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?
A nurse in an antepartum clinic is assessing a Reports of decreased fetal movement
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 and Begin FHR monitoring
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?
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,8/11/24, 10:32 AM
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 newborn. Respiratory distress
Which of the following manifestations is an
indication of hypoglycemia?
A nurse in a provider's office is reviewing the Pregestational Diabetes Mellitus
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?
A nurse is assessing a newborn who was Minimal arm recoil
born at 26 weeks of gestation using the New
Ballard Score. Which of the following
findings should the nurse expect?
2/20
, 8/11/24, 10:32 AM
A nurse is providing teaching for a client who the person who comes to take my baby's pictures will be wearing a photo identification
have birth 2 hr ago about the facility policy badge
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 at A reduction in respiratory distress in the newborn
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?
A nurse is caring for a client who is at 30 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 move."
weeks of gestation and has a prescription 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 identification band
the parent's room following a procedure.
Which of the following actions should the
nurse take?
Maternal newborn ati proctored exam
3/20
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