A newborn that is 2 hours old is being assessed. The nurse notes the respiratory rate to be between 40 and 46 breaths per minute. The rhythm is irregular and the infant has two brief episodes of apnea that last less than 10 seconds. The nurse should do which of the following?
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A new mother wants to nurse her infant only 5 minutes at eac…
A new mother wants to nurse her infant only 5 minutes at each breast to avoid sore nipples. Which of the following is appropriate teaching by the nurse?
A newborn infant reacts to a sudden loud noise by simultaneo…
A newborn infant reacts to a sudden loud noise by simultaneously fanning the fingers, with the thumbs and forefingers forming the letter C, while the arms and legs are thrown outward and then brought together. The nurse should evaluate this response as:
The postpartum client has chosen to breastfeed her infant. W…
The postpartum client has chosen to breastfeed her infant. Which of the following would the nurse teach the mother to do to help with breastmilk production?
A nurse is assessing a postpartum client for fundal height,…
A nurse is assessing a postpartum client for fundal height, location, and consistency. The fundus is noted to be displaced laterally and there is uterine atony. The nurse should identify which of the following conditions as the cause of the uterine atony?
A new mother questions the nurse about the lump on her baby’…
A new mother questions the nurse about the lump on her baby’s head, which the doctor said was edema under the skin. The nurse tells the mother this lump is called a:
A father experiencing couvade syndrome may exhibit which of…
A father experiencing couvade syndrome may exhibit which of the following symptoms/behaviors? (Select all that apply)
A nurse reacts with anger because a woman has not had prenat…
A nurse reacts with anger because a woman has not had prenatal care since she does not see pregnancy as an illness that requires health care. The nurse’s reaction demonstrates:
The nurse is taking the client’s history at her first prenat…
The nurse is taking the client’s history at her first prenatal visit. The client and her partner each have one child from previous relationships. This is their first child together. The nurse identifies this as which type of family?
The nurse needs to obtain a blood specimen for phenylketonur…
The nurse needs to obtain a blood specimen for phenylketonuria (PKU) testing of the newborn. The nurse knows the best time to obtain this specimen is: