anurseisassessingaclientwhohas gestationaldiabetesMellitusandis experiencinghyperglycemia.whichofthe followingfindingsshouldthenurseexpect?
anurseiscaringforaclientwhois22weeks ofgestationandisHIVpositive.whichofthe followingactionsshouldthenursetake?
anurseisprovidingteachingforaclientwho hasanewprescriptionforcombinedoral contraceptives.whichofthefollowing findingsshouldthenurseincludeasan adverseeffectofthismedication?
anurseisprovidingteachingtoaclientwho isat40weeksofgestationandhasanew prescriptionformisoprostol.Whichofthe followinginstructionsshouldthenurse includeintheteaching?
anurseiscaringforaprenatalclientwho hasparvovirusb19(fifthdisease)whichof thefollowingactionsshouldthenursetake?
anurseispreparingtocollectablood specimenfromanewbornviaaheelstick. whichofthefollowingtechniquesshouldthe nurseusetohelpminimizethepainofthe procedureforthenewborn?
anurseisperformingavagexaminationon aclientwhoisinlaborandobservesthe umbilicalcordprotrudingfromthevagina. aftercallingforassistance,whichofthe followingactionsshouldthenursetake?
anurseiscaringforaclientwhoisat24 weeksofgestationandhasasuspected placentalabruption.whichofthefollowing labtestsshouldthenurseexpectthe providertoprescribe?
anurseisadmittingaclientwhoisinlabor theclientadmitstorecentcocaineuse.for whichofthefollowingcomplicationsshould thenurseassess?
reportsincreasedurinaryoutput.
Increasedurinaryoutput,nauseaandvomiting,reportsofthirst,abdominalpain, constipation,drowsiness,andheadachesaremanifestationsofhyperglycemia.Other manifestationsincludeweakrapidpulse,fruitybreathodor,urinepositiveforsugarand acetone,andabloodglucoselevelgreaterthan200mg/dL.
Reporttheclient'sconditiontothelocalhealthdepartment.
Thenurseshouldreporttheconditiontothelocalhealthdepartment.HIVisoneofthe conditionsonthelistofNationallyNotifiableInfectiousConditionsthatisrequiredtobe reported.
depression
Thenurseshouldinstructtheclientthatdepressionisacommonadverseeffectof combinedoralcontraceptives.Othercommonadverseeffectsofthemedicationinclude amenorrhea,weightgain,headache,nausea,breakthroughbleeding,andbreast tenderness.
"Icanadministeroxytocin4hoursaftertheinsertionofthemedication."
Thenursecanadministeroxytocinnosoonerthan4hrafterthelastdoseof misoprostol.Oxytocincanbeadministeredfollowingmisoprostolforclientswhohave cervicalripeningandhavenotbegunlabor
scheduleanultrasoundexamination
Thenurseshouldscheduleserialultrasoundexaminationstomonitorthefetusduring thepregnancytodetectthepossibledevelopmentoffetalhydrops.Also,theviruscan causemiscarriage,intrauterinegrowthrestriction,fetalanemia,orstillbirth.
placethenewbornskintoskinonthemother'schest.
Placingthenewbornskintoskinonthemother'schestisaneffectivetechniqueto significantlydecreasethenewborn'spainlevelandanxiety Thenurseshould implementthistechniquebefore,during,andaftertheprocedure.
Inserttwoglovedfingersintothevaginaandapplyupwardpressuretothepresenting part.
Thenurseshouldquicklyapplyglovesandinserttwofingersintothevaginatowardthe cervix,exertingupwardpressureontothepresentingparttorelieveumbilicalcord compressionandincreaseoxygenationtothefetus.
kleihauer-betketest
ThenurseshouldexpecttheprovidertoprescribeaKleihauer-Betketestforaclient whohassuspectedplacentalabruptiontodetermineiffetalbloodisinmaternal circulation.ThistestisusefultodetermineifRho-(D)immuneglobulintherapyshould beadministeredtoaclientwhoisRh-negative.
abruptioplacenta
cocaineuseincreasestheriskforvasoconstrictionandpossibleabruptioplacenta.
blurredvision
anurseisassessingaclientwhohassevere preeclampsia.whichofthefollowing manifestationsshouldthenurseexpect.
anurseisprovidingeducationaboutfamily bondingtoparentswhorecentlyadopteda newborn.thenurseshouldmakewhichof thefollowingsuggestionstoaidthefamily's 7yroldchildinacceptingthenewfamily member?
Thenurseshouldidentifythataclientwhohasseverepreeclampsiacanhave arteriolarvasospasmsanddecreasedbloodflowtotheretinawhichcanleadtovisual disturbances,suchasblurredvision,doublevision,ordarkspotsinthevisualfield.
Obtainagiftfromthenewborntopresenttothesibling.
Presentingagiftfromthenewborntothesiblingisastrategytofacilitateaschool-age sibling'sacceptanceofanewfamilymember Thisensuresthatthesiblingdoesnot feelleftoutandthattheyunderstandtheirroleinthefamily
anurseisassessingaclientwhois receivingmorphineviaivbolusforpain followingaCsection.thenursenotesaresp rateof8permin.whichofthefollowing medicationsshouldthenurseadminister?
anurseisteachingaclientwhoisat10 weeksofgestationaboutnutritionduring pregnancy.whichofthefollowingstatements bytheclientindicatesanunderstandingof theteaching.
anurseisassessinganewborn12hrafter birth.whichofthefollowingmanifestations shouldthenursereporttotheprovider?
anurseisobservinganewparentcaringfor hercryingnewbornwhoisbottlefeeding. whichofthefollowingactionsbytheparent shouldthenurserecognizeasapositive parentingbehavior?
anurseisteachinganewlylicensednurse aboutcollectingaspecimenfortheuniversal newbornscreening.whichofthefollowing statementsshouldthenurseincludeinthe teaching?
anurseiscaringforaclientwhohasuterine atonyandisexperiencingpostpartum hemorrhage.whichofthefollowingactions isthenurse'spriority?
naloxone
Morphineisacommonopioidanalgesicusedforpostoperativepainmanagementthat cancausecentralnervoussystemdepressionandcancauserespiratorydepression. Thenurseshouldadministernaloxone,anopioidantagonist,toreversetheopioidinducedrespiratorydepressionintheclient.
"Ishouldtake600microgramsoffolicacideachday."
Aclientwhoispregnantshouldincreasefolicacidintaketo600mcgdaily.Folicacid assistswithpreventingneuraltubebirthdefects.
jaundice.
Jaundiceoccurringwithinthefirst24hrofbirthisassociatedwithABOincompatibility, hemolysis,orRh-isoimmunization.Thenurseshouldreportthismanifestationtothe provider
Laysthenewbornacrossherlapandgentlysways
Thisisacorrecttechniqueforquietinganewborn.Thistactilestimulationpromotesa senseofsecurityforthenewborn.
Ensurethatthenewbornhasbeenreceivingfeedingsfor24hourspriortoobtaining thespecimen."
Thenurseshouldensurethatthenewbornhasbeenreceivingregularfeedingsforat least24hrpriortotesting.
massagetheclient'sfundus.
Uterineatonyandpostpartumhemorrhageindicatethatthisclientisatthegreatestrisk forhypovolemicshock.Thiscancompromisetheperfusiontotheclient'svitalorgans, whichcanleadtodeath.Therefore,thenurse'spriorityistomassagetheclient's fundustominimizebloodloss.
Twoumbilicalarteriesvisibleiscorrect.Thenurseshouldobservetwoarteriesandone veinintheumbilicalcord.Thepresenceofonlyonearterycanindicatearenal anomaly
anurseisperformingaphysicalassessment ofanewbornuponadmissiontothenursery whichofthefollowingmanifestationsshould thenurseexpect?
.PositiveBabinskireflexiscorrect.NewbornsshouldexhibitapositiveBabinskisign followingbirth.Thenurseshouldstrokethenewborn'sfootupwardfromtheheeltothe toes.Thetoesshouldhyperextend,anddorsalflexionofthebigtoeshouldoccur The absenceofthisfindingrequiresneurologicalevaluation.TheBabinskireflexisno longerpresentafter1yearofage.
Acrocyanosisiscorrect.Acrocyanosisisanexpectedfindingforatleastthefirst24hr followingbirth.Poorperipheralperfusionleadstobluishdiscolorationinthenewborn's handsandfeet.
Anurseisdemonstratingtoapt.howto bathehernewborn.Inwhichordershould thenurseperformthefollowingactions?
anurseisassessingaclientwhoreceived carboprostforpostpartumhemorrhage. whichofthefollowingfindingsisanadverse effectofthismedication?
anurseiscaringforaclientwhoisat35 weeksofgestationandisundergoinga nonstresstestthatrevealsavariable decelerationintheFHR.whichofthe followingactionsshouldthenursetake?
anurseiscaringforaclientwhoisat38 weeksofgestation.whichofthefollowing actionsshouldthenursetakepriorto applyinganexternaltransducerforfetal monitoring?
Thenurseshoulddemonstratehowtobatheanewbornbyusingaheadtotoe,clean todirty,approach.Therefore,thenurseshouldfirstwipethenewborn'seyesfromthe innercanthusoutwardusingplainwater Thenurseshouldthenwashthenewborn's neckbyliftingthenewborn'schin.Next,thenurseshouldcleansetheskinaroundthe umbilicalcordstumpfollowedbywashingthenewborn'slegsandfeet.Thelaststepof thebathshouldbetocleanthenewborn'sdiaperarea.
hypertension
Thenurseshouldrecognizethatcarboprostisavasoconstrictorthatcancause hypertension.
havetheclientchangeposition
Havingtheclientchangepositionisanappropriateinterventionforavariable decelerationtorelieveumbilicalcordcompression.
performleopoldmaneuvers
ThenurseshouldperformLeopoldmaneuverstoassessthepositionofthefetusto bestdeterminetheoptimalplacementfortheexternalfetalmonitoringtransducer