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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?
During a vaginal assessment on a patient who is 8 weeks pregnant, you note a bluish-purple coloration of the mucous membranes of the cervix, vagina, and vulva. You would document this finding as which of the following?
The nurse is caring for a newborn who is 18 inches long, weighs 4 pounds 14 ounces, has a head circumference of 13 inches, and a chest circumference of 10 inches. Based on these physical findings, assessment for which condition has the highest priority?
A nurse is assessing a postpartum client who is exhibiting tearfulness, insomnia, lack of appetite, and a feeling of letdown. The nurse knows these findings are characteristic of which condition?
The nurse who performs vaginal examinations to assess a woman's progress in labor should:
A client at 28 weeks gestation is admitted to the obstetrical unit following her involvement in a motor vehicle collision. While stabilizing the patient, the nurse applies the fetal monitor and notes fetal tachycardia. Which action should the nurse take?
Following a precipitous labor, a postpartum client has a continuous trickling of bright red blood from her vagina. Her uterus is firm and her vital signs are within normal limits. The nurse determines that this sign may indicate which condition?
A nurse concludes that the father of an infant is not showing positive signs of parent-infant bonding and appears very anxious and nervous when the infant's mother asks him to bring her the infant. Which of the following is an appropriate nursing intervention to promote father-infant bonding?
Parents have been asked by the neonatologist to provide breast milk for their newborn son, who was born prematurely at 32 weeks of gestation. The nurse who instructs them about pumping, storing, and transporting the milk needs to assess their knowledge of lactation. Which statement is valid?
Which method of contraception offers protection against sexually transmitted infections (STIs)?