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A nurse is reinforcing teaching about car seat safety with a parent of a newborn.Which of the following statements by the parent indicates an understanding of the teaching?

A nurse is reinforcing discharge teaching about home safety with a client who is postpartum.In which of the following positions should the nurse instruct the client to place their newborn in the crib?

A nurse is preparing to collect a specimen for newborn screening.Which of the following actions should the nurse take?

A nurse is assisting with the care of a client who is in the third trimester of gestation.Which of the following statements by the client’s partner indicates effective adaptation to their new role?

A nurse is reinforcing teaching about preventing mastitis with a client who is breastfeeding.Which of the following instructions should the nurse include?

A nurse is assisting with the care of a client who was admitted to the postpartum unit. The client is diaphoretic, skin is clammy, pulse is rapid and strong, respirations are shallow. The client reports headache, nausea, and feeling weak.

Which of the following actions should the nurse take?

A nurse is caring for a client in the maternal newborn unit.Which of the following actions should the nurse take?

A nurse is caring for a client who had a vaginal delivery 4 hours ago and reports perineal pain of 6 on a scale of 0 to 10. Which of the following actions should the nurse take?

A nurse in a provider’s office is reinforcing teaching with a client who is pregnant and is scheduled for a nonstress test.

Which of the following statements should the nurse make?

A nurse is contributing to the plan of care for a client who is postpartum and has mastitis.Which of the following actions should the nurse plan to take?

A nurse is assisting with the care of a postpartum client who delivered vaginally 8 hours ago in the maternity ward.

Exhibit 1: Vital Signs

0700:

• Temperature: 36.2°C (97.2°F)

• Heart rate: 80/min

• Respiratory rate: 16/min

• Blood pressure: 136/82 mm Hg

• Pulse oximetry: 99%

1100:

• Temperature: 37.2°C (99.0°F)

• Heart rate: 85/min

• Respiratory rate: 18/min

• Blood pressure: 136/86 mm Hg

• Pulse oximetry: 100%

Exhibit 2: Nurses’ Notes

0700: The client’s breasts are soft with intact nipples. The uterus is palpated firm, midline, and at the level of the umbilicus. There is a moderate amount of lochia rubra. The episiotomy site is well approximated with mild edema and ecchymosis. The client reports pain as 2 on a scale of 0 to 10. She is able to void spontaneously with no bladder distention. Deep tendon reflexes are 1+. Peripheral edema is 2+ in bilateral lower extremities.

1100: The client’s breasts are soft with intact nipples. The uterus is palpated soft with lateral deviation and 1 cm above the umbilicus. There is a large amount of lochia rubra. The episiotomy site is well approximated with mild edema and ecchymosis. The client reports pain as 3 on a scale of 0 to 10. Deep tendon reflexes are 1+. Peripheral edema is 2+ in bilateral lower extremities.

Question: Select the 3 findings that require immediate follow-up.