Exam 2

A nurse is caring for a newborn who was born at 38 weeks of gestation, weights 3,200 g, and is in the 60th percentile for weight. Based on the weight and gestational age, the nurse should classify this neonate as:

A nurse is completing and assessment. Which of the following data indicate the newborn is adapting to extrauterine life?

A nurse is preparing to administer prophylactic eye ointment to a newborn to treat ophthalmia neonatorum. Which of the following medications should the nurse anticipate administering?

A newborn was not dried completely after delivery. The nurse should understand that which of the following mechanisms causes the newborn to lose heat?

When performing nursing care for a newborn after birth, which of the following nursing interventions is the highest priority?

A nurse is preparing to administer a vitamin K injection to a newborn. Which of the following is an appropriate response by the nurse to the newborn's mother regarding why this medication is given?

A nurse is taking a newborn to a mother for breasteeding. Which of the following is an appropriate action for the nurse to take for security purposes?

A nurse is caring for a client who is receiving IV magnesium sulfate. Which of the following medications should the nurse anticipate administering if magnesium sulfate toxicity is suspected?

A nurse is reviewing discharge teaching with a client who has premature rupture of membranes at 26 weeks of gestation. Which of the following should be included in the teaching?

A nurse in labor and delivery is planning care for a newly admitted client who reports she is in labor and has been having vaginal bleeding for 2 weeks. Which of the following should the nurse include in the plan of care?

A nurse is caring for a client who is in labor and experiencing incomplete uterine relaxation between hypertonic contractions. The nurse recognizes the adverse effect of this contraction pattern is

A nurse is caring for a client who is 42 weeks of gestation and in active labor. The nurse should understand that the fetus is at risk for which of the following?

The nurse is caring for a client in active labor. When last examined 2 hours ago, the client's cervix was 3 cm, 100%, membranes intact, with the fetus at -2 station. The client suddenly states "my water broke!" The monitor reveals a FHR of 80-85 bpm, and the nurse performs a vaginal examination, noticing clear fluid and a pulsing loop of umbilical cord in the client's vagina. Which of the following actions should the nurse perform FIRST?

The nurse is performing a funcal assessment for a client in her second postpartum day and observes the client's perineal pad for lochia. She notes the pad to be saturated approximately 12 cm with lochia that is bright red in color and contains small clots. The nurse knows that this finding is

A nurse is assessing a postpartum client for fundal height, location, and consistency. Thefundus is found to be displaced laterally to the right, and there is uterine atony. Which of the following is the cause of the uterine atony?