Podcast
Questions and Answers
Which of the following statements by the client indicated an understanding of anticipated body changes during the second trimester?
Which of the following statements by the client indicated an understanding of anticipated body changes during the second trimester?
Which of the following vaccines should the nurse discuss with the client who is at 8 weeks of gestation?
Which of the following vaccines should the nurse discuss with the client who is at 8 weeks of gestation?
Which of the following information should the nurse identify as a contraindication for the use of a combined oral contraceptive (COC)?
Which of the following information should the nurse identify as a contraindication for the use of a combined oral contraceptive (COC)?
Which of the following actions should the nurse take for a client in the second stage of labor experiencing shoulder dystocia?
Which of the following actions should the nurse take for a client in the second stage of labor experiencing shoulder dystocia?
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Which of the following findings is an indication of a potential prenatal complication for a client at 32 weeks of gestation?
Which of the following findings is an indication of a potential prenatal complication for a client at 32 weeks of gestation?
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Which of the following actions should the nurse plan to take for a newborn with hyperbilirubinemia who is prescribed phototherapy?
Which of the following actions should the nurse plan to take for a newborn with hyperbilirubinemia who is prescribed phototherapy?
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Which of the following interventions should the nurse include in the plan of care for a client at 35 weeks of gestation with mild vaginal bleeding due to placenta previa?
Which of the following interventions should the nurse include in the plan of care for a client at 35 weeks of gestation with mild vaginal bleeding due to placenta previa?
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Which of the following statements should the charge nurse make about syphilis?
Which of the following statements should the charge nurse make about syphilis?
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Which of the following actions should the nurse take for a newborn who was born 15 minutes ago with an axillary temperature of 36.1C (97F)?
Which of the following actions should the nurse take for a newborn who was born 15 minutes ago with an axillary temperature of 36.1C (97F)?
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Which of the following findings is the best indication of adequate perfusion and oxygenation for a client who gave birth 4 hours ago and is receiving 2 units of packed RBCs due to postpartum hemorrhage?
Which of the following findings is the best indication of adequate perfusion and oxygenation for a client who gave birth 4 hours ago and is receiving 2 units of packed RBCs due to postpartum hemorrhage?
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Which of the following laboratory results for a client at 29 weeks of gestation should be reported to the provider?
Which of the following laboratory results for a client at 29 weeks of gestation should be reported to the provider?
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Which of the following results should the nurse expect for a client with preeclampsia with severe features?
Which of the following results should the nurse expect for a client with preeclampsia with severe features?
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Which of the following actions should the nurse take when preparing to obtain a blood specimen from a newborn via a heel stick?
Which of the following actions should the nurse take when preparing to obtain a blood specimen from a newborn via a heel stick?
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Which of the following laboratory results for a client at 31 weeks of gestation with gestational hypertension should be reported to the provider?
Which of the following laboratory results for a client at 31 weeks of gestation with gestational hypertension should be reported to the provider?
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Which of the following laboratory results for a term newborn who is 24 hours old should be reported to the provider?
Which of the following laboratory results for a term newborn who is 24 hours old should be reported to the provider?
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Which of the following actions should the nurse take when assessing a newborn who was born 15 minutes ago?
Which of the following actions should the nurse take when assessing a newborn who was born 15 minutes ago?
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Which of the following findings should the nurse expect when assessing a client who has genital herpes?
Which of the following findings should the nurse expect when assessing a client who has genital herpes?
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Which of the following statements by the newly licensed nurse indicates an understanding of the teaching regarding substance use disorders during pregnancy?
Which of the following statements by the newly licensed nurse indicates an understanding of the teaching regarding substance use disorders during pregnancy?
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Which of the following findings indicates that terbutaline was effective?
Which of the following findings indicates that terbutaline was effective?
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Which of the following actions should the charge nurse include in the teaching regarding situations requiring an amniotomy?
Which of the following actions should the charge nurse include in the teaching regarding situations requiring an amniotomy?
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For which finding should the nurse withhold labetalol in a client with preeclampsia?
For which finding should the nurse withhold labetalol in a client with preeclampsia?
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Identify the sequence of steps the nurse should take to clear the airway obstruction for a choking pregnant client.
Identify the sequence of steps the nurse should take to clear the airway obstruction for a choking pregnant client.
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Which assessments should the nurse perform before administering an opioid analgesic to a client in active labor? (Select all that apply)
Which assessments should the nurse perform before administering an opioid analgesic to a client in active labor? (Select all that apply)
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Identify a risk factor for developing preeclampsia in a client at 8 weeks of gestation.
Identify a risk factor for developing preeclampsia in a client at 8 weeks of gestation.
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Which laboratory test should the nurse monitor for a postpartum client receiving warfarin?
Which laboratory test should the nurse monitor for a postpartum client receiving warfarin?
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What should the nurse expect when monitoring a client in the active phase of labor with an intrauterine pressure catheter and fetal scalp electrode?
What should the nurse expect when monitoring a client in the active phase of labor with an intrauterine pressure catheter and fetal scalp electrode?
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What should the nurse do first for a patient 1 hour postpartum with a respiratory rate of 10/min?
What should the nurse do first for a patient 1 hour postpartum with a respiratory rate of 10/min?
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What clinical finding should the nurse expect in a client with placenta previa?
What clinical finding should the nurse expect in a client with placenta previa?
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Which finding should the nurse report when assessing a client at 33 weeks of gestation?
Which finding should the nurse report when assessing a client at 33 weeks of gestation?
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Which findings are associated with hyperemesis gravidarum? (Select all that apply)
Which findings are associated with hyperemesis gravidarum? (Select all that apply)
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Identify an indication of a prenatal complication in a client at 29 weeks of gestation.
Identify an indication of a prenatal complication in a client at 29 weeks of gestation.
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What should the nurse do first for a client who has saturated a perineal pad with blood in 15 minutes?
What should the nurse do first for a client who has saturated a perineal pad with blood in 15 minutes?
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Identify the priority adverse effect to report for a client who has received two doses of terbutaline.
Identify the priority adverse effect to report for a client who has received two doses of terbutaline.
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What should the nurse instruct a client with mastitis to do?
What should the nurse instruct a client with mastitis to do?
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What indicates that a client understands prenatal care teachings regarding visit frequency?
What indicates that a client understands prenatal care teachings regarding visit frequency?
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Which statements about IUD teaching should the nurse include? (Select all that apply)
Which statements about IUD teaching should the nurse include? (Select all that apply)
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Identify a finding that should be reported for a client at 33 weeks of gestation.
Identify a finding that should be reported for a client at 33 weeks of gestation.
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What should be done for a client who is postpartum, tachycardic, and experiences excessive bleeding?
What should be done for a client who is postpartum, tachycardic, and experiences excessive bleeding?
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What should the nurse recognize as the potential cause of late decelerations on a fetal monitor tracing?
What should the nurse recognize as the potential cause of late decelerations on a fetal monitor tracing?
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Which instruction should the nurse include to facilitate sibling acceptance of a newborn?
Which instruction should the nurse include to facilitate sibling acceptance of a newborn?
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What is the first action for a nurse caring for a newborn with meconium-stained amniotic fluid?
What is the first action for a nurse caring for a newborn with meconium-stained amniotic fluid?
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What indicates understanding of dietary modifications in hyperemesis gravidarum?
What indicates understanding of dietary modifications in hyperemesis gravidarum?
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Which client is at increased risk for a fall in the postpartum period?
Which client is at increased risk for a fall in the postpartum period?
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What should the nurse do for a client who is 3 days postpartum?
What should the nurse do for a client who is 3 days postpartum?
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What is the priority action for a client in active labor receiving epidural anesthesia who feels nauseated?
What is the priority action for a client in active labor receiving epidural anesthesia who feels nauseated?
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What should the nurse first check for a client admitted with ruptured membranes and breech presentation?
What should the nurse first check for a client admitted with ruptured membranes and breech presentation?
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What nonpharmacological intervention should the nurse provide for back labor pains?
What nonpharmacological intervention should the nurse provide for back labor pains?
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What interpretation should the nurse make for a client with increased perineal pain and swelling postpartum?
What interpretation should the nurse make for a client with increased perineal pain and swelling postpartum?
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What indicates understanding of discharge teaching after receiving rubella immunization?
What indicates understanding of discharge teaching after receiving rubella immunization?
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What finding in a 1-hour-old newborn should the nurse report?
What finding in a 1-hour-old newborn should the nurse report?
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How many mL of methotrexate should the nurse administer to a client weighing 110 lbs?
How many mL of methotrexate should the nurse administer to a client weighing 110 lbs?
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What should the nurse monitor when a newborn begins phototherapy for bilirubin levels?
What should the nurse monitor when a newborn begins phototherapy for bilirubin levels?
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What is the nurse's priority when observing a pattern of late decelerations on the fetal monitor?
What is the nurse's priority when observing a pattern of late decelerations on the fetal monitor?
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Which finding indicates calcium gluconate was effective for magnesium sulfate toxicity?
Which finding indicates calcium gluconate was effective for magnesium sulfate toxicity?
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What intervention should a nurse include for managing pain in a client in the latent phase of labor?
What intervention should a nurse include for managing pain in a client in the latent phase of labor?
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What indicates understanding of newborn care regarding bathing instructions?
What indicates understanding of newborn care regarding bathing instructions?
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What statement by a client at 10 weeks of gestation should the nurse investigate further?
What statement by a client at 10 weeks of gestation should the nurse investigate further?
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What should the nurse do when using a Doppler device to auscultate fetal heart tones?
What should the nurse do when using a Doppler device to auscultate fetal heart tones?
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What indicates understanding of car seat safety for infants?
What indicates understanding of car seat safety for infants?
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Study Notes
Substance Use Disorders During Pregnancy
- Encourage clients prescribed methadone to breastfeed.
Terbutaline Administration
- Effective indication: decreased frequency of contractions.
Amniotomy Indicators
- Action requiring amniotomy: placing a fetal scalp electrode.
Preeclampsia Management
- Withhold labetalol if heart rate is 54/min.
Airway Obstruction in Pregnant Client
- Initial steps: stand behind, position arms, perform chest thrusts, and initiate CPR if unconscious.
Opioid Analgesic Assessment
- Assess: maternal blood pressure, pain level, and fetal heart rate before administration.
Preeclampsia Risk Factors
- Identify rheumatoid arthritis as a risk factor for preeclampsia.
Warfarin Monitoring
- Monitor international normalized ratio (INR) in postpartum clients receiving warfarin for DVT.
Intrauterine Pressure Monitoring
- Expected finding in active labor: Montevideo units (MVU) of 220 mm Hg.
Post-Cesarean Respiratory Assessment
- First action for a respiratory rate of 10/min: administer oxygen using a nonrebreather mask.
Placenta Previa Findings
- Expect painless vaginal bleeding in clients with placenta previa.
Reporting Gestational Symptoms
- Report episodes of blurred vision in clients at 33 weeks of gestation.
Hyperemesis Gravidarum Symptoms
- Identify findings: tachycardia, dry mucous membranes, poor skin turgor.
Prenatal Complications
- BUN of 30 mg/dL indicates a potential prenatal complication in a client at 29 weeks gestation.
Postpartum Hemorrhage Response
- First action for a client saturating a perineal pad in 15 min: firmly massage the fundus.
Terbutaline Side Effects
- Heart rate of 132/min is a priority adverse effect to report after terbutaline administration.
Mastitis Postpartum Care
- Instruct applying moist heat to the affected breast.
Routine Prenatal Care
- Understand monthly prenatal visits are required for the first 28 weeks of pregnancy.
Intrauterine Device (IUD) Teaching
- Mention the need for STI cultures, potential for irregular spotting, and signing informed consent prior to IUD placement.
Reporting Abdominal Symptoms
- Report epigastric pain in clients at 33 weeks of gestation.
Postpartum Hemorrhage Management
- Initiate a continuous infusion of oxytocin for clients with tachycardia and excessive bleeding.
Fetal Monitoring Deceleration Patterns
- Recognize potential cause of late decelerations: fetal hypoxia.
Facilitating Sibling Acceptance
- Encourage individual time with older siblings for better newborn acceptance.
Newborn Meconium Care
- First action for newborn with meconium-stained fluid: suction mouth and nose.
Iron Supplementation Education
- Include the consumption of 29 grams of fiber daily as part of iron supplementation teaching.
Negative Contraction Stress Test
- Allow labor to progress naturally if CST results are negative.
APGAR Score Interpretation
- Newborn exhibiting grimacing, irregular respiratory effort, and a heart rate of 92/min has an APGAR score of 5 at 1 min.
Uterus Postpartum Assessment
- Fundus should be palpated at approximately 2 cm below the umbilicus immediately after birth.
Methotrexate Handling Protocol
- Wear two pairs of gloves while handling methotrexate for ectopic pregnancy.
Presumptive Signs of Pregnancy
- Amenorrhea is a presumptive sign of pregnancy.
Epidural Anesthesia Preparation
- Administer a 500 mL bolus of lactated Ringer's prior to epidural placement.
Group B Streptococcus (GBS) Management
- Expect to administer IV antibiotics for clients positive for GBS at 36 weeks.
Reactive Nonstress Test Results
- Fetal heart rate accelerations occurring with fetal movement indicate a reactive nonstress test.
Nifedipine Adverse Effects
- Instruct clients to notify due to irregular heartbeat while using nifedipine for gestational hypertension.
Labor Expectation
- Expect a decrease in blood glucose levels in laboring clients.
Newborn Circumcision Assessment
- Yellow exudate covering the glans indicates healing 48 hours after circumcision.
Nagele's Rule Application
- Calculate expected date of birth using Nagele's rule; last menstrual period April 22 results in EDB.
Newborn Hypoglycemia Indicator
- Hypotonia indicates the need for blood glucose level check.
Cesarean Birth Education
- Include management of postpartum pain, advantages of early ambulation, and indwelling urinary catheter necessity in teaching.
Newborn Abduction Prevention Strategies
- Advise bringing the newborn in the bassinet while using the bathroom.
Postpartum Hemorrhagic Shock Management
- Accurate indication of organ perfusion: client's urine output.
Breastfeeding Concerns
- Report depressed fontanels in a 1-hour-old breastfeeding newborn experiencing weight loss.
Sore Nipples Management
- Suggest applying colostrum to sore, cracked nipples post-feeding to promote healing.
Newborn Temperature Assessment
- Prioritize assessment of a newborn with an axillary temperature of 36°C (96.8°F).
Rear-Facing Car Seat Guidelines
- Maintain newborn in a rear-facing car seat until they are 2 years old.
Blood Specimen Collection from Newborns
- Cleanse the heel puncture site with alcohol prior to blood collection.
Dietary Modifications for Hyperemesis Gravidarum
- Recommend eating small, frequent meals throughout the day.
Fall Risk in Postpartum Clients
- Identify clients with indwelling urinary catheters as increased fall risk.
Vaginal Cultures in Postpartum Clients
- Obtain vaginal cultures for clients who are 3 days postpartum.
Epidural Anesthesia Response
- First intervention for blood pressure drop and nausea: position the client laterally.
Breech Presentation Response
- First action after water breaks in a breech presentation: check fetal heart tones.
Pain Management in Back Labor
- Suggest using sacral counterpressure from a support person for back labor pain relief.
Perineal Pain Assessment Post-Vaginal Delivery
- Findings of purplish discoloration and swelling indicate a hematoma.
Rubella Immunization and Breastfeeding
- Clients can breastfeed after receiving the rubella immunization.
Reporting Newborn Conditions
- Report generalized petechiae in a 1-hour-old newborn.
Methotrexate Dosage Calculation
- For a client weighing 110 lbs, administer 2 mL of methotrexate at a concentration of 25 mg/mL.
Bilirubin Level Monitoring
- Monitor intake and output for a 2-day-old newborn starting phototherapy with a bilirubin level of 14 mg/dL.
Late Decelerations Management
- Position the client laterally if observing late decelerations while administering oxytocin.
Calcium Gluconate Effectiveness
- A respiratory rate of 12/min indicates effectiveness of calcium gluconate for magnesium sulfate toxicity.
Pain Management in Latent Phase of Labor
- Encourage listening to music for pain management during the latent phase.
Newborn Bathing Instructions
- Wash the newborn's face first during bathing.
Investigation of Maternal Behavior
- Investigate further if a client at 10 weeks expresses a desire to stay in bed all day with no interest in activities.
Fetal Heart Tones Assessment
- Count the client's radial pulse while auscultating fetal heart tones with a Doppler device at 12 weeks of gestation.
Understanding Newborn Car Seat Safety
- Confirm understanding of car seat safety by using a rear-facing seat for the first 2 years.
Second Trimester Changes
- Expect skin color changes during the second trimester of pregnancy.
Recommended Vaccines During Pregnancy
- Discuss Tdap vaccination for the client at 8 weeks of gestation.
Combined Oral Contraceptive Contraindications
- History of migraine with aura is a contraindication for combined oral contraceptives.
Shoulder Dystocia Management
- Apply the McRoberts maneuver for clients experiencing shoulder dystocia in labor.
Prenatal Complications Indications
- Epigastric pain in clients at 32 weeks gestation may indicate a prenatal complication.
Newborn Hyperbilirubinemia Care
- Change a newborn's position every 2 hours during phototherapy for hyperbilirubinemia.
Monitoring Protocols for Mild Vaginal Bleeding
- Initiate continuous fetal heart rate monitoring for clients with mild vaginal bleeding due to placenta previa.### Primary Chancre Lesion
- A chancre lesion appears within 90 days of infection during the primary stage of syphilis.
Newborn Assessment
- For a newborn with an axillary temperature of 36.1°C (97°F), skin-to-skin contact on the mother's chest is recommended to maintain warmth.
Postpartum Hemorrhage
- In assessing a client who just gave birth and receiving packed RBCs for postpartum hemorrhage, urinary output is the best indicator of adequate perfusion and oxygenation.
Laboratory Results in Pregnancy
- A hemoglobin and hematocrit (Hct) of 31% in a client at 29 weeks of gestation should be reported to the provider as it indicates anemia.
Preeclampsia Monitoring
- In clients with preeclampsia with severe features, expect to see increased BUN levels indicating potential renal impairment.
Blood Specimen Collection
- Before performing a heel stick on a newborn, warming the heel for 10 minutes enhances blood flow, facilitating easier blood collection.
Gestational Hypertension
- A platelet count of 99,000/mm³ in a client at 31 weeks of gestation should be reported, as it suggests thrombocytopenia.
Newborn Glucose Levels
- In a term newborn who is 24 hours old, a blood glucose level of 35 mg/dL is low and should be reported to the provider for evaluation.
Respiratory Rate Assessment
- For a newborn assessed 15 minutes after birth, counting the respiratory rate for a full 60 seconds ensures accuracy in monitoring respiratory function.
Genital Herpes Findings
- In clients with genital herpes, expect to find ulcerated lesions on the labia as a common symptom of the infection.
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Test your knowledge on maternal newborn care with these flashcards. Focus on substance use disorders during pregnancy and medication effects on clients. Perfect for newly licensed nurses aiming to enhance their understanding in the clinical setting.
