A nurse is caring for a mother who delivered vaginally 2 hr ago.
Axillary temperature 36.6° C (98.0° F). Heart rate 110/min.
Respiratory rate 24/min.
Oxygen saturation 94%. Select the 4 findings the nurse should report to the provider.

Respiratory assessment.

Hemoglobin level.

Heart rate.

Constant trickle of blood at vagina.

Answer and Explanation

Correct Answer : A,B,C,D

Choice A rationale

Respiratory assessment is crucial postpartum, especially with an elevated respiratory rate. It helps detect any respiratory distress or complications early.

Choice B rationale

Hemoglobin level assessment is essential to identify anemia or excessive blood loss during delivery, which can compromise the mother's health.

Choice C rationale

A heart rate of 110/min is above the normal range and might indicate tachycardia, which requires monitoring and possibly intervention.

Choice D rationale

A constant trickle of blood at the vagina could indicate postpartum hemorrhage, necessitating immediate medical attention.

Nursing Test Bank

Quiz #1: RN Exams Pharmacology Exams Quiz #2: RN Exams Medical-Surgical Exams Quiz #3: RN Exams Fundamentals Exams Quiz #4: RN Exams Maternal-Newborn Exams Quiz #5: RN Exams Anatomy and Physiology Exams Quiz #6: RN Exams Obstetrics and Pediatrics Exams Quiz #7: RN Exams Fluid and Electrolytes Exams Quiz #8: RN Exams Community Health Exams Quiz #9: RN Exams Promoting Health across the lifespan Exams Quiz #10: RN Exams Multidimensional care Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Quiz #1: Naxlex RN Comprehensive online practice 2019 B with NGN Quiz #2: Naxlex RN Comprehensive Predictor 2023 Quiz #3: Naxlex RN Comprehensive Predictor 2023 Exit Exam A Quiz #4: Naxlex HESI Exit LPN Exam Quiz #5: Naxlex PN Comprehensive Predictor PN 2020 Quiz #6: Naxlex VATI PN Comprehensive Predictor 2020 Quiz #8: Naxlex PN Comprehensive Predictor 2023 - Exam 1 Quiz #10: Naxlex HESI PN Exit exam Quiz #11: Naxlex HESI PN EXIT Exam 2

Free Nursing Study Resources

Correct Answer is A

Explanation

Choice A rationale

Asking if the client has considered harming her newborn is a priority to assess for potential postpartum depression or psychosis, which require immediate intervention. .

A. Positive Moro and stepping reflexes. B. Scant vernix in the groin and underarms. C. Heel stick of 65 and a serum blood glucose of 40. D. Tenting of the skin and dry lips.

Correct Answer is D

Explanation

Choice A rationale

Positive Moro and stepping reflexes are normal findings in newborns and are not specifically associated with dehydration or SGA.

Choice B rationale

Scant vernix is common in full-term babies and not indicative of SGA or dehydration.

Choice C rationale

Blood glucose levels provided are within normal range for newborns and do not indicate dehydration.

Choice D rationale

Tenting of the skin and dry lips are signs of dehydration, which can be associated with SGA newborns due to insufficient fluid intake. .

View Question and Answer

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

A nurse is caring for a mother who delivered vaginally 2 hr ago.Axillary temperature 36.6° C (98.0° F). Heart rate 110/min.Respiratory rate 24/min.Oxygen saturation 94%. Select the 4 findings the nurse should report to the provider.

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse in a clinic is caring for a client who is 3 weeks postpartum following the birth of a healthy newborn.The client reports feeling "down" and sad, having no energy, and wanting to cry.Which of the following is a priority action by the nurse?

Correct Answer is A

Explanation

The nurse is assessing a 40-week small for gestational age (SG

Correct Answer is D

Explanation

A nurse is caring for a newborn who is 56 hours old.Vital signs at 0700: Heart rate 168/min, Respiratory rate 70/min, Temperature 36.1°C (97.0°F), Oxygen saturation 97%. The nurse reviews the assessment findings and determines the findings are consistent with which of the following complications?

A client calls the clinic to report some concerns.She had an IUD inserted a few weeks ago and her present menstrual flow is heavy.You advise her to:

Necrotizing enterocolitis (NEC) is an inflammatory disease of the gastrointestinal system.Which findings would cause the nurse to suspect NEC?

A nurse is caring for a newborn in the neonatal unit. The newborn was delivered via cesarean birth approximately 1 hour ago. Below are the exhibits. Exhibits Which of the following interventions should the nurse prioritize for this newborn? Select all that apply.

You are required to administer 3,800 units of Heparin sodium dose subcutaneously (SQ) to a mother. The pharmacy sends a 10,000 units in a 5ml vial. How many mls will the nurse administer?

The nurse present at the delivery is reporting to the nurse who will be caring for the infant who had thick meconium in the amniotic fluid.

A 35-year-old patient is getting her labs drawn at the six weeks post-partum check-up. Upon assessment, the nurse notes swelling in the patient's left leg, and the patient reports pain and tenderness in the calf.The nurse knows which lab results are responsible?

The hormone responsible for the production of breast milk is:

A nurse is caring for a mother who delivered vaginally 2 hr ago.
Axillary temperature 36.6° C (98.0° F). Heart rate 110/min.
Respiratory rate 24/min.
Oxygen saturation 94%. Select the 4 findings the nurse should report to the provider.