Learning System PN 2.0 - Maternal Newborn Final

Learning System PN 2.0 - Maternal Newborn Final

1. Nurse caring for client who desires IUD for contraception. Which finding is a contraindication for the use of this device? - HTN - Menorrhagia - Hx of multiple gestations - Hx of thromboembolic disease: Menorrhagia - an IUD is a small plastic or copper device inside uterus that changes the uterine environment to prevent pregnancy. An IUD is contraindicated for women who have menorrhagia, severe dysmenorrhea or hx of ectopic pregnancy 2. Nurse reinforcing teaching to client who is pregnant. Which instruction should nurse include? - take 600mg of ibuprofen as needed for discomfort - "You should eat soft cheeses to increase calcium intake" - "You should roll your nipples daily to ensure they are everted" - "You should use fluoride-based toothpaste to prevent dental caries.": "You should use fluoride-based toothpaste to prevent dental caries." - nausea during pregnancy can lead to poor hygiene and inflammation of the gingival tissue, which can lead to dental caries 3. Nurse assisting with the plan of care for a client who is pregnant and Rh negative. In which of the following situations should the ruse administer Rh(D) Immune Globulin - while the client is in labor - following an episode of flu during pregnancy - prior to a blood transfusion - at 28 weeks gestation: 28 weeks gestation - Rh(D) immune globulin consists of passive antibodies against the Rh factor, which will destroy any fetal RBCs in maternal circulation that blocks maternal newborn production 4. Nurse caring for a newborn who was born to a client who has narcotic use disorder.Which action should the nurse identify as a contraindication in care of newborn? - promoting maternal-newborn bonding - tight swaddling - small, frequent feedings - frequent stimulation: Frequent stimulation - newborn needs quiet environment with minimal stimulation in order to promote rest and reduce stress. Stimulating environment can trigger irritability and hyperactive behaviors 5. Nurse caring for client 35 weeks gestation Which of the following lab tests should the nurse obtain?