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The nurse notes hypotonia, irritability, and a poor sucking reflex in a full-term newborn on admission to the nursery. The nurse suspects fetal alcohol syndrome and is aware that which additional sign would be consistent with this syndrome?
Your patient is being induced because of her worsening preeclampsia. She is also receiving magnesium sulfate. It appears that her labor has not become active despite several hours of oxytocin administration. She asks the nurse, "Why is it taking so long?" What is the most appropriate response by the nurse?
When preparing to administer a hepatitis B vaccine to a newborn, the nurse should:
A patient presents with grossly ruptured membranes. When you apply her fluid to a nitrazine strip, it will turn...
A woman presents to the clinic because she missed her last menstrual period and thinks she may be pregnant. She reports fatigue, breast tenderness, urinary frequency, and nausea and vomiting in the morning. The healthcare provider will interpret these findings as which of the following changes of pregnancy?
While assessing the integument of a 24-hour-old newborn, the nurse notes a pink, papular rash with vesicles superimposed on the thorax, back, and abdomen. The nurse should:
While evaluating the reflexes of a newborn, the nurse notes that with a loud noise the newborn symmetrically abducts and extends his arms, his fingers fan out and form a C shape with the thumb and forefinger, and he has a slight tremor. The nurse would document this finding as a positive:
A nurse is providing discharge instructions to a postpartum client following a cesarean birth. The client reports leaking urine every time she sneezes or coughs. Which of the following interventions should the nurse suggest?
A woman is clinically labeled as infertile when she falls into which category?
A nurse on a cardiac unit is reviewing the laboratory findings of a client who has a diagnosis of myocardial infarction and reports that his chest pain/dyspnea began 2 weeks ago. Which of the following cardiac enzymes would confirm that the MI occurred 14 days ago?
On observing a woman on her first postpartum day sitting in bed while her newborn lies awake in the bassinet, the nurse should:
The nurse prepares to administer a phytonadione (vitamin K) injection to a newborn, and the mother asks the nurse why her infant needs the injection. What is the nurse's best response?
A 38-week primigravida is admitted to labor and delivery after a non-reactive result on a non-stress test (NST). The nurse begins a contraction stress test (CST) with an oxytocin (Pitocin) infusion. Which finding is most important for the nurse to report to the health care provider?
With regard to the gastrointestinal (GI) system of the newborn, nurses should be aware that:
The nurse is performing an assessment on a client who is at 38 weeks' gestation and notes that the fetal heart rate (FHR) is 174 beats/minute. On the basis of this finding, what is the priority nursing action?
A 25-year-old gravida 2, para 2-0-0-2 gave birth 4 hours ago to a 9-pound, 7-ounce boy after augmentation of labor with Pitocin. She puts on her call light and asks for her nurse right away, stating, "I'm bleeding a lot." What is the most likely cause of postpartum hemorrhage in this woman?
Artificial rupture of membranes in a laboring client reveals meconium-stained fluid. What is the nurse's priority action?
Discharge instruction, or teaching the woman what she needs to know to care for herself and her newborn, officially begins:
A 26-year-old pregnant woman, gravida 2, para 1-0-0-1, is 28 weeks pregnant when she experiences bright red, painless vaginal bleeding. On arrival at the hospital, what diagnostic procedure would be expected first?
A nurse is providing discharge teaching for a nonlactating client. Which of the following instructions should the nurse include in the teaching?