EXAM #2 - FAMILY NURSING - #3

A nurse is caring for a 1-day postpartum client. The progress note below informs the nurse that the client is in which phase of the postpartum period. 

Given to enhance pain relief and cause sedation. May be used to decrease nausea and vomiting. 

Not used for analgesic but for amnesia. Used adjunct to other meds. Is expressed in breastmilk, given IV

Used for nausea and vomiting when combined with opioids. Causes sedation and reduced apprehension. May contribute to maternal hypotension and neonatal depression. Can be given IV or IM

Does not relieve pain, but reduces anxiety, and potentiates opioid analgesic effects. Decreases nausea and vomiting. Can only be given IM

Frequently given with morphine for sleep during prolonged latent phase. Counteracts the nausea that opioids cause. Can be given IV or IM

Decreases uterine contractions. Can cause maternal and neonatal CNS depression. Rapidly crosses the placenta. Causes a decrease in FHR variability. May be given IV or epidurally

Can cause CNS depression. Decreases fetal variability. May be given IV intrathecally, or epidurally with maximal fetal uptake 2-3 hours after administration

Causes maternal hypotension, maternal and fetal respiratory depression. Rapidly crosses the placenta. Given IV or epidurally

Rapidly transferred across the placenta. Causes neonatal respiratory depression. Given IV

Causes maternal nausea and vomiting. Causes decreased FHR variability, fetal bradycardia, and respiratory depression. Given IV

Which assessment data warrants immediate intervention for the client in labor who is receiving an oxytocin infusion via pump?

Which statement best indicates the scientific rationale for administering erythromycin ophthalmic ointment to a newborn client?

Based on this assessment of a newborn client, which interventions should the nurse perform? Select all that apply

Which statement best indicates the scientific rationale for administering vitamin K to the newborn infant?

Which of the following maternal physiologic responses should the nurse monitor for the client as she progresses through childbirth? Select all that apply (3)

A pregnant client is admitted to a maternity clinic for childbirth. Which assessment findings indicates that the client's fetus is in the transverse lie position?

What is the importance of pauses between contractions during labor?

A nurse is performing an admission assessment on the phone for a pregnant client. Which of the following information should the nurse obtain from them? Select all that apply (3)

How often should the nurse monitor the pregnant client who is in the active stage of labor?

How often should the nurse monitor the FHR with the doppler or electronic monitoring for a client in the latent phase of labor?

Which of the following factors should the nurse assess to monitor uterine contractions? Select all that apply (3)

What interventions should the nurse perform for a pregnant client in labor with the FHR below 110. Select all that apply (3)

Which of the following should the nurse consider when assisting the client that opted for hydrotherapy for pain management during labor.

Which of the following techniques should the nurse suggest for slow-paced breathing?

A client was administered an anesthetic block during labor. Which of the following are risks the nurse should watch for? Select all that apply. (3)

A client is Rh-negative and has given birth to a newborn that is Rh-positive. Within how many hours should the mother receive the Rh immunoglobulin?

The nurse is assessing a client during the postpartum period. Which of the following indicates a normal postpartum adjustment? Select all that apply. (3)

Which are the expected neurobehavioral responses of the newborn? Select all that apply (4)

Which of the following factors increases HR and BP in a newborn? Select all that apply. (3)

Which of the following are the benefits of delayed cord clamping after birth? Select all that apply (3)

Which of the following immunoglobulins does breast milk contain that boosts the newborns immune system?

What guidance should the nurse give to the client before discharge regarding care of the newborn at home?

Which of the following are factors that increase the risk of overheating in a newborn? Select all that apply. (3)

Which of the following manifestations should the nurse observe in the infant to confirm the occurrence of cold stress?

When should the nurse assess the newborns initial blood glucose level?

A nurse is caring for a newborn with transient tachypnea. What nursing interventions should the nurse perform while providing supportive care to the newborn? Select all that apply (3)

A nurse is caring for a newborn with hypoglycemia. What symptoms should the nurse monitor the infant for? Select all that apply (4)

A nurse is performing a detailed newborn assessment of a female baby. Which of the following observations indicates a normal finding? Select all that apply (3)