exam 2 review
Cards (93)
- a nurse is providing discharge teaching to a patient who had a C-section 3 days ago. what instruction should the nurse include?
- a nurse is caring for for a patient who is at 30 wks gestation and had a prescription for magnesium sulfate IV to treat preterm labor. the nurse should notify the hcp for which adverse effects?
- a nurse is performing a vaginal exam on a patient in labor & observes the umbilical cord protruding out. after calling for assistance, which action should the nurse take?
- a nurse is caring for a patient who is at 15 wks of gestation, is Rh-negative, & has just had an amniocentesis. which intervention is priority following the procedure?
- the postpartum nurse has completed discharge teaching for a patient being discharged after an uncomplicated vaginal birth. which statement by the patient indicates that further teaching is needed?
- the nurse assesses a newborn immediately after birth. after assigning the 1st Apgar score of 9, the nurse notes 3 vessels in the umbilical cord. what’s the next action?
- which patient may require more help & understanding when integrating the newborn into the family?
- nurse is caring for a newborn immediately following birth. after assuring a patent airway, what is the priority nursing action?
- nurse is caring for a patient who requests an oral contraceptive. which should be recognized as a contraindication to oral contraceptives? (sata)
- what is the term for a NST in which there are 2+ FHR accelerations of 15+ bpm with fetal movement in a 20 minute period?
- a L&D nurse is caring for a patient undergoing external fetal monitoring. the nurse observes that the FHR begins to slow after the start of a contraction & the lowest rate occurs after the peak of the contraction. what action should the nurse take 1st?
- a nurse is assessing fetal heart tones for a pregnant patient. the nurse has determined the fetal position as left occipital anterior. To which area of the patient's abdomen should the nurse apply the ultrasound transducer to assess the point of max intensity of the fetal heart?
- a nurse is caring for a patient who had a vaginal birth of a newborn weighing 9lb 6oz (4252g) 5 hrs ago. which postpartum complication is this patient at risk for?
- a nurse is caring for a patient in labor who has tested (+) for gonorrhea. which of the following will the nurse include in the patient's plan of care?
- at 38 wks gestation, a primigravida patient with poorly controlled diabetes & severe preeclampsia is admitted for a C-section. the nurse explains to the patient that childbirth helps to prevent which complication?
- a L&D nurse is caring for a patient. following delivery of the placenta, the nurse examines the umbilical cord. which vessels should the nurse expect to observe in the umbilical cord?
- a nurse is caring for a patient considering several methods of contraception. which contraception method should be identified as most reliable?
- a nurse is caring for a patient at 38 wks of gestation & has a large amount of painless, bright red vaginal bleeding. the patient is placed on a fetal monitor indicating a regular FHR of 138/min & no uterine contractions. the patient's vital signs are: BP 98/52 mm Hg, HR 118/min, RR 24/min, & temp 36.4° C (97.6° F). what is the priority nursing action?
- a nurse is caring for a patient at 40 wks of gestation & is in labor. the patient's ultrasound exam indicates that the fetus is small for gestational age (SGA). which of the following interventions should be included in the newborn's plan of care?
- a nurse is caring for a patient in premature labor & receiving terbutaline. which adverse effect should be monitored & reported to the HCP?
- a nurse is caring for a patient in labor & has an external fetal monitor. the nurse observes late decelerations on the monitor strip & interprets them as indicating what?
- a nurse is teaching a patient with new prescription for dinoprostone gel. what statement should the nurse include in the teaching?
- a nurse is reviewing the health history of a patient with a new prescription for a combined oral contraceptive. which medication can interfere with the effectiveness of oral contraceptive?
- a nurse is preparing to administer methylergonovine IM to a patient who experienced a vaginal delivery. the nurse should explain to the patient that the purpose of this med is to prevent which of the following conditions?
- a nurse is providing teaching about phenylketonuria (PKU) testing to a parent. which statement indicates a need for additional teaching?
- a nurse is caring for a patient in the 1st stage of labor, undergoing external fetal monitoring, & receiving IV fluid. the nurse observes variable decelerations in the FHR on the monitor strip. which of the following is a correct interpretation of this finding?
- a nurse is caring for a patient at 39 wks of gestation & is in active labor. the nurse locates the fetal heart tones above the patient's umbilicus at midline. the nurse should suspect that the fetus is in which of the following positions?
- a nurse in a prenatal clinic is caring for a patient. using Leopold maneuvers, the nurse palpates a round, firm, moveable part in the fundus of the uterus & a long, smooth surface on the patient's right side. in which abdominal quadrant should the nurse expect to auscultate fetal heart tones?
- a nurse is caring for a patient in the 1st stage of labor & is using pattern-paced breathing. the patient says she feels lightheaded & her fingers are tingling. which of the following actions should the nurse take?
- a nurse overhears a new grad nurse discussing conception with a patient. which statement made by the new grad requires intervention?
- a nurse is caring for a patient at 39 wks of gestation & who asks about signs that precede onset of labor. which sign identifies that precedes labor?
- a nurse admitting a patient a diagnosis of preterm labor. the nurse anticipates which prescriptions ordered by the HCP? (sata)
- a nurse providing teaching to a patient with phenylketonuria (PKU). which food should the patient eliminate from her diet?
- a nurse is observing the electronic FHR monitor tracing for a patient at 40 wks of gestation & is in labor. nurse should suspect a problem with the umbilical cord when she observes which of the following patterns?
- a nurse admits a patient at 38 wks of gestation & in early labor with ruptured membranes. the nurse determines that the patient's oral temp is 38.9C (102F). besides notifying the HCP, which of the following is an appropriate nursing action?
- nurse is caring for a newborn who has myelomeningocele. which of the following nursing goals has the priority in the care of this infant?
- nurse is caring for a postpartum patient. the nurse should recognize which statement by the patient as an indication of inhibition of parental attachment?
- a nurse is caring for a pt who has just delivered a newborn. the nurse notes secretions bubbling out of the newborn’s nose & mouth. which action is priority?
- a nurse is caring for a newborn 4 hr after birth. which of the following actions should the RN include in the plan of care to prevent jaundice?
- An RN is observing a new mom bathing her newborn son for the 1st time. For which of the following actions should the RN intervene?