PN Maternal Newborn Online Practice 2020 B with NGN A nurse is contributing to the plan of care for a client who is pregnant and has intermittent constipation. Which of the following interventions should the nurse recommend in the plan? - ANSWER Drink 2L of water per day A nurse in a provider's office is reinforcing teaching with a client. Which of the following statements should the nurse include? - ANSWER "You might experience a metallic taste in your mouth while taking your medication."
Rationale: A metallic taste in the mouth is a common adverse effect of
metronidazole and does not warrant notification of the provider.A nurse is assisting with the neuromuscular assessment of a newborn by eliciting primitive reflexes. Which of the following images indicates a characteristic response of the tonic neck reflex? - ANSWER Newborn's head is quickly turned to one side, the arm and leg on the same side extended, while the arm and leg on the opposite side flex.A nurse is reinforcing teaching with a client who has a new prescription for medroxyprogesterone acetate injection for contraception. Which of the following statements by the client indicates understanding of the teaching? - ANSWER "I am likely to gain weight while taking this medication" 1 / 2
A nurse is planning to perform a blood collection via heel stick on a newborn.After performing hand hygiene and donning gloves, which of the following actions should the nurse plan to take next? - ANSWER Wrap the newborn's heel with a cloth moistened with warm water.
Rationale: The nurse should first warm the newborn's heel by applying a cloth
moistened with warm water for 5 to 10 min. This will allow dilation of the vessels in the area in order to obtain an adequate sample.A nurse is reinforcing discharge teaching about home care with the parent of a newborn. Which of the following instructions should the nurse include? - ANSWER "Ensure the water temperature during your newborn's bath is maintained at 100 degrees Fahrenheit." A nurse is caring for a client who delivered vaginally 6 hr ago. Which of the following findings should the nurse report to the provider? - ANSWER Perineal pad soaked in 15 min
Rationale: Perineal pad soaked in 15 minutes or less is a manifestation of
postpartum hemorrhage.A nurse is caring for a client who is in preterm labor and is receiving betamethasone. Which of the following actions should the nurse take? - ANSWER Inject the medication into the clients vastus lateralis muscle.
Rationale: Administer the medication IM into the vastus lateralis muscle and
administer a second dose 24 hr later.
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