1. You are working as a telephone triage nurse in the prenatal clinic. Which telephone call would require immediate noti
Posted: Tue Mar 15, 2022 2:48 pm
1. You are working as a telephone triage nurse in the prenatal
clinic. Which telephone call would require immediate notification
of the provider?
1. Patient reports leaking
vaginal fluid at 34 weeks’ gestation
2. Patient reports nausea
and vomiting at 8 weeks’ gestation
3. Patient reports pedal
edema at 39 weeks’ gestation
4. Patient reports vaginal
itching at 20 weeks’ gestation
2. A pregnant woman at 12 weeks’
gestation tells you that she is a vegetarian. What would be the
first appropriate nursing action?
1. Recommend vitamin
B12 and iron supplementation.
2. Recommend consumption
of protein drinks daily.
3. Obtain a 24-hour diet
recall history.
4. Determine the reason
for her vegetarian diet.
3. A 30-year-old G6P5 woman at 12 weeks has just begun prenatal
care, and her initial laboratory work reveals that she has tested
positive for human immunodeficiency virus (HIV) infection. What
would be priority evidence-based nursing education for this patient
today?
1. Medication for HIV
infection is safe and can greatly reduce transmission of HIV to the
infant.
2. Breast feeding is still
recommended due to the great benefits to the infant.
3. Pregnancy is known to
accelerate the course of HIV disease in the mother.
4. Cesarean section is not
recommended because of the increased risk of HIV transmission with
the bleeding at surgery.
Qtn 4. Ms. N relates that, when
she told her partner about the positive chlamydia test result, he
became violent and began hitting her in the face and abdomen. Upon
examination, Ms. N’s cervix is found to be 2 cm dilated and 50%
effaced, she is contracting every 6 minutes, and she has a small
amount of vaginal bleeding. Her ultrasound findings are normal and
show no placenta previa. She is admitted to the hospital for
treatment of preterm labor. The physician has ordered the following
medications:
• Nifedipine
(Procardia) 30 mg by mouth (PO), followed by 10 mg PO every 4
hours
• Betamethasone
(Celestone Soluspan) 12 mg intramuscularly (IM) every 24 hours × 2
doses
What priority information would
be important to give Ms. N about this treatment?
1.
The nifedipine and betamethasone work together to help stop preterm
labor.
2.
The nifedipine is to prevent neonatal heart problems after birth,
and the betamethasone is to stop contractions.
3.
The betamethasone is to help the infant’s lungs mature and to try
to prevent other neonatal complications in case the infant is born
early. The nifedipine is to attempt to stop the contractions.
4.
The nifedipine is to treat chlamydia infection and the
betamethasone is to help the infant’s lungs mature.
Qtn 5. Ms. N arrives in the
obstetrics triage area crying and accompanied by an agitated man
who is speaking angrily to the client.
Indicate the order in
which the RN should take the following actions at this time.
1. Apply a fetal monitor
and measure vital signs.
2. Obtain a thorough
history from the client.
3. Notify the
physician.
4. Instruct the man to
wait in the waiting area and notify security.
5. Call a social worker
for a consult.
clinic. Which telephone call would require immediate notification
of the provider?
1. Patient reports leaking
vaginal fluid at 34 weeks’ gestation
2. Patient reports nausea
and vomiting at 8 weeks’ gestation
3. Patient reports pedal
edema at 39 weeks’ gestation
4. Patient reports vaginal
itching at 20 weeks’ gestation
2. A pregnant woman at 12 weeks’
gestation tells you that she is a vegetarian. What would be the
first appropriate nursing action?
1. Recommend vitamin
B12 and iron supplementation.
2. Recommend consumption
of protein drinks daily.
3. Obtain a 24-hour diet
recall history.
4. Determine the reason
for her vegetarian diet.
3. A 30-year-old G6P5 woman at 12 weeks has just begun prenatal
care, and her initial laboratory work reveals that she has tested
positive for human immunodeficiency virus (HIV) infection. What
would be priority evidence-based nursing education for this patient
today?
1. Medication for HIV
infection is safe and can greatly reduce transmission of HIV to the
infant.
2. Breast feeding is still
recommended due to the great benefits to the infant.
3. Pregnancy is known to
accelerate the course of HIV disease in the mother.
4. Cesarean section is not
recommended because of the increased risk of HIV transmission with
the bleeding at surgery.
Qtn 4. Ms. N relates that, when
she told her partner about the positive chlamydia test result, he
became violent and began hitting her in the face and abdomen. Upon
examination, Ms. N’s cervix is found to be 2 cm dilated and 50%
effaced, she is contracting every 6 minutes, and she has a small
amount of vaginal bleeding. Her ultrasound findings are normal and
show no placenta previa. She is admitted to the hospital for
treatment of preterm labor. The physician has ordered the following
medications:
• Nifedipine
(Procardia) 30 mg by mouth (PO), followed by 10 mg PO every 4
hours
• Betamethasone
(Celestone Soluspan) 12 mg intramuscularly (IM) every 24 hours × 2
doses
What priority information would
be important to give Ms. N about this treatment?
1.
The nifedipine and betamethasone work together to help stop preterm
labor.
2.
The nifedipine is to prevent neonatal heart problems after birth,
and the betamethasone is to stop contractions.
3.
The betamethasone is to help the infant’s lungs mature and to try
to prevent other neonatal complications in case the infant is born
early. The nifedipine is to attempt to stop the contractions.
4.
The nifedipine is to treat chlamydia infection and the
betamethasone is to help the infant’s lungs mature.
Qtn 5. Ms. N arrives in the
obstetrics triage area crying and accompanied by an agitated man
who is speaking angrily to the client.
Indicate the order in
which the RN should take the following actions at this time.
1. Apply a fetal monitor
and measure vital signs.
2. Obtain a thorough
history from the client.
3. Notify the
physician.
4. Instruct the man to
wait in the waiting area and notify security.
5. Call a social worker
for a consult.