• A client delivers a viable infant, but begins to have excessive uncontrolled vaginal bleeding after the IV Pitocin is infused. When notifying the healthcare provider of the condition, what information is most important for the nurse to provide?
• A new mother is having trouble breast feeding...
• A client delivers a viable infant, but begins to have excessive uncontrolled
vaginal bleeding after the IV Pitocin is infused. When notifying the healthcare
provider of the condition, what information is most important for the nurse to
provide?
Maternal blood pressure
• A new mother is having trouble breast feeding her newborn son. He is making
frantic rooting motions and will not grasp the nipple. What intervention would be
most helpful to this mother?
Ask the mother to stop feeding, confront the infant, and then assist the mother
to help the baby latch on.
• A client receiving oxytocin (Pitocin) to augment early labor. Which assessment
is most important for the nurse to obtain each time the infusion rate is increased?
· Pain level
· Blood pressure
· Infusion site
· Contraction pattern
· At 6-weeks gestation, the rubella titer of a client indicates she is non-immune.
When is the best time to administer a rubella vaccine to this client?
D. Early postpartum, within 72 hours of delivery.
· A client is receiving oxytocin (Pitocin) to augment early labor. Which
assessment is most important for the nurse to obtain each time the infusion rate
isincreased?
D. Contraction pattern.
· One day after vaginal delivery of a full-term baby, a postpartum client’s white
blood cell count is 15,000/mm3. What action should the nurse take first?
• Check the differential, since the WBC is normal for this client.
· A client delivers a viable infant but begins to have excessive uncontrolled
vaginal bleeding after the IV Pitocin is infused. When notifying the healthcare
provider of the client’s condition, what information is most important for the
nurseto provide?
• Maternal blood pressure.
· A neonate who has congenital adrenal hyperplasia (CAH) presents with
ambiguous genitalia. What is the primary nursing consideration when
supportingthe parents of a child with this anomaly?
C. Offer information about ultrasonography and genotyping to determine sex
assignment.
C. Take the child to a hair salon for a shampoo and a shorter haircut.
D. Dispose of the child’s brusches, combs, and others hair accessories.
· During a 26-week gestation prenatal exam, a client reports occasional dizziness
and lightheadness when she is lying down. What intervention is best for the nurse
to recommend to this client.
D. Elevate the head with two pillows while sleeping.
• One day after vaginal delivery of a full term baby, a postpartum client’s white
blood cell count is 15.000/mm. What action should the nurse take first?
· Check the differential, since the WBC is normal for this client
· Assess the client’s temperature, pulse, and respirations q4h
· Assess the client’s perineal area for signs of a perineal hematoma
· Notify the healthcare provider, since this finding is indicative of infection
• A neonate who has congenital adrenal hypoplasia (CAH) presents with
ambiguous genitalia. What is the primary nursing consideration when
supporting the parents of a child with this anomaly?
· Discuss the need for cortisol and aldosterone replacement therapy after
discharge
· Support the parents in their decision to assign sex of their child according to their
preference
· Offer information about ultrasonography and genotyping to determine sex
assignment
· Explain that corrective surgical procedures consistent with sex assignment can be
delayed
• A loading dose of terbutaline (Brethine) 250 mcg IV is prescribed for a client in
preterm labor. Brethine 20 mg is added to 1,000 ml D W. How many ml of the
solution should the nurse administer?
13
• A 36-week primigravida is admitted to labor and delivery with severe
abdominal pain and bright red vaginal bleeding. Her abdomen is rigid and tender to
touch. The fetal heart rate FHR) is 90 beats/minute, and the maternal heart rate is
120 beats/minute. What action should the nurse implement first?
· Alert the neonatal team and prepare for neonatal resuscitation
· Notify the healthcare provider from the client’s bedside
· Obtain written consent for an emergency cesarean section
· Draw a blood sample for stat hemoglobin and hematocrit
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