of the following findings should the nurse monitor to evaluate effectiveness of this medication?
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A nurse is assisting a client out of bed for the first time since delivery. The client becomes frightened when she passes a large amount of lochia. Which of the following responses should the nurse make?
A nurse is assisting a client out of bed for the first time since delivery. The client becomes frightened when she passes a large amount of lochia. Which of the following responses should the nurse make?
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A home health care nurse is reinforcing teaching about breast
engorgement with a client who is postpartum and is breastfeeding
her newborn. Which of the following client statements indicates an
understanding of the teaching"
A home health care nurse is reinforcing teaching about breast engorgement with a client who is postpartum and is breastfeeding her newborn. Which of the following client statements indicates an understanding of the teaching"
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A nurse is caring for a client who is 1 day postpartum following a cesarean birth. To prevent thrombophlebitis, the nurse should contribute which of the following interventions to the client's plan of care?
A nurse is caring for a client who is 1 day postpartum following a cesarean birth. To prevent thrombophlebitis, the nurse should contribute which of the following interventions to the client's plan of care?
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A nurse is collecting data from a client who is 12 hr. postpartum
following a spontaneous vaginal delivery. The nurse should expect
to find the uterine fundus at which of the following positions on the
client's abdomen?
A nurse is collecting data from a client who is 12 hr. postpartum following a spontaneous vaginal delivery. The nurse should expect to find the uterine fundus at which of the following positions on the client's abdomen?
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A nurse is collecting data from a client who is postpartum 2 hr. following delivery of a healthy newborn. Which of the following
findings indicates the client's bladder is distended?
A nurse is collecting data from a client who is postpartum 2 hr. following delivery of a healthy newborn. Which of the following findings indicates the client's bladder is distended?
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A nurse is assisting in the care of a client who is experiencing sore nipples from breastfeeding. Which of the following actions should
the nurse take?
A nurse is assisting in the care of a client who is experiencing sore nipples from breastfeeding. Which of the following actions should the nurse take?
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A nurse is collecting data from a client who is 3 hr. postpartum.
The nurse notes that the client's fundus is displaced to the right
of midline, is firm, and is two fingerbreadths above the umbilicus. Which of the following actions should the nurse take?
A nurse is collecting data from a client who is 3 hr. postpartum. The nurse notes that the client's fundus is displaced to the right of midline, is firm, and is two fingerbreadths above the umbilicus. Which of the following actions should the nurse take?
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A nurse is caring for a client who is 12 hr. postpartum. The nurse recognizes the client is in the dependent, taking-in phase of maternal postpartum adjustment. Which of the following is an expected finding during this period?
A nurse is caring for a client who is 12 hr. postpartum. The nurse recognizes the client is in the dependent, taking-in phase of maternal postpartum adjustment. Which of the following is an expected finding during this period?
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Taking care of newborn in icu who has birth defects, skin is yellow
what is this?
Taking care of newborn in icu who has birth defects, skin is yellow what is this?
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A nurse in labor and delivery is caring for a client. Following delivery of the placenta, the nurse examines the umbilical cord. Which of the following vessels should the nurse expect to observe in the umbilical cord?
A nurse in labor and delivery is caring for a client. Following delivery of the placenta, the nurse examines the umbilical cord. Which of the following vessels should the nurse expect to observe in the umbilical cord?
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Select the correct statement regarding amniotic fluid and membranes.
Select the correct statement regarding amniotic fluid and membranes.
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A nurse is caring for client who is primigravida at term and having contractions but is stating that she is not really sure if she is in labor or not which of the following should the nurse recognize as a sign of true labor
A nurse is caring for client who is primigravida at term and having contractions but is stating that she is not really sure if she is in labor or not which of the following should the nurse recognize as a sign of true labor
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- A nurse is preparing to administer magnesium sulfate IV to a client who is experiencing preterm labor. Which of the following is the priority nursing assessment for this client
- A nurse is preparing to administer magnesium sulfate IV to a client who is experiencing preterm labor. Which of the following is the priority nursing assessment for this client
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- A nurse is preparing to administer magnesium sulfate IV to a client who is experiencing preterm labor. Which of the following is the priority nursing assessment for this client
- A nurse is preparing to administer magnesium sulfate IV to a client who is experiencing preterm labor. Which of the following is the priority nursing assessment for this client
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A nurse is completing discharge instructions for a new mother and her 2-day-old newborn. The mother asks, "How will I know if my baby gets enough breast milk?" Which of the following responses should the nurse make?
A nurse is completing discharge instructions for a new mother and her 2-day-old newborn. The mother asks, "How will I know if my baby gets enough breast milk?" Which of the following responses should the nurse make?
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Nurse is completing the admission assessment of a newborn. Which of the following anatomical landmarks should the nurse use when measuring the newborn's chest circumference?
Nurse is completing the admission assessment of a newborn. Which of the following anatomical landmarks should the nurse use when measuring the newborn's chest circumference?
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A nurse is assisting a client with breastfeeding. The nurse explains that which of the flowing reflexes will promote the newborn to latch
A nurse is assisting a client with breastfeeding. The nurse explains that which of the flowing reflexes will promote the newborn to latch
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A nurse is assessing a client who is 8 hr postpartum and multiparous. Which of the following findings should alert the nurse to the client's need to urinate?
A nurse is assessing a client who is 8 hr postpartum and multiparous. Which of the following findings should alert the nurse to the client's need to urinate?
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A nurse is caring for a newborn and assessing newborn reflexes. To elicit the Moro reflex, the nurse should take which of the following actions?
A nurse is caring for a newborn and assessing newborn reflexes. To elicit the Moro reflex, the nurse should take which of the following actions?
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A nurse places a newborn under a radiant heat warmer after birth the purpose of this action is to prevent which of the following in the newborn
A nurse places a newborn under a radiant heat warmer after birth the purpose of this action is to prevent which of the following in the newborn
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A nurse in the newborn nursery is caring for a group of newborns which of the following newborns requires immediate interventions?
A nurse in the newborn nursery is caring for a group of newborns which of the following newborns requires immediate interventions?
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- A nurse is caring for a newborn and calculating Apgar score. At 1 min after delivery. The following findings noted heart rate of 110/min, slow, weak cry, some flexion of extremities; grimace in response to suctioning of the nares; body pink in color with blue extremities. Calculate the newborns Apgar score.
- A nurse is caring for a newborn and calculating Apgar score. At 1 min after delivery. The following findings noted heart rate of 110/min, slow, weak cry, some flexion of extremities; grimace in response to suctioning of the nares; body pink in color with blue extremities. Calculate the newborns Apgar score.
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A nurse is assess a newborn who is born at 42.5 weeks of gestation. Which of the following finding should the nurse expect
A nurse is assess a newborn who is born at 42.5 weeks of gestation. Which of the following finding should the nurse expect
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A nurse is caring for a preterm newborn who is in incubator to maintain a neutral thermal environment the father o the newborn asks the nurse why this is necessary which of the following responses should the nurse make
A nurse is caring for a preterm newborn who is in incubator to maintain a neutral thermal environment the father o the newborn asks the nurse why this is necessary which of the following responses should the nurse make
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A nurse is assessing a newborn the day after delivery. The nurse notes a raised, bruised area on the left side of the scalp that does not cross the suture line. How should the nurse document this finding?
A nurse is assessing a newborn the day after delivery. The nurse notes a raised, bruised area on the left side of the scalp that does not cross the suture line. How should the nurse document this finding?
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A nurse is caring for a client who is 16hr postpartum and states my baby has been breathing funny fast and slow off and on which of the following responses should the nurse provide.
A nurse is caring for a client who is 16hr postpartum and states my baby has been breathing funny fast and slow off and on which of the following responses should the nurse provide.
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A nurse is caring for client who is postpartum and has a prescription of r RhO (D) immunoglobulin the nurse should verify which of the following prior to administration?
A nurse is caring for client who is postpartum and has a prescription of r RhO (D) immunoglobulin the nurse should verify which of the following prior to administration?
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A nurse is preparing to administer vitamin K by IM injection to a newborn the nurse should administer the medication which of the following muscles
A nurse is preparing to administer vitamin K by IM injection to a newborn the nurse should administer the medication which of the following muscles
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A nurse is caring for a group of clients on an intrapartum unit which of the following finding should be report to the provider immediately
A nurse is caring for a group of clients on an intrapartum unit which of the following finding should be report to the provider immediately
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A nurse is caring for a client who is postpartum. The client tells the nurse that the newborn's maternal grandmother was born deaf and asks how to tell if her newborn hears well. Which of the following statements should the nurse make?
A nurse is caring for a client who is postpartum. The client tells the nurse that the newborn's maternal grandmother was born deaf and asks how to tell if her newborn hears well. Which of the following statements should the nurse make?
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- a nurse reviews the assessment finding for each assessment finding click to specify if the assessment finding is consistent with urinary tract infection or preterm labor each finding may support more than one disease process
- a nurse reviews the assessment finding for each assessment finding click to specify if the assessment finding is consistent with urinary tract infection or preterm labor each finding may support more than one disease process
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- a nurse educator on the postpartum unit is reviewing risk factors for postpartum hemorrhage with a group of nurses which of the following factors should the nurse include in the teaching (select all that apply)
- a nurse educator on the postpartum unit is reviewing risk factors for postpartum hemorrhage with a group of nurses which of the following factors should the nurse include in the teaching (select all that apply)
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A nurse is caring for a newborn who was born at 38 weeks of gestation, weighs 3,200 g, and is in the 60th percentile for weight. Based on the weight and gestational age, the nurse should classify this neonate as: A
A nurse is caring for a newborn who was born at 38 weeks of gestation, weighs 3,200 g, and is in the 60th percentile for weight. Based on the weight and gestational age, the nurse should classify this neonate as: A
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