Question Question 38 A nurse in a prenatal clinic is reinforcing te

Question Question 38 A nurse in a prenatal clinic is reinforcing teaching with a client about expected physiological changes during pregnancy. Which of the following statements by the client indicates an understanding of the teaching?”I should expect my fingers and face to be swollen.””I may have an infection if I develop a dark line in the middle of my abdomen.””I should expect to have burning when I urinate during the third trimester.””I may develop discoloration on my cheeks from hormonal changes.” Question 40A nurse is caring for a client who is postpartum. The client is experiencing excessive vaginal bleeding and has a boggy uterus. Which of the following actions should the nurse take first?Encourage the client to empty her bladderInitiate fundal massageApply oxygen via non-rebreather mask at 8 L/min.Administer methylergonovine 0.2 m IM. Question 41A nurse is caring for a client who is postpartum and experiencing excessive vaginal bleeding. Which of the medications should the nurse plan to administer?NifedipineOxytocinBetamethasoneTerbutaline Question 42A nurse in a provider’s office is collecting data from a client who is requesting a prescription for a transdermal contraceptive patch. The nurse should recognize that which of the following client findings is a contraindication for this method of contraception.BP 120/70 mm HgWeight 98 kg (216 lb)Peptic ulcer diseaseHistory of spontaneous abortion Question 43A nurse is collecting data from a full term newborn who is 12hr old. Which of the following findings should the nurse report to the finder?Abnormal breathingRespiratory rate 55/minIrregular respirationsGrunting Question 44A nurse is reinforcing teaching about outpatient resources for a client who is recovering from a molar pregnancy. Which of the following statements by the client indicates an understanding of the teaching?”I will need an amniocentesis within 1 month.””I will need to attend a support group when I get home.””I will need to start chemotherapy immediately.””I will need home palliative services after I am discharged from the hospital.” Question 45A nurse is reinforcing teaching about risk factors for preeclampsia with a group of clients who are pregnant. Which of the following risk factors should the nurse include in the teaching?Maternal age of 30 yearsThird pregnancyChronic hypertensionPre-pregnancy BMI of 19 Question 46A nurse is reinforcing teaching about an amniocentesis with a client who is at 34 weeks of gestation. Which of the following instructions should the nurse include in the teaching?”You should take milk of magnesia the night prior to the procedure.””You will have blood work drawn before the procedure.””You should report uterine contractions following the procedure to your provider.””You should participate a small amount of leakage of fluid following the procedure.”  Question 47A nurse is planning to reinforce nutritional teaching with a client who is in her first trimester of pregnancy. The nurse should recommend an increase in which of the following nutrients to a support an increase in maternal blood volume during pregnancy.Vitamin DCalciumVitamin EIron Question 48A nurse is collecting data from a client who had a vaginal delivery 12 hrs ago. Which of the following findings should the nurse report to the provider? Platelets 2000,000/mm3Hemaglobin 10 g/dLHematocrit 40%WBC 9,500/mm3 Question 49A nurse is caring for a newborn whose mother had gestational diabetes. The newborn has a blood glucose level of 30 mg/dL and is asymptomatic. Which of the following actions should the nurse take?Encourage an additional feedingCheck urine for ketonesAdminister glucoseRecheck blood glucose in 4 hrs. Question 50A nurse is caring for a client who had a vaginal delivery 1 day ago. The nurse determines that the client’s fundus is firm, located 2 finger breadths above the umbilicus and deviated to the left. Which of the following actions should the nurse take first?Assist the client to empty her bladder.Monitor perineal pads for clots.Administer a prescribed analgesic.Notify the provider. Question 51A nurse is reinforcing teaching with a client about the care of their newborn’s umbilical cord. Which pf the following statements by the client indicates an understanding of the teaching?”I should notify my baby’s provider if there is color coming from the cord.””I should clean the cord with antibacterial soap with each diaper change.””I should expect some bright red bleeding from the cord until it falls out.””I should keep the cord covered with my baby’s diaper.” Question 52A nurse is assisting in the care of a client who is in labor and whose membranes ruptured 6 hrs ago. Which of the following is an appropriate nursing intervention for this client?Monitor for infectionPrepare for a forceps deliveryObtain consent for a cesarean birthPosition the client supine. Question 53A nurse in prenatal clinic is reinforcing teaching with a client who is at 20 weeks of gestation and has a low calcium level. Which of the following foods should the nurse recommend the client increase in her diet?AvocadosLong grain riceYogurtPeanut butter Question 54A nurse is assisting in the care of a client who is experiencing an unruptured ectopic pregnancy that is at 8 weeks of gestation. Which of the following medications should the nurse expect the provider to prescribe?Calcium GluconateTerbutalineMagnesium SulfateMethotrexate Question 55 A nurse is collecting data from a client who is receiving terbutaline to treat preterm labor. Which of the following findings should the nurse report to the provider?NauseaCracklesDizzinessTremors Question 56A nurse is preparing to administer phytonadione to a newborn. Which of the following actions should the nurse take?Administer the medication with a 25-guage needleCheck the mother’s Rh factor prior to administrationAdminister the medication into the deltoid muscleAdminister the medication 12hr after birth Question 57A nurse in an antepartum clinic is reinforcing teaching with a client who is pregnant and has a new prescription for oral ferrous sulfate. Which of the following statements by the client indicates an understanding of the teaching?”I will take this medication with a glass of milk.””I will take this medication with my midday meal.””I will take this medication with my breakfast.””I will take this medication with a glass of orange juice.” Question 58A nurse is caring for a client who is in the early stages of labor and requests non-pharmacological interventions for pain. Which of the following actions should the nurse take?Encourage the client to void oftenAssist the client in remaining awake between the contractionsMinimize the clients position changesLimit the amount of time the support person remains in the room.  Question 59A nurse is planning care for a newborn who is large for gestational age. Which of the following actions should the nurse include in the plan of care?(Select all that apply.)Assist the mother to breastfeed the newborn after birth.Obtain a stool sample of meconiumAssist with administering a blood transfusion to the newbornCheck the newborn’s skin for ecchymosisCheck the newborn’s blood glucose level Health Science Science Nursing NUR 4410 Share QuestionEmailCopy link Comments (0)

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