A nurse is caring for a newborn who is 72 hr old.

Vital signs

0900:

• Heart rate 160/min
• Respiratory rate 80/min
• Temperature 38.1° C (100.6° F)
• Oxygen saturation 97%

1000:

• Heart rate 167/min
• Respiratory rate 72/min
• Temperature 38°C (100.4°F)
• Oxygen saturation 97%

Medical History

0900:

A term newborn 37 weeks of gestation is admitted to the newborn nursery following a precipitous vaginal birth. Birthing parent has a history of heroin use during pregnancy and prenatal care beginning at 34 weeks of gestation. Birthing parent and newborn drug screens positive for heroin.

The nurse is planning to contact the provider regarding the newborn's status. Which of the following prescriptions should the nurse anticipate? Select the 3 interventions the nurse should anticipate.

A nurse is caring for a newborn and calculating the Apgar score. At 1 min after delivery, the following findings are noted: heart rate of 110/min; slow, weak cry, some flexion of extremities; grimace in response to suctioning of the nares; body pink in color with blue extremities.

Calculate the newborn's Apgar score.

A nurse in a gynecology office is caring for a client.

Nurses' Notes

1000:

Client reports vaginal itching and discharge in the last week. Describes the discharge as thick and "smelly." Reports pain with urination and sexual intercourse. Verbalizes that the discharge became worse after their menstrual period this month. Reports has been treated for STIs in the past and is currently sexually active in a new relationship. Provider notified.

1035:

Vaginal swab for culture and nucleic acid amplification testing (NAAT) performed. Physical Examination

1015:

Labia majora and minora inflamed. Large amount of frothy, yellow-green, malodorous discharge observed.

Based on the information found in the client's medical record, which of the following prescriptions should the nurse anticipate receiving from the provider?

(Select all that apply.)

A nurse is providing care at a routine visit for a client who is at 36 weeks of gestation.

Nurses' Notes

0900:

Reports to clinic for routine visit. Reports a mild headache for the last several days as well as "heartburn." Denies visual disturbances. Also denies vaginal bleeding or leakage of fluid from the vagina. Reports Occasional contraction and positive fetal movement. Also reports they are unable to remove rings from fingers for the last several days.

1000:

Reports headache is more severe and rates pain as a 5 on a 0 to 10 pain scale. Reports feeling dizzy when they got up from examination table.

Vital Signs

0900:

• Temperature:36.9° C (98.4° F)
• Heart rate 100/min
• Respiratory rate 22/min
• Blood pressure 156/90 mm Hg

1000:

• Temperature 36.8° C (98.2° F)
• Heart rate 100/min
• Respiratory rate:21/min
• Blood pressure 160/96 mm Hg

Physical Examination

0900:

Lungs clear to auscultation in all lobes, anterior, posterior, and lateral. Abdomen gravid and soft to palpation. Fundal height 37 cm. Facial edema observed as well as +3 edema in the lower extremities. Patellar reflex 3+, clonus negative. Fetal heart rate 158/min.

Which of the following findings should the nurse report to the provider? (Select all that apply.)

A nurse on a postpartum unit is giving discharge instructions to a client whose newborn had a circumcision with the Plastibell technique. Which of the following client statements indicates understanding of circumcision care? (Select all that apply.)