Maternal Newborn Proctored Exam 2

A nursing student asks her co-assigned nurse how to assess the frequency of a laboring client's contraction pattern. What is the nurse's best response?

A nurse is discharging a 57-year-old patient who was diagnosed as having a transient ischemic attack (TIA). Her symptoms of right-sided weakness and aphasia lasted for 15 minutes. Which symptom or ris

The nurse is caring for a client experiencing an acute myocardial infarction. Which assessment findings indicate a decrease in the client's cardiac output? Select all that apply.

The nurse is assessing a laboring client and notes an external fetal monitor tracing showing late decelerations. Which action should the nurse take first?

The nurse is caring for a client in active labor. Based on the fetal heart tracing, what collaborative actions will the nurse implement? Select all that apply.

The nurse is caring for a premature infant with an intraventricular hemorrhage. What assessment findings will the nurse recognize to be associated with intraventricular hemorrhage in a premature infan

An 18-year-old pregnant client gravida 1 para 0, is admitted to the labor and delivery unit with moderate contractions every 5 minutes that last 40 seconds. The client states, "My contractions are so

The nurse is reviewing an immunization record for a 4-year-old child to determine the risk for epiglottitis. The patient is up to date on all vaccines. Which vaccine received by the patient will indic

The nurse is caring for a patient in the emergency department who has been diagnosed with an ST-segment myocardial infarction (STEMI). The client appears restless, anxious, and diaphoretic with a bloo

The nurse is monitoring a client in labor and notes a significant change in the fetal heart rate pattern. Which action should the nurse perform first?

The nurse is reviewing the histories of several clients who presented to labor and delivery for induction of labor. Which of the following clients does the nurse recognize would be appropriate candida

The nurse is monitoring a fetal heart rate tracing and notes a specific pattern. Which action is most appropriate for the nurse to take based on the assessment?

A nurse in the Emergency Department is admitting a 56-year-old client with left-sided weakness, slurred speech, and facial drooping. The client's past medical history is significant for atrial fibrill

A client is 6 weeks pregnant. She had a previous spontaneous abortion at 13 weeks of gestation and a pregnancy that ended at 38 weeks with the birth of a girl. What does the nurse determine is her gra

The nurse is coordinating the transfer of a client with ischemic stroke to a rehabilitation unit. What is the priority goal during this level of care?

The nurse obtains a health history for a client admitted to the hospital after experiencing a stroke. Which condition(s) does the nurse identify as a predisposing factor for an embolic stroke? (Select

The nurse is assessing the nutritional intake of a client with a stroke, with no diagnosed or reported visual effects. The nurse observes that the client is only eating from one side of the plate. Wha

The nurse is educating a pregnant client at 39 weeks gestation about when to call the provider. What signs and symptoms will the nurse include in her teaching? (Select all that apply)

The nurse is caring for a 73-year-old client admitted to the Emergency Department at 2130. Based on the client's current assessment and history, what testing does the nurse determine to have the lowes

A child with laryngotracheobronchitis is presenting in the Emergency Department with stridor at rest and retractions. The nurse therefore quickly provides this priority intervention to help ease the c

The RN is co-assigned with an LPN to care for a group of clients in the cardiac unit. Which action by the LPN requires the RN to intervene immediately?

A 58-year-old hospitalized patient recovering from a myocardial infarction has expressed to the nurse their uncertainty about their position as a partner in an accounting firm and thoughts of working

When the registered nurse is delegating care, which action cannot be delegated to an experienced unlicensed assistive personnel (UAP) for a stroke client with residual left-sided weakness?

The nurse is evaluating teaching provided to a 50-year-old client with coronary artery disease. Which client statement(s) indicate that additional teaching is required? Select all that apply.

The nurse is caring for a child with cystic fibrosis who is hospitalized with acute pulmonary exacerbation. Which priority nursing intervention will a nurse recognize as most beneficial in the treatme