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Showing 29 questions, Sign in for moreA nurse is preparing to gavage feed a preterm infant who is receiving IV antibiotics.
The infant expels a bloody stool.
What nursing action should the nurse implement?
A nurse is caring for a client who delivered a post-term infant vaginally with shoulder dystocia.
Which of the following findings should alert the nurse to possible injury in the infant?
A multigravida at 41-weeks gestation is receiving an oxytocin (Pitocin) infusion for induction of labor.
The nurse notes the fetal heart rate (FHR) drops sharply from the baseline for 30 seconds during the peak of a contraction and then returns to the baseline before the end of the contraction.
What action should the nurse implement at this time?
A nurse is caring for a client who had a post-term delivery and notes that the amniotic fluid was stained with meconium.
Which of the following actions should the nurse take first?
A nurse is assessing a post-term infant who was born with intrauterine growth restriction (IUGR).
Which of the following findings should the nurse expect?
A nurse is planning care for a post-term infant who has hypoglycemia and is receiving IV dextrose solution.
Which of the following interventions should the nurse include in the plan?
A nurse is evaluating a preterm infant who has patent ductus arteriosus (PDA).
Which of the following findings should indicate to the nurse that the condition is improving?
A nurse is evaluating the effectiveness of phototherapy for a post-term infant who has hyperbilirubinemia due to ABO incompatibility with the mother’s blood type O negative and infant’s blood type B positive.
Which of the following findings indicates that phototherapy is effective?
A nurse is reviewing laboratory results for a preterm infant who has anemia of prematurity.
Which of the following values should the nurse report to the provider?
A nurse is preparing to administer an exchange transfusion to a newborn who has severe hyperbilirubinemia due to Rh incompatibility.
Which of the following actions should the nurse take first?
A nurse is evaluating a newborn who has hyperbilirubinemia and is receiving phototherapy.
Which of the following outcomes indicates that the therapy is effective?
A nurse is caring for a preterm infant who has intraventricular hemorrhage (IVH).
Which of the following actions should the nurse take to prevent increased intracranial pressure (ICP)?
A nurse is educating a parent about how to care for a newborn who has hyperbilirubinemia at home.
Which of the following statements by the parent indicates an understanding of the teaching?
A nurse is caring for a client who is receiving parenteral nutrition (PN) through a central venous catheter (CVC).
The current PN bag is empty, and a new PN bag is not available at this time.
Which of the following solutions should the nurse infuse until a new PN bag is available?
A nurse is caring for an infant who has a high Bilirubin level and is receiving phototherapy.
Which of the following is the priority finding in the newborn?
A nurse is assessing a newborn who was born at 35 weeks of gestation and has physiologic jaundice.
Which of the following factors increases the risk of hyperbilirubinemia in this newborn?
A nurse is providing dietary teaching to a client who has celiac disease.
Which of the following food choices by the client indicates an understanding of the teaching?
A nurse is reviewing the transcutaneous bilirubin measurement of a newborn who is 48 hours old and has physiologic jaundice.
The measurement is 16 mg/dL.
Which of the following actions should the nurse take?
A nurse is assessing a client who has anaphylactic shock due to a bee sting.
Which of the following findings should the nurse expect?
A nurse is evaluating a client who received an immunization for tetanus one week ago.
The client reports pain and swelling at the injection site, low-grade fever, and body aches.
Which of the following responses should the nurse make?
A nurse is planning care for a newborn who has hyperbilirubinemia and is receiving phototherapy.
Which of the following interventions should the nurse include in the plan?
A nurse is caring for a client who has systemic lupus erythematosus (SLE).
The client asks why she has to have her blood drawn so often.
Which of the following responses should the nurse make?
A nurse is caring for a client who is at 42 weeks of gestation and is in labor.
The client asked the nurse what to expect because the baby is postmature.
Which of the following statements should the nurse make?
The nurse is educating a client about the signs and symptoms of hypoglycemia in a newborn.
Which of the following should the nurse include?
A baby with hemolytic jaundice is being treated with fluorescent phototherapy.
To provide safe newborn care, which of the following actions should the nurse perform?
A newborn is diagnosed with hypoglycemia.
Which intervention should the nurse prioritize?
A baby’s blood type is B negative.
The baby is at risk for hemolytic jaundice if the mother has which of the following blood types?
A nurse is reviewing the laboratory results of a newborn who has hypoglycemia.
The nurse should identify that a normal blood glucose level for a healthy term newborn is between which of the following ranges?
A nurse is educating the parents of a newborn who has hypoglycemia about how to feed their baby.
The nurse should instruct the parents to do which of the following actions?
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