Exam 6: Maternal & Newborn Health

A pregnant client at 30 weeks gestation comes to the prenatal clinic.  Which vaccines may be administered safely at this prenatal visit?  Select all that apply.

The nurse is reviewing several fetal heart rate (FHR) tracings for laboring clients at term gestation.  Based on the FHR tracings, which client requires priority assessment by the nurse?

The nurse receives report for a client at 36 weeks gestation who is being transferred to the unit for labor induction from a rural health care facility with an intrauterine fetal demise of unknown duration.  Which intervention is most important when receiving care of the client?

A primigravid client in early labor is admitted and reports intense back pain with contractions.  The fetal position is determined to be right occiput posterior.  Which action by the nurse would be most helpful for alleviating the client's back pain during early labor?

A nurse is teaching the parent how to care for a newly circumcised newborn.  Which statement by the parent indicates that further teaching is needed?

A client with poorly controlled diabetes mellitus gives birth to a newborn at term gestation.  When caring for the 2-hour-old newborn, which clinical finding requires the nurse to intervene?

A newborn diagnosed with trisomy 18 (Edwards syndrome) is on ventilator support.  The client's parents have repeatedly asked when their child will be able to breathe without the ventilator.  Which action by the nurse is appropriate?

The nurse is counseling a pregnant client who is HIV positive.  Which information is appropriate to discuss?

A nurse is caring for a client who had a vaginal birth 2 hours ago.  The client has saturated a perineal pad in 20 minutes.  During assessment, the nurse notices that the client has a boggy fundus that is deviated to the right and slightly above the umbilicus.  Which intervention should the nurse perform first?

A client without prenatal care gives birth to a newborn at term gestation.  The client denies opioid or other illicit drug use during pregnancy.  When monitoring the newborn, which of the following signs would indicate neonatal abstinence syndrome to the nurse?  Select all that apply.

The nurse is monitoring a client who is in active labor with a cervical dilation of 6 cm.  Which uterine assessment finding requires an intervention by the nurse?

The nurse provides discharge instructions to a client at 14 weeks gestation who has received a prophylactic cervical cerclage.  Which client statement indicates an understanding of teaching?

The nurse is documenting assessments of pregnant clients in the antepartum unit.  Which client's assessment findings are most important to report to the health care provider?

A client suspects she is pregnant and comes for prenatal evaluation.  Which assessment findings indicate definitive evidence (positive signs) of pregnancy?  Select all that apply.

The nurse is teaching a postpartum client about breastfeeding.  Which statement by the client indicates a correct understanding of teaching?

The graduate nurse (GN) is caring for a laboring client with epidural anesthesia.  After the client pushes for 3 hours during the second stage of labor, the health care provider (HCP) decides to use forceps to assist the client to deliver secondary to maternal exhaustion.  Which action by the GN requires the nurse preceptor to intervene?

The nurse is caring for a client in the first trimester during an initial prenatal clinic visit.  Based on the information provided by the client, which factor places the client at an increased risk for preterm labor?

The nurse is caring for a client at 21 weeks gestation with reports of occasional, bothersome heartburn (pyrosis).  Which of the following lifestyle changes should the nurse recommend?  Select all that apply.

The nurse receives report on 4 first-trimester pregnant clients.  Which client should the nurse assess first?

A client gives birth within an hour of arriving at the labor and delivery unit and delivers the placenta 5 minutes later.  During assessment, the nurse notes that the uterus is midline and boggy.  Which action should the nurse take first?