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A woman in labor suddenly experiences chest pain and dyspnea,
and the nurse suspects the presence of amniotic fluid embolism
(AFE). What should the nurse immediately do? - ANSWER
Administer oxygen to the woman
The nurse is teaching a pregnant client about measures to
strengthen the pelvic floor. What does the nurse instruct the client
to do? - ANSWER Perform Kegel exercises in 10 repetitions,
three times per day
A client in the third trimester of pregnancy is complaining of
urinary frequency, and the nurse instructs the client in measures
to alleviate the discomfort. Which statement by the client indicates
an understanding of these self-care measures? - ANSWER "I
need to drink at least 2000 mL of fluid a day"
A 1-hour oral glucose tolerance test is performed on a pregnant
client, with a result of 155 mg/dL. What does the nurse tell the
client? - ANSWER Additional tests will likely be performed to
confirm gestational diabetes
The nurse is caring for a client experiencing hypotonic labor
contractions. The client is discouraged by the lack of progress
with labor but refuses an amniotomy or oxytocin stimulation. What
does the nurse determine that the client's behavior may be a
result of? - ANSWER Concern about her own and the baby's
well-being
,A pregnant woman at 38 weeks gestation arrives at the
emergency department, reporting bright-red vaginal bleeding but
denying pain. On the basis of this information, what does the
nurse determine that the client may be experiencing? - ANSWER
Placenta previa
The nurse provides information about the treatment for
hypoglycemia to a client with gestational diabetes who will be
taking insulin. What does the nurse tell the client what to
immediately do if signs/symptoms of hypoglycemia occur? -
ANSWER Check her blood glucose level
The nurse is about to perform an assessment of a pregnant
woman in the Labor Room. What does the nurse know about
false labor? Select all that apply. - ANSWER Contractions
relieved after walking
No lightening of fetus
Contractions felt in abdomen and groin
Indentable uterus
A multigravida woman with a history of multiple cesarean births is
admitted to the maternity unit in labor. The client is experiencing
excessively strong contractions, and the nurse monitors the client
closely for uterine rupture. Which assessment findings are
indicative of complete uterine rupture? Select all that apply. -
ANSWER Maternal tachypnea
Maternal complaint of sudden sharp abdominal pain
Fetal bradycardia
, The nurse is performing an assessment of a female client with
suspected mittelschmerz. Which question does the nurse ask the
client to elicit data specific to this disorder? - ANSWER "Do you
have sharp pain on the right or left side of your pelvis?"
The nurse is teaching a new mother how to perform umbilical
cord care and how to recognize the signs/symptoms of a cord
infection. Which finding does the nurse tell the mother is an
indicator of infection? - ANSWER Edema at the base of the cord
A pregnant woman reports that she has just finished taking the
prescribed antibiotics to treat her urinary tract infection but
expressed concern that her baby will be born with an infection.
Which response should the nurse make to help ease these fears?
- ANSWER "Now that you have taken the medication as
prescribed, we'll keep monitoring you closely and repeat the urine
culture before you leave today."
The nurse instructs a pregnant client about foods that are high in
folic acid. Which item does the nurse tell the client is the best
source of folic acid? - ANSWER Lima beans
The nurse is caring for a client in labor who has sickle cell
anemia. What are some situations that can precipitate sickling?
Select all that apply. - ANSWER Dehydration
Emotional or physical stress
Fever
Any condition that increases or alters the need and transport of
oxygen