Exam 6: Maternal & Newborn Health

A nurse is providing care to a group of postpartum clients.  Which client comment should prompt further investigation?

A client comes to the clinic indicating that a home pregnancy test was positive.  The client's last menstrual period was September 7.  Today is December 7.  Which are true statements for this client?  Select all that apply.

An infant is born with a cleft palate.  Which actions will promote oral intake until the defect can be repaired?  Select all that apply.

A client indicates the desire to become pregnant.  Which of the following are important preconception education topics for the nurse to provide?  Select all that apply.

The nurse is performing a postpartum assessment 12 hours after the prolonged vaginal delivery of a term infant.  Which assessment findings should be reported to the health care provider?

The nurse is providing education about the vitamin K injection to the parents of a newborn client.  Which statement by the nurse is appropriate?

The graduate nurse (GN) is caring for a client at 20 weeks gestation with secondary syphilis.  The client reports an allergic reaction to penicillin as a child but does not know what kind of reaction occurred.  When discussing the client's potential treatment plan with the precepting nurse, which statement by the GN indicates an appropriate understanding?

Which meal should the nurse recommend for a pregnant client at 13 weeks gestation?

A 14-year-old client confides to the school nurse that she is pregnant, likely in the second trimester, and has not had prenatal care.  Which of the following topics should the nurse discuss with the client at this time?  Select all that apply.

The nurse is admitting a pregnant client who is experiencing intense "back labor."  The nurse suspects the fetus is in which position?

The nurse is planning care for a newborn client at term gestation who is large for gestational age.  Which of the following are appropriate interventions to include in the plan of care?  Select all that apply.

A laboring client, gravida 3 para 2, is admitted to the labor unit reporting severe perineal pressure and urgently requesting pain relief.  The client's cervix is 10 cm dilated and 100% effaced, with the fetal head at 0 station.  Which pain management technique is most appropriate for this client's report of perineal pressure?

The nursery nurse is performing assessments of several newborns.  Which of the following findings are abnormal and need to be reported to the health care provider?  Select all that apply.

Four clients in labor are requesting pain relief.  The nurse understands that which client can safely receive a dose of IV butorphanol tartrate, an opioid agonist-antagonist, at this time?

The nurse is caring for a client with gestational diabetes mellitus during the second stage of labor.  After birth of the head, the nurse notes retraction of the fetal head against the maternal perineum.  Which action should the nurse anticipate?

The nurse is providing teaching to a prenatal client about the 1-hour glucose challenge test that will be performed at the next visit.  Which client statement indicates a need for further teaching?

The nurse is caring for a client who reports severe abdominal pain and vaginal spotting.  The client had a positive urine pregnancy test at home, and her last menstrual period was 8 weeks ago.  Which client report to the nurse is most concerning?

A pregnant client at 39 weeks gestation is brought to the emergency department in stable condition following a motor vehicle collision.  The client, who is secured supine on a backboard, suddenly becomes pale with a blood pressure of 88/50 mm Hg.  Which action should the nurse take first?

Within thirty seconds after birth, an unresponsive and limp newborn is placed on the warmer in the "sniffing" position.  The nurse clears the airway, dries, and stimulates the newborn.  At 1 minute of life, the newborn has shallow, gasping respirations with a heart rate of 62/min.  What action should the nurse take?

The labor and delivery charge nurse receives report on several clients.  Which task is appropriate for the nurse to delegate to the unlicensed assistive personnel?