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What Apgar score would you assign to a newborn at 1 minute if they present with active movement, a pulse of 120, floppy muscle tone/reflex irritability, pink appearance, and an irregular, weak cry?
A nurse is caring for a client who is in preterm labor and is scheduled to undergo an amniocentesis. The nurse should evaluate the results of which of the following tests to assess fetal lung maturity?
A nurse is providing care for multiple clients on the postpartum unit. Which of the following clients is at greatest risk for developing a puerperal infection?
A newly delivered mother who intends to breastfeed tells her nurse, "I am so relieved that this pregnancy is over so I can start smoking again." The nurse encourages the client to refrain from smoking; however, the mother insists she will resume smoking. The nurse will need to adapt her health teaching to ensure the client is aware that:
A primigravida who is at 38 weeks gestation calls the clinic stating she felt several contractions in her abdomen during the past hour. She reports that the contractions were irregular and decreased after she took a walk around the block. Based on this information, what is the healthcare provider's best response?
A client is warm and asks for a fan in her room for her comfort. The nurse enters the room to assess the mother and her infant and finds the infant unwrapped in his crib with the fan blowing over him on high. The nurse instructs the mother that the fan should not be directed toward the newborn and that the newborn should be wrapped in a blanket. The mother asks why. What is the nurse's best response?
A client reports that her last menstrual period (LMP) was November 10. She asks the nurse, "When will my baby be due?" Using Nägele's rule, what is the best answer?
A woman who is 39 weeks pregnant expresses fear about her impending labor and how she will manage. What is the nurse's best response?
Which of the following would the nurse expect to find in a newborn with birth asphyxia?
A breastfeeding woman develops engorged breasts at 3 days postpartum. What action would help this woman achieve her goal of reducing the engorgement? The woman:
While assessing the newborn, the nurse should be aware that the average expected apical pulse range of a full-term, quiet, alert newborn is:
The nurse providing care for a laboring woman recognizes that variable fetal heart rate (FHR) decelerations are most commonly caused by:
After giving birth to a healthy infant boy, a primiparous woman, 16 years old, is admitted to the postpartum unit. An appropriate nursing diagnosis for her at this time is "Risk for impaired parenting related to deficient knowledge of newborn care." In planning for the woman's discharge, what should the nurse be certain to include in the plan of care?
The nurse is teaching a pregnant woman about food sources rich in folic acid that she should include in her diet. Which of the following food choices would provide the most folic acid?
A postpartum woman overhears the nurse tell the obstetric clinician that she has a positive Homans' sign and asks what it means. What is the nurse's best response?
A nurse in labor and delivery (L&D) is completing an admission history for a client who is at 39 weeks of gestation. The client reports that she has been leaking fluid from her vagina for 2 days. The nurse knows that this client is at increased risk for which of the following?
A 40-year-old patient who is 36 weeks pregnant presents with complaints of vaginal bleeding and lack of fetal movement over the last 3 days. What is the priority action by the nurse?
A nurse is teaching a client who has type 1 diabetes mellitus about management during pregnancy. Which of the following statements by the client indicates an understanding of the teaching?
A meconium stool can be differentiated from a transitional stool in the newborn because the meconium stool is:
A nurse is reviewing care of the umbilical cord with the parent of a newborn. Which of the following instructions should be included in the teaching?