"It's important to room-in with your newborn so that you can respond to her nursing cues.". A client delivers a neonate prematurely at 28 weeks' gestation. A 24-year-old primigravida who delivered a 6-lb, 4-oz (2,835-g) baby vaginally 4 hours ago and is unable to void. The nurse collects the following data: "Fundus firm, three fingerbreadths above the umbilicus and deviated to the right. Nursing interventions for a patient with placenta previa include positioning the patient on her left side for maximum fetal perfusion, monitoring fetal … Check out each question carefully and pick the During the postpartum period, the nurse should assess for signs of normal involution. Explore her own personal beliefs and feelings about contraception. Supporting the mother's ability to successfully feed and care for her infant. She tells the nurse, "I can't keep up with my housework any more because I spend so much time caring for the baby." And this class provides a subset that covers the most important Maternity content based on the latest NCLEX-RN Test Plan. Vasodilation, which causes the breast to feel full. Advising her to massage the affected area gently while breast-feeding. The nurse is providing instructions to a pregnant client with human immunodeficiency virus (HIV) infection regarding care to the newborn after delivery. The client asks the nurse about the feeding options that are available. Apply an elastic bandage to bind the breasts. A new mother who's breast-feeding asks how quickly she can expect to lose the 40 lb she gained during pregnancy. * b The nurse understands that measures are necessary to contain health care costs. Arranging for a home care nurse to assess the client in her home environment. How should the nurse respond? Instructing the client to use two or more peripads to cushion the area. A client who delivered her first child 6 weeks ago seems overwhelmed by her new role as a mother. The nurse suggests breast pumping to relieve the breast engorgement. When caring for this client, which strategy by the nurse would be most helpful? Requesting that the client call for assistance to walk back to bed when she's finished with the sitz bath. What intervention would best facilitate the client’s participation in infant care? Which factor alerted the nurse to the client's risk for this complication? (SELECT ALL THAT APPLY) The nurse is instructing the client on breast-feeding. The nurse should tell new mothers who are breast-feeding that breast milk is produced when: the placenta is delivered, causing the secretion of prolactin. The nurse is planning to discharge a 24-year-old gravida 1, para 1, non-English-speaking Hispanic client. The nurse brings a new mother her baby for the first time approximately 1 hour after the baby's birth. Which response by the nurse would be appropriate? How many milliliters of solution should the nurse administer to achieve this dose? The nurse is assessing the psychosocial status of a postpartum client. The client will verbalize and demonstrate appropriate self-perineal care. Every practice test is based on authentic exam questions, and you can study at your own pace. Which action by the nurse is most appropriate? When planning the client's care, the nurse anticipates monitoring for which common adverse reactions? * a) Wear a supportive bra. B. Postpartum clients are usually ravenously hungry. Within a few minutes, the mother begins to undress her baby. Which of the following behaviors by the mother would the nurse identify as evidence of mother-neonate attachment? These 50 questions will help you prepare for the 2019 NCLEX-RN 13 examination. The physician prescribed ibuprofen (Motrin), 400 mg by mouth every 4 to 6 hours, as needed. "Client will use a reliable contraceptive method until her follow-up care is complete in 1 year and her hCG level is negative.". The pharmacy sends 0.2 mg tablets. After checking the identification, the nurse hands the baby to the mother. The night nurse reports that a postpartum client is homeless, has poor hygiene, and has tested positive for the human immunodeficiency virus (HIV). The nurse should expect the client's lochia to be: The nurse is preparing to perform a physical examination on a postpartum client. Following a precipitous delivery, examination of the client's vagina reveals a fourth-degree laceration. We'll shuffle the questions every time you restart a Which intervention by the nurse is most important? If a client misses three or more pills in a row, the nurse should instruct her to: discard the pack, use an alternative contraceptive method until her menses begins, and start a new pack on the regular schedule. The nurse has a solution containing 2 mg/ml. Introduction This is the part 1 of the NCLEX practice questions: OB/GYN – Intrapartum quiz series. "It stimulates the smooth muscle of the bladder.". The nurse is teaching a client about oral contraceptive therapy. (2) Change the breast pads frequently., (3) Expose your nipples to air part of each day., (4) Wash your hands before handling your breast and breast-feeding., (6) Release the baby's grasp on the nipple before removing him from the breast. Administration of Rho(D) immune globulin I.M. After delivering her second baby, the client tells the nurse that she wants to breast-feed this baby. After receiving the shift report, the nurse realizes that she should monitor her postpartum client closely for puerperal infection. Which physiologic response should the nurse expect during the early postpartum period? Main Features: - +1900 exam questions and study notes - 5 study modes - Shareable content - Settings: with flexibility to change font size & background control NCLEX (National … To prevent breast engorgement, the nurse should instruct her to: Which of the following options is the most important aspect of nursing care in the postpartum period? What should the nurse plan to do first? This application contains 1900 study notes & exam quiz related to Fluids, electrolytes & lab values. During the first 24 hours after delivery, she doesn't show consistent interest in her neonate. At this time, the nurse expects to find: The nurse is teaching a breast-feeding client how to care for her engorged breasts. Which nursing intervention by the licensed practical nurse (LPN) is best? Which drug would decrease a postpartum client's blood pressure? White blood cells, 3000 mm 3 (3.0  109/L) Fundamentals CHAPTER 10 Vital Signs and Laboratory Reference Intervals 119 Fundamentals 70. A 24-year-old multigravida client who had an uncomplicated, spontaneous vaginal delivery 7 hours ago is uninterested in her baby and wants to sleep. The client's hemoglobin level at the end of pregnancy was 10.4 g/dl. Read each question carefully and choose the best answer. Obtain a set of vital signs, check the client's fundus and flow, and compare the findings to baseline data. When teaching her how to determine her fertile period, the nurse should instruct her to: subtract 18 days from her shortest menstrual cycle and 11 days from her longest cycle. She indicates that she was unsuccessful at breast-feeding her first child and that she bottle-fed after 3 days of trying to nurse. Which of the following options best describes the anticipated actions in the taking-hold phase of the maternal attachment process?

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