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What is the priority assessment for a client who is in labor and is to have an amniotomy?
What is the priority assessment for a client who is in labor and is to have an amniotomy?
Temperature
What response should the nurse give to a client who reports her menstrual period is 2 weeks late and asks if she is pregnant?
What response should the nurse give to a client who reports her menstrual period is 2 weeks late and asks if she is pregnant?
You can miss your period for several other reasons. Describe your typical menstrual cycle.
Using Nagele's rule, what would be the expected date of birth for a client whose last menstrual cycle started on November 27th?
Using Nagele's rule, what would be the expected date of birth for a client whose last menstrual cycle started on November 27th?
September 3rd
To which area of the abdomen should the nurse apply the ultrasound transducer to assess fetal heart tones for a fetus in left occipital anterior position?
To which area of the abdomen should the nurse apply the ultrasound transducer to assess fetal heart tones for a fetus in left occipital anterior position?
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What lab result should the nurse report for a client who is postpartum and has preeclampsia?
What lab result should the nurse report for a client who is postpartum and has preeclampsia?
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What diagnostic test should the nurse prepare for a client at 41 weeks of gestation who has a positive contraction stress test?
What diagnostic test should the nurse prepare for a client at 41 weeks of gestation who has a positive contraction stress test?
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What statement indicates understanding from a client who is Rh negative about Rh0(D) immune globulin?
What statement indicates understanding from a client who is Rh negative about Rh0(D) immune globulin?
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What history finding should the nurse recognize as a contraindication to oral contraceptives? (Select all that apply)
What history finding should the nurse recognize as a contraindication to oral contraceptives? (Select all that apply)
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What indication of withdrawal from selective serotonin reuptake inhibitors (SSRI) should the nurse identify in a newborn?
What indication of withdrawal from selective serotonin reuptake inhibitors (SSRI) should the nurse identify in a newborn?
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What should the nurse state to a postpartum client about promoting the security of her newborn?
What should the nurse state to a postpartum client about promoting the security of her newborn?
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What information should the nurse include when teaching about levonorgestrel contraception?
What information should the nurse include when teaching about levonorgestrel contraception?
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What action should the nurse take first when caring for a newborn transferred to the nursery with mild respiratory distress?
What action should the nurse take first when caring for a newborn transferred to the nursery with mild respiratory distress?
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What action should the nurse take for a client in labor whose fetus is in the right occiput posterior position and reports back pain?
What action should the nurse take for a client in labor whose fetus is in the right occiput posterior position and reports back pain?
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What statement by a client indicates understanding of terbutaline teaching regarding preterm labor?
What statement by a client indicates understanding of terbutaline teaching regarding preterm labor?
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If a nurse palpates a uterus to the right above the umbilicus in a client who gave birth vaginally 12 hours ago, what intervention should the nurse perform?
If a nurse palpates a uterus to the right above the umbilicus in a client who gave birth vaginally 12 hours ago, what intervention should the nurse perform?
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What statement indicates a client with gestational type 1 diabetes mellitus understands the management during pregnancy?
What statement indicates a client with gestational type 1 diabetes mellitus understands the management during pregnancy?
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What lab result for a 24-hour-old newborn should the nurse report to the provider?
What lab result for a 24-hour-old newborn should the nurse report to the provider?
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What should the nurse instruct a client with a new prescription for a diaphragm?
What should the nurse instruct a client with a new prescription for a diaphragm?
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What finding in a 4-hour-old newborn should the nurse report to the provider?
What finding in a 4-hour-old newborn should the nurse report to the provider?
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What should the nurse include in teaching regarding a 1-hour glucose tolerance test for a client at 24 weeks of gestation?
What should the nurse include in teaching regarding a 1-hour glucose tolerance test for a client at 24 weeks of gestation?
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What instructions regarding car seat safety should the nurse give to the parents of a newborn?
What instructions regarding car seat safety should the nurse give to the parents of a newborn?
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What action should the nurse include in the plan of care for a client requesting epidural anesthesia during labor?
What action should the nurse include in the plan of care for a client requesting epidural anesthesia during labor?
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What should the nurse do after noticing an umbilical cord protruding from a patient in labor?
What should the nurse do after noticing an umbilical cord protruding from a patient in labor?
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What findings in a 28-year-old client require immediate follow-up? (Select all that apply)
What findings in a 28-year-old client require immediate follow-up? (Select all that apply)
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Complete the following sentence: The client is experiencing ______ with ______.
Complete the following sentence: The client is experiencing ______ with ______.
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Complete the following sentence: Evaluate the client for ______ and ______.
Complete the following sentence: Evaluate the client for ______ and ______.
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Match the following prescriptions to their anticipated status or contraindication:
Match the following prescriptions to their anticipated status or contraindication:
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What actions should the nurse take to prepare a client for surgery? (Select all that apply)
What actions should the nurse take to prepare a client for surgery? (Select all that apply)
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What findings indicate a potential complication following surgery? (Select all that apply)
What findings indicate a potential complication following surgery? (Select all that apply)
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What intervention should the nurse plan to implement during the taking-hold phase of postpartum behavioral adjustment?
What intervention should the nurse plan to implement during the taking-hold phase of postpartum behavioral adjustment?
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Which phase of labor is a client likely in if she reports increasing rectal pressure with contractions 2 to 3 minutes apart and cervix dilation of 9 cm?
Which phase of labor is a client likely in if she reports increasing rectal pressure with contractions 2 to 3 minutes apart and cervix dilation of 9 cm?
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What finding indicates that a newborn is experiencing pain following a circumcision?
What finding indicates that a newborn is experiencing pain following a circumcision?
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What action should the nurse take first when caring for a client experiencing hypovolemic shock?
What action should the nurse take first when caring for a client experiencing hypovolemic shock?
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How many azithromycin tablets should the nurse administer to a client at 16 weeks of gestation with a prescription of 1 g orally available in 250 mg tablets?
How many azithromycin tablets should the nurse administer to a client at 16 weeks of gestation with a prescription of 1 g orally available in 250 mg tablets?
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What manifestation of hypoglycemia should the nurse expect in a newborn?
What manifestation of hypoglycemia should the nurse expect in a newborn?
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Where should the Doppler ultrasound stethoscope be placed to begin assessing fetal heart tones for a patient in the end of her first trimester?
Where should the Doppler ultrasound stethoscope be placed to begin assessing fetal heart tones for a patient in the end of her first trimester?
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What finding should the nurse expect when assessing a postpartum client with idiopathic thrombocytopenia purpura (ITP)?
What finding should the nurse expect when assessing a postpartum client with idiopathic thrombocytopenia purpura (ITP)?
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What instruction should the nurse include when teaching a new parent about newborn safety?
What instruction should the nurse include when teaching a new parent about newborn safety?
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What action should the nurse take for a 22-week gestation client concerned about hyperpigmentation on her forehead?
What action should the nurse take for a 22-week gestation client concerned about hyperpigmentation on her forehead?
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Identify the sequence the nurse should follow in performing Leopold maneuvers:
Identify the sequence the nurse should follow in performing Leopold maneuvers:
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What will the nurse explain is the indication for administering betamethasone to a client experiencing preterm labor?
What will the nurse explain is the indication for administering betamethasone to a client experiencing preterm labor?
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What nutrient intake should a nurse advise increasing for a client at 8 weeks of gestation?
What nutrient intake should a nurse advise increasing for a client at 8 weeks of gestation?
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What manifestation in a 12-hour-old newborn requires nurse intervention?
What manifestation in a 12-hour-old newborn requires nurse intervention?
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What nonpharmacological intervention should the nurse include in the discharge plan for a client who is 3 days postpartum and needs lactation suppression?
What nonpharmacological intervention should the nurse include in the discharge plan for a client who is 3 days postpartum and needs lactation suppression?
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What action should the nurse include in the plan of care for a client undergoing a nonstress test?
What action should the nurse include in the plan of care for a client undergoing a nonstress test?
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What adverse effect should the nurse instruct a client taking combined oral contraceptives to report?
What adverse effect should the nurse instruct a client taking combined oral contraceptives to report?
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What findings indicate the need for oxytocin administration postpartum?
What findings indicate the need for oxytocin administration postpartum?
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What finding in a client at 30 weeks of gestation should the nurse report to the provider?
What finding in a client at 30 weeks of gestation should the nurse report to the provider?
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What is the first action the nurse should take when a client becomes unresponsive following the delivery of the placenta?
What is the first action the nurse should take when a client becomes unresponsive following the delivery of the placenta?
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What condition indicated the need for fetal assessment using electronic fetal monitoring?
What condition indicated the need for fetal assessment using electronic fetal monitoring?
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What instruction should the nurse give to a new mother on using a bulb syringe for suctioning her newborn's secretions?
What instruction should the nurse give to a new mother on using a bulb syringe for suctioning her newborn's secretions?
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Which findings should the nurse report to the provider? (Select all that apply)
Which findings should the nurse report to the provider? (Select all that apply)
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What risks should the nurse assess the client for based on assessment findings? (Select all that apply)
What risks should the nurse assess the client for based on assessment findings? (Select all that apply)
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Complete the following sentence: Assess the client for ______ and ______.
Complete the following sentence: Assess the client for ______ and ______.
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Which actions should the nurse take based on the client's condition?
Which actions should the nurse take based on the client's condition?
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What actions should the nurse take regarding the client's electronic medical record? (Select all that apply)
What actions should the nurse take regarding the client's electronic medical record? (Select all that apply)
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What indicates the newborn is experiencing pain during phototherapy treatment?
What indicates the newborn is experiencing pain during phototherapy treatment?
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What emotional condition might a client experience based on her statements about her mood swings during pregnancy?
What emotional condition might a client experience based on her statements about her mood swings during pregnancy?
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What finding should the nurse report as a potential complication following an amniocentesis?
What finding should the nurse report as a potential complication following an amniocentesis?
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Study Notes
Labor and Delivery
- Priority assessment during labor with an amniotomy is the client's temperature to monitor for infection.
- For a client with a late menstrual period and anxiety about pregnancy, asking about the typical menstrual cycle helps assess potential causes of the missed period.
- Nagele's rule calculates expected date of birth based on the last menstrual period; for a cycle starting November 27th, the expected due date is September 3rd.
- Fetal heart tones for a left occipital anterior position are assessed best in the left lower quadrant of the abdomen.
- Support for a client at 41 weeks with a positive contraction stress test includes preparing for a biophysical profile (BPP).
Rh Factor and Contradictions
- Rh negative clients should be informed that Rh0(D) immune globulin is necessary if undergoing procedures like amniocentesis.
- Contraindications for oral contraceptives include conditions like cholecystitis, hypertension, and migraine headaches.
Newborn Assessment and Safety
- Signs of withdrawal in newborns from SSRIs include symptoms like vomiting.
- Safety measures for newborns include staff wearing photo identification badges.
- Teaching about levonorgestrel emergency contraception should stress taking it within 72 hours after unprotected sex.
Postpartum Care
- Postpartum clients with uterine displacement (e.g., palpation above umbilicus) require immediate bladder emptying to assess for distention.
- AIDS for a postpartum client experiencing hypovolemic shock includes fundus massage after provider notification.
- Nursing interventions in the taking-hold phase of postpartum care involve teaching the client about newborn care, such as bathing.
Complications and Monitoring
- Lab results indicating potential trouble include low platelet counts in postpartum clients with preeclampsia.
- For hypoglycemic newborns, signs such as jitteriness should be monitored closely.
- During assessments, indications of issues like elevated blood pressure or visual disturbances should be escalated to providers for further action.
Medications and Therapies
- Betamethasone is administered in cases of preterm labor to stimulate fetal lung maturity.
- Azithromycin dosage for chlamydia in pregnancy requires knowledge of tablet strength, administering a total of 4 tablets based on a 1 g prescription.
Neonatal Procedures
- Newborn care includes actions after circumcision, such as recognizing signs of pain like chin quivering.
- Proper use of a bulb syringe for suctioning newborn secretions is crucial to stop when the newborn’s cry is clear.
Nutritional Guidelines
- Pregnant clients at 8 weeks should increase daily iron intake for optimal health.
- Emotional changes during pregnancy may include emotional liability, indicated by rapid shifts from happiness to tears.
Fetal Monitoring and Testing
- Nonstress tests require clients to report fetal movements using an alert button.
- Leakage of fluid post-amniocentesis signals a potential complication, necessitating immediate reporting to the provider.
Client Education and Safety Instructions
- Car seat safety guidelines specify positioning the retainer clip at the newborn's armpits.
- Important discharge instructions for newborns include safe room-sharing practices during the first few weeks.
Emergency Preparedness
- Immediate follow-up on findings such as O2 saturation changes, cool skin, or fluctuating blood pressures is critical for preventing complications post-surgery.
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Description
This quiz covers essential concepts and assessments in maternal newborn nursing, focusing on scenarios such as labor and prenatal care. It includes critical topics like amniotomy and early pregnancy signs that nurses must prioritize in their practice.
