A home health nurse is teaching a client who is breastfeeding about managing breast engorgement. Which of the following client statements indicates understanding of the teaching?

A nurse is caring for a client who is 36 hours postpartum.

The nurse’s notes indicate the following: Breasts are soft, warm, and tender to touch. The client denies any nipple or breast discomfort.

The fundus is boggy, located 1 cm above the umbilicus and deviated to the right. The fundus becomes firm with massage.

The client reports abdominal cramping and rates the pain as 8 on a scale of 0 to 10. The perineal pad shows a moderate amount of lochia rubra.

The client has been given an analgesic.

After reviewing the information in the client’s medical record, which of the following complications poses the greatest risk for the client?

A nurse is assessing a newborn. Which of the following should the nurse understand is a clinical manifestation of pyloric stenosis?

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

The client reports a mild headache for the last several days as well as “heartburn”. The client denies visual disturbances, vaginal bleeding, or leakage of fluid from the vagina.

The client reports occasional contractions and positive fetal movement.

The client reports they are unable to remove rings from fingers for the last several days. The client reports feeling dizzy when they got up from the examination table.
Which of the following findings should the nurse report to the provider? (Select all that apply)

A nurse is caring for an adolescent client who has pelvic inflammatory disease due to a sexually transmitted infection and will require intravenous antibiotic therapy.

The client tells the nurse, “My parents think I’m a virgin.

I don’t think I can tell them I have this kind of infection.”. Which of the following responses should the nurse make?

A nurse is providing care for a patient who is in labor.
After reviewing the patient’s medical history, vital signs, nurse’s notes, and diagnostic results, which of the following complications should the nurse identify that the patient is at risk of developing?

A nurse is preparing to administer magnesium sulfate IV to a client who is experiencing preterm labor. Which of the following is the priority nursing assessment for this client?

A nurse is caring for a newborn.

The newborn was delivered via cesarean birth approximately 1 hr ago.

The Apgar Scores are 8 and 9. Vitamin K was administered in the left vastus lateralis.

The weight is 4337 grams (9 lb 9 oz), length 52 cm (20.5 in), and gestational age assessment of 39 weeks. The newborn is large for gestational age and noted to be jittery and have decreased muscle tone. Complete the diagram by dragging from the choices below to specify what condition the newborn is most likely experiencing, two actions the nurse should take to address that condition, and two parameters the nurse should monitor to assess the newborn’s progress.

A nurse is preparing to administer methylergonovine IM to a client who experienced a vaginal delivery.
The nurse should explain to the client that the purpose of this medication is to prevent which of the following conditions?

A nurse has received a mother and her baby in the postpartum unit. The baby is approximately 2 hours old.
Which of the following is NOT a symptom of transient tachypnea of the newborn?