A nurse is assessing a newborn immediately following a vaginal...

A nurse is assessing a newborn immediately following a vaginal birth. For which of the following findings should the nurse intervene?

a. Molding

b. Vernix Caseosa 

c. Acrocyanosis

d. Sternal retractions

A nurse is caring for a client following a vaginal delivery of a term fetal demise. Which of the following statement should the nurse make?

A. "You can bathe and dress your baby if you'd like to."

B. "If you don't hold the baby it will make letting go much harder."

C. "You should name the baby so she can have an identity."

D. "I'm sure you will be able to have another baby when you're ready."

A nurse is providing teaching to a client who is at 38 weeks of gestation and has a prescription to receive misoprostol intravaginally. Which of the following statement should the nurse make?

A. "you will need to stay in a side-lying position for 30 minutes after each dose."

B. "You will receive an IV infusion of oxytocin 1 hour after your last dose."

C." You will receive a magnesium supplement immediately following therapy."

D." You will need to have a full bladder before the therapy begins."

A nurse is caring for an infant who has signs of neonatal abstinence syndrome. Which of the following actions should the nurse take?

A. Provide a stimulating environment

B. Monitor blood glucose level every hr.

C. Initiate seizure precautions.

D. Place the infants on his back with legs extended

A nurse is monitoring a client who has preeclampsia and is receiving magnesium sulfate by continuous IV infusion. Which of the following findings should the nurse reports to the provider?

A. Blood pressure 148/94mm Hg

B. Respiratory rate 14mm

C. Urinary output 20 mL/hr

D. 2+deep tendon reflexes

A nurse on a labor and delivery unit is providing teaching to a client who plans to use hypnosis to control labor pain. Which of the following information should the nurse include?

A. Focusing on controlling body functions 

B. "Synchronized breathing will be required during hypnosis"

C. "Hypnosis can be beneficial in you practiced it during the prenatal period"

D. "Hypnosis does not work for controlling pain associated with labor"

A nurse is caring for a newborn who is 6 hr old and has a bedside glucometer reading of 65 mg/ dL. The newborn's mother has type 2 diabetes mellitus. Which of the following actions should the nurse take?

A. Obtain a blood sample for a serum glucose level

B. Feed the newborn immediately

C. Administer 50 mL of dextrose solution IV

D. Reassess the blood glucose level prior to the next feeding