The primary reason for a cesarean delivery is which of the following:

The nurse is explaining the use of a score system to determine readiness for labor. What is the name of the score system used?

A patient was started on induction of labor at 0500 am. It is now 1200 noon she is only dilated to 4cm. Her contractions are every 1 min and the fetus is showing signs of distress. What is the priority intervention by the nurses?

Which lochia pattern should you report immediately to the RN or primary practitioner?

A woman has just delivered a baby. Her prelabor vital signs were T 98.9, BP-P-R 120/70, 80, 20. Which combination of findings during the early postpartum period should be reported immediately to the RN

Which maternal reaction is cause for concern and should prompt a consultation with the RN?

Which of the following patients would the nurse be most concerned about on post partum day 1?

A new mother adapts to her role as a mother through four developmental stages. Which stage is the first stage of adaptation?

The nurse is concerned with the interactions between a mother and her 2 day old infant. The nurse observes signs of impaired bonding and attachment. Which of the following should the nurse document as a cause for concern?

The nurse is aware the complications of most concern with the highest priority for assessment in the first hour is what?

A male baby is born at 5:15am on a Wednesday. At 1:15pm on the same day, the nurse notes yellow staining of the skin on the head and face of this infant. What does this finding likely indicate?

The nurse observes a newborn. He notes that the respiration rate is 66, the nostrils flare out, and the newborn makes grunting sound during respiration. What does the nurse conclude from these findings? The infant is:

The white thing coating on the infant at delivery should be documented as what finding?

When caring for a newborn several hours after birth, you asses his respiratory rate. In a normal newborn, this would be

While completing an admission assessment, the nurse notes the following: poor tone, low temp, jitteriness. The appropriate interventions if which of the following.

The nurse receives report from labor and delivery on an infant and mother couplet. Which reported AGPAR score would indicate a need for close observation for the entire transition period by the nurse?

The LPN is aware of the importance of the initial newborn exam. The RN needs to complete the initial full physical exam in what time frame after delivery?

When assessing infant reflexes the nurse documents a startled response and extension of the arms and legs as which reflex?

The nurse is documenting assessment of infant reflexes. She strokes the side of the infants face and the baby turns toward the stroke. What reflex has the nurse elicited?

A very health mother delivered Baby Ambika, who had an immediate Apgar score of 10. Ambika has been cradled in a kangaroo hold by both her mother and her father for 45 min and her parents feel ready to get cleaned up and let the baby be taken care of by the health care personnel for a little while. What eye care action will the nurse now take?

The nurse is working in the transition nursery. She knows the most critical transition time for a newborn is what period?

A father asks the nurse what medication is in the baby's eyes and why it is needed. Which of the following is the appropriate explanation?

Infants receive vitamin K within the first hour after delivery. What is the rationale for administering the vitamin.

The nurse providing discharge education on newborn care at home. The nurse provides instructions that infants need to be placed on their back to sleep. What is the nurse reducing the risk for with this education?

In response to inquires about producing enough milk for her infant, what is the correct advice a nurse can give an new mother regarding her own nutritional needs while breast feeding?

A 26 year old, first time mother who would like to have more children inquires about which birth control methods to use while breastfeeding her newborn. What should you advise her about the best birth control method?

A mother of a newborn is asking the nurse how long she should breastfeed her baby. How should the nurse respond to the mother?

A woman on the postpartum unit is 1 day after delivery and asking when her milk will "come in". What information on breast milk production will the nurse provide?

Women who are breast feeding need more calories than in a normal day. What is the recommend number of additional calories per day?

The nurse is working with a breastfeeding couplet and attempting to assist the infant with position and latch. The nurse is asking the mother to place the infant abdomen to mother abdomen and tuck the infant's lower arm between her are and breast and the mother arm on the infant's back with the infants head in the bend of the mother's elbow. What is the common name for this position?

Instructions for latching the infant on the breast would NOT include which of the following?

The nurse is assessing the breastfeeding session of a newborn. The mother has a written record of breast feeding session duration. Which of the following is an appropriate length of time to breastfeed an infant?

While the nurse is weighing a pregnant woman at a regularly scheduled OB visit, the patient complains of vaginal itching, a great deal of foamy yellow-green discharge, and pain during intercourse. She says this is her first pregnancy and she didnt know this was what happened. What can the nurse tell her?

The nurse is helping an indigent HIV positive pregnant patient set up a post delievery care plan for her baby. What is an appropriate question/statement during that discussion?

Nursing care for women diagnosed with gestational diabetes includes which of the following?

A woman develops gestational diabetes. Which of the following self assessments should the woman be instructed to make daily?

A woman's baby is HIV positive at birth. She asks the nurse if this means the baby will develop AIDS. Which of the following statements would be the nurse's best answer?

Which of the following is recommended to prevent transmission of HIV to a new born if the mother has AIDS?

A 21 year old patient arrives at the prenatal clinical at 12 weeks gestation and has a positive STI. Which of the following should the nurse be aware of that would indicate the patient is at high risk for non compliance with treatment for the STI?

An 18 year old pregnant patient is hospitalizes as she recovers from hyperemesis gravidarym. In the course of the LPNs care, the patient reveals that she wanted to have an abortion when she discovered her pregnancy but her own and the father’s cultural backgrounds forbade it. She is very unhappy about being pregnant and even expresses a wish that the fetus will develop a condition that will cause it to spontaneously abort. What is the best action the LPN can take to respond to the patient’s distress?

Which of the following is the best question the nurse can asking a woman who is leaving the hospital after experiencing a complete spontaneous abortion?

In returning to the hospital floor after a weekend off, the nurse takes over care of a pregnant patient who is resting in a darkened room. The patient is receiving betamethasone and magnesium sulfate. What could the nurse deduce from those findings?

A woman in labor has sharp fundal pain accompanied by slight vaginal bleeding. Which of the following would be the most likely cause of these symptoms?

A primipara at 36 weeks gestation is being monitored in the prenatal clinic for risk of preeclampsia. Which of the following signs or symptoms is the priority concern for the nurse?

Select the statement by the pregnant woman that indicates the need for more teaching about preeclampsia.

The following hourly assessments are obtained by the nurse on a patient with preeclampsia receiving Magnesium Sulfate: 97.3, P88, R10, blood pressure 148/110. What other priority physical assessment by the nurse should be implemented to assess for potential toxicity?

A woman of 38 weeks gestation with a history of preeclampsia comes to the health care provider's office after experiencing dark red vaginal bleeding, and a tense distended painful abdomen. Select the assessment the nurse should implement first.

The nurse through assessment can best differentiate between placenta previa and abrupt placenta by which of the following signs and or symptoms.

When providing counseling on early pregnancy loss, the nurse should include what as the most common cause for spontaneous abortion?

A patient is admitted to labor and delivery for management of severe preeclampsia. An IV infusion of magnesium sulfate is started. What is the primary goal for magnesium sulfate therapy?

A woman presents to the delivery suite at 36 weeks' gestation reporting continuous, heavy vaginal discharge and pelvic pressure. A Nitrazine test confirms PROM. There is no sign of infection. She is admitted to the hospital for watchful waiting. You will be caring for her; which of the following interventions will you be most likely to perform?

A nonsmoking woman, pregnant for the first time at 28 years of age and expecting twins, presents at 36 weeks' gestation complaining of backache and painful uterine contractions. You examine her and find no cervical dilation or pooling of fluid. What is the best course of action?

A multigravida presents at 31 weeks' gestation with signs and symptoms of preterm labor. The diagnosis is confirmed and she is admitted and given magnesium sulfate. What must you report as part of her care?

A woman near term presents to the clinic highly agitated because her membranes have just ruptured and she felt something come out when they did. You are alone with her and notice that the umbilical cord is hanging out of the vagina. What should you do next?

At 31 weeks' gestation, a 37-year-old woman who has a history of preterm birth reports cramps, vaginal pain, and low, dull backache accompanied by vaginal discharge and bleeding. Her cervix is 2.1 cm long; she has fetal fibronectin in her cervical secretions, and her cervix is dilated 3 to 4 cm. For what do you prepare her?

A woman at 32 weeks' gestation is admitted in preterm labor. On your admission assessment, which of following findings should cause the nurse to question the administration of a tocolytic agent?

A woman whose membranes have prematurely ruptured is discharged to home care. Which of the following therapies would you anticipate including in her teaching plan?

A woman who had preterm labor successfully halted reaches week 36 of pregnancy and is doing well on home care. Which of the following nursing diagnoses would be most pertinent for her?

At 35 weeks, gestation a woman experiences pre-term labor. Tocolytics are administered and she is on bed rest at home. Select the teaching intervention that should be implemented by the nurse?

When a woman in labor reached 8 cm dilation, you notice the fetal heart rate suddenly slows. On peritoneal inspection, you observe the fetal cord has prolapsed. You first action would be to

At the hospital, a client is attached to the fetal monitor for uterine rupture. The nurse would assess for which pattern indicating change in the uterus impacting the fetus?

The nurse providing care for a woman with preterm labor on terbutaline (Brethine) would include which of the following assessments for safe administration of the drug?

A patient is 32 weeks gestation and sent home on modified bed rest for preterm labor. She is on tocolyitits and wants to know when she can have intercourse again with her husband. What is the most appropriate response by the nurse?

A patient is 23 weeks gestation and was admitted for induction and delivery after noting the infant was an intrauterine fetal death. The patient had fallen 3 days prior to the diagnosis and landed on her side. What is the most likely attributable cause to the fetal death.

Within 24 hours of delivery, Diane begins to complain of pain in the pelvic region. Comfort measures and medication fail to eliminate the pain, her pulse is rapid, and her blood pressure, hematocrit, and hemoglobin are low. Her fundus is firm, however, and her lochia is dark red and flowing in only moderate amounts; no pooling is evident. You tell the RN you suspect

Samantha delivered her fourth child after protracted and difficult labor during which oxytocin was used to augment her contractions. The next day, her vaginal bleeding continues to be moderately heavy with numerous large clots. Palpating her fundus, you find that it is in the midline but boggy and above the level of the umbilicus. Fundal massage is indicated; what should you do first?

Initial measures to stop Jessica's bleeding have not proved successful and she is being transferred to the ICU. Her family is frightened by the IV lines and the nasal cannula; Jessica's brother suddenly says to her partner, “This is all your fault!” What is the best response by the nurse?

Brenda develops mastitis 3 weeks after delivery. What part of self-care do you tell her is most important

Which of the following is the most frequent redoing for postpartum hemorrhage?

A postpartal woman calls you into her room because she is having a very heavy lochia flow containing large clots. Your first action would be

The nurse assesses the patient who is one hour postpartum and observes a heavy steady gush of bright red blood from the vagina in the presence of a firm fundus. Select the most likely cause of the signs and symptoms

On examining a woman who gave birth 5 hours ago, the nurse finds that the woman

has completely saturated a perineal pad within 15 minutes. should be implemented first?

The nurse assess the fungus of a woman who delivered 1 hour ago. The fungus is boggy and 2 cm about the umbilicus and to the right. Choose the major complication which would be mostly likely to occur?

When assessing a postpartum patient who was diagnosed with a cervical laceration which has been repaired, what sign should the nurse report as a possible development of hypovolemic shock

. The nurse has attempted to massage a boggy uterus to firm state without success. The next intervention the nurse should anticipate is the administration of what medication

When assessing the patient for postpartum hemorrhage the nurse monitors which of the following every hour?

The nurse is assessing the breast of a woman who is 1 month postpartum. The woman is complaining of a painful area on one breast with a red area. The nurse notes a local area on one breast, red and warm to touch. Which of the following should the nurse suspect is the potential diagnosis?

The nurse is caring for 22-hour-old neonate Antonio, who had a good Apgar score, nursed without difficulty, and seemed healthy when the nursing shift began. As the nurse's shift goes on, the nurse notices that the whites of his eyes and his skin have begun to take on a yellow hue. The nurse would report this as a possible indication of what condition

While the nurse is weighing and measuring a toddler during his annual checkup, the toddler's mother mentions that she is thinking of having another child. The toddler is small in stature and seems mildly developmentally delayed. His eyelid folds are short and his nose is flat. What do the toddler's characteristics suggest is the best advice the nurse can give this mother about pregnancy?

. The nurse is discussing factors related to preterm birth with a group of peers. Which of the following factors is most likely to contribute to a preterm birth?

In comparing the preterm infant with the term infant the nurse recognizes which of the following characteristics would likely be seen in the male preterm infant?

The nurse recognizes that the preterm newborn's physiologic immaturity causes many difficulties involving virtually all body systems. The most critical concern of this physiologic immaturity relates to which body system?

The nurse recognizes that there are complications commonly associated with preterm newborns. Of the following complications, which would most likely be a concern for the preterm newborn?

The nurse is caring for a newborn with hyaline membrane disease. Which of the following is the best explanation of this disorder?

The nurse is caring for a newborn with retinopathy of prematurity (ROP). Which of the following is the best explanation of this disorder?

The nurse is caring for a preterm infant in the newborn nursery. Which of the following would be appropriate nursing diagnosis for this infant? (Select all that apply

The nurse is caring for a newborn with hemolytic disease of the newborn who is receiving phototherapy. Which of the following nursing interventions would be most appropriate for the nurse to do?

The nurse is caring for a newborn of a substance abusing mother who is withdrawing from alcohol. Which of the following would the nurse likely see in this newborn?

After conferring with the care provider, the nurse who is caring for the newborn with spina bifida can best increase the baby's comfort and development by teaching the parents how to

Which of the following best describes the disorder known as spina bifida with myelomeningocele

Which of the following best describes the disorder known as spina bifida occulta?

Which of the following best describes the disorder known as spina bifida with meningocele?

A nurse is working with a child who has spina bifida. The highest priority nursing goal for this child would be which of the following?

A group of nursing students is discussing hydrocephalus. The students make the following statements related to the noncommunicating type of congenital hydrocephalus. Which statement is the most accurate?

A group of nursing students is discussing hydrocephalus. The students make the following statements related to the communicating type of congenital hydrocephalus. Which statement is the most accurate?

When collecting data on a child with hydrocephalus, in addition to the child likely having a large head at birth and rapid head growth, which of the following signs might be the nurse recognize as manifestations of this disorder?

The nurse is caring for a child following a cardiac catheterization. Which of the following will be the highest priority for the nurse during the first 12 hours post procedure?