A nurse is providing discharge teaching to a postpartum client who had no immunity to rubella,
and received the rubella immunization, which of the following statements by the client, indicates
an understanding of the teaching correct answers I will need to prevent getting pregnant for 28
days after I receive this immunization
A nurse is caring for a postpartum client who is breast-feeding her newborn and reports that her
nipples have become sore and cracked which of the following statements should the nurse make
correct answers apply colostrum to the nipples after feeding to help them heal
A nurse is caring for a client who is 12 hours postpartum had an episiotomy during delivery and
reports pain 7 on a scale from 0 to 10 which of the following non-pharmacological pain relief
method should the nurse implement correct answers Sitz bath
A nurse is developing a plan of care for a client who is in the latent phase of labor which of the
following action should the nurse include in the plan to manage the client pain correct answers
Encourage the client to listen to music
A nurse is assessing a newborn, which of the following indicates they need to check the
newborns blood glucose level for hypoglycemia correct answers Hypotonia
The nurse is planning to administer methylergonovine to manage postpartum hemorrhage for a
client which of the following conditions is a contraindicated for this use of medication correct
answers Hypertension
A nurse is reviewing the medical record of a client who is at eight weeks gestation. Which of the
following findings of the nurse identify as a risk factor for developing preeclampsia correct
answers Rheumatoid arthritis
A nurse is assessing a client who is in labor which of the following findings for the nurse expect?
correct answers Decrease in blood glucose level
, A nurse is caring for a client who is an active labor and receiving epidural anesthesia. The client
reports feeling nauseated and experiences a blood pressure drop from 120/70 MMHG to 90/50
MMHG. Which of the following actions should the nurse take first? correct answers Turn the
client to a lateral position
a nurse is assessing a newborn, following a circumcision 48 hours ago. Yellow exudate covers
the newborn gland penis which of the following findings does this indicate correct answers
Healing
A nurse is assessing a client who delivered a 4.5 kg( 10 pounds) newborn two hours ago. Identify
the level in the abdomen a nurse should expect to find the clients uterus when assessing the
fundus. correct answers C is correct, there will be a picture
A nurse is discussing recommended immunizations during pregnancy with a group of clients
who are pregnant. Which of the following statements should the nurse indicate in the teaching?
correct answers You should receive the influenza immunization at the beginning of the flu season
A nurse is carrying for a 15-year-old client who is at eight weeks of gestation during the first
prenatal visit. Which of the following statements should the nurse make correct answers Expect
to have many different feelings and emotions while you're pregnant
A charge nurse is discussing care of clients who are in labor with a newly licensed nurse. Which
of the following actions should the charge nurse include in the teaching regarding situations
requiring an amniotomy correct answers Placing a fetal scalp electrode
A nurse is caring for a newborn who was delivered by cesarean birth one minute ago, and
displayed some flexion of the extremities, is not crying, has irregular respiratory effort and has a
heart rate of 92 the nurse notes, grimacing, but no cry, when rubbing the souls of the newborns
feet, the newborn skin color is pink with blue extremities which of the following is correct Apgar
score correct answers 7