a nurse is caring for a client who is at 32 weeks of gestation and has gonorrhea The focus is on collaborating with all member of the health care team in order to facilitate effective client care. Very low birth weight c. I 33. At 12 weeks gestation the uterus rises out of the pelvis and is palpable above the symphysis pubis. quot 33. The 42 week gestation client who has been pushing for 4 hours and has yellow amniotic quot uid. 12. To maintain the pregnancy the physician orders the client to have 10 mg now 10 mg in 2 hours and then 20 mg every 4 hours while contractions persist not to exceed the maximum daily oral dose of 120 mg. A client who 39 s gravida 2 at 32 weeks gestation with elevated blood pressure has been taught about the danger signs to report. A newly admitted client at 32 weeks gestation is experiencing a sudden onset of intense nausea and a frontal headache for the past 2 days. The client 39 s contractions are moderate and occurring every 2 to 3 minutes with a duration of 60 seconds. quot 2. The nurse should identify which of the following as an indication of hopelessness amp quest o amp Tab The client wants to talk about the diagnosis with nursing staff o amp Tab The client has a decreased energy level o amp Tab The client makes funeral 2 A client giving a medication history tells you she is in the early stages of pregnancy. A nurse is assessing a client who is day 1 postpartum and has a vaginal hematoma. The nurse should auscultate for the fetal heart rate using a Doppler device or an external fetal monitor. Vernix caseosa. The fetal monitor shows uterine contractions every 6 min lasting 20 to 25 seconds and an FHR of 150 min. A nurse is caring for a client who is prescribed mechanical ventilation. determine the client 39 s living will A nurse is providing care to several pregnant women at the clinic. Assessment for edema is typically done between 29 and 36 weeks gestation. Which of the following facts revealed in the girl s history and examination would lead the nurse practitioner to rule out infectious mononucleosis Points 0. A primigravid client visits the clinic at 12 weeks 39 gestation and tells the nurse that she has a cold and her nose is stuffy. A pregnant client who is 32 weeks gestation is experiencing preterm labor and has been brought in to the hospital. amp Tab A 2 day postpartum mother who is breastfeeding asks Why do I feel this tingling in my breasts after the baby sucks for a few minutes amp quest Which information should the nurse provide amp quest A. What combination of drugs would the nurse identify as safest for this pregnant patient A Isoniazid ethambutol and rifampin B Rifabutin streptomycin ATI Comprehensive Predictor What can be delegated to Assistive personnel AP amp quest A nurse on a med surge unit has recieved change of shift report and will care for 4 clients. Her weight is 220 lb and her blood pressure is 130 80 mmHg. Any woman who has a fetal death after 20 weeks 39 gestation should be tested for syphilis. 36 cm4. The nursing care of the newborn is directed toward promoting the physical well being of the baby and supporting the family unit. 40 cmAnswer 2Rationale During the second and third trimesters weeks 18 to 30 fundal height in centimetersapproximately equals NR 602 Final Exam Week 8 All Possible Question with Answers ACOG GUIDELINES REGARDING WELL WOMEN EXAMS What is the ASCCP recommended management for an ASCUS atypical squamous cells of undetermined significance pap result with a positive high risk HPV 16 cotest in a 26 year old woman without a history of abnormal pap smears amp quest A well woman visit for an adolescent should include which of ATI PN COMPREHENSIVE 2017 VERSION ATI PN COMPREHENSIVE 2017 PROCTORED amp Tab A nurse is caring for a client who has a recent diagnosis of a terminal illness. A client who is 32 weeks of gestation and reports seeing floating spots D. Available on hand is 40 mg mL that is to be added to 50 mL 0. 6. Require the parents to leave the room during Steroid therapy most effective for increasing lung surfactant when the fetus is between 30 and 32 weeks gestation. A woman who is 32 weeks pregnant has concluded a prenatal visit. She has gained about 10 pounds in the last 6 Coordinated Care amp Management of Care questions make up 19 of the questions on the NCLEX PN and 20 on the NCLEX RN. The nurse should tell the patient that she can expect to feel the fetus move at which time A. Early decelerations of the fetal heart rate. 2 ng amp sol mL. All other clients should not have their urine screened for asymptomatic bacteriuria. 7. Which intervention in gtpal the gtpal is described by numbers separated by hyphens. The nurse can expect to find the presence of Mongolian spots. Using the GTPAL format the nurse should identify that the client is Nursing Care Plans. g. quot D. To request access contact Je Riley and ask that they share the nbsp It 39 s a free call with a maternal child health nurse. The nurse provides information by teaching the client about this condition. quot One dose of this medication will be needed. A nurse is caring for a client who is 14 weeks of gestation. B. amp Tab An 8 year old child is receiving digoxin Lanoxin for congestive heart failure CHF. A client with type 1 diabetes mellitus who is a multigravida visits the clinic at 27 weeks gestation. An 18 year old woman at 23 weeks gestation tells the nurse that she has fainted two times. Placental separation. This leads to placental dysfunction and a cascade of events that damages blood vessels throughout the mother 39 s body in the kidneys liver brain and causes the clinical syndrome that we call preeclampsia. Promotes maturation of the fetal lungs 4. They are not as likely to upset your stomach. The nurse is caring for a client admitted with multiple trauma. A nurse is caring for a client who is al 6 weeks of gestation with her first pregnancy and asks the nurse when she can expect to experience quickening. Therefore another client is the nurse 39 s priority. since 1999. The nurse is developing a teaching plan for a patient who is 8 weeks pregnant. Diabetes care is complex and requires that many issues beyond glycemic control be addressed. A nurse is caring for a client who is at 32 weeks of gestation and is experiencing preterm labor. In most instances the maternity nurse provides two related and integrated services. 5. A nurse is assigned to a patient who is at 32 weeks 39 gestation and is receiving terbutaline Brethine IV for 24 hours to control preterm labor. 1177 0884217503252191 Keywords Adolescent pregnancy Nursing care Reproductive care Accepted August 2002 Pregnant clients 12 16 weeks 39 gestation and those pre operative to invasive urologic procedures for example transurethral resection of the prostate are the only ones who should be screened. What intervention is the most important at this time a. 9 sodium chloride. The child with seizure disorder is being treated with Dilantin phenytoin. quot It 39 s too soon for you to be worrying about this now. Head lag. Summarize the nursing care management of women with preterm premature rupture of membranes. After the delivery the nurse prepares to prevent heat loss in the newborn resulting from evaporation by Warming the crib pad Turning on the overhead radiant warmer Closing the doors to the room Drying the infant in a warm A client at 28 weeks gestation in premature labor was placed on ritodrine Yutopar . The nurse determines that the client understands the instructions when she says The nurse is assisting a client undergoing induction of labor at 41 weeks 39 gestation. Her other labs show type O blood rubella immune HIV negative and group B strep GBS positive. A nurse is caring for a client who is at 32 weeks of gestation and has gonorrhea. 32 weeks of gestation report 4. The nurse understands that the medication has which action 1. Challenges to retention in prenatal care seem to exist under both universal systems of care as in Canada and non universal systems of care as in the United States. A 34 year old Hispanic American woman who is in her second pregnancy and has had one live birth and no abortions is seen for prenatal care at 24 weeks gestation. Jun 02 2016 When taking an obstetrical history on a pregnant client who states I had a son born at 38 weeks gestation a daughter born at 30 weeks gestationand I lost a baby at about 8 weeks the nurse should record her obstetrical history as which of the following . What is her GTPAL 2. This infection places the client at increased risk for which of the following during pregnancy Premature rupture of membranes A nurse is caring for a patient that 39 s 32 weeks gestation and has gonorrhea. The nurse enters the room and observes the pt having a Jan 08 2014 A nurse is providing care for client who is in active labor. Which of the following does the nurse suspect is the most likely cause amp quest The nurse is NURSING PHARMACOLOGICAL Questions and Answers with Explanation Exam Practice and Review Question 1 When positioned properly the tip of a central venous catheter should lie in the Question 2 While the nurse is caring for a neonate at 32 weeks gestation in an isolette with continuous oxygen administration the neonates mother asks why the neonates oxygen is humidified. A patient completes a one hour glucose tolerance test. Demonstrate knowledge of nursing manage ment for a trial of labor the induction and aug mentation of labor forceps and vacuum assisted birth cesarean birth and vaginal birth after a cesarean birth. The provider prescribed betamethasone 12 mg IM. Incorrect Answers B. The nurse is caring for a female patient whose tests confirm she is 10 weeks pregnant and has contracted tuberculosis. Uterine atony D. Systolic blood pressure readings in excess of 190 mmHg A patient is pregnant and is at 7 weeks 39 gestation. Prevents spontaneous delivery 3. amp Tab Reports the need to use a NSG 6430 amp vert NSG6430 WOMEN S HEALTH FINAL Question 1 2. Even so what test s should be done to assess the 4 A client you set up for a Pap test is a May 22 2017 A nurse is caring for a woman G1 P0 at 40 weeks gestation in active labor. Between 16 and 20 weeks gestation C. c. The nurse is caring for a postpartum client in the taking in phase. A nurse assesses that a 3 day old neonate who was born at 34 weeks gestation has abdominal distention and vomiting. 8 Aug 2017 Gonorrhea in pregnancy does not mean you will not have a healthy baby. 56. other infections it is important to be tested for other STIs such as gonorrhoea nbsp Estimating gestational age and date of confinement Labor and delivery Maternal hormones Pregnancy Obstetrics Fetal development Maternity Nursing nbsp Documenting all care in accordance with mandatory and local requirements. 45 may be associated with gestational diabetes in which case you can make dietary The patient has received prenatal care throughout her pregnancy and has had no complications. Extremely low birth weightd. 32 Weeks. Nausea c. Midwives Nurse Practitioners or Family Practice Care Providers as well as Outlining antenatal visits for specific gestational ages with each visit having specific well Group prenatal care has been implemented in many clinical practices in the nbsp . Stops the uterine contractions 2. Hematoma B. The nurse should tell Chapter 17 High Risk Neonatal Nursing Care Multiple Choice 1. You need a Pro account to access a Private class middot I have an access code. For magnesium toxicity administer. The 24 week gestation client complaining of ankle edema. 4. Pork. What is the nurse 39 s best response 1. . Dec 06 2015 At between 24 and 32 weeks gestation two or three ultrasound measurements may be taken 2 weeks apart to compare against standard fetal growth curves. If It is important for the nurse to monitor serum glucose levels throughout the pregnancy of patients with GDM. 9. d. Inpatient care with external fetal and labor monitoring if fetus is viable Two nbsp The patient had similarly presented to the STI clinic 5 months previously as a contact of a Of note between the patient 39 s previous and current presentation for care Instead the nurse practitioner had treated him for gonorrhea and potentially In this other case the patient was an HIV positive 32 year old man who nbsp pregnancy obgyn maternity care at EvergreenHealth in Kirkland WA. 4 Jun 2015 In populations in which receipt of prenatal care is not optimal RPR test third trimester once at 28 32 weeks 39 gestation and again at delivery. Nonstress testing is performed weekly until 32 weeks gestation. Teach clients who have a family A client who has just been told that she is pregnant wants to know when the baby 39 s heart will be completely developed and beating. The monitor tracing shows a 15 min increased above baseline lasting 15 seconds in response to fetal movement two times in a 20 min period. This sensation occurs as breast milk moves to the nipple. Use a mummy restraint to hold the child during the catheter insertion. Client has delivered one newborn at term. Tell the child they will feel discomfort during the catheter insertion. Her cervix is dilated to 5cm and her membranes are intact. Contraction stress testing is performed weekly. Urinalysis reveals negative glucose and a trace of protein. MNL LO 2. This neonate would be classified as a. A nurse is assessing a client who is at 34 weeks gestation and has a mild placental abruption. As the nurse you know that the next step in the patient s care is to A. Which action should the nurse take 1. Cervical and vaginal infections e. She is very irritable lately. Her gums look too big for her teeth. Which drug should be immediately discontinued 3 A 32 week gestation Rh negative client has suffered a motor vehicle trauma but is minimally injured. A client who is 38 weeks of gestation and reports leg cramps. The nurse should A. The nurse has a client at 30 weeks 39 gestation who has tested positive for the human immunodeficiency virus HIV . May 06 2019 A client who s admitted to labor and delivery has the following assessment findings gravida 2 para 1 estimated 40 weeks gestation contractions 2 minutes apart lasting 45 seconds vertex 4 station. Most men and women with chlamydia have no signs or symptoms which makes it very It is important to avoid sex until the full course of treatment is finished and for at least a week following. A nurse in the postpartum unit is caring for a client who has just delivered a newborn infant following a pregnancy with placenta previa. The nurse should schedule the next prenatal visit for which gestational week A. The nurse determines that delivery is imminent. 39. Based on the use of external fetal monitoring the nurse notes a FHR of 115 to 125 min with occasional increases up to 150 155 min that last for 25 seconds and have beat to beat variability of 20 min. Which of the following does the nurse suspect is the most likely cause amp quest The nurse is Birth at 38 weeks gestation is considered full term T while birth form 20 weeks to 38 weeks is considered preterm P . Discussion. What should the nurse tell the client when she says that she wants to breast feed her neonate a. Fetal development 1. Conduct a hypertension screening clinic for the community. A. Yawning. NR 602 Final Exam Week 8 All Possible Question with Answers ACOG GUIDELINES REGARDING WELL WOMEN EXAMS What is the ASCCP recommended management for an ASCUS atypical squamous cells of undetermined significance pap result with a positive high risk HPV 16 cotest in a 26 year old woman without a history of abnormal pap smears amp quest A well woman visit for an adolescent should include which of Put an x on the area where the nurse should place her fist to effectively administer thrusts to clear the foreign body from the woman 39 s airway. Here are three 3 nursing care plans NCP and nursing diagnosis for prenatal infection The nurse has discussed sexuality issues during the prenatal period with a primigravida who is at 32 weeks 39 gestation. She has experienced no weight loss and has a fundal height larger than expected for the duration of pregnancy. Between weeks 24 and 28 a blood glucose level is obtained. This infection places the client at increased risk for which of nbsp A nurse is providing care for a client who is at 32 weeks of gestation and who has a placenta previa. A nurse is caring for four antepartum clients. Immediately post op the nurse should Maintain the client in a semi Fowler 39 s position with the head and neck supported by pillows. Extremely low birth weight d. The nurse notes that the client is rubella non immune positive for group A beta hemolytic streptococci and has a blood type of O negative. Determining the characteristics of women NR 507 Final Exam Study Guide 28 PAGES ACID BASE IMBALANCE While checking arterial blood gas results a nurse finds respiratory acidosis. Diabetes is a chronic illness that requires continuing medical care and patient self management education to prevent acute complications and to reduce the risk of long term complications. What combination of drugs would the nurse identify as safest for this pregnant patient A Isoniazid ethambutol and rifampin B Rifabutin streptomycin The nurse is performing an initial assessment of a newborn Caucasian male delivered at 32 weeks gestation. The patient desires to try non pharmacological non invasive methods of May 21 2012 A client at 35 weeks 39 gestation complains of severe abdominal pain and passing clots. 30. Very low birth weightc. When caring for the obstetric client receiving intravenous Pitocin the nurse should monitor for Maternal hypoglycemia Fetal bradycardia Maternal hyperreflexia Fetal movement 6. The client has an increased risk for Preclampsia A patient with severe eclampsia is being treated with hydralzine to control blood pressure. Marilyn asks What is this injection for again The nurses best response is a. Sarah who just found out she is pregnant is taking prenatal vitamins with extra daily supplements of iron. Which information would the nurse most likely provide to this client about managing this condition See full list on nurseslabs. Between 10 and 12 weeks gestation B. Neonates with a birth weight of less than 2500 grams but greater than 1500 grams are classified as low birth RN Comprehensive Predictor 2019 Form A 1. Taking of blood sample. The material herein should be used in conjunction with any policies or procedures already in effect in your facility. Which of the following statements by the patient s mother indicates to the nurse that the patient is experiencing a side effect of Dilantin therapy amp quest A. Her BP today is 133 77 with a pulse of 88. The nurse assesses a fetal heart rate of 90 beats per minute for the last half of the previous three contractions. Explain the care of a woman with 29. A nurse is caring for a pt who is at 26 weeks of gestation and has epilepsy. This feeling occurs during feeding with a breast infection. verify the client 39 s request with the client 39 s power of attorney of health care. 26 A 21 year old at 12 weeks gestation with her first baby has known cardiac disease class III as a result of childhood rheumatic fever. A nurse is caring for a patient that 39 s 32 weeks gestation and has gonorrhea. A client who is at 7 weeks of gestation and reports urinary frequency C. The client at 38 weeks 39 gestation is admitted to the birthing center in early labor. A neonate is born at 33 weeks gestation with a birth weight of 2400 grams. The The purpose of this course is to provide staff development in the area of clinical nursing practice. Because the childs heart rate and digoxin level are within normal May 21 2012 The nurse should monitor the hemoglobin level on the client 39 s first visit at 24 to 28 weeks 39 gestation and at 36 weeks 39 gestation. Parity is the number of births not the number of fetuses or twins past 20 weeks of gestation whether the fetus was born alive or not. Overview Hypertensive disorder Proteinuria After 20 weeks gestation Nursing Points General A woman may or may not be symptomatic but will have elevated blood pressures and proteinuria Blood pressures 140 90 or more x 2 4 hours apart Or a systolic 160 mmhg or more Or a diastolic of 90 mmhg or more So remember 140 90 B. Jun 11 2020 A nurse is caring for a client who is at 40 weeks gestation and receiving a NST. ANS a b d NR 602 Final Exam Week 8 All Possible Question with Answers ACOG GUIDELINES REGARDING WELL WOMEN EXAMS What is the ASCCP recommended management for an ASCUS atypical squamous cells of undetermined significance pap result with a positive high risk HPV 16 cotest in a 26 year old woman without a history of abnormal pap smears amp quest A well woman visit for an adolescent should include which of NURSING PHARMACOLOGICAL Questions and Answers with Explanation Exam Practice and Review Question 1 When positioned properly the tip of a central venous catheter should lie in the Question 2 While the nurse is caring for a neonate at 32 weeks gestation in an isolette with continuous oxygen administration the neonates mother asks why the neonates oxygen is humidified. D 36 weeks gestation A nurse is caring for a client who is experiencing postpartum hemorrhage as a result of uterine atony. quot There are so many variables that you 39 ll have to ask your obstetric C. The nursing care plan for patients with perinatal infection involves screening identifying for prenatal infection providing information about the protocol of care and promoting client fetal well being. May 21 2012 If edema exists the nurse should assess for high blood pressure and proteinuria other signs of PIH. Encourage the client to turn her head side to side to promote drainage of oral secretions NR 507 Final Exam Study Guide 28 PAGES ACID BASE IMBALANCE While checking arterial blood gas results a nurse finds respiratory acidosis. An internal fetal heart rate monitor is in place. Which of the following nursing actions will the nurse take to decrease the risk of hypotension and promote cir Instruct the patient to lie on her left side during the infusion HESI Comprehensive Exam A 1. The course contains a series of self contained learning material to be used for the care of the low risk pregnant client. How should the nurse interpret this information Select all that apply. A nurse is caring for a pt. Milk Four of the 5 children were born at 39 weeks gestation and one child was born at 27 weeks gestation. antibody responses are appropriate for the patient 39 s stage of disease nbsp parties who have licensed their materials to Assessment Technologies A nurse is providing care for a client who is at 32 weeks of gestation and who has a Screen the client for STIs such as gonorrhea chlamydia syphilis and hepatitis B. Which of nbsp 10 Apr 2016 Gonorrhea bacteria have proteins on their surface that attach to cells in care of you with support and advice in our week by week newsletter. The infection places the client at increased risk for which of the following during nbsp Question 47 of 60A nurse is caring for a client who is at 32 weeks of gestation and hasgonorrhea. The nurse reviews the plan of care and prepares to monitor the client for which Jan 14 2018 8. 32. The nurse assists with planning care for the client and identifies which as least likely necessary for the care of this client Alaska AS 18. Very premature 2. She asks you what she pregnant adolescents. Intensity of contractions b. The client states that she does not want to undergo this treatment. Maternal blood pressure 12. A client who is at 28 weeks of gestation and has an Hgb of 10. 12 20 weeks gestation. The patient has a child with cystic fibrosis c. The client has a prescription to receive betamethasone. Nullipara is a woman who has not had a birth at more than 20 weeks of gestation. C 32 weeks gestation. Fetus can 1. 150. This is the priority nursing action. What is the general goal of surgical treatment for stress UI 2. Frequency of contractions c. who is at 36 weeks of gestation and has a positive contraction stress test. When educating the client about azithromycin the nurse should make which statement 1. Client has experienced preterm labor. The 1. The 12 week gestation client complaining of nausea and vomiting. Blood pressure 110 68 pulse 90. Home HESI Comprehensive B 1. recognize that the client has a legal right to refuse treatment. Chills d. Stabilize and provide care for infants born 35 37 wks gestation who remain physiologically stable Stabilize newborn infants who are ill and those born at lt 35 wks gestation until transfer to a higher level of care Pediatricians family physicians nurse practitioners and other advanced practice registered nurses Level II Special care nursery 6 10 weeks At each visit Conduct visits q4weeks up to 28 30 weeks q2weeks up to 36 weeks and q1week until delivery 10 16 weeks 17 19 weeks 18 22 weeks 24 28 weeks 28 32 weeks 30 36 weeks 36 weeks 41 42 weeks Postpartum 6 weeks Complete history amp physical Assess impact of current medical illness diabetes The client should receive RhoGAM at 28 weeks gestation and again within 72 hours after she delivers her baby An expectant mom is pregnant with twins. Review potential side effects of steroid therapy with client or couple. The immediate care of the newborn takes place in the delivery room and is discussed in Chapter 7. Which finding indicates a genetic risk factor a. Jan 04 2019 This is especially problematic after 20 weeks of gestation when the fetus is larger than the placenta and is growing rapidly. This is an appropriate action to stimulate a sleeping fetus however the client has not felt any movement for 24 hours. Because numerous physiologic adaptations begin right after birth immediate nursing care is very important. 6. The client reports continued nausea and vomiting and scant prune colored discharge. amp Tab Presents with opacity of the lens upon assessment amp Tab C. A spontaneous abortion occurred at 8 weeks A . What action should the nurse take amp quest A. Which of the following would be most appropriate for the nurse to do next Assess the legs for edema. A nurse is teaching a newly licensed nurse about collecting a specimen for the universal newborn screening. Gender differences in heart disease can be found in 3. The nurse should tell the client a quot Take two acetaminophen tablets. The 38 week gestation client reporting urinary frequency. Placenta previa C. Four of the 5 children were born at 39 weeks gestation and one child was born at 27 weeks gestation. the rst 4 weeks of life. Between 24 and 26 weeks gestation. The nurse has established peripheral IV access and begun an infusion of magnesium sulfate on a 29 year old antepartum patient who is 35 weeks pregnant. Which of the following clients should the nurse assess first A. The client does not want to take aspirin. 24 28 weeks gestation. The client 39 s health record includes this data G3 T1 P0 A1 L1. Unable to read B. Maternity nursing is a form of intensive informative and knowledgeable care provided by a maternity nurse. Continue monitoring pregnancy 14 During a home visit the patient a single multigravida at 32 weeks gestation tells the nurse that she craves and often eats laundry starch for lunch and usually has a bowl of soup for supper. Jul 29 2020 Welcome to Maternal and Child Health Nursing HESI EXAMINATION . Total weight gain to data has been 12 lb 5kg . Sufentanil Sufenta . However among populations being served by a system of publicly funded health care the barriers are less well understood and universal uptake of prenatal services has not been realized. Variations and innovations that improve the quality of patient care are to be The content of this newest edition of Guidelines for Perinatal Care has undergone careful 32 weeks of gestation or later and and neonatal nurse practitioners Chlamydia trachomatis and Neisseria gonorrhea have been strongly associated. Suddenly within the first 24 hours of her stay the patient described a bright red bleeding on her drape. chlamydia or gonorrhea with bloody friable cervix Ultrasound has low sensitivity and is only helpful in cases of a large abruption. 28 cm3. Low birth weightb. The nurse is caring for a client in labor. JOGNN 32 249 257 2003. The nurse is performing an initial assessment of a newborn Caucasian male delivered at 32 weeks gestation. The first one is pre birth care. She has had one episode of preterm labor. Screening for HSV Weeks 10 12 or onset of symptoms. The 32 week gestation client reporting of facial edema. 34 36 week gestation. A primigravid client at 38 weeks gestation diagnosed with mild preeclampsia calls the clinic nurse to say she has had a continuous headache for the past 2 days accompanied by nausea. Primipara is a woman who has had one birth that occurs after the 20th week of gestation. The patient was exposed to rubella at 36 weeks gestation d. The neonate appeared to be 31 32 weeks gestation by Dubowitz assessment. Warning signs include select all that apply a. Continue monitoring pregnancy Up to 28 weeks gestation follow up visits involve assessment of the client s blood pressure and weight urine testing for protein and glucose along with fundal height and fetal heart rate. 33 weeks B. The nurse should instruct the client to treat the nasal stuffiness by using A diabetic multigravida is scheduled for an amniocentesis at 32 weeks gestation to determine the L S ratio and phosphatidyl glycerol level. Implement nursing care of a normal newborn such as administering a rst bath or instructing parents on how to care for their newborn. Administering a tocolytic agent b. The physician has ordered an intravenous infusion of Pitocin for the induction of labor. 2 F with severe abdominal or uterine tenderness on palpation. Evaluate expected outcomes to determine effectiveness of nursing A 36 years old pregnant patient is on her 36th weeks of gestation has been diagnosed with hypertension with a blood pressure of 140 90 for the past two weeks has been admitted to the labor and delivery department. 15. DOI 10. The 38 week gestation client who is 10 cm dilated and 100 effaced. Mar 01 2003 The public health nurses focused on self care during pregnancy use of health care services signs and symptoms of preterm labor and other complications reduction of substance abuse emotional support anticipatory guidance for maternal role development transitions after the birth and planning for school completion Koniak Griffin et al Aug 08 2012 Question A 32 year old multigravida client who is at 40 weeks gestation is in early labor. This may happen between 20 36 weeks and can be dangerous if not managed properly. RN Comprehensive Predictor 2019 Form A 1. Which of the following interventions should the nurse include as a tertiary prevention strategy amp quest Provide education about risk factors for hypertension. 43. 5 A nurse is providing prenatal teaching to a client who practices a vegan diet and is trying to increase intake of vitamin B12. The nurse recognizes that the oxytocin should be discontinued immediately if there is evidence of a. Uterine size is appropriate for gestational age. Between 21 and 23 weeks gestation D. The nurse teaches about the warning signs that often precede syncope so that she can sit or lie down to prevent personal injury. In assessing the child the nurse finds that her apical heart rate is 80 beats amp sol min she complains of being slightly nauseated and her serum digoxin level is 1. A nurse has been floated from the medical unit to the postpartum unit. Fentanyl Sublimaze . The nurse is preparing to administer the second dose of beta methasone prescribed by the physician. 4 g dL This finding is a manifestation of anemia in a client who is pregnant which is a nonurgent condition. D. The L S ratio is 1 1 and the presence of phosphatidylglycerol is noted. 63. Fractures include the pelvis femur and ulna. The nurse should monitor the client for which of the following complications amp quest 2. Assessments include cervix 5 cm dilated 90 effaced station 0 cephalic presentation FHR baseline is 135 bpm and decreases to 125 bpm shortly after onset of 5 uterine contractions and returns to baseline before the uterine contraction ends. The nurse is caring for a client with a diagnosis of Chlamydia. The client needing to void. Which A nurse is caring for a client who weighs 132 lb and has been prescribed gentamicin 5 mg kg day by IV bolus in three equal doses. C. She had a spontaneous abortion 3 years ago at 10 weeks. She has type 1 diabetes and has been taking insulin since she was 13 years old. Induction of labor is begun at 34 weeks gestation. Sep 01 2019 The APR uses the MACDP as the U. of our Nurse Practitioners who will be able to answer any questions you may have. A 27 year old female is currently 16 weeks pregnant. Which statement by the paramedics bringing the woman to the hospital would cause the greatest concern 1. A referral to a dietitian may also be necessary. Figure. The nurse should tell Jul 14 2012 The nurse in charge is reviewing a patient s prenatal history. 150 18. The baseline fetal heart rate has been 120 to 122 beats minute for the past hour. Once the determination 7. Jan 08 2014 A nurse in a prenatal clinic is caring for a client who is in the first trimester of pregnancy. This will be offered in your first trimester if you have certain risk factors for gestational diabetes nbsp 40 60 occur before 37 weeks of gestation 14 occur before 32 weeks. Low birth weight b. Her cervix is 8 cm dilated and 100 effaced. What does the nurse suspect is occurring in the patient amp quest A 20 year old male is in acute pain. 3. quot A repeat cesarean birth is safer for both you and your baby. The nurse would screen for group B streptococcus infection in a client at A 16 weeks gestation. 22 cm2. A normal pregnancy lasts 40 weeks but in preterm labor contractions cause the cervix to begin to change and open before 37 weeks gestation. The client is carrying twins and one of the fetuses is in a breech presentation. A nurse is caring for a client whose labor is being augmented with oxytocin. A nurse in a pediatric unit is preparing to insert an IV catheter for 7 year old. The patient is 25 years old b. Put an x on the area where the nurse should place her fist to effectively administer thrusts to clear the foreign body from the woman 39 s airway. Sweating b. She asks you what she 1 A nurse in a delivery room is assisting with the delivery of a newborn infant. A nurse is caring for a client who is at 32 weeks of gestation and performs Leopold 39 s maneuvers to determine that the fetus is in the cephalic position. See full list on nurseslabs. 2 in above the symphysis pubis At 32 weeks 39 gestation a 15 year old primigravid client who is 5 feet 2 inches tall has gained a total of 20 lb with a 1 1b gain in the last 2 weeks. B 28 week gestation. b. A fetal heart rate FHR of 180 with absence of variability. Repeat serology at 26 28 weeks gestation. 28 Weeks A. Jul 14 2012 The nurse in charge is reviewing a patient s prenatal history. The nurse should identify that the client is at an increased risk for which of the following complications Excessive bleeding Oligohydramnios Premature ROM Proteinuria A nurse is caring for a client who is anemic at 32 weeks of gestation and is in preterm labor. Place her in the supine position and prepare an oxytocin infusion. The nurse may also conduct regular fetal surveillance including nonstress tests or biophysical profiles starting at 32 36 weeks gestation and until delivery. The MACDP evaluates women and infants from a limited geographic area and does not include outcomes for births that occurred at less than 20 weeks 39 gestation. The pelvis is measured and the Rh factor determined during the first prenatal visit. Which of the following does the nurse suspect is the most likely cause amp quest The nurse is The best demo education It is a long established fact that a reade. Encourage breast feeding so that she can get her rest and get healthier. The health care provider orders a combination of antimycobacterials. A nurse is caring for a newborn who was born at 38 weeks of gestation weighs 3 200 g and is in the 60th percentile for weight. The newborn was transferred to the neonatal intensive care unit and was stable on room air. Uterine hyperstimulation. The patient has a history of preterm labor at 32 weeks gestation5. The nurse determines that the client has the best understanding of the dietary measures to follow if the client states an intention to increase the intake of 1. In which position should the nurse place the client that would best help to prevent hemorrhagic shock Pathophysiology Preterm labor is when the body begins preparing for delivery earlier than expected. The baby does not have good latch on. Altered parenting related to single status b. Review the prenatal care schedule followed by the obstetric doctors at Novant Prenatal lab tests bloodwork will also be drawn to screen for gonorrhea From 32 36 weeks you will have appointments every two weeks. Which finding should the nurse expect Dark red vaginal bleeding 2. partner counseling and referral services . The nurse terminates the oxycontin infusion if which of the following is noted on the assessment of the client A. PROM is responsible for 20 of all fetal deaths between 24 and 34 weeks 39 gestation. Client is positioned in a left lateral tilt. Therefore this is not the priority nursing action. To minimize the effects of the disorder the nurse teaches the client about foods that are high in thiamine. She has 2 year old twins that were born at 39 weeks gestation and a 5 year old who was born at 40 weeks gestation. A client with diabetes visits the prenatal clinic at 28 weeks gestation. Because the client has a history of noncompliance with medication administration the health care provider prescribes azithromycin Zithromax . amp Tab Complains of seeing a cobweb type structure in the visual field amp Tab D. com Jan 14 2018 8. This case reflects the following salient points regarding nursing assessment of the preterm client. The nurse rechecks the client s blood pressure and determines it has dropped. Which information is most concerning to the nurse when caring for an older client with bilateral cataracts amp quest amp Tab A. 1 A nurse in a delivery room is assisting with the delivery of a newborn infant. the client it is most important for the nurse to first determine which of the following a. A nurse is reviewing laboratory results for a client who is at 37 weeks of gestation. the t refers to term The nurse is caring for a client following removal of the thyroid. The maternity nurse is there to help the mother and the family during their pregnancy and afterward. Which of the following actions should the nurse take A. The nurse should plan to prepare the client for which of the following diagnostic tests Biophysical profile. A neonate is born at 33 weeks gestation with a birth weight of 2400 grams. Uterine contractions occurring every 8 to 10 minutes. Sep 18 2012 A nurse is collecting data on a pregnant client who is at 28 weeks of gestation. Queensland Health If increased risk. 2. amp Tab A nurse is caring for a client who is at 33 weeks of gestation following an amniocentesis. the g refers to the number of times the client has been is pregnant. In . A large body of evidence exists that supports a range of interventions to improve diabetes outcomes. 33. 2 Relate the effects of HIV AIDS on pregnancy to the associated nursing care. A client who is at 39 weeks of gestation and reports urinary frequency and dysuria 32 The nurse is caring for a client at 35 weeks gestation who has been critically injured in a shooting. Each licensed physician and in the absence of a licensed physician each licensed graduate nurse who attends a pregnant woman for conditions relating to the pregnancy during the period of gestation or at delivery shall take or have taken a sample of the blood of the woman at the time of the woman s first professional visit or Birth at 38 weeks gestation is considered full term T while birth form 20 weeks to 38 weeks is considered preterm P . After the delivery the nurse prepares to prevent heat loss in the newborn resulting from evaporation by Warming the crib pad Turning on the overhead radiant warmer Closing the doors to the room Drying the infant in May 20 2014 While there is no set level that determines gestational diabetes there are levels for non pregnancy related diabetes done early enough in pregnancy it can determine whether you already had undetected diabetes before even becoming pregnant and a level of 5. 0 g dL measured at 36 weeks and a history of anemia. The patient s result is 190 mg dL. Betamethasone Celestone . 5 points The nurse practitioner is counseling a 57 year old patient with urinary incontinence. ATI RN PROCTORED COMPREHENSIVE PREDICTOR Form A Questions with Answers 1. These 5. 8 to 1. She may be a candidate for 4. We also test for bladder infection syphilis hepatitis gonorrhea chlamydia and HIV. quot 1 A nurse in a delivery room is assisting with the delivery of a newborn infant. Client has been through The nurse is caring for a female patient whose tests confirm she is 10 weeks pregnant and has contracted tuberculosis. Fetal development before 24 weeks Before 24 weeks the fetus is still developing its organs and the amniotic fluid is important for protecting the fetus against infection physical impact and for preventing the umbilical cord from becoming compressed. Which of the following clients needs will the nurse assign to an AP amp quest A nurse is delegating the ambulation of a client who had knee arthroplasty 5 days ago to an AP. Her chart indicates that she has a hemoglobin of 8. The client 39 s vital signs are blood pressure 150 100 mm Hg heart rate 95 beats minute respiratory rate 25 breaths minute and fetal heart tones 160 beats minute. Baseline fetal heart rate. Which of the following info should the nurse The nurse is caring for the 30 weeks pregnant client who is having contractions every 11 2 to 2 minutes with spontaneous rupture of membranes 2 hours ago. The nurse should instruct the client that for most pregnant women with type 1 diabetes mellitus Weekly fetal movement counts are made by the mother. At which the following locations should the nurse place the Doppler device when assessing the fetal heart rate Midline 2 to 3 cm 0. The nurse notes that the client is actively bleeding. Entrance wound present below the umbilicus. The nurse s assessment of this data is She has a two year old son born at 40 weeks a 5 year old daughter born at 38 weeks and 7 year old twin daughters born at 35 weeks. Sep 01 1992 Cord blood pH was 7. Which of the following interventions are appropriate for the management of preterm labor Select all that apply. The nurse documents these observations as signs of A. S. amp Tab A nurse is providing teaching to an older adult client about methods to promote nighttime sleep. A client who is at 20 weeks of gestation and reports periodic numbness in her fingers B. reference population for birth defects in the general population. The nursemeasures the fundal height in centimeters and expects the findings to be which of the following 1. Margie who has been breastfeeding for 4 weeks has mastitis in her right breast and is taking Dixcloxacillin. The nurse should identify that the client is at an increased risk for which of the nbsp A nurse is caring for a client who is at 32 weeks gestation and has gonorrhea. Where do today s nursing students turn for comprehensive help with specific study topics About the Author Janice Lloyd McMillin RN MSN EdD is a lecturer of perinatal nursing in the Division of Nursing at California State University Sacramento. the bacteria spreads from the site of infection within days or weeks. 77. Fatigue. If the labor can be delayed for the next 2 days which of the following medication does the nurse expect that will be prescribed A. During a prenatal visit the nurse reviews the signs of cardiac decompensation with her. I 32. com A client at 32 weeks 39 gestation who has had regular prenatal care is found to have gained 6 pounds in 1 week. An arterial blood gas reveals decreased carbon dioxide CO2 levels. Require the parents to leave the room during A 16 year old female has been brought to her primary care nurse practitioner by her mother due to the girl s persistent sore throat and malaise. HESI EXIT COMPREHENSIVE REVIEW B 1. 1. Scrotal rugae. The nurse reads in the client 39 s chart that the health care provider has determined the client to be at 6 weeks 39 gestation. RN Community Health Online Practice 2019 B A public health nurse is planning a community health promotion program for hypertension prevention. 13. A priority nursing diagnosis for the patient is a. 14 During a home visit the patient a single multigravida at 32 weeks gestation tells the nurse that she craves and often eats laundry starch for lunch and usually has a bowl of soup for supper. 6 12 weeks gestation. Hb is measured during the first prenatal visit and again at 24 to 28 weeks 39 gestation and at 36 weeks 39 gestation. Nausea. She has been a lecturer for Review for Nurses Inc. Which of the following instructions A client at 35 weeks gestation complains of a pain whenever the baby moves. A client in preterm labor 32 weeks who is dilated to 5cm has been given magnesium sulfate and the contractions have stopped. Which of the following outcomes should the nurse expect decreased uterine contractions an increase in the client 39 s hemoglobin levels a reduction in respiratory distress in the newborn of 60 A nurse is caring for a client who is anemic at 32 weeks of gestation and is in preterm labor. 40 weeks ANS B Women are seen once every 4 weeks until 28 to 32 weeks gestation when the schedule changes to every 2 weeks. a. 8. After the delivery the nurse prepares to prevent heat loss in the newborn resulting from evaporation by Warming the crib pad Turning on the overhead radiant warmer Closing the doors to the room Drying the infant in a warm A client experiencing preterm labor at the 29th week of gestation has been admitted to the hospital. 5 points The nurse practitioner knows that a highly valuable assessment tool for evaluating urinary incontinence and contributing factors in daily life is Question 2 2. Based on the weight and gestational age of this newborn the nurse should A pregnant client is diagnosed with gestational diabetes at 29 weeks gestation during a prenatal visit. Which client NR 507 Final Exam Study Guide 28 PAGES ACID BASE IMBALANCE While checking arterial blood gas results a nurse finds respiratory acidosis. Two years ago she had a miscarriage at 10 weeks gestation. She sleeps quite a bit of the time. 4 Sep 04 2015 A nurse at an antepartum clinic is caring for a client who is at 4 months of gestation. The client s initial blood pressure is 158 98 and she reports scant urination over the past 24 hours. HESI Comprehensive Exam A 1. For all newly identified clients a follow up appointment 3 6 months after diagnosis is recommended by some specialists 99 to assess whether clients were able to initiate medical care minimize transmission risk to uninfected partners and access other needed services e. 22. The perinatal nurse is providing care to Marilyn a 25 year old G1 TPAL 0000 woman hospitalized with severe hypertension at 33 weeks gestation. Teach clients who have a family The nurse should instruct the client that for most pregnant women with type 1 diabetes mellitus A. The answer is C 24 28 weeks gestation. This article explores nursing care for the physical emotional and educational needs of adolescents during the prenatal intrapartum and postpartum periods. Very premature ANS a Feedback a. 38 weeks D. 34 weeks C. Wait to have sex with a new partner until both of you have been tested for nbsp This is a private class. Plan nursing care to augment normal development of a newborn such as ways to aid parent child bonding. Short term effects may include hypoglycemia increased risk of sepsis and possible suppression of aldosterone for 2 weeks following delivery. Which of the following statements should the nurse include in the teaching 3. amp Tab States having difficulty with color perception amp Tab B. Routine appointment with provider Weight blood pressure fetal nbsp Don 39 t have sex if you have symptoms of an infection or if you are being treated for an STI. MULTIPLE A nurse is caring for a client with cirrhosis of the liver. A client is in the 8th month of pregnancy. The rate of miscarriage is not reported in the APR. To identify fetal heart tones place an X where the nurse should place the Doppler transducer. The 36 week gestation client in active labor whose fetus has a Biophysical Pro le of 10. She has two living children L . Outline appropriate nursing management to promote maternal self care and continuing throughout the pregnancy can have a pos gonorrhea syphilis HIV AIDS other List the nurse and client establish the foundation of a trusting Alicia a 32 year old G1 P0 at 10 weeks 39 gestation comes to the clinic for a visit. Weekly fetal movement counts are made by the mother. On assessment the nurse notes the client s temperature to be 101. a nurse is caring for a client who is at 32 weeks of gestation and has gonorrhea

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