Exam 33: Reproduction

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The nurse is providing care to a newborn born after 37 weeks gestation.The newborns weight is 1,750 g (3 pounds,10 ounces).The head circumference and length are at the 25th percentile.What statement would the nurse use to describe these assessment findings?

(Multiple Choice)
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A client in the fourth stage of labor is crying out in pain.Which nursing diagnosis is the priority at this time?

(Multiple Choice)
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A client at 12 weeks' gestation with her first child tells the nurse that she is concerned that her husband does not want the baby because he has a renewed interest in playing tennis and visiting with college friends after work.When responding to the client,which should the nurse take into consideration?

(Multiple Choice)
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The nurse is preparing to provide an enteral feeding to a preterm infant.Which is the priority nursing action prior to administering the feeding?

(Multiple Choice)
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A client at 16 weeks' gestation is diagnosed with tuberculosis (TB).Which statements by the nurse are appropriate when instructing the client regarding the needs for both the client and fetus? Select all that apply.

(Multiple Choice)
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A client who recently learned of being pregnant tells the nurse that she stopped eating meat years ago and started eating fish daily because it is healthier.Which teaching points are appropriate for this client based on her current diet? Select all that apply.

(Multiple Choice)
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The nurse is instructing a pregnant adolescent client on how the baby's condition is evaluated during labor.Which client statement indicates appropriate understanding of the information presented?

(Multiple Choice)
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The nurse is providing care to a client who gave birth to a newborn by cesarean section.When providing care to this client,which nursing actions are appropriate? Select all that apply.

(Multiple Choice)
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The nurse is providing postpartum care to a client from a different culture.What nursing actions are appropriate to include in the client's plan of care? Select all that apply.

(Multiple Choice)
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During an assessment,the nurse notes the postpartum client is experiencing intense shaking and chills.Based on this data which conclusion by the nurse is appropriate? Select all that apply.

(Multiple Choice)
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A client who gave birth to her first child 12 hours ago has the following assessment findings: nausea for 2 hours; boggy fundus that firmed with massage; moderately heavy lochia rubra; ecchymotic and edematous perineum; and pain rating of 6 on scale of 1-10.The client's partner is present and supportive.Breastfeeding has been successful three times.Based on this data,which is the priority nursing diagnosis?

(Multiple Choice)
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The mother of a preterm infant tells the nurse that she was not looking forward to having a baby and now that the baby is sick,she feels worse.Which nursing diagnosis is appropriate based on this data?

(Multiple Choice)
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The nurse is assessing a premature newborn who is being care for in the newborn intensive care unit (NICU).Which assessment finding indicates the newborn is experiencing respiratory distress?

(Multiple Choice)
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During the fourth stage of labor,a client's blood pressure is 110/60 mmHg,pulse 90,and the fundus is firm,midline and halfway between the symphysis pubis and the umbilicus.Based on this data,which is the primary action by the nurse?

(Multiple Choice)
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The nurse receives shift change report on infants born within the last 4 hours.Which newborn should the nurse assess first?

(Multiple Choice)
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The nurse is planning care for a client who had a cesarean birth 4 hours ago.Which actions should be included in this client's plan of care? Select all that apply.

(Multiple Choice)
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A nurse is caring for the 1-hour-old newborn of a diabetic mother.Which actions will the nurse include in the newborns plan of care? Select all that apply.

(Multiple Choice)
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A pregnant client presents to the emergency department reporting that she has started labor and is certain the baby is coming "any minute now" and asks to be taken up to the delivery suite.After assessing and monitoring the client,the nurse determines that the client is in "false" labor and is preparing her to for discharge.Which observations support the nurse's conclusion? Select all that apply.

(Multiple Choice)
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The nurse is providing care to a pregnant client who will undergo chorionic villi sampling.The client is currently 8 weeks pregnant.When teaching the client about this genetic testing,which layer of the embryonic membrane is tested during this procedure?

(Multiple Choice)
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A client who is at 12 weeks' gestation is experiencing nausea,breast tenderness,and fatigue.She tells the nurse her husband is upset with her constant complaints.Which is the priority nursing diagnosis based on this data?

(Multiple Choice)
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