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A nurse is reinforcing teaching client about umbilicalcord care to a new mother which is indicated thatclient understanding the nurse's teaching?
I will report any drainage from my baby's umbilical cordRational:any discharge or foul odor should be report tothe provider
monitor intake and output A nurse is caring for a newborn who is undergoingphoto-therapy which of the intervention should thenurse include in teaching newborn plan of care?
Beans A nurse in the provider's office is reinforcing teaching theclient who is trying to become pregnant, the nurse shouldtells the client that adequate intake of what foods will helpto prevent neural tube birth defects?
A client reports that she is changingperi-neal pads every 15 minutes
A nurse in a postpartum unit is receiveing a shiftchange report for several clients, which of thefindings should the nurse reported to the provider?
you should suspended breastfeedingwhile taking this medication
A nurse is reinforcing teaching client who has been RXmethronidazole(flagyl) which of the statement should thenurse include in teaching after reviewing the Pt's chart?
Ketonuria A client who is pregnant present to the prenatal clinicw/report of frequent vomiting. What additional findingshould cause the nurse to report that the clientexperiencing hyperemesis gravidarum/
BP 146/94 mmHg (indicate mildpreclampsia)
A nurse is caring for a client who is 35 wks of gestation.reveals Hgb 12.0 g/dl,wgt 410.6bs,BP100/62,and a fundusheight of 31cm.which of the findings should the nursereported?
fetal heart tone with Doppler , useDoppler @12wks is appropriate
A nusre is caring for client who is 12 wks of gestationduring the routine prenatal examination,the nurseshould expected this finding to be performed?
lentils, oyster, beef liver A nurse is teaching to client who is 30wks of gestation andhas an iron-deficiency anemia, which foods should thenurse include in primary sources of iron?
on her left side with her slightlyelevated
A client in her third trimester report for a Non-stress testafter explaining the procedure and assisting client intothe bed, the nurse should instruct the client to positionherself?
Prolong labor A nurse is assisting with the care of client who is 2 hrspostpartum which of concerns the nurse should recognizeas a risk factors for a postpartum hemorrhage?
cervical laceration A nurse is collecting data from the client who is 1 daypostpartum. the nurse notes a slow trickle of bright reblood, and a firm fundus that is 2 cm below the umbilicus,the nurse recognize that these findings may include?
change position slowly whentaking this medication
A nurse in a provider's office for a therapy. a client who is28wks of gestation and taking nifedipine(flagyl) the nurseshould include and reinforcing teaching client to?
intramuscular A nurse is preparing to administer vitK.(Aquamephyton) to a newborn what is the
route for this medication?
apply diaper loosely with eachdiaper change
A mother called in to pediatric clinic asks for an advise totake care of her newborn 3 days old circumcised becauseher baby has yellow discharge at the tip of his penis?
nasal flaring, intercostalretraction,Grunting
A nurse is assisting with the admission of a newbornwho has respiratory distress. while collecting datawhich data should the nurse reported?
reactive A client has just completed Non stress test. the nursenotes two FHR acceleration of 15/min over a 20 -minperiod,lasting at least 15 second the nurse recognize thatthis indicate of what result?
Presence of drug-resistantorganism in urine
A nurse in the postpartum unit is reviewing the plan ofcare for a client admitted 2 hrs ago following a vaginaldelivery. what findings should the nurse implementcontact precaution?
Gonorrhea A nurse is apply Erythromycin oint. to eyes ofnewborn after birth. the nurse understands thatthe reason for that ointment is to prevent?
1 oral glucose tolerance test resultof 145mg/dl
A nurse in the provider's office is reviewinglab test for a group of clients which findingsshould the nurse reported to the provider?
the client will need to be placed inlow protein diet
A nurse us caring for client in the antepartum clinic theclient has a family history of phenylketonuria(PKU) andhas tested positive. what should the nurse anticipating ?
Urine specimen cup A nurse in antepartum unit collecting data of client who is35 wks of gestation and exhibiting sings of preeclampsiawhich of supplies should the nurse obtain to determinethe presence of protein?
Oxytocin A nurse is reinforcing teaching client about the let-downreflex to a client who is breastfeeding the nurse shouldinstruct client that the let-down reflex is stimulated bywhich of the maternal hormones?
Consume 28 g. of fiber per day A client in the second trimester tells the nurse thatshe has been very constipated. what should thenurse recommended the client to do?
Redness on the calf, urinaryurgency,Dysuria,crackled nipple
A nurse is caring for a client who is 48 hrpostpartum following the vaginal delivery.whichfindings should the nurse reported to the provider?
"I have a pain in the upper rightabdomen"
A Client who is 39 wks of gestation whichstatement should alert the nurse to a
potential complication
Elevated the client's affected limbto reduced the swelling
A nurse is caring for a client who has beendiagnosed with DVT which of the actions
should
The cerclage will be removed atapprox 37 wks of gestation
A nurse reinforcing teaching with client who isexperiencing preterm labor. The client has anincompetent cervix and is scheduled for a cerclage. whichof the following the nurse should include in teaching?
Erythrocyte sedimentation rate of34mm/hr
A nurse is collecting data from a client in thepostpartum unit which of findings should the
nurse reported?
Maintain increased hydration withwater
A nurse teaching related to an travel withclient in her 2 nd trimester the nurse should
include this in?
Serum Creatinine of 2.1mg/dl A nurse in a prenatal clinic is caring for a client at herfirst prenatal visit. which lab findings the nurseshould reported to the provider?
Provide the fundal massage A nurse is collecting data from a client during a 4 stage oflabor, the client report a gush of bleeding from hervagina, and the nurse observe a large clot. which of actionshould the nurse take first?
January 22 ( determine the first day of LMP the add7days and then counting forward 9 monthsapril 15 plus 7+= 22 counting forward 9 months= jan 22
A nurse is caring for a client at her first prenatal visit.The first day of last menstrual period was April 15,which is client expected date of birth(EDB)?
A frewuent headache with visualchanges
A nurse is collecting data from 28 years old client who isrequesting for prescribed for an oral contraceptive. whichclient's history is contraindication for the oralcontraceptives?
Help client to ambulate to thetoilet
A nurse is caring for client 6 hrs after vaginal birth who is going tobreastfeed her newborn client reported pain scale 6 0f 0-10 scale. thenurse notes mild perineal edema and ecchymosis,with a fundus that is 2cm above the umbilicus and deviated to the right which is the highestpriority?
Cessation of utrine contration A nurse is caring for a pregnant client who is prescribednifedipine(Procardia) which expected response from thismedication?
Check the newborn blood glucoselevel
A nurse is caring for a newborn who is largefor gestational age is exhibiting jitteries,which action should the nurse takes?