Exam 6: Maternal & Newborn Health

When triaging 4 pregnant clients in the obstetric clinic, the nurse should alert the health care provider to see which client first?

Which assessment findings would the nurse most likely expect to find in a male infant born at 28 weeks gestation?  Select all that apply.

The nurse is performing postdelivery care of a newborn delivered at 35 weeks gestation.  Which of the following actions by the nurse are appropriate?  Select all that apply.

The nurse is performing an Apgar assessment on a newborn client at 1 minute of life.  The newborn is completely blue, has a heart rate of 110/min, and is emitting a weak cry.  Active movement and flexion of extremities are noted and the newborn grimaces when nares are suctioned.  Which Apgar score should the nurse assign this newborn?

A nurse is assessing a newborn with an infection due to Candida albicans.  Which assessment data support this diagnosis?

The nurse is observing a student nurse care for a mother who has been unsuccessful with breastfeeding her newborn infant.  Which action by the student would require the nurse to intervene?

The nurse is monitoring a neonate 1 hour after spontaneous vaginal delivery.  Which of the following are expected findings?  Select all that apply.

A client at 20 weeks gestation states that she started consuming an increased amount of cornstarch about 3 weeks ago.  Based on this assessment, the nurse should anticipate that the health care provider will order which laboratory test(s)?

A nurse is preparing to administer an oxytocin IV infusion to a client for labor induction.  The nurse recognizes that an oxytocin infusion may increase the client's risk for which of the following?  Select all that apply.

The initial prenatal laboratory screening results of a client at 12 weeks gestation indicate a rubella titer status of nonimmune.  What will the nurse anticipate as the plan of care for this client?

The precepting nurse is supervising a new obstetric nurse performing a labor admission assessment on a client with suspected spontaneous rupture of membranes.  Which action by the new nurse would cause the precepting nurse to intervene?

The labor and delivery nurse is receiving report for a pregnant client who is having a scheduled cesarean birth for placenta accreta.  Which information is priority for the nurse to ascertain?

The nurse is performing an assessment on a 24-hour-old male who was born breech via vaginal birth at 36 weeks gestation.  Which assessment finding requires immediate evaluation by the health care provider?

A client is admitted to the postpartum floor after a vaginal birth.  Which finding indicates the need for immediate intervention?

Which client in a prenatal clinic should the nurse assess first?

A pregnant client is brought to the emergency department by ambulance after her water broke.  She is screaming and bearing down with every contraction.  Which of the following assessment questions are essential to ask in preparation for the birth and possible newborn resuscitation?  Select all that apply.

The nurse is performing an assessment on a neonate shortly after delivery.  The nurse is most concerned about which assessment finding?

The labor and delivery nurse is performing a vaginal examination to assess for cervical dilation and effacement.  While palpating the presenting fetal part, the nurse feels a diamond-shaped structure that feels soft in the middle.  What is the nurse's best action?

A client who gave birth vaginally with epidural anesthesia still has limited movement and strength of the right leg, and reports no urge to urinate at 2 hours postpartum.  The nurse palpates the client's fundus 2 cm above the umbilicus and to the right.  What should the nurse do next?

A client who is being evaluated for suspected ectopic pregnancy reports sudden-onset, severe, right lower abdominal pain and dizziness.  Which additional assessment findings will the nurse anticipate if the client is experiencing a ruptured ectopic pregnancy?  Select all that apply.