Exam 6: Maternal & Newborn Health

A 37-weeks-pregnant woman comes to the emergency department with a fractured ankle.  Which assessment finding is most concerning and requires the nurse to follow up?

A nurse is admitting a client at 42 weeks gestation to the labor and delivery unit for induction of labor.  What is a predictor of a successful induction?

The nurse is caring for a client at 30 weeks gestation who is hospitalized for preeclampsia.  After reviewing the client's chart and performing an initial assessment, the nurse notes several abnormal findings.  Which finding should the nurse discuss with the health care provider immediately?

The nurse is evaluating a client's understanding of postcircumcision care for a 24-hour-old newborn.  Circumcision was performed using the clamp method.  Which statement by the client demonstrates a need for further teaching?

A client at 38 weeks gestation is in latent labor with ruptured membranes and is receiving an oxytocin infusion for labor augmentation.  The client is requesting IV pain medication.  When administering an IV narcotic during labor, which nursing action is appropriate?

A nurse is caring for a postpartum client who is breastfeeding and has been diagnosed with mastitis of the right breast.  Which of the following instructions should the nurse include in client teaching?  Select all that apply.

A nurse is preparing to administer oxytocin to induce labor in a pregnant client at term gestation.  Which of the following nursing actions are appropriate during oxytocin infusion?  Select all that apply.

A client at 20 weeks gestation reports "running to the bathroom all the time," pain with urination, and foul-smelling urine.  Which question is most important for the nurse to ask when assessing the client?

A nurse is participating in an obstetrical emergency simulation in which the health care provider announces shoulder dystocia.  Which of the following interventions should the assisting nurse implement?  Select all that apply.

A nurse is caring for a client following delivery of a stillborn infant.  Which actions should the nurse take?  Select all that apply.

The nurse is performing the initial assessment of a newborn.  Which finding should the nurse report to the health care provider?

A client in labor has reached 8 cm dilation, is fully effaced, and feels an urge to push.  The nurse observes thick, blood-tinged mucus during the vaginal examination.  What is the nurse's best action?

The obstetric nurse is reviewing phone messages.  Which client should the nurse call first?

The nurse is preparing a nutritional teaching plan for a client planning to become pregnant.  Which foods would best prevent neural tube defects?

The nurse is reviewing laboratory results for several prenatal clients.  Which finding is most important to report to the health care provider?

A nurse is caring for a client at 30 weeks gestation who is admitted for preterm labor.  Which of the following interventions should the nurse anticipate?  Select all that apply.

The nurse performs initial assessments of four clients in a prenatal clinic.  Which client findings are abnormal and require further assessment?

A laboring client reports feeling the need to have a bowel movement and begins vomiting.  The nurse notes that the client's legs are trembling.  What cervical examination finding would the nurse most expect this client to have?

The nurse is preparing to discharge a client following a first trimester miscarriage.  Which of the following statements should the nurse include in discharge teaching for the client and partner?  Select all that apply.

The postpartum nurse is assessing a client who gave birth by cesarean section 5 hours ago and is requesting pain medication.  The client appears restless, has a heart rate of 110/min, and admits to recent onset of anxiety.  What priority action should the nurse take?