Exam 33: Reproduction

The nurse is providing care to a client,with a history of rheumatoid arthritis (RA),who is 5 months pregnant.Which nursing actions are appropriate when providing care to this client? Select all that apply.

The nurse is instructing a new mother on how to care for the newborn's circumcision site.Which statements indicate that the nurse's education session was effective? Select all that apply.

A client who says she is "about 6 weeks pregnant" hears the baby's heartbeat for the first time through a Doppler.Based on this data,which conclusion by the nurse is the most appropriate?

The nurse is providing care to a client in labor who experiences spontaneous rupture of membranes.The fetus is in the vertex position.The nurse notes that the amniotic fluid is meconium stained.Based on this data,which is the priority action by the nurse?

During a postpartum examination of a client who delivered an 8-pound newborn 6 hours ago,the nurse assesses the following: fundus firm and at the umbilicus,and moderate lochia rubra with a steady trickle of blood noted from the vagina.Which assessment finding requires immediate follow-up?

The nurse conducting a 5-minute Apgar assessment on a newborn assigns the following ratings: Heart rate < 100 beats per minute (1 point); slow,irregular respirations (1 point); some flexion of the extremities (1 point); a vigorous cry with flicking of the baby's foot (2 points); and a pink body with blue extremities (1 point).Based on this data,which nursing action is appropriate?

The spouse of a pregnant client tells the nurse that he is not sure he is ready to be a father and wishes his wife had not gotten pregnant.Which response by the nurse is appropriate?

The nurse is teaching a pregnant client,with a history of back pain,childbirth exercises.Which is most appropriate for this client?

A postpartum client is experiencing pain from an episiotomy.Which actions will the nurse suggest to the client to decrease discomfort? Select all that apply.

An adolescent client at 34 weeks' gestation states to the nurse,"I am stressed out about becoming a mother.I hope that I can get back to my normal day to day activities after the baby is born." In order to elicit the appropriate information from the client,which question by the nurse is the most appropriate?

When palpating the fundus of a woman on her first day postpartum,the nurse finds that the woman's uterus is higher than expected and is deviated to the right.She is not having excessive uterine bleeding.Which is the priority nursing action for this client?

The nurse is instructing the parents who delivered their first child at 34 weeks' gestation.Which statements made by the parents indicate that additional teaching is needed? Select all that apply.

A nurse working in an OB/GYN outpatient clinic finds that on a routine anemia screen a pregnant client in her second trimester has a hemoglobin of 10 g/dL and a serum ferritin level of 11 mg/L.The client confirms fatigue,but otherwise feels fine.Which actions by the nurse are appropriate when providing care to this client? Select all that apply.

The nulliparous states,"I have been in labor for 4 hours and I am still only 2 cm dilated.Why is this happening? I feel like I should be ready to push by now." Which is the best response by the nurse?

Upon delivery of the newborn,which nursing intervention promotes parental attachment?

The nurse is instructing a postpartum client on when she can resume her normal exercise regimen of running for exercise most days of the week.Which statement indicates that teaching was effective?

A client who is in the first trimester of pregnancy tells the nurse that she is constantly nauseated and can vomit at any time.To assist this client,the nurse should instruct her to do which of the following?

A client is surprised to learn of being pregnant because the home pregnancy test was negative when it was used a month ago.Which response by the nurse is appropriate?

The laboring client's fetal heart rate baseline is 120 beats per minute (bpm).Accelerations are present to 135 bpm.During contractions,the fetal heart rate gradually slows to 110 bpm and is at 120 bpm by the end of the contraction.Which nursing action is appropriate?

When administering an intramuscular dose of vitamin K (AquaMEPHYTON)to a newborn,which actions by the nurse are appropriate? Select all that apply.