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A nurse is reinforcing teaching about preterm labor with a client who is at 28 weeks of gestation.Which of the following statements by the client indicates an understanding of the teaching?

A nurse is caring for a full-term newborn who is 1 day old.Which of the following laboratory findings should the nurse report to the provider?

A nurse is caring for a client who is pregnant and has a vaginal culture that is positive for chlamydia.Which of the following medications should the nurse plan to administer?

A nurse is assisting with the care of a postpartum client who delivered vaginally 8 hours ago.Select the findings that require immediate follow-up.

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 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 collecting data from a client who is at 26 weeks of gestation and whose last appointment was 1 month ago.Which of the following findings should the nurse report to the provider?

A nurse is collecting data from an adolescent during a routine prenatal visit at 26 weeks of gestation.Which of the following statements by the adolescent indicates they have accepted the pregnancy?

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.

A nurse is checking the reflexes of a newborn.Which of the following actions should the nurse use to elicit the Babinski reflex?

A nurse is caring for a client who inquires about available methods of contraception.Which of the following actions should the nurse take?