CMS Maternal Newborn Practice B

CMS Maternal Newborn Practice B A nurse in a clinic is collecting data from a client who is at 12 weeks of gestation.Which of the following actions should the nurse take?

• Use an ultrasound stethoscope to listen to fetal heart tones.
• Obtain a blood sample for the maternal serum alpha-fetoprotein (MSAFP)

screen.

• Collect a vaginal and an anal specimen for group B streptococcus (GBS)
• Measure fundal height for gestational age. - ANSWER a.

Use an ultrasound stethoscope to listen to fetal heart tones.A nurse is assisting in the care of a client during the active phase of labor. Which of the following actions should the nurse take to promote the client's comfort?

• prepare the client for a pudendal nerve block
• administer a sedative to the client
• encourage the client to push
• have the client perform relaxing breathing techniques - ANSWER
• have the client perform relaxing breathing techniques

A nurse is reinforcing teaching with a client who requests hydrotherapy for pain management during labor. Which of the following statements should the nurse include?

• You must be at least at 37 weeks of gestation before you can use hydrotherapy.
• you will receive an injection of sterile water into your lower back during

hydrotherapy

• you can continue to use hydrotherapy as long as you do not develop a fever

greater than 101 degrees Fahrenheit

• You should keep the water temperature above 100 degrees Fahrenheit during

hydrotherapy. - ANSWER a. You must be at least at 37 weeks of gestation before you can use hydrotherapy. 1 / 2

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?

• I will report any drainage from my baby's umbilical cord
• I will wash my baby's umbilical cord with soapy water.
• I will expect my baby's umbilical cord to fall off in 2-3 days.
• I will secure the diaper over my baby's umbilical cord - ANSWER
• I will report any drainage from my baby's umbilical cord

A nurse is reinforcing discharge teaching about home care with the parent of a newborn. Which of the following instructions should the nurse include?

• Dress your newborn with two extra layers for the first week at home.
• Give your newborn a bath once a day in the morning
• cover your newborn with a lightweight blanket during naps.
• Ensure the water temperature during your newborn's bath is maintained at 100

degrees Fahrenheit - ANSWER d. Ensure the water temperature during your newborn's bath is maintained at 100 degrees Fahrenheit A nurse is assisting with the admission of a newborn who has respiratory distress.While collecting data, which of the following should the nurse report to the provider? select all that apply.

• nasal flaring
• respiratory rate 60/min
• intercostal retractions
• grunting
• heart rate 120/min - ANSWER a. nasal flaring
• intercostal retractions
• grunting

A nurse in a provider's office is reinforcing teaching with a client. Which of the following statements should the nurse include?

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