Exam 6: Maternal & Newborn Health

The postpartum nurse is documenting client care at the unit's front desk.  During that time, several clients request assistance from the nurse.  Which client need should the nurse address first?

The nurse is planning education for clients in group prenatal care who are entering the second trimester of pregnancy.  Which of the following are appropriate for the nurse to include in second-trimester teaching?  Select all that apply.

The graduate nurse (GN) is assisting the nurse preceptor to provide education to a client diagnosed with a molar pregnancy.  Which statement by the GN requires the precepting nurse to intervene?

A nurse is caring for a client at 12 weeks gestation who is admitted for hyperemesis gravidarum.  Which clinical manifestation should the nurse expect?

The charge nurse should intervene if the new graduate nurse performs which action when caring for a jaundiced newborn being treated with phototherapy?

What is an appropriate nursing intervention after the birth of a newborn with anencephaly?

The nurse receives report on several postpartum clients who gave birth at term gestation.  Which client should the nurse assess first?

Prior to hospital discharge, the nurse discusses sexuality after childbirth with a client who had an uncomplicated vaginal birth with no perineal lacerations.  Which client statement requires further teaching?

The nurse has received report for a term newborn after a vaginal birth.  Maternal history includes diagnosis of gestational diabetes at 25 weeks gestation and poorly controlled blood glucose during pregnancy.  When assessing the newborn, which finding should the nurse most likely expect?

The nurse is caring for a baby born at 30 weeks gestation and diagnosed with necrotizing enterocolitis.  Which nursing action should be implemented?

The nurse is performing assessments of several clients during routine prenatal visits.  Which client should the nurse discuss with the health care provider first?

The nurse is providing nutrition counseling during a preconception visit to a client who does not eat green vegetables.  In addition to a daily prenatal vitamin, which foods can the client add to the daily diet to decrease the risk of neural tube defects?  Select all that apply.

The charge nurse is observing fetal heart rate (FHR) tracings of 4 clients who have just been admitted to labor and delivery triage.  Which FHR pattern would be most concerning to the nurse?

A nurse on the antepartum unit is caring for a pregnant client at 30 weeks gestation who was admitted with reports of vaginal bleeding.  A diagnosis of placenta previa was confirmed by ultrasound.  What should the nurse tell the client to anticipate?  Select all that apply.

The nurse is teaching the mother of a newborn about gastroesophageal reflux.  What does the nurse suggest to help prevent reflux?  Select all that apply.

The nurse provides a follow-up phone call to a client who gave birth at a birthing center 5 days ago.  Which statement by the client should the nurse be most concerned about?

The nurse performing an initial newborn assessment observes a bluish discoloration of the hands and feet.  The trunk has a pink color.  Which action by the nurse is appropriate?

A nurse is caring for a client following a forceps-assisted vaginal birth.  The client reports severe vaginal pain and fullness.  On assessment, the nurse notices a firm, midline uterine fundus.  Lochia rubra is light.  Which diagnosis should the nurse anticipate?

A newborn client is seen in the emergency department for vomiting.  Which assessment finding indicates a possible emergency?

A nurse is caring for a postpartum client who has chosen to exclusively formula feed her newborn for medical reasons and is experiencing breast engorgement.  What should the nurse teach regarding relief of breast engorgement?