ati maternal newborn 62
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62 Terms
A nurse is providing discharge teaching about car seat safety to a parent of a newborn. Which of the following statements by the parent indicates an understanding of the teaching?
a."I will position my baby at a 45-degnee angle in the car seat.”
b."I can place my baby in the front seat with the airbag turned off”
c."I can turn my baby's car seat around when she weighs 15 pounds."
d.” i will place my baby in a forward-facing car seat in my back seat.”
a."I will position my baby at a 45-degnee angle in the car seat.”
A nurse is caring for a client who is in labor and receiving oxytocin. Which of the following findings indicates that the nurse should increase the rate of infusion?
a. Contractions every 5 min that last 30 seconds
b. urine output of 20mL/hr
c. FHR pattern with absent variability
a. Contractions every 5 min that last 30 seconds
a nurse is caring for a client who is in labor and requires augmentation of labor. which of the following conditions should the nurse recognize as a contraindication to use the oxytocin
a. post term with oligohydramnois
b. chorioamnionitis
c. shoulder presentation
d. diabetes mellitus
c. shoulder presentation
a nurse is providing teaching to the parents of a newborn about newborn genetic screening. which of the following statements should the nurse include in the teaching
a. “this test will be repeated when your baby is 2 months old.”
b. “a nurse will draw blood from your baby’s inner elbow.”
c. “this test should be performed after your baby is 24 hours old.”
d. “your baby will be given 2 ounces of water to drink prior to the test.”
c. “this test should be performed after your baby is 24 hours old.”
a nurse is providing teaching to a client who is breast feeding and experiencing engorgement. which of the following recommendations should the nurse include
a. apply warm compress on the breast before feeding
b. allow the infant to nurse on one breast per feeding
c. take aspirin to reduce pain and swelling
d. wear a tight-fitting underwire bra
a. apply warm compress on the breast before feeding
a nurse is caring for a newborn who is experiencing neonatal abstinence syndrome. which of the following actions should the nurse take?
a. decrease the lighting levels in the nursery
b. wrap the newborn loosely in a blanket
c. provide frequent stimulation for the newborn
d. encourage frequent eye contact with the newborn during feedings
a. decrease the lighting levels in the nursery
a nurse is caring for a 1-month-old infant who has manifestations of severe dehydration and a prescription for parenteral fluid therapy. the guardian ask, “what are the indications that my baby needs and IV?” which of the following responses should the nurse make
a. “your baby needs an IV because she is not producing tears”
b. “your baby needs an IV because her heart rate is decreased”
c. “your baby needs an IV because she is breathing slower than normal”
d. “your baby needs an OV because her fontanels are bulging”
a. “your baby needs an IV because she is not producing tears”
A nurse is caring for a newborn who is 70 hr old.
exhibit 1: Medical History
Newborn delivered by repeat cesarean birth at 40 weeks of gestation.
Birth weight 3,515 g (7 lo 12 oz)
Apgar scores 8 at 1 min and 9 at 5 min
Maternal history of methadone use during pregnancy.
exhibit 2: Vital Signs
0700:
Heart rate 156/min
Respiratory rate 58/min
Temperature 37.2° C (98.9° F)
Oxygen saturation 98% on room air
1100:
Heart rate 160/min
Respiratory rate 60/min
Temperature 37.3°C （99.2° F）
Oxygen saturation 96% on room air
exhibit 3: Physical Examination
1100:
Newborn is inconsolable with a high-pitched cry. Newborn sucks vigorously on pacifier but breastfeeds poorly. Respirations unlabored. Lungs sound dear on auscuitation. Increased muscle tone with moderate to severe tremors when disturbed.
Hyperactive Moro reflex noted. Several loose stools today.
exhibit 4: unimportant i suppose lol
Which of the following findings should the nurse report to the provider?
a. respiratory findings
b. temperature
c. oxygen saturation
d. central nervous system findings
e. gastrointestinal findings
d. central nervous system findings
e. gastrointestinal findings
a nurse is caring for a newborn who is 48 hr old.
only exhibit 4 was shown: Medical History
Apgars: 7 at 1 min and 8 at 5 min of age
Birth weight: 3,515 g (7 lb 12 oz)
Matannal blood type: 0+
Uncomplicated pregnancy. Maternal use of marijuana during pregnancy
Client who gave birth plans to breastfeed.
it’s a stupid web one i have answer below
the nurse's priority hypothesis is that this newborn is most likely experiencing cold stress. It is important to generate solutions and take actions that address cold stress. Therefore, the nurse should monitor the newborn's temperature and glucose levels because a newborn experiencing cold stress is at risk for developing metabolic acidosis. To evaluate the client's response to these interventions, the nurse should monitor the newborn's temperature and glucose levels.
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?
a. Administer penkillinG 24 million units int to the dient.
b. Instruct the client to schedule an annual pelvic examination.
c. Tell the client they will start medication for HIV Immediately after delivery.
d. Report the client's condition to the local health department.
d. Report the client's condition to the local health department.
a nurse is caring for a client who is at 10 weeks of gestation. which of the following finding should the nurse report to the provider?
a. frequent vomiting with weight loss of 3lb in 1 week
b. reports of mood swings
c. nosebleeds occurring approximately 3 times per week
d. increased vaginal discharge
a. frequent vomiting with weight loss of 3lb in 1 week
a nurse is assessing a newborn who is 16 hr old. which of the following findings should the nurse report to the provider
a. substernal retractions
b. acrocyanosis
c. overlapping suture lines
d. head circumference 33 cm (13in)
a. substernal retractions
a nurse is assessing a late preterm newborn. which of the following manifestations is an indication of hypoglycemia?
a. hypertonia
b. increase feeding
c. hyperthermia
d. respiratory distress
d. respiratory distress
a nurse is assessing a client who gave birth vaginally 12 hr ago and palpates their uterus to the right and above the umbilicus. which of the following interventions should the nurse perform
a. reassess the client in 2 hr
b. administer simethicone
c. assist the client to empty their bladder
d. instruct the client to lie on their right side
c. assist the client to empty their bladder
a nurse is developing a plan of care for a newborn who is to undergo phototherapy for hyperbilirubienemia. which of the following actions should the nurse include in the plan?
a. feed the newborn 1 oz of water every 4 hr
b. apply lotion to the newborn’s skin three times per day
c. remove all clothing from the newborn’s skin except the diaper
d. discontinue therapy is the newborn develops a rash
c. remove all clothing from the newborn’s skin three except the diaper
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?
a. maintain the client NPO throughout the procedure
b. place the client supine
c. instruct the client to massage the abdomen to stimulate fetal movement
d. instruct the client to press the provided button each time the fetal movement is detected
d. instruct the client to press the provided button each time the fetal movement is detected
a nurse is providing teaching to a client who has hyperemesis gravidarum. which of the following statements by the client indicates an understanding of the teaching?
a. “i will eat foods that taste good instead of balancing my meals”
b. “i will avoid having a snack before i go to bed each night”
c. “i will have a cup of hot tea with each meal”
d. “i will eliminate products that contain dairy from my diet”
a. “i will eat foods that taste good instead of balancing my meals”
a nurse is teaching a client who is 10 weeks gestation about nutrition during pregnancy. which of the following statements by the client indicates an understanding of the teaching?
a. “i should increase my protein intake to 60 grams each day”
b. “i should drink 2 liters of water each day”
c. “i should increase my overall daily caloric intake by 300 calories”
d. “i should take 600 micrograms of folic acid each day”
d. “i should take 600 micrograms of folic acid each day”
nurse is preparing to administer oxytocin to a client who is postpartum. Which of the following findings is an indication for the administration of the medication? (Select all that apply.)
a. Flacad uterus
b. Cervical laceration
c. Excess vaginal bleeding
d. Increased afterbirth cramping
e. Increased maternal temperature
Flaccid uterus is correct
Excess vaginal bleeding is correct
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?
a. Shortness of breath when climbing stairs
b. Swelling of feet and ankles at the end of the day
c. Headache that is unrelieved by analgesia
d. Braxton Hicks contractions
c. Headache that is unrelieved by analgesia
a nurse is teaching a postpartum client about steps the nurses will take to promote the security and safety of the client's newborn. Which of the following statements should the nurse make?
a. "The nurse will carry your baby in their arms to the nursery for scheduled procedures."
b. "We will document the relationship of visitors in your medical recard."
c. "It's okay for your baby to sleep in the bed with you while in the hospital."
d. "Staff members who take care of your baby will be wearing a photo identification badge."
d. "Staff members who take care of your baby will be wearing a photo identification badge."
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?
a. Swelling of the face
b. Varicose veins in the calves
c. Nonpitting 1+ ankle edema
d. Hyperpigmentation of the cheeks
a. Swelling of the face
a nurse is assessing a newborn who was born at 26 weeks of gestation using the New Ballard Score. Which of the following findings should the nurse expect?
a. Minimal arm recoll
b. Popliteal angle of 90°
c. Creases over the entire foot sole
d. Ralsed areolas with 3 to 4mm buds
a. Minimal arm recoll
a nurse is caring for a client who is in labor and reports increasing rectal pressure. They are experiencing contractions 2 to 3 min apart, each lasting 80 to 90 seconds, and a vaginal examination reveals that their cervix is dilated to 9cm. The nurse should identify that the client is in which of the following phases of labor?
a. Passive descent
b. Active
c. Early
d. Descent
b. Active
A nurse in a clinic a caring for a 16-year-old adolescent
exhibit 1: History and Physical
Adolescent is sexually active with two current partners.
IUD in place
Reports not using condoms during sexual activity.
History of type 1 diabetes mellitus
exhibit 2: Provider Prescriptions
1300:
Standing prescriptions for clients who present with abdominal pain:
Obtain laboratory tests!
Urinalysis
Cervical culture
C-reactive protein
Beta hCG
which of the following findings should the nurse report to the provider?
a. abdominal assessment
b. vaginal discharge
c. heart rate
d. temperature
e. dyspareunia
f. condom usage
a
b
d
e
f
A nurse in a clinic a caring for a 16-year-old adolescent
exhibit 1: History and Physical
Adolescent is sexually active with two current partners.
IUD in place
Reports not using condoms during sexual activity.
History of type 1 diabetes mellitus
exhibit 2: Provider Prescriptions
1300:
Standing prescriptions for clients who present with abdominal pain:
Obtain laboratory tests!
Urinalysis
Cervical culture
C-reactive protein
Beta hCG
Which of the following conditions should the nurse identity as being consistent with the adolescent's assessment findings?
For each finding, click to specify if the assessment findings are consistent with trichomoniasis, gonorrhea, or candidiasis. Each finding may support more than one disease process.
abdominal pain
greenish discharge
diabetes
pain on urination
absence of condom usage
abdominal pain - gonorrhea
greenish discharge - trichomoniasis and gonorrhea
diabetes - candidiasis
pain on urination - all three
absence of condom usage - trichomoniasis and gonorrhea
The nurse is reviewing laboratory results in the adolescent's medical record
exhibit 1: Vital Signs
1300:
Blood pressure 118/72 mm Hg
Heart rate 100/min
Respiratory rate 20/min
Temperature 38.3° C (101° F)
exhibit 2: Provider Prescriptions
1300:
Standing prescriptions for clients who present with abdominal pain:
Obtain laboratory tests:
Urinalysis
Cervical culture
-reactive protein
Beta neG
The nurse is reviewing the adolescent's medical record. Which of the following conditions is the client most likely developing?
* Complete the following sentence by using the list of options.
The adolescent is most likely developing blank evidenced by blank 2
pelvic inflammatory disease
ectopic pregnancy
The nurse is reviewing laboratory results in the adolescent's medical record.
exhibit 1: History and Physical
Adolescent is sexually active with two current partners.
IUD in place
Reports not using condoms during sexual activity.
History of type 1 diabetes mellitus
History and Physical
Adolescent is sexually active with two current partners.
IUD in place
Reports not using condoms during sexual activity.
History of type 1 diabetes mellitus
the nurse should anticipate a provider’s prescription for target 1 and target 2
targets: doxycycline, acyciovir, imiquimod, cefrriaxone
cefrriaxone and doxycycline
The nurse is reviewing laboratory results in the adolescent's medical record.
exhibit 1: History and Physical
Adolescent is sexually active with two current partners.
IUD in place
Reports not using condoms during sexual activity.
History of type 1 diabetes mellitus
The nurse is reviewing the provider's prescriptions in the adolescent's medical chart.
Complete the following sentence by using the list of options.
The nurse should first implement providing blank and blank
options 1: providing education on medication
schedule follow up appointment
administer doxycycline
option 2: administer ceftriaxone
administer metronidazole
educate on condom usage
providing education on medication
administer ceftriaxone
The nurse is reviewing laboratory results in the adolescent's medical record.
exhibit 1: History and Physical
Adolescent is sexually active with two current partners.
IUD in place
Reports not using condoms during sexual activity.
History of type 1 diabetes mellitus
the nurse has just reviewed discharge instructions with the adolescent which of the following indicates whether the adolescent understands the teaching or requires Further education?
For each of the statements made by the adolescent, click to specify whether the statement Indicates an understanding or requires further education.
i should continue taking all my medications even it, dont show any Symptoms | ||
if i continue to get this type of infection, it con affect my ability so have kids in the future | ||
i should go to the emergency department if my urine turns dark." | ||
*As long as 1 keep my lUD, / dont need to use condoms | ||
i'm more likely to get a sunburn while taking mese medications | ||
i should continue taking all my medications even it, dont show any Symptoms | understanding | |
if i continue to get this type of infection, it con affect my ability so have kids in the future | understanding | |
i should go to the emergency department if my urine turns dark." | further education | |
*As long as 1 keep my lUD, / dont need to use condoms | further education | |
i'm more likely to get a sunburn while taking mese medications — understanding | ||
A nurse is reviewing the medical record of a newly admitted client who is at 32 weeks of gestation. Which of the following conditions is an indication for fetal assessment using electronic fetal monitoring?
Oligonydramnics
Hyperemesis gravdarum
Leukorrhea
Periodic tingling of the fingers
Oligonydramnics
A nurse is assessing a client who is postpartum and has idiopathic thrombocytopenia purpura (ITP). Which of the following findings should the nurse expect?
Decreased platelet count
Increased erythrocyte sedimentation rate (ES)
Decreased megakaryocytes
Increased WBC
Decreased platelet count
A nurse is caring for a client who is at 15 weeks of gestation, is Rh-negative, and has just had an amniocentesis. Which of the following interventions is the nurse's priority following the procedure?
Check the client's temperature.
Observe for uterine contractions
Administer RhaDi immune globulin.
Monitor the FHR.
Monitor the FHR.
A nurse is preparing to perform Leopold maneuvers for a client. Identify the sequence the nurse should follow. (Move the steps into the box on the right, placing them in the order of performance. Use all the steps.)
identify the attitude of the head
palpate the fundus
determine the location of the fetal back
palpate for the fetal part presenting at the inlet
First, palpate the client's fundus to identify the fetal part.
Second, the nurse should determine the location of the fetal back.
Third, the nurse should palpate for the fetal part presenting at the inlet.
Fourth, the nurse should palpate the cephalic prominence to identify the attitude of the head.
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.
Maintain the client on bed rest.
Massage the affected leg every 12 hr.
Apply cold compresses to the affected calf
Maintain the client on bed rest.
A nurse in a prenatal clinic is assessing a group of clients. Which of the following clients should the nurse see first?
A client who is at 11 weeks of gestation and reports abominal cramping
A client who is at 15 weeks of gestation and reportatingling and numbnets in right hand
A client who is at 20 weeks of gestation and reports constipation for the past 4 days
A client who is at & weeks of gestation and reporte having three bloody noses in the past week
A client who is at 11 weeks of gestation and reports abominal cramping
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 caring for a newborn who was transferred to the nursery 30 min after birth because of mild respiratory distress. Which of the following actions should the nurse take first?
Confirm the newborn's Apgar score.
Verify the newborn's Identification.
Administer vitamin K to the newborn.
Determine obstetrical risk factors.
Verify the newborn's Identification.
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 min following the first dose of anesthetic solution.
Administer 1.000 mL of dextrose 5% in water prior to the first dose of anesthetic solution.
Monitor the client's blood pressure every 5 min following the first dose of anesthetic solution.
Ensure the client has been NPO 4 hr prior to the placement of the epidural and the first dose of anesthetic solution.
Monitor the client's blood pressure every 5 min following the first dose of anesthetic solution.
nurse is transporting a newborn back to the parent's room following a procedure. Which of the following actions should the nurse take prior to leaving the newborn with their parent?
Ensure that the parent's identification band number matches the newborn's Identification band number.
Ask the parent to verify their name and date of birth.
• Check the newborn's security tag number to ensure it matches the newbom's medical record.
Match the newborn's date and time of birth to the information in the parent's medical record.
Ensure that the parent's identification band number matches the newborn's Identification band number.
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 fluld Intake to 150 mL/hr.
Have calclum gluconate readily avallable.
Assess deep tendon reflexes every 6 hr.
Monitor intake and output every 4 hr.
Have calclum gluconate readily avallable.
A nurse is assessing a newborn 12 hr after birth. Which of the following manifestations should the nurse report to the provider?
Acrocyanosis
Transient strabismus
Jaundice
Caput succedaneum
Jaundice
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 this medication?
Depression
Polyurla
Hypotension
Urticarla
Depression
A nurse is caring for a client who is at 41 weeks of gestation and has a positive contraction stress test. For which of the following diagnostic tests should the nurse prepare the client?
Percutaneous umblical blood sampling
Amniainfusion
Biophysical profile (BPP)
Chorionic villus sampling (CVS)
Biophysical profile (BPP)
A nurse is teaching a client who is at 37 weeks of gestation and has a prescription for a nonstress test. Which of the following instructions should the nurse include?
"The test should toke 10 to 15 minutes to complete."
"You will lay in a supine position throughout the test."
"You should not eat or drink for 2 hours before the test."
"You should press the handheld button when you feel your baby move.”
“You should press the handheld button when you feel your baby move.”
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 the medication within 72 hours following unprotected sexual intercourse."
"You should avold taking this medication If you are an an oral contraceptive."
"If you don't start your period within 5 days of taking this medication, you will need a pregnancy test."
"One dose of this medication will prevent you from becoming pregnant for 14 days after taking it."
“You should take the medication within 72 hours following unprotected sexual intercourse."
A nurse is planning care for a client who is in labor and is to have an amniotomy. Which of the following assessments should the nurse identify as the priority?
O2 saturation
Temperature
Blood pressure
Urinary output
Temperature
A nurse is observing a new guardian caring for their crying newborn who is bottle feeding. Which of the following actions by the guardian should the nurse recognize as a positive parenting behavior?
Lays the newborn across their lap and gently sways
Places the newoorn in the crib in a prone position
offers the newborn a pacifier dipped in formula
Prepares a bottle of formula mixed with rice cereal
Lays the newborn across their lap and gently sways
A nurse is caring for a client who is at 38 weeks of gestation. Which of the following actions should the nurse take prior to applying an external transducer for fetal monitoring?
Determine progression of dilatation and effacement.
Perform Leopold maneuvers.
Complete a sterile speculum exam.
Prepare a Nitrazine paper test
Perform Leopold maneuvers.
A nurse on an antepartum unit is caring for four clients. Which of the following clients should the nurse identify as the priority?
A client who has gestational diabetes and a fasting blood glucase level of 120 mg/d. (less than 95 mg/dL)
A client who is at 34 weeks of gestation and reports epigastric pain
A cllent who is at 28 weeks of gestation and has an Hgb of 10.4 g/du [11 to 16g/dU
A client who Is at 39 weeks of gestation and reports urinary frequency and dysuna
A client who is at 34 weeks of gestation and reports epigastric pain
A nurse is preparing to administer azithromycin to a client who is at 16 weeks of gestation and has a positive chlamydia culture. The prescription states "Administer azithromycin 1 g orally now," Available are 250 mg tablets. How many tablets should the nurse administer? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)
4 tablets
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?
Decreased heart rate
Chin quivering
Pinpoint pupils
Slowed respirations
Chin quivering
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 mm Hg
FHR 152/min
FHR 152/min
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 medications from cart.
Collect a maternal blood sample for coagulopathy studies.
Determine respiratory function.
A nurse is caring for a client who has hyperemesis gravidarum and is receiving IV fluld replacement. Which of the following findings should the nurse report to the provider?
Blood pressure 105/64 mm Hg
Heart rate 98/min
Urine output of 280mL within 8 hr
Urine negative for ketones
Urine output of 280mL within 8 hr
a nurse is assessing four newborns. Which of the following findings should the nurse report to the provider?
A newborn who is 26 hr old and has erythema toxicum on their face
A newborn who is 32 hr old and has not passed a meconium stool
A newborn who is 12 hr old and has pink-tinged urine
A newborn who is 18 hr old and has an axillary temperature of 37.7° C (99.9"F.)
A newborn who is 18 hr old and has an axillary temperature of 37.7° C (99.9"F.)
A nurse is caring for a client who is pregnant in an antepartum clinic.
exhibit 1: Vital Signs
0900:
Temperature 36.6° C (97.9° F)
Heart rate 88/min
Respiratory rate 18/min
Blood pressure 130/70 mm Hg
Oxygen saturation 97% on room air
1000:
Heart rate 76/min
Respiratory rate 20/min
Blood pressure 138/68 mm Hg
Oxygen saturation 98% on room air
Which of the following findings should the nurse report to the provider?
Select the 3 findings that should be reported.
Uterine contractions
Fetal heart rate
Gestational age
Vaginal examination
Maternal blood pressure
Uterine contractions
Vaginal examination
Maternal blood pressure
a nurse is caring for a newborn
exhibit 1: Vital Signs
8 hr of age:
Temperature: 87.19 C(98.8° F) Axillary
Pulse rate: 132/min
Respiracory race: S2/min
36 hr of age:
Temperature: 36,1F C (979 F) Axillary
Pulse rate: 160/min
Respiratory rate: 78/min
For each assessment finding, click to specify if the finding is consistent with hypoglycemia, hyperbilirubinemia, or sepsis. Each finding may support more than one disease process.
ecchymotic capital succedaneum
decreased temperature
lethargy
poor feeding
respiratory distress
yellow scenery and oral mucosa
ecchymotic capital succedaneum - hyperbilirubinemia
decreased temperature - hypoglycemia, sepsis
lethargy - hypoglycemia, sepsis
poor feeding - hypoglycemia, hyperbilirubinemia, sepsis
respiratory distress - hypoglycemia, sepsis
yellow scenery and oral mucosa - hyperbilirubinemia, sepsis
a nurse is teaching a client who has pregestational type 1 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 doses 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 l experience nausea and vomiting"
" will ensure that my bedtime snack is high in refined sugar."
“I will continue taking my insulin if l experience nausea and vomiting"
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 client who is in active labor. which of the following findings should the nurse report to the provider
contractions lasting 80 seconds
early decelerations in the FHR
temperature 37.4
FHR baseline 170/min
FHR baseline 170/min
A nurse is caring for a recently admitted 18 -year-old client
exhibit 1: Nurses Notes
1000:
Client admitted to behavioral health unit for prolonged weight loss and refusal to eat. Client collapsed at school, The client: parents were called. They contacted the primary care provider. who arranged fora direct admission.
Weight 372 kg (82 (b)
Height 157.5 cm (62 Inches)
BMI 15
1200:
Client observed during noon meal Client pushed food around the plate. Intake 10% of meal. Offered nutritional supplement.
Client declined. Reports feeling anxious due to admission and mealtime. Client states. * cannot eat this with you watching me."
1500.
Snack provided. Client observed throwing snack into the trash can. When realized they had been observed, they admitted to their action and asked for a second snack. Cilent ate 10% of their snack,
Complete the diagram by dracing from the choices below to specity what condition the cliene most likely experiencing, 2 actions the nurse should take to address that condition, and 2 parameters the nurse should monitor to asses the cilench progress.
