A nurse on a postpartum unit is assisting with the care of a client who has a
hypotonic uterus and excessive vaginal bleeding. Which of the following
actions should the nurse take first?
Provide fundal massage for the client
A nurse is caring for a client who is at 11 weeks of gestation and reports
frequent vomiting. Which of the following findings should the nurse identify
as an indication that the client has hyperemesis gravidarum?
Ketonuria
A nurse is assisting with the care of a client who has preeclampsia and is
receiving magnesium sulfate via continuous IV infusion. The client has a
respiratory rate of 10/min. Which of the following medications should the
nurse expect a charge nurse to administer to the client?
Calcium gluconate
A nurse is reviewing the laboratory results of a 4 hr old newborn. Which of the
following findings should the nurse report to the provider?
Platelet count 120,000/mm3
A nurse is caring for a client who is at 20 weeks gestation and is in the clinic
for a routine prenatal visit. Which of the following findings in the data from
the clients medical record should the nurse report to the provider?
Fundal height
A nurse in a prenatal clinic is caring for a group of clients. Which of the
following clients should the nurse recommend the provider see first?
A client who is at 37 weeks of gestation and reports a persistent headache.
A nurse is assisting with planning care for a client who is breastfeeding
and has mastitis. Which of the following recommendations should the
nurse include?
Instruct the client to apply warm compresses to the affected breast
A nurse in an antepartum clinic is reinforcing teaching about how to prevent
supine hypotension with a client who is at 16 weeks of gestation. Which of
the following responses by the client indicates an understanding of the
teaching?
I will lie on my left side with my head elevated on a pillow
A nurse is reinforcing teaching with a client who has preeclampsia and is
receiving magnesium sulfate via continuous IV infusion. Which of the
following statements should the nurse include in the teaching?
Your fluid intake will be limited to no more than 125 milliliters per hour
A nurse is collecting data from a client who is at 36 weeks of gestation during
a prenatal examination. Which of the following findings should the nurse
report to the provider?
Blurred vision
A nurse is caring for a client 6 hr after a vaginal birth who is going to
breastfeed her newborn. The client reports a perineal pain of 6 on a scale
from 0 to 10. The nurse also notes mild perineal edema and ecchymosis,
with a fundus that is 2 cm above the umbilicus with deviation to the right.
Which of the following actions is the nurse's priority?
Help the client ambulate to the toilet
A nurse is assisting with the care of a client who is at 40 weeks of gestation
and is in active labor. Which of the following findings should the nurse report
, to the charge nurse?