Exam 6: Maternal & Newborn Health

The nurse is providing education to several first-trimester pregnant clients.  Which client requires priority anticipatory teaching?

The nurse is obtaining a client's history during an initial prenatal visit.  The client's last menstrual period was from March 1 to March 5.  Unprotected intercourse occurred on March 15.  Slight vaginal spotting was noted on March 23.  The client's menstrual cycles are regular and 28 days long.  Using the Nägele rule, what is the estimated date of birth?

The nurse is assisting with a vaginal birth at term gestation.  Which newborn assessment finding is most important for the nurse to follow-up?

The nurse is caring for a 1-day-old client at term gestation who is irritable, feeding poorly, and only sleeping for very short intervals.  The newborn's mother informs the nurse that she has been taking hydrocodone on a regular basis for several years.  Which intervention is appropriate to include in the newborn's plan of care?

The nurse is caring for a group of 1-day-old clients in the newborn nursery.  Which finding requires immediate attention?

The nurse is verifying the medical history of a client who is admitted for a scheduled labor induction.  Which client statement should prompt the nurse to request further evaluation for a primary cesarean birth from the health care provider?

A nurse is teaching a postpartum client about cord care for the newborn.  Which statement by the client indicates a need for further teaching?

A nurse is caring for a pregnant client at 27 weeks gestation after a motor vehicle collision with side airbag deployment.  The client's blood type is O negative.  Which laboratory test should the nurse anticipate?

A pregnant client comes in for a routine first prenatal examination.  According to the last menstrual period, the estimated gestational age is 12 weeks.  Where would the nurse expect to palpate the uterine fundus in this client?

The nurse is preparing to teach the perinatal unit staff about caring for newborns with either omphalocele or gastroschisis.  Which of the following statements are appropriate for the nurse to include?  Select all that apply.

The nurse is reinforcing instructions to a client at 34 weeks gestation who is preparing to travel by airplane.  Which of the following instructions are appropriate?  Select all that apply.

The nurse is performing telephone triage with a client at 38 weeks gestation who thinks she may be in labor.  Which questions would help the nurse determine whether the client is in labor?  Select all that apply.

The nurse is preparing to assess a client visiting the women's health clinic.  The client's obstetric history is documented as G₅T₁P₂A₁L₂.  Which interpretation of this notation is correct?

The pediatric nurse is performing an assessment on a 4-week-old client in the clinic.  During the assessment, the newborn's mother starts to cry and states, "I am the worst mother in the world."  What should the nurse ask next?

A client postpartum 3 days scheduled for discharge today was given education about diaper changes yesterday.  The client says to the nurse, "I'm so glad you are here.  I think my baby has a dirty diaper.  I can't change it as well as you can.  Will you change my baby's diaper for me?"  What is the nurse's best response?

The nurse is teaching a client, gravida 1 para 0, at 8 weeks gestation about expected weight gain during pregnancy.  The client's prepregnancy BMI is 21 kg/m².  Which statement by the client indicates an appropriate understanding about weight gain?

The nurse is assessing a 4-day-old, term neonate who is breastfed exclusively.  Which assessment finding should the nurse report to the health care provider for further assessment regarding possible formula supplementation?

The nurse is participating in an obstetrical emergency simulation in which a client is hemorrhaging after birth due to uterine inversion.  When describing interventions, which statement by the nurse indicates a need for further education?

A nurse is preparing to teach the parents of a newborn about newborn safety.  Which instruction is appropriate for the nurse to include in the teaching plan?

When assessing a preterm newborn for cold stress, a graduate nurse in the newborn nursery needs further teaching when stating the need to assess for which finding?