A nurse is observing an adolescent client who is offering her newborn a bottle while he is lying in the bassinet. When the nurse offers to pick the newborn up and place him in the client's arms, the mother states, "No, the baby is too tired to be held." Which of the following actions should the nurse take?

Offer to take the newborn to the nursery to finish his feeding.

Insist that the mother pick up the newborn to feed him.

Demonstrate how to hold the newborn and allow the client to practice.

Persuade the client to breastfeed the newborn to promote bonding.

Answer and Explanation

The Correct Answer is A

It is important to ensure the safety of the newborn, and in this situation, the adolescent mother is putting the newborn at risk by leaving him unattended while feeding. Offering to take the newborn to the nursery allows him to finish feeding in a safe environment while also allowing the nurse to assess his feeding and ensure he is receiving adequate nutrition. It is important to provide education to the mother on safe feeding practices, but at this moment, ensuring the safety of the newborn is the priority.

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Correct Answer is A

Explanation

Gestational diabetes mellitus (GDM) is a condition in which a pregnant woman develops high blood sugar levels during pregnancy. Complications of GDM can include macrosomia (a larger-than-average baby), polyhydramnios (an excessive amount of amniotic fluid), and preterm labor. One of the ways to monitor for these complications is through regular fundal height measurements. A fundal height measurement that is significantly larger than expected can indicate macrosomia or polyhydramnios, which can lead to complications during delivery.

Option B is incorrect because a fasting blood glucose of 90 mg/dL is within the normal range for a non-pregnant individual, and it is lower than the target range for a pregnant woman with GDM.

Option C is also incorrect because a fetal movement count of 12 in 1 hour is within the normal range.

Option D is incorrect because non-pitting pedal edema is a common finding in pregnancy and is not typically a cause for concern.

A. Administer 70% nitrous oxide mixed with oxygen. B. Ambulate the client in the hallway. C. Apply counterpressure to the sacral area. D. Have the client sit in a tub of warm water. E. Perform Leopold maneuvers

Correct Answer is ["A","C","D"]

Explanation

Administering 70% nitrous oxide mixed with oxygen is a common pain management option for laboring clients.

Applying counterpressure to the sacral area can help alleviate back pain during labor. Sitting in a tub of warm water, also known as hydrotherapy, can help reduce pain and promote relaxation during labor.

Ambulating the client may not be feasible or safe during the latent phase of labor when contractions are less frequent and intense.

Performing Leopold maneuvers, which involve palpating the mother's abdomen to determine the position of the fetus, does not directly address pain management.

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Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who is at 32 weeks of gestation and has gestational diabetes mellitus. Which of the following findings should the nurse report to the provider?

Correct Answer is A

Explanation

A nurse is caring for a client who is in the latent phase of the first stage of labor and is in pain. Which of the following nursing interventions are appropriate to reduce pain? (Select all that apply.)

Correct Answer is ["A","C","D"]

Explanation

A nurse is assessing a client who is at 32 weeks of gestation and is receiving magnesium sulfate via continuous IV infusion. Which of the following findings should the nurse report to the provider?

A nurse in a newborn nursery is receiving a change-of-shift report for four newborns. Which of the following newborns should the nurse assess first?

A nurse is conducting a class for a group of clients about birth control. Which of the following information should the nurse include in the teaching?

A nurse is caring for a client who has pre-gestational diabetes mellitus. Which of the following clinical findings should indicate to the nurse the client has hyperglycemia?

A nurse is discussing risk factors of postpartum hemorrhage with a newly licensed nurse. Which of the following conditions is a risk factor for postpartum hemorrhage that the nurse should include in the teaching?

A nurse is assessing the results of a nonstress test for an antepartal client at 35 weeks of gestation. Which of the following findings should indicate to the nurse the need for further diagnostic testing?

A nurse is caring for a client who is in labor and just received epidural anesthesia. The client's blood pressure is 90/50 mm Hg. Which of the following actions should the nurse take?

A nurse is preparing to perform a fundal massage for a postpartum client who is experiencing uterine atony. In which order should the nurse plan to perform the following actions? (Move the steps into the box on the right, placing them in the order of performance. Use all the steps.)