ob final

The generation-to-generation continuum of violence refers to the fact that:

violence is a learned behavior, and children who witness intimate partner violence are more likely to become abusers themselves.

A nurse in an antepartum clinic is caring for a client that presents for a pregnancy test. She states that her last menstrual period was on 10/03/2024. The result of the test is positive. Which of the following is the client's expected date of delivery or due date?

(always first day of last period) (formula: +9 months, +7 days)

July 10 2025

A woman is at 20 weeks' gestation. The nurse would expect to find the fundus at which area?

at the level of the umbilicus

Assessment of a pregnant woman reveals increased pigmentation on the face. The nurse documents this as which finding?

melasma

A client with systemic lupus erythematosus is attending preconception counseling regarding their desire to get pregnant. The nurse explains that it would be best if the client is symptom-free or in remission for how long before getting pregnant?

6 months 

A patient tells you she has used bath salts and marijuana during the first 10 weeks of her pregnancy because she didn't know she was pregnant at the time. Which statement is correct about substance abuse during pregnancy?

Substance abuse places the pregnancy at risk for fetal growth restriction and abruptio placentae

A nurse is caring for a woman who has presented to the emergency department seeking treatment after being raped. Which statement best demonstrates the nurse's attempt to fulfill the initial nursing responsibility to this client?

"You didn't deserve this abuse; I'm here to help you in any way I can."

Why is a woman with a molar pregnancy at risk for disseminated intravascular coagulation (DIC)?

Molar tissue causes emboli to form within the uterus

When teaching a pregnant client about the physiologic changes of pregnancy, the nurse reviews the effect of pregnancy on glucose metabolism. Which underlying reason for the effect would the nurse include?

Glucose moves through the placenta to assist the fetus.

A nurse is creating a plan of care for a client at 37 weeks gestation who has been admitted in active labor. The client has pregestational diabetes and has a history of poor glycemic control during pregnancy. Which intervention will the nurse include in the plan of care?

Monitor for signs and symptoms of preeclampsia.

HELLP Syndrome is an acronym for:

Hemolysis, Elevated Liver enzymes, and Low Platelets

If a patient is receiving IV magnesium and suddenly goes into cardiac arrest, which of the following should be done?

Stop magnesium infusion and give IV calcium gluconate

The provider orders labs for the diagnosis of HELLP syndrome. Which obstetric condition usually precedes the diagnosis of HELLP syndrome?

preeclampsia

A nurse is providing follow-up teaching to a client regarding the medically induced termination of her pregnancy. Which assessment finding should the nurse tell the client to report to the health care provider? Select all that apply.

• Severe abdominal pain

• Vaginal bleeding of more than two pads per hour

• Severe depression or sadness

A nurse assessing the laboratory results of a pregnant client in her second trimester notes that she has a hemoglobin level of 11 gm/dL. What will the nurse interpret this finding to most likely indicate?

hemodilution of pregnancy

A nurse strongly encourages a pregnant client to avoid eating swordfish and tilefish because these fish contain which component?

• Mercury, which could harm the developing fetus if eaten in large amounts

A 23-year-old client who's 27 weeks pregnant arrives at her physicians office with complaints of fever, nausea, vomiting, malaise, unilateral flank pain, and costovertebral angle tenderness. Which condition would the nurse most likely suspect?

Pyelonephritis

A nurse is auscultating the chest of a client at 16 weeks' gestation. The nurse immediately notifies the health care provider about which finding?

heart rate 25 bpm above baseline

Under EMTALA, what are the obligations of a hospital when a patient presents with an emergency medical condition?

All of the above

A 24-year-old client who is planning to become pregnant comes to the clinic for an evaluation. When assessing the client, which finding would alert the nurse to implement measures to reduce the client's risk for problems during pregnancy?

drinks wine 3 to 4 times/week

After teaching a group of adolescent girls about female reproductive development, the nurse determines that teaching was successful when the girls state that menarche is defined as a woman's first:

menstrual period

What is the primary purpose of the Emergency Medical Treatment and Labor Act (EMTALA)?

To ensure that all patients receive emergency medical treatment regardless of their ability to pay

The nurse collects a history on a newly pregnant woman. Which data does the nurse identify in the health history that places this client at risk for having an infant with a chromosomal anomaly? Select all that apply.

• Sister with Down syndrome

• Maternal age 37 years

A pregnant client has a new diagnosis of hyperthyroidism. Which teaching should the nurse prepare for this client?

Methimazole will be prescribed at the lowest possible level.

A nurse is monitoring a client's hCG levels because she has had a previous ectopic pregnancy and one spontaneous abortion. Which finding would the nurse interpret as indicating that the pregnancy is progressing appropriately?

a. gradually increasing levels every month
b. doubling of the level every 2-3 days
c. abruptly declining levels after 60 days
d. plateauing of the level at 7 days

doubling of the level every 2 to 3 days

A nurse is working in a local community health care facility where she frequently encounters victims of abuse. For which signs should the nurse assess to find out if a client is a victim of abuse? Select all that apply:

• Injuries on the face, head and neck

• Reported history of the injury inconsistent with the presenting problem

• Mental health problems such as depression, anxiety, or substance abuse

The nurse is developing a presentation for a community group of young adults discussing fetal development and pregnancy. The nurse would identify that the sex of offspring is determined at the time of:

A) Meiosis
B) Fertilization
C) Formation of morula
D) Oogenesis

fertilization

While talking with a pregnant woman who has undergone genetic testing, the woman informs the nurse that her baby will be born with Down syndrome. The nurse understands that Down syndrome is an example of a:

A) Multifactorial inheritance
B) X-linked recessive inheritance
C) Trisomy numeric abnormality
D) Chromosomal deletion

trisomy numeric abnormality

After teaching a group of adolescents about female reproductive anatomy, the nurse determines that the teaching was successful when the adolescents identify which structure as the site of fertilization?

A. vagina
B. uterus
C. fallopian tubes
D. vestibule

fallopian tubes

A woman comes to a local community health care facility with her partner. She has a broken arm and bruises on the face that she reports were caused by a fall. The nature of the injuries, however, causes the nurse to be convinced that this is a case of physical abuse. Which intervention should the nurse perform?

a) Tell the partner to leave the room immediately
b) Ask the partner directly if he was responsible
c) Attempt to interview the woman in private
d) Question the client about the injury in front of the partner

Attempt to interview the woman in private

A client who is 4 months pregnant is at the prenatal clinic for her initial visit. Her history reveals she has 7-year-old twins who were born at 34 weeks gestation, a 4-year old daughter born at 38 weeks; a 2-year-old son born at 39 weeks gestation, and a spontaneous abortion 1 year ago at 6 weeks gestation. Using the GTPAL method, the nurse would document her obstetric history as:

A. 3-2-1-0-3

B. 4-1-1-1-3

C. 4-2-1-3-1

D. 5-2-1-1-4

52114

A nurse is caring for a client who just experienced a miscarriage in her first trimester. When asked by the client why this happened, which is the best response from the nurse?

abnormal fetal development

A nurse is conducting a class on the effects of nicotine during pregnancy. Which complications will the nurse include in the teaching? Select all that apply.

A. spontaneous abortion (miscarriage)
B. placenta previa
C. spontaneous rupture of membranes
D. preterm labor and birth
E. tubal ectopic pregnancy

• A. spontaneous abortion (miscarriage)

• B. placenta previa

• C. spontaneous rupture of membranes

• D. preterm labor and birth

• E. tubal ectopic pregnancy

• rationale: Smoking during pregnancy increases the risk of spontaneous abortion, preterm labor and birth, maternal hypertension, placenta previa, and placental abruption (abruptio placentae). It has also been considered an important risk factor for low birth weight, sudden infant death syndrome, and cognitive defects.

A nurse is caring for a pregnant client with asthma. Which intervention would the nurse perform first?

a. assessing oxygen saturation
b. monitoring temperature frequently
c. assessing for feeling nauseated
d. monitoring frequency of headache

assessing oxygen saturation

A primiparous client is being seen in the clinic for her first prenatal visit. It is determined that she is 11 weeks pregnant. The nurse develops a teaching plan to educate the client about what she will most likely experience during this period. Which possible effect would the nurse include?

A) Ankle edema
B) Urinary frequency
C) Backache
D) Hemorrhoids

urinary frequency

During an assessment of a pregnant patient (who is 20 weeks pregnant) she tells you the following information regarding her pregnancy outcomes: She currently has 3 children (ages: 3, 8. 19) all of them were born at 39 and 40 weeks gestation, she has been pregnant 5 times (including this pregnancy). How would you document her GTPAL?

a. G: 5, T: 3, P: 0, A: 1, L: 3

b. G: 4, T: 3, P: 0, A: 0, L: 4

c. G: 4, T: 4, P: 0, A: 0, L: 3

d. G: 5, T: 3, P: 0, A: 1, L: 4

a. G5 T3 PO A1 L3

A client comes to the clinic for a medical termination of pregnancy. Which potential complications should the nurse point out are possible with this type of procedure? Select all that apply:

incomplete abortion
prolonged bleeding
infection
pneumonia
hypoglycemia

• Prolonged bleeding

• Incomplete abortion

A woman pregnant with twins comes to the clinic for an evaluation. The nurse closely assesses the client for which potential problem?

A) oligohydramnios
B) preeclampsia
C) post-term labor
D) chorioamnionitis

preeclampsia

The nurse is caring for a client with an ectopic pregnancy. Which symptom is a sign that the tube has ruptured?

a. Pelvic pain
b. Vaginal spotting
c. Hypovolemic shock
d. Foul-smelling discharge

Hypovolemic shock

A nurse is caring for a pregnant client with eclamptic seizure. Which is a characteristic of eclampsia?

Coma often occurs after seizure.

A nurse is assessing a pregnant woman in her last trimester. Which question would be most appropriate to use to gather information about weight gain and fluid retention?

A) "What's your usual dietary intake for a typical day?"
B) "What size maternity clothes are you wearing now?"
C) "How puffy does your face look by the end of a day?"
D) "How swollen do your ankles appear before you go to bed?

"How swollen do your ankles appear before you go to bed?

A nurse in an infertility clinic correctly identifies which of the following patients to be at highest risk for not conceiving?

23 year old with anorexia who runs 5 miles a day

A 19-year-old client admits to using diuretics and laxatives to lose weight quickly. The client is 5ft, in tall, weighs 100 lbs, and has lost 15 pounds in 3 weeks. The client expresses concern over looking fat. The client's sodium level is 150 mEq/L (150mmol/L); potassium level is 3.0 mEq/L (3.0 mmol/L). Which goal is a priority at this time?

a. Stabilize potassium and sodium levels.

b. Develop a contract with the client to stop using laxatives and diuretics.

c. Assist client to begin gaining weight at the rate of 2 to 3 pounds per week until reaching 112 pounds.

d. help build self-esteem.

Stabilize potassium and sodium levels

A nurse is caring for a client undergoing treatment for ectopic pregnancy. Which symptom is observed in a client if rupture or hemorrhaging occurs before the ectopic pregnancy is successfully treated?

A. lower abdomen pain

B. painless bright red vaginal bleeding

C. fetal distress

D. tetanic contractions

lower abdomen pain

You are measuring the fundal height on a patient who is 20 weeks pregnant. Where do you expect to locate the fundus of the uterus?

umbilicus

A young mother gives birth to twin boys who shared the same placenta. What serious complication are they at risk for?
A) ABO incompatibility
B) twin-to-twin transfusion syndrome (TTTS)
C) TORCH syndrome
D) HELLP syndrome

Twin-to-twin transfusion syndrome (TTTS)

When assessing a woman at follow-up routine prenatal visits, the nurse would anticipate which procedure to be performed?

A) Hemoglobin and hematocrit
B) Urine for culture
C) Fetal ultrasound
D) Fundal height measurement

fundal height measurement

The nurse is performing an assessment for a client in the immediate postpartum period. Which assessment finding should the nurse prioritize?

A Infection

B Dehydration

C Pain

D Hemorrhage

hemorrhage

After the abdominal dressing is removed 24 hours following a cesarean birth, the nurse inspects the incision and observes drainage from the incision, redness along the suture line, and moderate edema. Staples are intact. What action would the nurse take?

let the health care provider know the condition of the incision.

1. A client at 34 weeks gestation has reported to the hospital in labor. The following is documented on history and physical assessment:

• No rupture of membranes

• Mild cramping

• No bleeding

• Reassuring pattern on fetal heart monitor

• Cervix dilated 3 cm

• Effacement 30%

The nurse anticipates which treatment plan?

A) Admission to the hospital, bed rest, and tocolytic agent
B) Discharge instructions including rest and increased fluids
C) Admission to the hospital for continued labor and vaginal birth
D) Admission to the hospital and immediate cesarean birth

Admission to the hospital, bed rest, and a tocolytic agent.

The nurse is concerned that a client at 30 weeks gestation is experiencing preterm labor. Which finding (s) did the nurse assess to make this clinical determination? Select all that apply.

• Bloody show

•  Low back pain

• Mild irregular contractions

On postpartum day 4, a client has a temperature of 101.4F (38.6 C). Which finding (s) will cause the nurse to suspect endometritis? Select all that apply.

• fever

• tender uterus

• foul-smelling lochia

• swollen warm breasts

• Fever

• Tender uterus

• Foul- smelling lochia

A client's membranes spontaneously ruptured, as evidenced by a gush of clear fluid with a contraction. What would the nurse do next?

Check the fetal heart rate

Two weeks after a vaginal birth, a client presents with a low-grade fever. The client also reports a loss of appetite and low energy levels. The health care provider suspects an infection of the episiotomy. What signs or symptom is indicative of an episiotomy infection?

A. Apprehension and diaphoresis
B. Foul-smelling vaginal discharge
C. Sudden onset of shortness of breath
D. Pain in the lower leg

B. Foul- smelling vaginal discharge.

A nurse is assessing a postpartum client. Which finding causes the nurse the greatest concern?

A. leg pain on ambulation with mild ankle edema
B. calf pain with dorsiflexion of the foot
C. perineal pain with swelling along the episiotomy
D. acute onset of sharp, stabbing chest pain with shortness of breath

D. acute onset of sharp, stabbing chest pain with shortness of breath

A woman in labor received an opioid close to the time of birth. The nurse would assess the newborn for which of the following?

A) Respiratory depression
B) Urinary retention
C) Abdominal distention
D) Hyperreflexia

A) Respiratory depression

Opioids given close to the time of birth can cause central nervous system depression, including respiratory depression, in the newborn, necessitating the administration of naloxone.

Assessment of a client in labor reveales cervical dilation of 3 cm, cervical effacement of 30% and contractions every 7-8 minutes, lasting about 40 seconds. The nurse determines that this client is in:

A. Latent phase of the first stage.
B. Active phase of the first stage.
C. Pelvic phase of the second stage.
D. Early phase of the third stage.

A. Latent phase of the first stage.

Which disorder is described as a transient, self-limiting mood disorder that affects postpartum clients after birth?

postpartum blues

A woman with preterm labor is receiving magnesium sulfate. Which finding would require the nurse to intervene immediately?

1+ deep tendon reflexes

During a routine prenatal visit, a client, 36 weeks' pregnant, states she has difficulty breathing and feels like her pulse rate is really fast. The nurse finds her pulse to be 100 beats per minute (increased from baseline readings of 70 to 74 beats per minute) and irregular, with bilateral crackles in the lower lung bases. Which nursing diagnosis would be the priority for this client?

Impaired gas exchange related to pulmonary congestion

A client in active labor with a history of two previous cesarean births is being monitored frequently as they try to have a vaginal birth. Suddenly, the client grabs the nurse's hand and states, "Something inside me is tearing." Thenurse notes the client's blood pressure is 80/50 mm Hg, pulse is 130 bpm and weak, the skin is cool and clammy, and the fetal monitor shows bradycardia. The nurse activates the code team because the nurse suspects the client may be experiencing which complication?

uterine rupture

A woman in her 40th week of pregnancy calls the nurse at the clinic and says she is not sure whether she is in true or false labor. Which statement by the client would lead the nurse to suspect that the woman is experiencing false labor?

A. "If I try to talk to my partner during a contraction, I can't."

B. "My contractions slow down when I walk around."

C. "I feel contractions start mostly in my back and they sweep around to the top of my abdomen."

D. "My contractions are about 6 minutes apart and regular."

B. "My contractions slow down when I walk around."

This statement by the client would lead the nurse to suspect that the woman is experiencing false labor, which is also known as Braxton Hicks contractions or practice contractions. False labor is a condition where there are irregular and painless uterine contractions that do not cause cervical dilation or effacement.

A pregnant client at 24 weeks' gestation comes to the clinic for an evaluation. The client called the clinic earlier in the day stating that she had not felt the fetus moving since yesterday evening. Further assessment reveals absent fetal heart tones. Intrauterine fetal demise is suspected. The nurse would expect to prepare the client for which testing to confirm the suspicion?

Ultrasound

The nurse is receiving shift handoff for a client with shoulder dystocia. Which nursing interventions are appropriate in the plan of care? Select all that apply.

• McRoberts Maneuver

• application of suprapubic pressure

A client at 24 weeks gestation develops preterm premature rupture of membranes (PPROM). How will the nurse reply when the client asks why steroid injections are prescribed ?

"They are used to help your baby's lungs mature."

A nurse is preparing an inservice education program for a group of nurses about dystocia involving problems with the passenger. Which problem would the nurse likely include as the most common?

A. multifetal pregnancy
B. macrosomia
C. persistent occiput posterior position
D. breech presentation

C. persistent occiput posterior position

The nurse notes persistent early decelerations on the fetal monitoring strip. Which action should the nurse take in this situation?

A.Stay with the client while reporting the finding to the primary care provider.

B. Administer oxygen after turning the client on her left side.
C. Continue to monitor the FHR because this pattern is benign.
D. Perform a vaginal exam to assess cervical dilation and effacement.

C. Continue to monitor the fetal heart rate because this pattern is benign.

A client who is breastfeeding her newborn tells the nurse, "I notice that when I feed him, I feel fairly strong contraction-like pain. Labor is over. Why am I having contractions now?" Which response by the nurse would be most appropriate?

A) "Your uterus is still shrinking in size; that's why you're feeling this pain."
B) "Let me check your vaginal discharge just to make sure everything is fine."
C) "Your body is responding to the events of labor, just like after a tough workout."
D) "The baby's sucking releases a hormone that causes the uterus to contract."

D) "The baby's sucking releases a hormone that causes the uterus to contract."

Four clients experienced rupture of their membranes before going into true labor. Which client will be diagnosed with preterm premature rupture of membranes (PPROM)?

A. client at 38 weeks' gestation
B. client at 36 weeks' gestation
C. client at 40 weeks' gestation
D. client at 42 weeks' gestation

B. client at 36 weeks' gestation

The client is admitted to the labor and birth unit. The laboratory results of the vaginal/rectal culture for group B streptococcus (GBS) were positive. What intervention will the nurse anticipate to be initiated?

Administer IV ampicillin or cefazolin before birth.

When describing the stages of labor to a pregnant woman, which would the nurse identify as the major change occurring during the first stage?

A) Regular contractions
B) Cervical dilation
C) Fetal movement through the birth canal
D) Placental separation

B) Cervical dilation

The fetus of a nulliparous woman is in a shoulder presentation. The nurse would prepare the client for which type of birth?

A) Cesarean

B) Vaginal

C) Forceps-assisted

D) Vacuum extraction

A) cesarean

Which action is a priority when caring for a woman during the fourth stage of labor?

A) Assessing the uterine fundus

B) Offering fluids as indicated

C) Encouraging the woman to void

D) Assisting with perineal care

A) Assessing the uterine fundus

A nurse is conducting a review course on tocolytic therapy for perinatal nurses. After teaching the group, the nurse determines that the teaching was successful when they identify which drugs as being used for tocolysis? Select all that apply.

A. dinoprostone
B. magnesium sulfate
C. indomethacin
D. misoprostol
E. nifedipine

• nifedipine

• magnesium sulfate 

• indomethacin

A woman gave birth to a newborn via vaginal birth with the use of a vacuum extractor. The nurse would be alert for which possible effect in the newborn?

A. clavicular fracture
B. asphyxia
C. cephalhematoma
D. central nervous system injury

C. cephalhematoma

The nurse is caring for a client experiencing a prolonged second stage of labor. The nurse will prepare the client for which intervention first?

a forceps or vacuum assisted birth

A client is admitted to the labor and birthing suite in early labor. On review of her prenatal history, the nurse determines that the client's pelvic shape as identified in the antepartal progress notes is the most favorable one for a vaginal birth. Which pelvic shape would the nurse have noted?

gynecoid

A nurse is providing care to a client in labor who has just received epidural anesthesia for pain. Which assessment should the nurse prioritize?

Blood pressure

A primipara client gave birth vaginally to a healthy newborn girl 12 hours ago. The nurse palpates the client's fundus. Which finding would the nurse identify as expected?

at the level of the umbilicus

A nursing student correctly identifies the most desirable position to promote an easy birth as which position?

a) occiput anterior
b) face and brow
c) shoulder dystocia
d) breech

a) occiput anterior

The nurse is caring for a client who required a forceps-assisted birth. For which potential factor should the nurse be alert

a. increased risk for cord entanglement
b. increased risk for uterine rupture
c. damage to the pregnant client's tissues
d. potential lacerations and bleeding

d. potential lacerations and bleeding

A home health nurse is visiting a new parent and newborn 4 days after birth. After completing an assessment of the two clients, the nurse observes interactions between the parent and newborn. Which interaction (s), if observed by the nurse, should be interpreted as a need for follow-up? Select all that apply.

• While cuddling the newborn, the parent expresses doubt about their ability to meet the newborn's

• The parent makes several unsuccessful attempts to breastfeed the newborn.

• The parent turns away when the newborn begins to cry.

A pregnant client undergoing labor induction is receiving an oxytocin infusion. Which finding would require immediate intervention?

A. urine output of 20 mL/hour
B. uterine resting tone of 14 mm Hg
C. fetal heart rate of 150 beats/minute
D. contractions every 2 minutes, lasting 45 seconds

A. urine output of 20 mL/hour

A pregnant woman is receiving misoprostol to ripen her cervix and induce labor. The nurse assesses the woman closely for which effect?

uterine hyperstimulation

A nurse is providing care to a woman during the third stage of labor. Which finding would alert the nurse that the placenta is separating?

A. boggy, soft uterus
B. uterus becoming discoid shaped
C. sudden gush of dark blood from the vagina
D. shortening of the umbilical cord

C. sudden gush of dark blood from the vagina

* Signs that the placenta is separating include a firmly contracting uterus; a change in uterine shape from discoid to globular ovoid; a sudden gush of dark blood from the vaginal opening; and lengthening of the umbilical cord protruding from the vagina.

Assessment of a client in labor reveals that the fetus is in a cephalic presentation and engagement has occurred. The nurse interprets this finding to indicate that the presenting part is at which station?

A. -2.

B. +1.

C. 0.

D. -1.

E. -1.

C. 0.

A 28 year old G1 PO client presents to the labor and delivery unit with reports of having an episode of diarrhea that morning, some blood-tinged mucus vaginal discharge, and "painful contractions" occurring every 4- 6 minutes fo several hours. The client denies rupture of membranes. A vaginal exam shows that the cervix is 5 cm dilated and 60% effaced. The nurse expects that the client will be admitted in active labor. Which assessment finding is most indicative of active labor?

Cervical dilation

A client presents to the clinic and is diagnosed with infective mastitis. Which instruction should the nurse prioritize for this client?

Complete the full course of antibiotic prescribed, even if you begin to feel better.

The nurse is teaching a couple about what to expect with their planned cesarean birth. Which statement indicates the need for additional teaching?

"I am going to have to wait a few days before I can start breastfeeding."

A nurse is assisting with the birth of a newborn. The fetal head has just emerged. Which action would be performed next? 

A. suctioning of the mouth and nose
B. clamping of the umbilical cord
C. checking for the cord around the neck
D. drying of the newborn

C. checking for the cord around the neck

For a client in precipitous labor, within which span of time should the nurse expect the birth to occur?

approximately 3 hours

approximately 5 hours

approximately 4 hours

approximately 6 hours

approximately 3 hours

When giving a postpartum client self-care instructions in preparation for discharge, the nurse instructs the client to report heavy or excessive bleeding. How should the nurse describe "heavy bleeding"?

saturating 1 pad in 1 hour

The nurse notifies the obstetrical team immediately because the nurse suspects that the pregnant woman may be exhibiting signs and symptoms of amniotic flüid embolism. When reporting this suspicion, which finding(s) would the nurse include in the report? Select all that apply.

• significant difficulty breathing

• tachycardia

• pulmonary edema

• bleeding with bruising

The nurse observes the stool of a newborn who is being bottle-fed. The newborn is 2 days old. What would the nurse expect to find?

Greenish brown, tarry stool

A nurse is assessing a preterm newborn. Which finding would alert the nurse to suspect that a preterm newborn is in pain?

Sudden high-pitched cry

While making rounds in the nursery, the nurse sees a 6-hour-old baby girl gagging and turning bluish. What would the nurse do first?

Aspirate the oral and nasal pharynx with a bulb syringe

A nurse is preparing to implement standard of care interventions for an infant demonstrating signs of respiratory distress. Which intervention(s) will the nurse implement? (Select all that apply.)

• A. Administer respiratory support as prescribed

• C. Maintain a neutral thermal enviorment

• E. Adequate nutrition to maintain metabolic process and growth and development

A nurse is reviewing the maternal history of a large-for-gestational-age (LGA) newborn. Which factor, if noted in the maternal history, would the nurse identify as possibly contributing to the birth of this newborn?

Diabetes

A newborn is experiencing cold stress. Which finding would the nurse expect to assess?

Respiratory distress

In fetal circulation the umbilical artery carries ______ while the umbilical vein carries ______.

Deoxygenated blood, oxygenated blood