OB ati proctored

A nurse is performing a routine assessment on a client who is at 18 weeks of gestation which of the following findings should the nurse expect

Deep tendon reflexes, 4+

Fundal height 14 cm

Blood pressure 142/94

FHR 152/min

FHR 152/min

A nurse is planning care for a client who is to undergo a nonstress test, which of the following actions should the nurse include in the plan of care

Maintain the client NPO throughout the procedure

Place the client in a supine position

Instruct the client to massage the abdomen to stimulate fetal movement

Instruct the client to press the provided each time fetal movement is detected

Instruct the client to press the provided each time fetal movement is detected

which assessment findings are caused by hypoglycemia hyperbilirubinemia or sepsis

respiratory distress

Decrease temperature

Lethargy

Poor feeding

Ecchymotic caput succedaneum

Yellow sclera and oral mucosa

what newborn shoulder dystocia interventions are indicated or contraindicated

educate the parents to begin range of motion exercises on the affected arm after one week

Assess for grasp reflex in the affected extremity

Immobilize the arm across the abdomen by pinning the newborns sleeve to their shirt

Instruct parents to limit physical handling for two weeks

A nurse is assessing a newborn who was born at 26 weeks gestation using the new ballad score, which of the following findings should the nurse expect

Minimal arm recoil

Popliteal angle of 90°

Creases over the entire foot sole

Raised aerolas with 3 to 4 mm buds

minimal arm recoil

A nurse is teaching a client who is at 35 weeks of gestation about manifestations of potential pregnancy complications to report to the provider. which of the following manifestations should the nurse include

Shortness of breath when climbing stairs

Swelling of the feet and ankles at the end of the day

Headache that is unrelieved by analgesia

Braxton Hicks contractions

headache that is unrelieved by analgesia

A nurse is caring for a postpartum client who is receiving heparin via a continuous IV infusion for thrombophlebitis in their left calf which of the following actions should the nurse take

Administer aspirin for pain

Elevate the affected leg

Massage that affected leg every 12 hours

Apply cold compresses to the effected calf

Elevate the affected leg

*bed rest, elevation above level of heart, avoid pillow under knee, encourage frequent change of position, intermittent or continuous WARM moist compress, NO MASSAGING, administer analgesics such as nsaids, measure leg circumference, administer anticoagulants for DVT

A nurse in a prenatal clinic is assessing a group of clients which of the following client. Should the nurse see first.

A client who is at 11 weeks of gestation and reports abdominal cramping

A client who is at 15 weeks of gestation and reports, tingling and numbness in right hand

A client who is at 20 weeks of gestation and reports constipation for the past four days

A client who is at eight weeks of gestation and reports having three bloody noses in the past week

A client who is at 11 weeks of gestation and reports abdominal cramping

A nurse is preparing to administer oxytocin to a client who is postpartum, which of the following findings is an indication for the medication SATA

flaccid uterus

Cervical laceration

Excess vaginal bleeding

Increased after birth cramping

Increase maternal temperature

flaccid uterus

Excess vaginal bleeding

A nurse is caring for a client who is at 41 weeks of gestation has a positive contractions stress test. Which of the following diagnostic tests should the nurse prepare the client?

Percutaneous, umbilical blood sampling

Amnioinfusion

Biophysical profile (BPP)

chorionic, villus sampling

bpp

A nurse is preparing to perform. Leopold maneuver us for a client identify the sequence the nurse should follow.

palpate for the fetal part presenting at the inlet

Palpate the fundus to identify the fetal part

Determine the location of the fetal back

Identify the attitude of the head

palpate the fundus to identify the fetal part

Determine the location of the fetal back

Palpate for the fetal part, presenting at the inlet

Identify the attitude of the head

A nurse is developing a plan of care for a newborn who is to undergo photo therapy for hyperbilirubinemia, which of the following actions should the nurse include in the plan

Feed the newborn 1 ounce of water every four hours

Apply lotion to the newborn skin three times per day

Remove all clothing from the newborn except the diaper

Discontinue therapy if the newborn develops a rash

remove all clothing from the newborn except the diaper

A nurse is assessing a client who gave birth vaginally 12 hours ago and palpate their uterus to the right above the umbilicus, which of the following intervention, should the nurse perform

Reassess the client in two hours

Administer simethicone

Assist the client to empty their bladder

Instruct the client to lie on the right side

assist the client to empty their bladder

A nurse is caring for a client following an amniocentesis at 18 weeks of gestation which of the following findings. Should the nurse report to the provider as a potential complication

Increased fetal movement

Leakage of fluid from the vagina

Upper abdominal discomfort

Urinary frequency

leakage of fluid from the vagina

A nurse is assessing a newborn of a client who took a selective serotonin reuptake inhibitor during pregnancy, which of the following manifestations should the nurse identify as an indication of withdrawal from SSRI

Large for gestational age

Hyperglycemia

Bradypnea

Vomiting

vomiting

A nurse is caring for a newborn who was transferred to the nursery 30 minutes after birth because of mild respiratory distress which of the following actions should the nurse take

Confirm the newborns Apgar score

Verify, the newborns identification

Administer vitamin K to the newborn

Determine obstetrical risk factors

verify, the newborns identification

a school nurse is providing teaching to an adolescent about levonorgestrel contraception which of the following information should the nurse include in the teaching

You should take this medication within 72 hours following unprotected sexual intercourse

you should avoid taking this medication if you are on an oral contraceptive

If you don’t start your period within five days of taking this medication, you’ll need a pregnancy test

One dose of this medication will prevent you from becoming pregnant for 14 days after taking it

You should take this medication within 72 hours following unprotected sexual intercourse

A nurse is caring for a client who is to receive oxytocin to augment their labor, which of the following findings, contraindicates the initiation of the oxytocin infusion, and should be reported to the provider

Late decelerations

Moderate variability of the FHR

Cessation of uterine dilation

Prolonged, active phase of labor

late decelerations

A nurse is assessing a client who is at 30 weeks of gestation during a routine prenatal visit which of the following findings should the nurse report to the provider

Swelling of the face

Varicose veins in the calves

Nonpitting 1+ ankle edema

Hyperpigmentation of the cheeks

swelling of the face

specify if the assessment findings are consistent with trichomoniasis, gonorrhea, or candidiasis

Abdominal pain

Greenish discharge

Diabetes

Pain on urination

Absence of condom use

what is pelvic inflammatory disease?

pid is an infection that involves the pelvic reproductive organs usually caused by an infection in the vagina that was left untreated. This includes gonorrhea. Manifestations include fever, increased C reactive protein, nausea, and vomiting.

PID treatment meds

ceftriaxone and doxycycline

ceftriaxone first, doxy orally at home

A nurse on the ante partum unit is caring for four clients. Which of the following client should the nurse identify as the priority

A client who has gestational diabetes in a fasting blood glucose level of 120 (<95)

A client who is at 34 weeks of gestation and reports epigastric pain

A client who is at 28 weeks of gestation and has a hemoglobin of 10.4 (11-16)

A client who is at 39 weeks of gestation and reports urinary frequency and dysuria

A client who is at 34 weeks of gestation and reports epigastric pain

*epigastric pain is a red flag for preeclampsia

A nurse is caring for a client who is at 15 weeks of gestation is Rh negative, and just had a amniocentesis which of the following interventions is the nurses priority following the procedure

Check the clients temperature

Observe for uterine contractions

Administer RH immune globulin

Monitor the FHR

Monitor the FHR

A nurse is caring for a client who has preeclampsia and is receiving a continuous infusion of magnesium sulfate IV, which of the following actions should the nurse take

Restrict hourly fluid intake to 150 ml/hr

Have calcium gluconate readily available

assess deep tendon reflexes every six hours

Monitor intake and output every four hours

Have calcium gluconate readily available

A nurse is caring for a client who is at 22 weeks of gestation and is HIV positive which of the following actions should the nurse take

Administer penicillin 2.4 million units IM to the client.

Instruct the client to schedule an annual pelvic examination

Tell the client they will start medication for HIV immediately after delivery

Report the clients condition to the local health department

Report the clients condition to the local health department

A nurse is planning care for a client who is in labor and is requesting epidural anesthesia for pain control, which of the following actions should the nurse include in the plan of care

Place the client in a supine position for 30 minutes following the first dose of anesthetic solution

Administer 1000 ML of dextrose 5% in water prior to the first dose of anesthetic solution

Monitor the client blood pressure every five minutes following the first dose of anesthetic solution

ensure the client has been NPO, four hours prior to the placement of the epidural in the first dose of anesthetic solution

Monitor the client blood pressure every five minutes following the first dose of anesthetic solution

A nurse is assessing a client who has postpartum and has idiopathic thrombocytopenia purpura (ITP). Which of the following findings should the nurse expect?

Decrease platelet count

Increased erythrocyte sedimentation rate (ESR)

Decrease megakaryocytes

Increased wbc

decreased platelet count

A nurse is caring for a client who has hyper emesis gravidarum and is receiving IV fluid replacement which of the following findings should the nurse report to the provider

Blood pressure 105/64

Heart rate 98/min

Your an output of 280 ML within eight hours

urine negative for ketones

Blood pressure 105/64

A nurse is teaching a client who has pre-gestational type one diabetes mellitus about management during pregnancy, which of the following statements by the client indicates an understanding of the teaching

I will need to increase my insulin dose is during the first trimester

I should engage in moderate exercise for 30 minutes if my blood glucose is 250 or greater

I will continue taking my insulin if I experience nausea and vomiting

I will ensure that my bedtime snack is high in refined sugar

I will continue taking my insulin if I experience nausea and vomiting

A nurse is assessing a late preterm newborn, which of the following manifestations is an indication of hypoglycemia

Hypertonia

Increased feeding

Hyperthermia

Respiratory distress

respiratory distress

A nurse is caring for a client who is at 38 weeks of gestation which of the following action should the nurse take prior to applying and external transducer for fetal monitoring

determine progression of dilation and effacement

perform Leopold maneuvers

Complete a sterile, speculum exam

Prepare a nitrazine paper test

perform Leopold maneuvers

A nurse is assessing for newborns, which of the following findings should the nurse report to the provider

A newborn who is 26 hours old and has erythema toxicum on her face

A newborn who is 32 hours old and has not passed a meconium stool

A newborn who is 12 hours old and has pink tinged urine

A newborn who is 18 hours old and has an auxiliary temperature of 37.7 or 99.9 Fahrenheit.

A newborn who is 18 hours old and has an auxiliary temperature of 37.7 or 99.9 Fahrenheit.

A nurse is providing teaching for a client who has a new prescription for combined oral contraceptives, which of the following findings should the nurse include as an adverse effect of his medication

Depression

Polyuria

Hypertension

Urticarial

depression

A nurse is admitting a client to the labor and delivery unit when the client states “my water just broke” which of the following interventions is the nurses priority

Perform nitrazine testing

Assess the fluid

Check, cervical dilation

Begin FHR monitoring

begin FHR monitoring

A nurse is caring for a client who is in labor and reports increasing rectal pressure. They were experiencing contractions 2 to 3 minutes apart each lasting 80 to 90 seconds. In a vaginal examination reveals that they’re cervix is dilated to 9 cm. The nurse should identify that the client is in which of the following phases of labor

Passive descent

Active

Early

Descent

active

A nurse is assessing a newborn 12 hours after birth, which of the following manifestations should the nurse report to the provider

Acrocyanosis

Transient strabismus

jaundice

Caput succedaneum

jaundice

A nurse is assessing a newborn who is 16 hours old which of the following findings should the nurse report to the provider

Substernal retractions

Acrocyanosis

Overlapping, suture lines

Head circumference, 33 cm

Substernal retractions

A nurse is caring for a client who is at 10 weeks of gestation which of the following findings should the nurse report to the provider

Frequent and vomiting with weight loss of 3 pounds in one week

Reports of mood swings

Nose bleeds occurring approximately three times per week

Increased vaginal discharge

Frequent and vomiting with weight loss of 3 pounds in one week

A nurse is caring for a client who becomes unresponsive upon delivery of the placenta, which of the following actions. Should the nurse take first.

Determine respiratory function

Increase the IV fluid rate

Access emergency, medication’s from cart

Collect a maternal blood sample for coagulopathy studies

determine respiratory function

A nurse is teaching a client who is at 10 weeks of gestation about nutrition during pregnancy, which of the following statements by the client indicates an understanding of the teaching

I should increase my protein intake to 60 g a day

I should drink 2 L of water each day

I should increase my overall daily caloric intake by 300 cal

I should take 600 µg of Folic acid each day

I should take 600 µg of Folic acid each day

A nurse is assessing a newborn, following a circumcision, which of the following findings should the nurse identify as an indication that the newborn is experiencing pain

Decrease heart rate

Chin quivering

Pinpoint pupils

Slowed respirations

Chin quivering

A nurse is reviewing the medical record of a newly admitted client at 32 weeks of gestation which of the following conditions is an indication for fetal assessment, using electronic fetal monitoring

Oligohydramnios

Hyperemesis gravidarum

Leukorrhea

Periodic tingling of the fingers

Oligohydramnios

which antepartum interventions are indicated or contraindicated

weigh perineal pads

Administer methotrexate

Insert a large bore intravenous catheter

assess cervical dilation

indicated— weigh perineal pads, insert a large bore IV cath

contraindicated— administer methotrexate, assess cervical dilation

A nurse is planning care for a client who is in labor and is to have an amniotomy which of the following assessment should the nurse identify as the priority

O2 saturation

Temperature

Blood pressure

Urinary output

temperature

*ensuring there isnt alr an infection

A nurse in the family planning clinic is caring for a client who request an oral contraceptive, which of the following findings in the clients history should the nurse recognize as a contraindication to oral contraceptives

Cholecystitis

Hypertension

Human papillomavirus

Migraine headaches

Anxiety disorder

cholecystitis

Hypertension

Migraine headaches

clavicle fracture vs erb duchenne paralysis

crepitus

large for gestational age & vacuum assisted birth

moro reflex asymmetric

arm movement spontaneous

palmar grasp reflex equal bilat

wrist unflexed

clavicle fracture— crepitus, large for gestational age & vacuum assisted birth, moro reflex asymmetric, arm movement spontaneous, palmar grasp reflex equal bilat

erb duchenne paralysis— large for gestational age & vacuum assisted birth, palmar grasp reflex equal bilat, wrist unflexed

*both associated w LGA and mechanically assisted birth

• Clavicle fracture 

  • Limited motion of arm

  • Crepitus over clavicle

  • Absence of moro reflex on affected side

• Erb-Duchenne paralysis 

  • Flaccid arm 

  • Extended elbow

  • Hand rotated inward

  • Absence of moro reflex on affected side

  • Sensory loss over lateral aspect of affected arm

  • Intact grasp reflex

which of the following actions are the nurses priorities for prolonged deceleration of fhr to 90/min SATA

assess cervical dilation

Insert an indwelling urinary catheter

Administer a bolus of IV fluids

Reposition the client to their side

Apply oxygen at 10 to 12 L/min by nonrebreather

elevate the clients legs

Evaluate the client pain level

Administer a bolus of IV fluids

Reposition the client to their side

Apply oxygen at 10 to 12 L/min by nonrebreather

elevate the clients legs

A nurse is teaching a client who is at 24 weeks of gestation regarding a one hour glucose tolerance test which of the following statements should the nurse include in the teaching

You will need to drink the glucose solution two hours prior to the test

Limit your carbohydrate intake for three days prior to the test

If this test is positive, you will be scheduled for a three hour glucose tolerance test

you will need to fast for 12 hours prior to the test

If this test is positive, you will be scheduled for a three hour glucose tolerance test

A nurse is admitting a client who is in labor. The client admits to recent cocaine use for which of the following complications Should the nurse assess.

Abruptio placenta

Placenta previa

Preeclampsia

Maternal bradycardia

Abruptio placenta

nageles rule

LMP - 3 months + 7 days & 1 year = EDD

A nurse is developing a plan of care for a client who has preeclampsia and is receiving magnesium sulfate via a continuous IV infusion, which of the following intervention should the nurse include in the plan

Monitor the clients blood pressure every hour

Restrict the total hourly intake to 200 ML

Monitor the FHR continuously

Administer protamine sulfate for manifestations of toxicity

Monitor the FHR continuously

A nurse is performing a vaginal examination on a client who is in labor and observes that I’m biblical cord protruding from the vagina after calling for assistance which of the following actions, should the nurse take

Apply oxygen to the client at 2L/min via nasal cannula

Wrap the visible cord tightly with sterile dry guaze

Insert two gloved fingers into the vagina and apply upward pressure to the presenting part

place the client in lithotomy position and apply fundal pressure

Insert two gloved fingers into the vagina and apply upward pressure to the presenting part

I nurse is providing teaching to a client about the physiological changes that occur during pregnancy. The client is at 10 weeks of gestation, and has a BMI within the expected reference range, which of the following client statements indicates an understanding of the teaching.

I will not get more than 15 to 20 pounds during my pregnancy

I will likely need to use alternative positions for sexual intercourse

I’m glad I had a breast reduction years ago so they will not enlarge with my pregnancy

I’m glad I have a light complexion and will not get any stretch marks

i will likely need to use alternative positions for sexual intercourse

A nurse is providing teaching about family planning to the client who has a new prescription for a diaphragm which of the following statements should the nurse include in the teaching

You should replace the diaphragm every five years

You should leave the diaphragm in place for at least six hours after intercourse

You should use an oil based product as a lubricant when inserting the diaphragm

You should answer the diaphragm when your bladder is full

You should leave the diaphragm in place for at least six hours after intercourse

A nurse is providing discharge teaching to a client who is postpartum for which of the following manifestations. Should the nurse instruct the client to monitor and report to the provider

Persistent, abdominal striae

Temperature 100°F

Unilateral breast pain

brownish red discharge on day 5

Unilateral breast pain

A nurse is assessing a client who is at 38 weeks of gestation during a weekly prenatal visit which of the following findings should the nurse report to the provider

blood pressure 136/88

Report of insomnia

Weight gain of 2.2 kg or 4.8 lbs

Report of Braxton Hicks contractions

Weight gain of 2.2 kg or 4.8 lbs

*should be gaining about 1 lb per week after first trimester

A nurse is assessing a client at 36 weeks of gestation which of the following findings should the nurse report to the provider

Report a visual disturbances

Report of tingling of the fingers

Report of urinary frequency

Report of leg cramps

Report a visual disturbances

*visual disturbances is a key sign of preeclampsia

A nurse is caring for a client who is experiencing preterm labor at 29 weeks of gestation and has a prescription for betamethasone which of the following statements should the nurse make about the indication for medication administration?

This medication will stop your labor

This medication, stimulates, fetal lung maturity

This medication will decrease your risk for uterine infection

This medication will increase your babies weight

This medication, stimulates, fetal lung maturity

A nurse is caring for a prenatal client who has parvovirus B19 (fifth disease) which of the following actions should the nurse take

Administer antiviral medication

Schedule an ultrasound examination

administer influenza type B vaccine

Schedule an indirect coombs test

Schedule an ultrasound examination

*parvovirus can cause fetal anemia so they use US to check for blood flow in fetal brain

A nurse is assessing a newborn who is 12 hours old, which of the following manifestations, requires intervention by the nurse

Acrocyanosis of the extremities

Murmur at the left sternal border

Substernal chest retractions while sleeping

positive Babinski reflex

Substernal chest retractions while sleeping

A nurse is caring for a client who is at 35 weeks of gestation and has placenta previa which of the following actions should the nurse take

Perform a vaginal exam to determine cervical dilation every two hours

Instruct the client to ambulate the hallway once every four hours

Administer betamethasone to the client via IM injection

Initiate, continuous, external fetal monitoring

Initiate, continuous, external fetal monitoring

a nurse is assessing a client who has preeclampsia with severe features which of the following manifestations should the nurse expect

2+ deep tendon reflexes

Hypotension

Polyuria

Blurred vision

blurred vision

A nurse is teaching a new caregiver how to use a bulb syringe to suction their newborns secretions, which of the following instruction should the nurse include

Insert this orange tip before compressing the bulb

Suction each of the nearest before suctioning the mouth

Insert the tip of a syringe into the center of the newborns mouth

Stop suctioning when the newborns cries sounds clear

stop suctioning when the newborns cries sounds clear

A nurse is creating a plan of care for a client who is postpartum, adhere’s to traditional, hispanic cultural beliefs, which of the following cultural practices should the nurse include in the plan of care

protect the clients head and feet from cold air

bathe the client with in 12 hours following birth

Ambulate the client within 24 hours following birth

After the client and glass of cold milk with her first meal

protect the clients head and feet from cold air

A nurse is reviewing the medical record of a client who is postpartum, and have preeclampsia, which of the following findings indicate that the client has progressed to preeclampsia with severe features

Blood pressure 152/98

Elevated liver enzymes

Epigastric pain relieved with medication

Pulmonary edema

pulmonary edema

ectopic pregnancy hallmark

one sided lower abd tenderness

ectopic pregnancy anticipated vs contraindicated

transvaginal ultrasound

meperidine IM

repeat quantitative hcg level

methotrexate IM

blood typing

anticipated— transvaginal ultrasound, repeat quantitative hcg level, methotrexate IM, blood typing

contraindicated— meriperidine IM

The nurse is preparing the ectopic pregnancy client for surgery which of the following actions should the nurse take SATA

ensure the client is NPO prior to surgery

Administer RH immune globulin prior to surgery

Prepare to administer AB positive blood products if needed

insert an 18 gauge peripheral IV prior to surgery

Explain the surgical procedure to the client

Obtain a complete blood count

Verify consent form is signed by the client

ensure client is NPO prior to surgery

insert an 18 gauge peripheral IV prior to surgery

Obtain a complete blood count

Verify consent form is signed by the client

what lab test for suspected placental abruption

kleihauer betke test

A nurse is providing discharge, teaching to the guardian of a newborn about car seat safety, which of the following instruction should the nurse include

Place the shoulder harness in the slots above the newborns shoulders

Place the retainer clip of the level of the newborns armpits

Place the newborn at a 60° angle in the car seat

Place the newborn in a blanket before securing them in the car seat

Place the retainer clip of the level of the newborns armpits

A nurse is assessing fetal heart tones for a client who is pregnant. The nurse has determines the fetal position as left occiput anterior to which of the following areas on the clients abdomen. Should the nurse apply the ultrasound transducer to assess the point of maximum intensity in the fetal heart.

. Left upper quadrant.

Right upper quadrant

Left lower quadrant

Right lower quadrant

left lower quadrant

A nurse is teaching a newly licensed nurse about collecting a specimen for the universal newborn screening which of the following statements should the nurse include in the teaching

Obtain informed consent prior to obtaining the specimen

Collect at least 1 ml of urine for the test

Ensure that the newborn has been receiving feedings for 24 hours prior to obtaining the specimen

premature newborn’s may have false negative test due to immature development of liver enzymes

Ensure that the newborn has been receiving feedings for 24 hours prior to obtaining the specimen

A nurse is performing a physical assessment of a newborn which of the following clinical findings. Should the nurse expect SATA

Heart rate, 154/min

Axillary temperature 96.8

Respiratory rate 58/min

Length 43 cm (16.9in)

Weight 2600 g (5 lb 12 oz)

Heart rate, 154/min

Respiratory rate 58/min

Weight 2600 g (5 lb 12 oz)

what is an indication of spina bifida occulta

a small bruise/dimpled area midline on the back right above the top of the newborns buttocks

A nurse is providing teaching about non-pharmacological pain management to a client who is breast-feeding and has engorgement. The nurse should recommend which of the following strategies.

A warm shower

Purified lanolin cream

A snug fitting support bra

Breast shells

A snug fitting support bra

A nurse is caring for a client who is at 36 weeks of gestation and has a prescription for an amniocentesis for which of the following reasons should the nurse prepares the client for an ultrasound

To estimate the fetal weight

To locate a pocket of fluid

To determine multiparity

To prescreen for fetal anomalies

to locate a pocket of fluid

A nurse is teaching a client who is Rh negative about rh immune globulin, which of the following statements by the client, indicates an understanding of the teaching

I will receive this medication if my baby is Rh negative

I will receive this medication when I am in labor

I will need a second dose of this medication when my baby is six weeks old

I will need this medication if I have an amniocentesis

I will need this medication if I have an amniocentesis

A nurse is providing teaching to a client who is at 40 weeks of gestation and has a new prescription for misoprostol, which of the following instruction should the nurse include in the teaching

remain in a side, lying position for 15 minutes after the medication is inserted

You will need a full bladder prior to the insertion of the medication

I can administer oxytocin four hours after the insertion of the medication

an antacid will be given 20 minutes prior to the insertion of the medication

I can administer oxytocin four hours after the insertion of the medication

A nurse in a providers office is reviewing the medical record of a client who is in the first trimester of pregnancy, which of the following findings should the nurse identify as a risk factor for the development of preeclampsia

Singleton pregnancy

BMI of 20

Maternal age 32 years

Pre-gestational diabetes mellitus

pre-gestational diabetes mellitus

A nurse is caring for a client who is pregnant and is at the end of their first trimester. The nurse should place the Doppler ultrasound stethoscope, in which of the following locations to begin assessing for the fetal heart tones.

Just above the umbilicus

Just above the symphysis pubis

The right lower quadrant

The left lower quadrant

just above the symphysis pubis

A nurse is preparing to collect the blood specimen from a newborn via a heel stick, which of the following techniques should the nurse use to help minimize the pain of the procedure for the newborn?

Apply cool pack for 10 minutes to the heel prior to the puncture

Request a prescription for IM analgesic

use a manual Lance blade to pierce the skin

Place the newborn skin to skin on the caregivers chest

Place the newborn skin to skin on the caregivers chest

carboprost given for pp hemorrhage. whats the adverse effect

hypertension

terbulatine for preterm labor. what is the adverse effect

hypokalemia

magnesium sulfate for preterm labor. what is the adverse effect

bradypnea

order to bathe newborn

1. wipe the newborns eyes from the inner canthus outwards

2. Wash the newborns neck, by lifting the newborns chin

3. Cleanse the skin around the newborns umbilical cord stump

4. Wash the newborns legs and feet

5. Cleanse the newborns diaper area

newborn of maternal hx methadone use during pregnancy. newborn is inconsolable with a high-pitched cry. Newborn sucks vigorously on a pacifier, but best feeds poorly increased muscle tone with moderate to severe tremors when disturbed hyperactive Moro reflex noted. Mottled skin noted on extremities, frequent sneezing, several loose stools today. Which of the following prescriptions regarding the newborn should the nurse anticipate?

Instruct the mother to discontinue breast-feeding

Administer schedule doses of oral morphine

Give a one time dose of naloxone IM

Maintain a low stimulus environment

Initiate neonatal abstinence syndrome scoring

Administer schedule doses of oral morphine

Maintain a low stimulus environment

Initiate neonatal abstinence syndrome scoring