The student nurse is preparing to assess the fetal heart rate (FHR). She has determined that the fetal back is located toward the client's left side, the small parts toward the right side, and there is a vertex (occiput) presentation. The student nurse should initially begin auscultation of the fetal heart rate in the mother's:

Calculate the gravity rate for gentamycin 100 mg/100ml with secondary tubing (20gtts/mL) over 60 minutes.

A nurse is assessing a client at their first prenatal appointment. The client reports that the first day of their last menstrual period was September 17. Which of the following accurately represents the client's estimated date of birth using Naegele's Rule?

A nurse is assessing a newborn following a vaginal birth. Which of the following findings should the nurse identify as requiring follow-up? (Select All that Apply.)

When assessing a newborn shortly after birth, the nurse finds flat, irregular pinkish marks the forehead, the nape of the neck and the eyelids. The areas blanch when pressed with a finger. The nurse would document this finding as:

The nurse is obtaining an obstetrical history on a currently pregnant woman. The client has an 18-month-old daughter who was delivered 2 days after estimated due date and a 3-year-old son who was born at 35 weeks' gestation. Before her son was born, she lost two pregnancies: one at 10 weeks and the other at 22 weeks. Using the GTPAL method, how would the nurse record this history?

Which of the following is an example of a primitive reflex that is present in newborns and typically disappears by 3-4 months of age?

A client is ordered 325mL of packed red blood cells over 3 hours. What is the rate to be set on the infusion pump? Round to a whole number

A nurse on a postpartum unit is caring for a client.

Click to highlight the findings that require follow-up.

To deselect a finding, click on the finding again.

Nurses' Notes

2hr postpartum:

Client is 2 hr postpartum following vaginal delivery. Client alert and oriented. Lungs clear to auscultation bilaterally. S1 S2 auscultated, no murmur. Abdomen soft, nontender. Uterus firm and midline, 1 cm below the umbilicus. Moderate amount of lochia rubra present on perineal pad.

24 hr postpartum:

Client alert and oriented. Lungs clear to auscultation bilaterally. S1,S2 auscultated, no murmur. Abdomen soft, nontender. Uterus boggy and midline, 2 cm below the umbilicus. Moderate amount of lochia rubra present on perineal pad, foul odor present.

Vital signs:

1 hr postpartum:

Temperature 37.5° C (99.5° F)

Heart rate 88/min

Respiratory rate 16/min

Blood pressure 118/78 mm Hg

24 hr postpartum:

Temperature 38.3° C (100.9° F)

Heart rate 105/min

Respiratory rate 18/min

Blood pressure 115/78 mm Hg

A nurse is caring for a newborn immediately following birth.

Click to highlight the newborn's assessment findings that require follow-up by the nurse.

To deselect a newborn's assessment finding, click on the newborn's assessment finding again.

A nurse is caring for a newborn immediately following birth.

Nurses' Notes

2100:

Newborn has strong, steady cry. Skin tone consistent with genetic background. Acrocyanosis noted on bilateral extremities and hands.

Respirations are even and unlabored. Lung fields clear. Brachial pulse regular. Apical heart rate regular. Moves all extremities actively.

2200:

Newborn has occasional strong cries. Skin tone consistent with genetic background. Acrocyanosis noted on bilateral extremities and hands.

Lanugo noted on the posterior back. Respirations are even and unlabored. Sternal retractions noted. Lung fields with coarse rhonchi

noted in bilateral lung fields. Brachial pulse regular. Apical heart rate regular. Moves all extremities actively

Vital signs

2100:

Temperature 36.5° C (97.7° F) Axillary

Heart rate 152/min

Respiratory rate 54/min

2200:

Temperature 35.7° C (96.3° F) Axillary

Heart rate 140/min

Respiratory rate 68/min

A nurse is discussing probable signs of pregnancy with a newly licensed nurse. Which of the following terms should the nurse use to describe the movement of the fetus felt by the provider after placing upward pressure on the cervix?