PN Maternal Newborn Online Practice 2020 B With NGN _Q&A 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? Correct Ans - 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? Correct Ans - "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? Correct Ans - 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? Correct Ans - "I am likely to gain weight while taking this medication" 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? Correct Ans - 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? Correct Ans - "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? Correct Ans - Perineal pad soaked in 15 min Rationale: Perineal pad soaked in 15 minutes or less is a manifestation of postpartum hemorrhage. 1 / 2
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? Correct Ans - 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.A nurse is reinforcing teaching about car seat safety with the guardian of a newborn. Which of the following statements by the guardian indicates an understanding of the teaching?Correct Ans - "I will position the retainer clip at the level of the baby's armpits." A nurse is assisting with the care of a client who is at 39 weeks of gestation. Which of the following statements should alert the nurse as a sign of a potential complication?Correct Ans - "I have pain in my upper right abdomen." Rationale: Epigastric pain can indicate hepatic involvement and severe preeclampsia.A nurse is reinforcing teaching about nonstress test with a client who is at 33 weeks of gestation. Which of the following statements should the nurse include? Correct Ans - "You will press a button when you feel the baby move." The nurse should assist the RN in taking which of the following actions based on the most recent data collection findings? Select all that apply.(a nurse is assisting with the care of a client who is in labor) Correct Ans - Discontinue the magnesium infusion Administer calcium gluconate Apply oxygen at 10 L/min via nonrebreather mask A nurse is contributing to the plan of care for a client who is at 18 weeks gestation and has just learned that the fetus has trisomy 21. Which of the following resources should the nurse recommend for the client? Correct Ans - Genetic counseling A nurse in an antepartum clinic is reviewing lab test results for a group of clients. The nurse should notify the provider of which of the following results? Correct Ans - Hematocrit 31%
Rationale: Below the expected reference range for a client who is pregnant.
A nurse on a postpartum unit is contributing to the discharge teaching plan of a client.Which of the following instructions should the nurse suggest for the plan? Correct Ans
- Use a firm mattress in the newborn's crib
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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