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1. discharge teaching with the parents of a newborn about how to care for their child's uncircumcised penis.: cleanse
the newborn's penis daily with soap and water.
The foreskin adheres to the glans and should not be retracted until approximately 3 years of age.
(do not attempt to clean under the foreskin
avoid applying creams or lotion to penis
2. These findings indicate the transition phase ?: first stage ends with the transition phase, with the cervix dilating
to 8 to 10 cm.
Uterine contractions are strong, occurring every 2 to 3 minutes and lasting 45 to 90 seconds.
3. Latent phase: some cervical effacement and dilation from 0 to 3 cm and
with little progress in the descent of the presenting part.
4. The active phase is characterized by?: cervical dilation from 4 to 7 cm and significant descent of the presenting
part.
In this phase, the client has moderate to strong uterine contractions every 3 to 5 minutes that last 40 to 70 seconds
5. The second stage begins with?: complete cervical dilation and ends with the birth of the newborn. 6. The nurse
should identify that clients who have preeclampsia?: with severe features are at risk for seizures.
The nurse should keep the side rails of the client's bed up and ensure oxygen and suction are readily available.
,restrict fluid intake no more 125ml and head up
7. second stage nursing interventions: encourage client to frequently change postilion
nurse should assess vital sign every 5 to 30 min remain
during bed rest
( do not tell patient hold breath while pushing decrease oxygen)
8. discharge teaching about bathing newborn: the face should be washed first before the eye
, ears , nose last
genital are last
avoid use cornstarch or baby powder
The parent should wash around the umbilical cord with warm water and avoid soaking. Soap is not recommended because
it causes drying of the cord
The parent should wash the newborn's scalp with a mild shampoo, gently massaging the scalp before rinsing and drying.
every 2 to 3 days
9. The client is worried about the health of her fetus because she drank alcohol and smoked in the first week of
pregnancy, before she knew she was pregnant
what should nurse say?: "Your baby wasn't susceptible to substances during the first 2 weeks of your pregnancy."
The period between 15 days and 8 weeks after conception is most critical in the development of organ systems and
external features.
10. Which of the following reflexes facilitates infant feeding?: rooting reflex (making
sucking motions with the mouth)
,This reflex supports effective sucking.
11. Which of the following reflexes facilitates infant walking ?: stepping
lower extremities. When the newborn is held vertically, he/she will make leg movements that look like walking.
12. Moro reflex: spread out their arm
pull their arms back tight to their chest start
crying
disappears at approximately 3 to 4 months of age 13.
The babinski reflex: sole foot
hyper extension of toe or dorsilfexion great toe
The Babinski reflex does not disappear until after 1 year of age.
14. Nursing Intervention painful third degree peritoneal laceration: apply cold ice packs to the client perineum
encourage client firm surface
( warm sitz bath for first 24hr postpartum)
15. trichomoniasis Symptoms: Clinical findings in women include yellowish to greenish, frothy, mucopurulent,
copious discharge with an unpleasant odor, as well as itching, burning, or redness of the vulva and vagina
16. caring for a client who has trichomoniasis following instruction should nurse ?: sexually transmitted infection
both men and women infected
can be treated easily with metronidazole also instruct use condoms during sexual intercourse
is done without a culture
17. parent about how to care for his newborn's circumcision site: loosely applied diaper will minimize pressure
circumcision clean site gently with warm water only
, formation yellow exudate in the glands is expect part
18. A nurse is collecting data from a client 24 hr after delivery and notes the fundus is 2 cm above the umbilicus:
ambulate the client to the bathroom risk of hemorrhage. The most common postpartal cause do not apply heating pad
over increase
19. What is vena cava syndrome?: (hypotension that occurs in clients who are pregnant upon assuming a supine
position).
a side lying position promotes uterine perfusion and oxygenation
20. postpartum teachings with a client who is non-lactating about breast discomfort. Which of the following
interventions should the nurse discuss with the client?: place fresh cabbage leaves on breast instructed to wear a tight-
fitting bra or breast binder
avoid warmth to breasts , ice pack should be used relieve engored breasts
21. apply an external uterine activity monitor for a client who is at 36 weeks of gestation. Which of the following
actions should the nurse plan to take?: Validate the monitor tracing by palpating for contraction frequency semi-
flowerl or lateral position for fetal monitoring
should be placed level fundus above umbilicus
22. manifestations should the nurse identify as an adverse effect of epidural
anesthesia?: Pruitus sever itching
urinary retention hypotension
metallic taste and numbness of mouth
23. Newborn vital signs
Respiratory rate Weight