A nurse is caring for a client who is at 36 weeks of gestation.

Exhibits

For each day 2 finding, click to specify whether the finding indicates that the client's condition has improved, has not changed, or has declined.

Liver function tests

Edema

Fetal heart rate and variability

Headache

Epigastric discomfort

Urine dipstick

Answer and Explanation

The Correct Answer is {"A":{"answers":"A"},"B":{"answers":"B"},"C":{"answers":"C"},"D":{"answers":"A"},"E":{"answers":"A"},"F":{"answers":"B"}}

Liver Function Tests: Improved
The significant decrease in AST, ALT, ALP, and bilirubin levels indicates improved liver function.
Edema: Improved
The reduction from +3 to +2 edema in the lower extremities shows a decrease in swelling, indicating improvement.
Fetal Heart Rate and Variability: Declined
The decrease in FHR with minimal variability and no accelerations suggests a decline in fetal status.
Headache: Improved
The reduction in headache pain from a score of 8 to 2 indicates improvement.
Epigastric Discomfort: Improved
The absence of epigastric pain on Day 2 suggests improvement.
Urine Dipstick: Not Changed
The protein levels in the urine remained at 2+ on both days, indicating no change in kidney function.

Nursing Test Bank

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Correct Answer is C

Explanation

Rationale:

A. Ibuprofen is not recommended for infants younger than six months without specific physician orders due to potential adverse effects.

B. Positioning the infant on her abdomen may not be suitable immediately postoperatively and should be guided by the surgical team's recommendations.

C. Offering a pacifier can provide non-nutritive sucking comfort, which can help soothe the infant and decrease pain perception.

D. While rocking the infant can be comforting, it may not address the immediate postoperative needs of the infant or provide sufficient pain relief.

Correct Answer is ["6"]

Explanation

The Apgar score is 6.

It is based on 5 signs evaluated at 1 and 5 minutes after delivery that indicate the physiologic state of the neonate: heart rate over 100 = 2; slow, weak cry = 1; some flexion of extremities = 1; grimace in response to suctioning of the nares = 1; body pink in color with blue extremities = 1.

Total score= 6

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A nurse is caring for a client who is at 36 weeks of gestation. Exhibits For each day 2 finding, click to specify whether the finding indicates that the client's condition has improved, has not changed, or has declined.

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a 2-month-old infant who is postoperative following surgical repair of a cleft lip. Which of the following actions should the nurse take?

Correct Answer is C

Explanation

Correct Answer is ["6"]

Explanation

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A nurse is caring for a client who is at 36 weeks of gestation.

Exhibits

For each day 2 finding, click to specify whether the finding indicates that the client's condition has improved, has not changed, or has declined.