Exam 6: Maternal & Newborn Health

The nurse is admitting a client at 41 weeks gestation for induction of labor due to oligohydramnios.  Considering the client's indication for induction, what should the nurse anticipate?

A client in active labor who received an epidural 20 minutes ago reports feeling nauseated and lightheaded.  Which action should the nurse perform first?

A client with diabetes visits the clinic reporting breast tenderness, vaginal discharge, and urinary frequency.  Which action is most important for the nurse to perform?

The nurse is performing an assessment on a 2-day-old infant with suspected Hirschsprung disease.  Which findings should the nurse anticipate?  Select all that apply.

The nurse is caring for an exclusively breastfed, small-for-gestational age, term newborn at 6 hours of life.  The newborn has a capillary blood glucose (BG) of 30 mg/dL (1.67 mmol/L) and is asymptomatic.  Which action is most appropriate for the nurse to take at this time?

A pregnant client in the first trimester tells the clinic nurse she will be traveling to an area with a known Zika virus outbreak and expresses concern regarding disease transmission.  Which statement by the nurse is most appropriate?

A laboring client at 35 weeks gestation comes to the labor and delivery unit with preterm rupture of membranes "about 18 hours ago."  The client's group B Streptococcus status is unknown.  What intervention is a priority for this client?

The nurse assesses a client at term gestation who reports having contractions for the last 2 hours.  The client states, "I'm not sure, but I think my water broke."  The nurse performs a nitrazine pH test, which turns blue.  When documenting the results of the test, which client statement is most concerning to the nurse?

A client who is 8 weeks pregnant reports morning sickness.  What is the most appropriate response by the nurse?

A client is admitted to the labor and delivery unit with a diagnosis of severe preeclampsia.  IV magnesium sulfate is prescribed.  Which nursing measures should the nurse include in this client's plan of care?  Select all that apply.

The nurse is reinforcing education to a group of clients that are pregnant or planning pregnancy.  Which of the following client statements about alcohol use in pregnancy should concern the nurse?  Select all that apply.

The nurse is caring for a postpartum couplet and notices that the newborn is cyanotic and apneic, with a heart rate of 70/min.  The nurse calls for help and begins resuscitation.  Which position is appropriate for ventilating the newborn?

The nurse is performing the initial assessment of a newborn.  Which of the following findings should the nurse report to the health care provider?  Select all that apply.

The nurse is teaching a class of expectant parents about infant safety.  Which statement by a class participant indicates a need for further instruction?

Which actions should the labor and delivery nurse perform when caring for a client who has decided to relinquish her newborn to an adoptive parent?  Select all that apply.

The nurse is caring for a client at 39 weeks gestation in active labor who is receiving an oxytocin infusion.  The nurse notes persistent late decelerations on the fetal monitor.  Which of the following actions should the nurse take?  Select all that apply.

A client at 35 weeks gestation is admitted to the labor and delivery unit for severe pre-eclampsia.  She is started on IV magnesium sulfate for seizure prophylaxis.  Which of the following signs indicate that the client has developed magnesium sulfate toxicity?  Select all that apply.

The nurse is caring for a 2-week-old client who has tetralogy of Fallot.  Which assessment finding is a priority to report to the health care provider?

The postpartum nurse is caring for a client 8 hours after an uncomplicated cesarean birth.  Which of the following interventions should the nurse include in the client's plan of care to reduce the risk of thrombus formation?  Select all that apply.

A nulliparous client asks about being in "real" labor.  The nurse should teach that which signs are most indicative of true labor?  Select all that apply.