Maternal Newborn Practice 2019 A*** Flashcards Quizlet PDF

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Maternal Newborn Practice 2019 A*** Flashcards | Quizlet

8/22/21, 12 : 55 PM

Maternal Newborn Practice 2019 A*** Terms in this set (60) A nurse is assessing a client who has

Reports increased urinary output

gestational diabetes mellitus and is experiencing hyperglycemia. Which of the following findings should the nurse expect?

A nurse is caring for a client who is at 22

Report the client's condition to the local health department

weeks of gestation and is HIV positive. Which of the following actions should the nurse take?

A nurse is providing teaching for a client

Depression

who has a new prescription for combined oral contraceptives. Which of the following findings should the nurse include as an adverse effect of this medication?

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Maternal Newborn Practice 2019 A*** Flashcards | Quizlet

8/22/21, 12 : 55 PM

A nurse is providing teaching to a client

"I can administer oxytocin 4 hours after the insertion of the

who is at 40 weeks of gestation and has a

medication"

new prescription for misoprostol. Which of the following instructions should the nurse include in the teaching?

A nurse is caring for a prenatal client who

Schedule an ultrasound examination

has parvovirus B19 (fifth disease). Which of the following actions should the nurse take?

A nurse is preparing to collect a blood

Place the newborn skin to skin on the mothers chest

specimen from a newborn via a heel stick. Which of the following techniques should the nurse use to help minimize the pain of the procedure for the newborn

A nurse is performing a vaginal exam on a

Insert two gloved fingers into the vagina and apply upward pressure

client who is in labor and observes the

to the presenting part

umbilical cord protruding from the vagina. After calling for assistance, which of the following actions should the nurse take?

A nurse is caring for a client who is at 24

Kleihauer-Betke test

weeks of gestation and has a suspected placental abruption. Which of the following laboratory tests should the nurse expect the provider to prescribe?

A nurse is admitting a client who is in labor.

Abruptio placenta

The client admits to recent cocaine use. For which of the following complications should the nurse assess?

A nurse is assessing a client who has

Blurred Vision

severe preeclampsia. Which of the following manifestations should the nurse expect?

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Maternal Newborn Practice 2019 A*** Flashcards | Quizlet

A nurse is providing education about

8/22/21, 12 : 55 PM

Obtain an gift from the newborn to present to the sibling

family bonding to parents who recently adopted a newborn. The nurse should make which of the following suggestions to aid the family's 7-year-old in accepting the new family memeber?

A nurse is assessing a client who is

Naloxone

receiving morphine via IV bolus for pain following a C-section. The nurse notes a respiratory rate of 8/min. Which of the following medications should be administered?

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A nurse is teaching a client who is at 10

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"I should take 600 micrograms of folic acid every day"

weeks of gestation about nutrition during pregnancy. Which of the following statements by the client indicates an understanding of the teaching?

A nurse is assessing a newborn 12 hr after

Jaundice

birth. Which of the following manifestations should the nurse report to the provider?

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Maternal Newborn Practice 2019 A*** Flashcards | Quizlet

A nurse is observing a new parent caring

8/22/21, 12 : 55 PM

Lays the newborn across her lap and gently sways

for her crying newborn who is bottle feeding. Which of the following actions by the parent should the nurse recognize as a positive parenting behavior?

A nurse is teaching a newly licensed nurse

"Ensure that the newborn has been receiving feeding for 24 hours

about collecting a specimen for the

prior to obtaining the specimen"

universal newborn screening. Which of the following statements should the nurse include in the teaching?

A nurse is caring for a client who has

Massage the client's fundus

uterine atony and is experiencing postpartum hemorrhage. Which of the following actions is the nurse priority?

A nurse is performing a physical

Acrocyanosis

assessment of a newborn upon admission to the nursery. Which of the following

Positive Babinski reflex

manifestations should the nurse expect? Two umbilical arteries visible is correct

A nurse is demonstrating to a client how to

Wipe eyes

bathe their newborn. In which order should the nurse perform the following

Wash Neck

actions? Cleanse skin around umbilical cord stump Wash legs and feet Clean diaper area

A nurse is assessing a client who received

Hypertension

carboprost for postpartum hemorrhage. Which of the following findings is an adverse effect of this medication?

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Maternal Newborn Practice 2019 A*** Flashcards | Quizlet

A nurse is caring for a client who is at 35

8/22/21, 12 : 55 PM

Have the client change positions

weeks of gestation and is undergoing a nonstress test that reveals a variable deceleration in the FHR. Which of the following actions should the nurse take?

A nurse is caring for a client who is at 38

Perform Leopold Maneuvers

weeks of gestation. Which of the following actions should the nurse take prior to applying an external transducer for fetal monitoring?

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A nurse in a prenatal clinic is assessing a

A client who is at 11 weeks of gestation and reports abdominal

group of clients. Which of the following

cramping

clients should the nurse see first?

A nurse is caring for a client who is at 32

Premature rupture of membranes

weeks of gestation and has gonorrhea. The nurse should identify that the client is at an increased risk for which of the following complications?

A nurse is assessing four newborns. Which

A newborn who is 18 hr old and has an axillary temperature of 99.9° F

of the following findings should the nurse report to the provider?

A nurse is caring for a postpartum client

Maintain the client of bed rest

who is receiving heparin via a continuous IV infusion for thrombophlebitis in her left calf. Which of the following actions should the nurse take?

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Maternal Newborn Practice 2019 A*** Flashcards | Quizlet

A nurse is providing discharge teaching to

8/22/21, 12 : 55 PM

"You can still become pregnant if you are breastfeeding"

a client who had a cesarean birth 3 days ago. Which of the following instructions should the nurse include?

A nurse is performing a physical

Heart Rate 154/ min

assessment of a newborn. Which of the following clinical finding should the nurse

Respiratory rate 58/ min

expect? Weight 2,600 g (5lb 12 oz)

A nurse is performing a routine assessment

FHR 152/min

on a client who is at 18 weeks of gestation. Which of the following findings should the nurse expect?

A nurse is reviewing the prenatal

Hemoglobin 10 g/dL

laboratory value for a client who is at 12 weeks of gestation following an initial prenatal visit. Which of the following laboratory findings should the nurse report to the provider

A nurse is developing a plan of care for a

Remove all clothing form the newborn except the diaper

newborn who is to undergo phototherapy for hyperbillirubinemia. Which of the following actions should the nurse include in the plan?

A nurse is caring for a client who is at 15

Monitor the FHR

weeks gestation, is Rh-negative, and has just had an amniocentesis. Which of the following interventions is the nurse's priority following the procedure?

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A nurse in an antepartum clinic is assessing

8/22/21, 12 : 55 PM

Reports of decreased fetal movement

a client who is at 32 weeks of gestation. Which of the following findings should the nurse report to the provider?

A nurse is admitting a client to the labor

Begin FHR monitoring

and delivery unit when the client states, "My water just broke". Which of the following interventions is the nurse's priority?

A nurse is caring for a client who is at 36

Biophysicial profile

weeks of gestation and has a positive contraction stress test. The nurse should plan to prepare the client for which of the following diagnostic test?

A nurse is preparing to administer

50 ml/hr

magnesium sulfate 2g/hr IV to a client who is in preterm labor. Available is 20 g magnesium sulfate in 500 mL of dextrose 5% in water (D5W). The nurse should set the IV infusion pump to administer how many mL/hr?

A nurse is caring for a client who has

BUN 25 mg/dL

hyperemesis gravidarum and is receiving IV fluid replacement. Which of the following findings should the nurse report to the provider?

A nurse is assessing a late preterm

Respiratory distress

newborn. Which of the following manifestations is an indication of hypoglycemia?

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Maternal Newborn Practice 2019 A*** Flashcards | Quizlet

A nurse in a provider's office is reviewing

8/22/21, 12 : 55 PM

Pregestational Diabetes Mellitus

the medical record of a client who is in the first trimester of pregnancy. Which of the following should the nurse identify as a risk factor for the development of preeclampsia

A nurse in an antepartum clinic is providing

Fundal Height Measurement

care for a client who is at 26 weeks of gestation. Upon reviewing the client's medical record, which of the following findings should the nurse report to the provider?

A nurse is assessing a newborn who is 16 hr

Substernal Retractions

old. Which of the following findings should the nurse report to the provider?

A nurse is caring for a client who is at 26

Administer oxygen via a nonrebreather mask

weeks of gestation and has epilepsy. The nurse enters the room and observes the client having a seizure. After turning the client head to the side, which of the following actions should the nurse take immediately after the seizure?

A nurse is providing teaching about

Cold cabbage leaves

nonpharmological pain management to a client who is breastfeeding and has engorgement. The nurse should recommend the application of which of the following items?

A nurse is assessing a client who is 1 day

Vaginal pressure

postpartum and has a vaginal hematoma. Which of the following manifestations should the nurse expect?

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Maternal Newborn Practice 2019 A*** Flashcards | Quizlet

A nurse is assessing a newborn who was

8/22/21, 12 : 55 PM

Minimal arm recoil

born at 26 weeks of gestation using the New Ballard Score. Which of the following findings should the nurse expect?

A nurse is providing teaching for a client

the person who comes to take my baby's pictures will be wearing a

who have birth 2 hr ago about the facility

photo identification badge

policy for newborn safety. Which of the following client statements indicates an understanding of the teaching?

A nurse is assessing a client who is at 36

Report of visual disturbances

weeks of gestation. Which of the following findings should the nurse report to the provider?

A nurse is providing teaching to a client

"I will likely need to use alternative positions for sexual intercourse".

about the physiological changes that occur during pregnancy. The client is at 10 weeks of gestation and has a BMI within the expected reference range. Which of the following client statements indicates an understanding of the teaching?

A nurse is caring for a client who is anemic

A reduction in respiratory distress in the newborn

at 32 weeks of gestation and is in preterm labor. The provider prescribed bethamethasone 12 mg IM. Which of the following outcomes should the nurse expect?

A nurse is caring for a client who is

Calcium Gluconate

experiencing preeclampsia and has a new prescription for IV magnesium sulfate. Which of the following medications should the nurse anticipate administering if the client develops magnesium toxicity?

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Maternal Newborn Practice 2019 A*** Flashcards | Quizlet

A nurse is caring for a client who is at 30

8/22/21, 12 : 55 PM

Respiratory rate 10/min

weeks of gestation and has a prescription for magnesium sulfate IV to treat preterm labor. The nurse should notify the provider of which of the following adverse effects?

A nurse is caring for a client who is to

Late Decelerations

receive oxytocin to augment her labor. Which of the following findings contraindicates the infusion of the oxytocin infusion and should be reported to the provider?

A nurse is teaching a client who is at 37

"You should press the handheld button when you feel your baby

weeks of gestation and has a prescription

move."

for a non-stress test. Which of the following instructions should the nurse include?

A nurse is assessing a newborn who was

Petechiae over the head

delivered vaginally and experienced a tight nuchal cord. Which of the following findings should the nurse expect?

A nurse is transporting a newborn back to

Verify that the parent's identification band matches the newborn's

the parent's room following a procedure.

identification band

Which of the following actions should the nurse take?

A nurse is creating a plan of care who is

Protects the client's head and feet from cold air

postpartum and adheres to traditional Hispanic cultural beliefs. Which of the following cultural practices should the nurse include in the plan of care?

A charge nurse on a labor and delivery

Picture of nurse palpating top of belly; where bottom is

unit is teaching a newly licensed nurse how to perform Leopoid maneuvers. Which of the following images indicates the first step of Leopoid maneuvers?

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Maternal Newborn Practice 2019 A*** Flashcards | Quizlet

A nurse is developing a plan of care for a

8/22/21, 12 : 55 PM

Monitor the FHR continously

client who has preeclampsia and is receiving magnesium sulfate via a continuous IV infusion. Which of the following interventions should the nurse include in the plan?

A nurse is assessing a client who is at 38

Weight gain of 2.2 kg (4.8 lb)

weeks of gestation during a weekly prenatal visit. Which of the following findings should the nurse report to the provider?

A nurse is caring for a client who is at 36

To locate the pocket of fluid

weeks of gestation and has a prescription for an amniocentesis. For which of the following reasons should the nurse prepare the client for an ultrasound?

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