37.The nurse is assessing a newborn who was precipitously atdeliver38weeksdgestation. The newborn is tremulous, tachycardic, and hypertensivessessment.Whichaction is most important for the nurse to implement?
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38.A new infant is receiving positive pressure ventilationrdelivery.afteBased onwhich assessment finding should the nurse initiate chest compressions?A.Apgar score 7B.Heart rate 54C.Limp muscle toneD.Central cyanosis
39.The nurse is scheduling a client with gestationalfor andiabetesamniocentesis becausethe fetus has an estimated weight of 8 pounds at 36- ationweeks. gestThis amniocentesisis being performed to obtain which information?
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40.Vaginal prostaglandin gel is used to induce laboroman whofor isa wat 42 weeksgestation. Thirty minutes after insertion of ientthe gel,complainstheclof vaginal warmth,and is experiencing 90 second contractions with ratefetaldecelerationshart. What actionshould the nurse implement first?
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The nurse is assessing the fetus during labor and notes recurrent variable decelerations
within minimal baseline variability. What is the priority nursing intervention for recurrent
variable decelerations within minimal baseline variability?
The priority nursing intervention for recurrent variable decelerations within minimal baseline
variability is turning mom to the side because that could help fix the problem of umbilical cord
compression.
A nurse is caring for a client who is considering use of a hormonal intrauterine system.
What information regarding the advantages of an intrauterine device should the nurse
provide?
The hormonal IUD can last for approximately 5 years and is more than 99% effective at
preventing pregnancy. Once put in, all you don’t need to do much other than checking the thread
if it is in place each month after your period. If at any time a woman wants to remove the device,
it can be taken out at an appointment with the trained doctor or nurse. When it’s removed, the
chances of getting pregnancy go back to normal.
A nurse is providing community education regarding risk factors for ovarian cancer.
Identify five risk factors associated with the development of ovarian cancer.
1. Being over 40 years old
2. Having a family history of ovarian cancer, colorectal cancer, and breast cancer
3. First pregnancy after 35 years old
4. Being overweight or obese
5. Taking hormone therapy after menopause
What is the indication for taking tamoxifen?
It is indicated for treating metastatic breast cancer, ductal carcinoma in situ, and breast cancer
prevention.
A nurse is administering oxytocin to a client in labor. What are symptoms of uterine
hyperstimulation warranted that warranted stopping the medication.
Symptoms of uterine hyperstimulation include single contractions that last 2 minutes of more, or
five or more contractions that are in a 10 minute period. There is also a decrease in the amount of
oxygen that reaches the fetus, and it results in fetal distress.
The nurse is teaching a group of pregnant clients about nutrition during pregnancy. What
nutrients need to be increased during pregnancy?
Key nutrients that need to be increased during pregnancy is iron, calcium, vitamin A, C, D,
vitamin B6 & B12, and folate (during the first 12 weeks)
The nurse is assessing a newborn infant 36 hours after birth and notices some swelling of
the infant ‘s head. Differentiate between Caput succedaneum and Cephalohematoma.
Caput succedaneum is edema of the scalp that crosses suture lines. Some causes include
prolonged/difficulty delivery and using a vacuum extraction. This does not need treatment and
the swelling will gradually dissipate in a matter of about three days. Cephalohematoma is a
collection of blood that does not cross the suture lines. Some causes include rupturing of the