The nurse is assessing the client 24 hr later. How should the nurse interpret the findings?
- A. Hematuria
- B. Proteinuria 2+
- C. Leukorrhea
- D. Positive clonus
- E. BUN 40 mg/dL
- F. Platelet count 110,000/mm3
Correct Answer:
Rationale:
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A nurse is providing teaching to a client who is at 35 weeks of gestation and has a prescription for an amniocentesis. Which of the following client statements indicates an understanding of the teaching?
- A. I should empty my bladder before the procedure.
- B. I will be lying on my side during the procedure.
- C. I will be asleep during the procedure.
- D. I should start fasting 24 hours before the procedure.
Correct Answer: A
Rationale: The correct answer is A: "I should empty my bladder before the procedure." This statement indicates understanding because a full bladder can obstruct visualization during amniocentesis. Choice B is incorrect because the client should lie flat on their back during the procedure. Choice C is incorrect as the client is awake for an amniocentesis. Choice D is incorrect because fasting is not required before the procedure.
A nurse is caring for a client who has hyperemesis gravidarum and is receiving IV fluid replacement. Which of the following findings should the nurse report to the provider?
- A. Blood pressure 105/64 mm Hg.
- B. Heart rate 98/min.
- C. Urine output of 280 mL within 8 hr.
- D. Urine negative for ketones.
Correct Answer: C
Rationale: A urine output of 280 mL within 8 hours is low and may indicate dehydration, which is a concern in a client with hyperemesis gravidarum.
A nurse is planning care for a client who is to undergo a nonstress test. Which of the following actions should the nurse include in the plan of care?
- A. Maintain the client NPO throughout the procedure.
- B. Place the client in a supine position.
- C. Instruct the client to massage the abdomen to stimulate fetal movement.
- D. Instruct the client to press the provided button each time fetal movement is detected.
Correct Answer: D
Rationale: The correct answer is D: Instruct the client to press the provided button each time fetal movement is detected. In a nonstress test, the client is required to monitor fetal movements and press a button each time they are felt. This helps assess fetal well-being by measuring the heart rate in response to movement. This action is essential for the accurate interpretation of the test results. Maintaining the client NPO (A) is not necessary for this procedure. Placing the client in a supine position (B) can lead to decreased blood flow to the fetus. Instructing the client to massage the abdomen (C) may interfere with the natural fetal movements being monitored. Therefore, the correct action is to have the client press the button when fetal movement is detected to ensure an accurate assessment of fetal well-being.
Complete the diagram by dragging from the choices below to specify what condition the client is most likely experiencing, 2 actions the nurse should take to address that condition, and 2 parameters the nurse should monitor to assess the client's progress.
- A. Collect a urine specimen, Instruct the parent to feed the newborn, Place the Newborn under a phototherapy lamp, Admister penicilin IM
- B. Hypoglycemia, Congenital Syphilis,Kernicterus, Neonatal abstinence syndrome
- C. Balirubin Levels, Temperatures, Resipiratory Status, Environmental stimuli
Correct Answer:
Rationale:
Which of the following is a potential barrier to effective communication with patients and families in maternal and newborn healthcare?
- A. Language barriers
- B. Cultural differences
- C. Limited access to technology
- D. All of the above
Correct Answer: D
Rationale: The correct answer is D: All of the above. Language barriers can hinder understanding between healthcare providers and patients/families. Cultural differences can impact communication styles and beliefs. Limited access to technology can restrict communication channels. Choosing D is correct as it encompasses the potential barriers in effective communication. Options A, B, and C are incorrect as they represent individual barriers, whereas D covers all possible barriers in maternal and newborn healthcare communication.