Category: Uncategorized

A client 2 hours postpartum has saturated one perineal pad in 10 minutes with bright red blood and passed a large clot. On assessment, the fundus is firm and midline. The nurse’s NEXT priority action, given that the fundus is already firm, should be to:

A nurse is providing teaching to a group of postpartum clients who are planning to breastfeed. Which statement by a new mother indicates the need for further teaching?

A primigravid client with diabetes at 39 weeks’ gestation is seen in the high-risk clinic. The primary healthcare provider (HCP) estimates that the fetus weighs at least 10 lb (4,500 g). The client asks, “What causes the baby to be so large?” The nurse’s response is based on the understanding that fetal macrosomia is most related to which factor?

The nurse is reviewing fetal heart rate (FHR) tracings with a new graduate. For each tracing description, the new graduate must correctly classify the deceleration type and appropriate nursing response. Which pairing is incorrect?

When assessing a 34-year-old multigravid client at 34 weeks’ gestation experiencing moderate vaginal bleeding, which symptom would most likely alert the nurse that placenta previa is present?

A client is in active labor at 7 cm dilation with contractions every 2–3 minutes lasting 60–70 seconds. The fetal heart rate is 140 bpm with moderate variability. The client reports increased pain and anxiety and states, “I feel like I can’t relax between contractions.” Which nursing intervention is most appropriate at this time?

A 1-day-old breast-fed infant has a bilirubin level that is at an intermediate risk for jaundice. Which statement by the infant’s mother indicates an understanding of the teaching regarding jaundice?

A 55-year-old client with moderate-to-severe vasomotor symptoms is started on combined hormone replacement therapy (estrogen + progestin). Which finding, if reported by the client during a follow-up call, requires the nurse to instruct the client to seek IMMEDIATE medical attention rather than waiting for a scheduled appointment?

A client asks the nurse why taking folic acid is so important before and during pregnancy. The nurse should instruct the client that:

The nurse enlists the aid of an interpreter when caring for a primiparous client from Mexico who speaks only Spanish and gave birth to a term neonate 8 hours ago. When developing the postpartum dietary plan of care for the client, the nurse would encourage the client’s intake of which foods?