100% Correct
A nurse is caring for a client who is 2 hr postpartum. The nurse locates the client's
fundus 2 cm above the umbilicus, with displacement to the right of the midline, and
notes it is boggy. The nurse should identify which of the following complications as the
likely cause of these findings? - ANSWER Bladder distention
A nurse is contributing to the plan of care for a client who has eclampsia. Which of the
following interventions should the nurse identify and plan to include as the priority
immediately following a seizure? - ANSWER Administer oxygen via facemask at
10L/min.
A nurse is contributing to the plan of care for a client who is postpartum and follows
kosher dietary laws. Which of the following indicates a meal the nurse should offer this
client? - ANSWER Foods that avoid eating meat and dairy products together.
A nurse is caring for a client who is postpartum and is receiving carboprost. Which of
the following statements should the nurse identify as an indication that the client
understand the purpose of this medication? - ANSWER "This medication will slow
down my bleeding."
A nurse is collecting data from a client who is primigravida and has hyperthyroidism.
Which of the following findings should the nurse expect? - ANSWER Diaphoresis
A nurse is collecting data from a client who is at 37 weeks of gestation. Which of the
following findings should the nurse report to the provider? - ANSWER Blurred vision
A nurse is reinforcing teaching about newborn umbilical cord care with a client who is
postpartum. Which of the following statements should the nurse identify as an
indication that the client understands the instructions? - ANSWER "I will report any
drainage from my baby's umbilical cord."
A nurse is reinforcing discharge teaching with a client who has mastitis of the left breast.
Which of the following instructions should the nurse include? - ANSWER Pump the
affected breast frequently
, A nurse is reinforcing teaching with a client who is at 8 weeks of gestation. Which of
the following responses by the client indicates an understanding of the teaching? -
ANSWER "I should expect to have a white vaginal discharge during pregnancy."
A nurse is caring for a client who gave birth to a newborn who is large for gestation age
(LGA) 16 hr ago. Which of the following findings should the nurse identify as a
complication of the birth of a newborn who is LGA? - ANSWER Hemorrhage
A nurse is collecting data from a client who is receiving magnesium sulfate IV for
preeclampsia. The nurse should identify which of the following findings as an indication
of toxicity to report to the provider? - ANSWER Respiratory rate 10/min
A nurse in a postpartum unit is caring for a client who has endometritis and is 48 hr
postpartum following a cesarean birth. Which of the following findings should the nurse
anticipate? - ANSWER Heart rate 110/min
A nurse is collecting data from the parent of a newborn immediately following birth. The
parent states, "She is so tiny. We don't know how to pick her up without hurting her."
Which of the following actions should the nurse take first to promote parent-newborn
attachment? - ANSWER Demonstrate to the parent how to hold the newborn.
A nurse is reinforcing teaching with a client who has a bacterial infection. Which of the
following statements should the nurse include int he teaching? - ANSWER "You
should suspend breastfeeding for 8-10 days."
Client making decision about uterine tube occlusion, which response - ANSWER "this
process should have no effect on your sexual performance or adequacy."
7 year old accepting new baby - ANSWER Obtain a gift from the newborn to present to
the sibling
38 wk gestation, findings nurse should report - ANSWER weight gain of 2.2 kg
assessing newborns, findings nurse should report - ANSWER 18 hour old with axillary
temp of 37.7c
client 8cm dilated, 100% effaced, -2 station, fetus in occiput posterior position. -
ANSWER assist the client to the hands and knees position
discharge teaching, circumcision - ANSWER apply slight pressure with a sterile gauze
pad for mild bleeding
blood specimen via heel stick - ANSWER place the newborn skin to skin on mother's