A 34-week gestation multigravida comes to the clinic for her bimonthly appointment. Which assessment finding should the nurse report to the healthcare provider?

A client who delivered vaginally 18 hours ago develops a slight fever. The client's delivery record shows spontaneous rupture of membranes for 36 hours prior to delivery and labor lasting 24 hours. An epidural was placed during labor and she experienced a third degree perineal laceration. The nurse should recognize which information poses the greatest risk for developing postpartum endometritis?

The nurse is preparing to administer methylergonovine maleate to a postpartum client. Based on which assessment finding should the nurse withhold the drug?

A client at 20-weeks gestation comes to the antepartal clinic troubled by vaginal warts caused by human papillomavirus. Which information should the nurse provide this client?

A school nurse is preparing a seminar to address the concerns of pregnant adolescents. Which information is most important for the nurse to include in the program?

The nurse uses two hands for fundal massage to assess the client's postpartum bleeding and fundal height. One hand is placed at the fundus, which purpose does the second hand serve?

At 20-weeks gestation, a client who has gained 20 pounds during this pregnancy tells the nurse that she is feeling fetal movement. Fundal height measurement is 20 cm, and the client's only concern is that her breasts are leaking clear fluid. Which assessment finding warrants further evaluation?

A client at 32-weeks gestation presents with extreme abdominal tenderness and a small amount of bright red vaginal bleeding. Her heart rate is 116 beats/minute, respiratory rate is 24 breaths/minute, and her blood pressure is 95/65 mm Hg. She is dizzy, with cold, clammy skin. Which prescription has the highest priority?

A one-week-old full term infant is readmitted to the newborn nursery for hyperbilirubinemia. Which supplies should the nurse gather in preparation for this infant's treatment plan?

The nurse is teaching a client with gestational diabetes about nutrition and insulin needs during pregnancy. Which content should the nurse include in this client's teaching plan?

When advising a new mother caring for a child with croup, which symptom should be a priority concern to the telephone triage nurse?

A 17-year-old client gave birth 12 hours ago. She informs the nurse that she does not know how to care for her baby. To promote parent-infant attachment behaviors, which intervention should the nurse implement?

A 12-year-old athlete reports severe ankle pain and an audible popping sound in the ankle after a fall at soccer practice. Upon inspection, the nurse observes moderate swelling, bruising, and joint instability. Initial radiographs of the ankle appear normal. Which type of injury should the nurse suspect?

The nurse knows that a shunt procedure is the therapy of choice in almost all cases of hydrocephalus. Which is the most common reason for revision of a child's ventriculoperitoneal shunt?

A nurse is assessing a 2-year-old child with left-sided heart failure. Which assessment finding should the nurse report to the healthcare provider immediately?

In assessing a primigravida woman at 15 weeks gestation by dates, the nurse palpates the fundus at the umbilicus. Based on this assessment finding, it is most important for the nurse to obtain information about the occurrence of which condition?

The parent of a 9-month-old who was diagnosed with respiratory syncytial virus (RSV) yesterday calls the clinic to inquire if it will be all right to take the infant to the first birthday party of a friend's child the following day. Which response should the nurse provide this parent?

The nurse is caring for a newborn who is 18 inches long, weighs 4 pounds, 14 ounces (2.2 kg), has a head circumference of 13 inches (33 cm), and a chest circumference of 10 inches (25.4 cm). Based on these physical findings, assessment for which condition has the highest priority?

While on the delivery table, a primipara tells the nurse that she wishes to breastfeed her infant. To assist the new mother with her goal, which intervention is best for the nurse to implement?

A 9-year-old with celiac disease is admitted to the pediatric unit following an appendectomy. Which food should the nurse remove from this child's meal tray?

Which action is most important for the nurse to implement to prevent bleeding in the neonate during the first hour after birth?

The nurse is preparing a teaching plan for the parents of a 6-month-old infant with gastroesophageal reflux. Which instruction should the nurse include when teaching the parents measures to promote adequate nutrition?

A gravida 3 para 3 who is Rh-negative delivers a full-term infant at home with the assistance of a nurse midwife. Two days later, the client calls the clinic to ask if it is necessary to see the healthcare provider since the infant is healthy, and she is not having any complications. The woman's history indicates that both previously born infants were Rh-negative. Which response should the nurse provide?

The mother of three young children calls the clinic concerned about the recent exposure of her oldest child to chickenpox. The nurse should provide the mother with information about the contagious period for chickenpox. Which period of chickenpox is the contagious phase?