Obstetrics Questions
Explore questions in the Obstetrics category that you can ask Spark.E!
a client gives birth to a full term male with an 8/9 Apgar score. which would be included in the immediate nursing care of this newborn?-drying him off, assessing respirations and identifying him-applying an antibiotic to the eyes, administering vitamin K, and bathing him-aspirating the oropharynx, rushing him to the nursery, and stimulating him. weighing him, placing him in a crib and waiting until the mothers is ready to hold him.
which clincial finding is most important for the nurse to assess if a client has had a precipitous birth?-sudden chilling-profuse bledding-decrease in heart rate-increased blood pressure
which nutient would help the client a 6 weeks' gestation reduce the risk for neural tube defects in her baby?-niacin-folic acid-vit A-Vit B12
on the third postpartum day the nurse is preparing a breastfeeding mother of twins of discharge. Which statement by the client indicates a potential problem?-Ive been urinating large amounts ever since I gave birth-My flow is bright red with small brown clots the size of my thumb-my breasts feel full, heavy, tingly before I breastfeed the babies-I hope Ill stop being so hungry because I dont want to gain weight.
which site would the nurse use to admin vit k to a newborn-deltoid muscle-rectus femoris-vastus lateralis-gluteus maximus
Early in the 9th month of pregnancy a client experiences painless vaginal bleeding secondary to a placenta previa. Which intervention would the client's plan of care include?-giving vit K to promote clotting-preforming a rectal exam to assess cervical dilation-admin an enema to prevent contamination during birth-placing the client in the semi fowler position to increase cervial pressure
The nurse determines that a client's placenta has seperated during the 3rd stage of labor. Which clinical finding supports the nurse's conclusion?-a gush of blood-bogginess of the uterus-shrinkage of the uterus-an abrupt drop in blood pressure
which is the purpose of a vitamin K injection in a newborn?-it promotes conjugation of bilirubin-it promotes formation of red blood cells-it prevents destruction of red blood cells-it provides protection from hemorrhage
Which route would the nurse use to admin dinoprostone for the termination of pregnancy?-oral route-IV route-Intravaginal route-intramuscular route
while assessing a client during the forth stage of labor the nurse notes the perineral pad is soaked with approx. 75 ml of lochia rubra. which nursing action is the priority?-massage the uterine fundus-document the amount and type of lochia-accompany the client to the bathroom to empty her bladder-draw blood to test for hemoglobin and hematocrit levels
a client at 31 weeks gestation is admitted in preterm labor. Which class of medication would the nurse anticipate providing education for?-oxytocic-analgesic-corticosteroid-beta-adrenergic
The nurse prepares to admin vit K to a newborn. Which rationale explain why newborns are deficient in this vitamin-alterations in blood coagulation interfere with vit K production-a newborn's liver does not produce it immediately after birth-increased bilirubin levels interfere with vit K synthesis during the neonatal period-a newborn's intestinal tract does not synthesize it for several days after birth.
after 8 hours postpartum the nurse determines that a clients fundus is 3 cm above the umbilicus and displaced to the right. Which statement is most significant in confirming the reason for the location of the uterus?-ive been so thirsty the past few hours-i went to the bathroom but I cant seem to urinate-ive changed my pad once since i got to my room -ive had a lot of contractions especially while i was nursing.
How many centimeters do you have to be dilated before you can push?
A client in preterm labor has a dilated cervix, and birth appears inevitable, despite medication. Which med would the nurse anticipate prepare to admin to increase the chance of the newborn's survival?-misoprostol-nalbuphine HCL-betamethasone-carboprost tromethamine
a client who is 29 weeks pregnant has uterine contractions. Which med prescription would the nurse anticipate administering?-oxytocin-dinoprostone-indomethacin-methylergonovine
Oxytocin is prescribed for a client in labor after a period of ineffective uterine contractions. What nursing interventions are most important if strong contractions that last 90 seconds or longer occur? Select all that apply.1 Stopping the infusion2 Turning the client on her side3 Notifying the primary healthcare provider4 Verifying the duration of contractions5 Administering magnesium sulfate
a pregnant woman is diagnosed with intrauterine fetal death. Which would be the medication of choice for labor induction?-oxytocin-clomiphene-dinoprostone-methylergonovine
which med would the nurse id as being use to induce spontaneous abortions?-oxytocin-estradiol-progestins-clomiphene
a client id'd as having a high risk pregnancy is about to undergo a contraction stress test (CST) which factor would compel the nurse to question this presciption?-blurred vision-vaginal bleeding-sickle cell diease-increasing hypertension