OB Chp 14-19 Flashcards

The nurse evaluates a pattern on the fetal monitor that appears similar to early decelerations. The deceleration begins near the acme of the contraction and continues well beyond the end of the contraction. Which nursing action indicates the proper evaluation of this situation?

Which maternal condition should be considered a contraindication for the application of internal monitoring devices?

The nurse is instructing a nursing student on the application of fetal monitoring devices. Which method of assessing the fetal heart rate requires the use of a gel?

Proper placement of the tocotransducer for electronic fetal monitoring is

Which clinical finding can be determined only by electronic fetal monitoring?

Which method of intrapartum fetal monitoring is the most appropriate when a woman has a history of hypertension during pregnancy?

Why is continuous electronic fetal monitoring generally used when oxytocin is administered?

The nurse is concerned that a patient’s uterine activity is too intense and that her obesity is preventing accurate assessment of the actual intrauterine pressure. Based on this information, which action should the nurse take?

f the position of a fetus in a cephalic presentation is right occiput anterior, the nurse should assess the fetal heart rate in which quadrant of the maternal abdomen

In which situation would a baseline fetal heart rate of 160 to 170 bpm be considered a normal finding?

When the deceleration pattern of the fetal heart rate mirrors the uterine contraction, which nursing action is indicated?

When the mother’s membranes rupture during active labor, the fetal heart rate should be observed for the occurrence of which periodic pattern?

The fetal heart rate baseline increases 20 bpm after vibroacoustic stimulation. The best interpretation of this is that the fetus is showing

When a Category II pattern of the fetal heart rate is noted and the patient is lying on her left side, which nursing action is indicated?

Which nursing action is correct when initiating electronic fetal monitoring?

Which statement correctly describes the nurse’s responsibility related to electronic monitoring?

Observation of a fetal heart rate pattern indicates an increase in heart rate from the prior baseline rate of 152 bpm. Which physiologic mechanisms would account for this situation?

Which of the following therapeutic applications provides the most accurate information related to uterine contraction strength?

What is the most likely cause for this fetal heart rate pattern?

The patient presenting at 38 weeks’ gestation, gravida 1, para 0, vaginal exam 4 cm, 100% effaced, +1 station vertex. What is the most likely intervention for this fetal heart rate pattern?

The physician has ordered an amnioinfusion for the laboring patient. Which data supports the use of this therapeutic procedure?

Which of the following is the priority intervention for a supine patient whose monitor strip shows decelerations that begin after the peak of the contraction and return to the baseline after the contraction ends?

Decelerations that mirror the contractions are present with each contraction on the monitor strip of a multipara who received epidural anesthesia 20 minutes ago. The nurse should

To clarify the fetal condition when baseline variability is absent, the nurse should first

Which patient is a candidate for internal monitoring with an intrauterine pressure catheter?

Which of the following is the priority intervention for the patient in a left side-lying position whose monitor strip shows a deceleration that extends beyond the end of the contraction

When a pattern of variable decelerations occur, the nurse should immediately

The nurse is reviewing an electronic fetal monitor tracing from a patient in active labor and notes the fetal heart rate gradually drops to 20 beats per minute (bpm) below the baseline and returns to the baseline well after the completion of the patient’s contractions. How will the

nurse document these findings?

A patient at 41 weeks’ gestation is undergoing an induction of labor with an IV administration of oxytocin (Pitocin). The fetal heart rate starts to demonstrate a recurrent pattern of late decelerations with moderate variability. What is the nurse’s priority action?

The nurse admits a laboring patient at term. On review of the prenatal record, the patient’s pregnancy has been unremarkable and she is considered low risk. In planning the patient’s care, at what interval will the nurse intermittently auscultate (IA) the fetal heart rate during the first stage of labor?

The nurse is monitoring a patient in labor and notes this fetal heart rate pattern on the electronic fetal monitoring strip (see figure). Which is the most appropriate nursing action?

The nurse is monitoring a patient in labor and notes this fetal heart rate pattern on the electronic fetal monitoring strip (see figure). Which is the most appropriate nursing action at this time?

Which clinical finding would be considered normal for a preterm fetus during the labor period?

Which medications could potentially cause hyperstimulation of the uterus during labor? (Select all that apply.

When evaluating the patient’s progress, the nurse knows that four of the five fetal factors that interact to regulate the heart rate are (Select all that apply.)

The nurse recognizes that fetal scalp stimulation may be prescribed to evaluate the response of the fetus to tactile stimulation. Which conditions contrindicate the use of fetal scalp stimulation? (Select all that apply.)

The nurse is preparing supplies for an amnioinfusion on a patient with intact membranes.Which supplies should the nurse gather? (Select all that apply.)

The nurse is preparing to perform Leopold’s maneuvers. Please select the rationale for the consistent use of these maneuvers by obstetric providers?

Which comfort measure should the nurse utilize in order to enable a laboring woman to relax?

Which assessment finding is an indication of hemorrhage in the recently delivered postpartum patient?

Which intervention is an essential part of nursing care for a laboring patient?

A patient at 40 weeks’ gestation should be instructed to go to a hospital or birth center for evaluation when she experiences

Which patient at term should proceed to the hospital or birth center the immediately after labor begins?

A woman who is gravida 3, para 2 enters the intrapartum unit. The most important nursing assessments include

A primigravida at 39 weeks of gestation is observed for two hours in the intrapartum unit The fetal heart rate has been normal. Contractions are 5 to 9 minutes apart, 20 to 30 seconds in duration, and of mild intensity. Cervical dilation is 1 to 2 cm and uneffaced (unchanged from admission). Membranes are intact. The nurse should expect the patient to be

The nurse auscultates the fetal heart rate and determines a rate of 152 bpm. Which nursing intervention is most appropriate at this time?

Which clinical finding would be an indication to the nurse that the fetus may be compromised?

The nurse is caring for a low-risk patient in the active phase of labor. At which interval should the nurse assess the fetal heart rate?

Which nursing assessment indicates that a patient who is in the second stage of labor is almost ready to give birth

During labor a vaginal examination should be performed only when necessary because of the risk of

A 25-year-old primigravida patient is in the first stage of labor. She and her husband have been holding hands and breathing together through each contraction. Suddenly, the patient pushes her husband’s hand away and shouts, “Don’t touch me!” This behavior is most likely

At 1 minute after birth, the nurse assesses the newborn to assign an Apgar score. The apical heart rate is 110 bpm, and the infant is crying vigorously with the limbs flexed. The infant’s trunk is pink and the hands and feet are blue. The Apgar score for this infant is

If a woman’s fundus is soft 30 minutes after birth, the nurse’s first action should be to

he nurse thoroughly dries the infant immediately after birth primarily to

The nurse notes that a patient who has given birth 1 hour ago is touching her infant with her fingertips and talking to him softly in high-pitched tones. Based on this observation, which action should the nurse take?

Which nursing diagnosis would take priority in the care of a primipara patient with no visible support person in attendance? The patient has entered the second stage of labor after a first stage of labor lasting 4 hours.

Which of the following behaviors would be applicable to a nursing diagnosis of “risk for injury” in a patient who is in labor?

A nursing priority during admission of a laboring patient who has not had prenatal care is

The patient in labor experiences a spontaneous rupture of membranes. Which information related to this event must the nurse include in the patient’s record?

The nurse assesses the amniotic fluid. Which characteristic presents the lowest risk of fetal complications?

The nurse is preparing to initiate intravenous (IV) access on a patient in the active phase of labor. Which size IV cannula is best for this patient?

The nurse is reviewing the cardinal maneuvers of labor and birth with a group of nursing students. Which maneuver will immediately follow the birth of the baby’s head?

The nurse is performing Leopold’s maneuvers on her patient. Which figure depicts the Leopold’s maneuver that determines whether the fetal presenting part is engaged in the maternal pelvis? Refer to Figures A to D

After a forceps-assisted birth, the patient is observed to have continuous bright red lochia and a firm fundus. Which other data would indicate the presence of a potential vaginal wall hematoma?

Which patient presentation is an acceptable indication for serial oxytocin induction of labor?

The nurse is explaining the technique of internal version to a nursing orientee. Which statement best describes the technique of internal version?

A maternal indication for the use of vacuum extraction is

For which patient should the oxytocin (Pitocin) infusion be discontinued immediately?

Immediately following the forceps-assisted birth of an infant, which action should the nurse implement?

While assisting with a vacuum extraction birth, which alteration should the nurse immediately report to the obstetric provider?

To monitor for potential hemorrhage in the patient who has just had a cesarean birth, which action should the recovery room nurse implement?

The nurse is preparing to administer a vaginal prostaglandin preparation to ripen the cervix of her patient. With which patient should the nurse question the use of vaginal prostaglandin as a cervical ripening agent?

A patient who is receiving oxytocin (Pitocin) infusion for the augmentation of labor is experiencing a contraction pattern of more than eight contractions in a 10-minute period.Which intervention would be a priority?

On vaginal exam, the patient’s cervix is anterior, soft, 70% effaced, dilated 2 cm, and the presenting part is at 0 station. The Bishop’s score for this patient is

Which assessment would be important for a 6-hour-old infant who has bruising over the cheeks from a forceps birth?

Which aspect of newborn assessment may be limited by the application of a vacuum extractor at birth?

Which breech presentation should the nurse recognize as being favorable for an external cephalic version?

Following an external cephalic version, which assessment finding indicates a complication?

The pregnant patient expresses a desire to schedule birth during the baby’s father’s furlough from military service. The nurse explains that prior to induction of labor, it is essential to determine which clinical finding?

The labor nurse is developing a plan of care for a patient admitted in active labor with spontaneous rupture of the membranes 6 hours prior to admission with clear fluid. On admission, vital signs were as follows: maternal heart rate (HR) 92 bpm; fetal rate (FHR) baseline, 150 to 160 bpm; blood pressure, 124/76 mm Hg; temperature 37.2° C (99° F). What is the priority nursing action for this patient?

A laboring patient is 10 cm dilated; however, she does not feel the urge to push. The nurse understands that according to laboring down the advantages of waiting until an urge to push are which of the following (Select all that apply.)

Which interventions should be performed in the birth room to facilitate thermoregulation of the newborn? (Select all that apply

When caring for a patient in labor who is considered to be at low risk, which assessments should be included in the plan of care? (Select all that apply)

The nurse is monitoring a patient in the active stage of labor. Which conditions associated with fetal compromise should the nurse monitor? (Select all that apply.)

The nurse is caring for a patient in the fourth stage of labor. Which assessment findings should the nurse identify as a potential complication? (Select all that apply.)

Induction of labor is considered an acceptable obstetric procedure if it is a safe time to deliver the fetus. The charge nurse on the labor and birth unit is often asked to schedule patients for this procedure and therefore must be cognizant of the specific conditions appropriate for labor induction, including which of the following? (Select all that apply.)

Which pelvic shape is most conducive to vaginal labor and birth?

Which action by the nurse prevents infection in the labor and birth area?

A pregnant patient with premature rupture of membranes is at higher risk for postpartum infection. Which assessment data indicates a potential infection?

A patient with polyhydramnios is admitted to a labor-birth-recovery-postpartum (LDRP)suite. Her membranes rupture and the fluid is clear and odorless; however, the fetal heart monitor indicates bradycardia and variable decelerations. Which action should be taken next?

Which technique is least effective for the patient with persistent occiput posterior position?

Birth for the nulliparous patient with a fetus in a breech presentation is usually

Which patient situation presents the greatest risk for the occurrence of hypotonic dysfunction during labor

Which factor is most likely to result in fetal hypoxia during a dysfunctional labor?

After a birth complicated by a shoulder dystocia, the infant’s Apgar scores were 7 at 1 minute and 9 at 5 minutes. The infant is now crying vigorously. The nurse in the birthing room should

A laboring patient in the latent phase is experiencing uncoordinated irregular contractions of low intensity. How should the nurse respond to complaints of constant cramping pain?

Which nursing action should be initiated first when there is evidence of prolapsed cord?

A patient who has had two previous cesarean births is in active labor when she suddenly complains of pain between her scapulae. Which should be the nurse’s priority action?

Which factor should alert the nurse to the potential for a prolapsed umbilical cord?

The fetus in a breech presentation is often born by cesarean birth because

A patient who is 32 weeks pregnant telephones the nurse at her obstetrician’s office and complains of constant backache. She asks what pain reliever is safe for her to take. The best nursing response is

Which is the priority nursing assessment for the patient undergoing tocolytic therapy with terbutaline (Brethine)

Which clinical finding during assessment indicates uterine rupture?

Which intervention should be incorporated in the plan of care for a labor patient who is experiencing hypertonic labor? Vaginal exam is unchanged from prior exam—3 cm, 80%effaced, and 0 station presenting part vertex.

During the course of the birth process, the physician suspects that a shoulder dystocia is occurring and asks the nurse for assistance. Which priority action should be taken in response to this request?

A pregnant patient who has had a prior obstetric history of preterm labors is pregnant with her third child. The physician has ordered a fetal fibronectin test. Which instructions should be given to the patient regarding this clinical test?

An obstetric patient has been identified as being high risk. The patient has had activities restricted (placed on bed rest) until the end of the pregnancy currently , she is at 32 weeks’ gestation and has two other children at home, ages 3 and 6. The patient’s husband works at home. A nursing diagnosis of Impaired Home Maintenance is noted. Which statement potentially identifies a long-term goal?

A labor patient has been diagnosed with cephalopelvic disproportion (CPD) following attempts at pushing for 2 hours with no progress. Based on this information, which birth method is most appropriate?

A patient is diagnosed with anaphylactoid syndrome of pregnancy. Which therapeutic intervention does the nurse expect will be included in the plan of care?

A 20-year-old gravida 1, para 0 woman, is evaluated to be at 42 weeks’ gestation on admission to the labor and birth unit. The patient is not in labor at the current time; however, she has been sent over by the physician to be admitted for the induction of labor. The patient indicates to you that she would rather go home and wait for natural labor to start. How should the nurse respond to the patient’s request?

Which presentation is least likely to occur with a hypotonic labor pattern?

Which finding on vaginal examination would be a concern if a spontaneous rupture of the membranes has occurred

Which intervention would be most effective if the fetal heart rate drops following a spontaneous rupture of the membranes?

Which finding would be indicative of an adverse response to terbutaline (Brethine)?

A dose of dexamethasone 12 mg was administered to a patient in preterm labor at 0830 hours on March 12. The nurse knows that the next dose must be scheduled for

When reviewing the prenatal record of a patient at 42 weeks’ gestation, the nurse recognizes that induction of labor is based upon which indication

Which assessment finding in the postpartum patient following a uterine inversion indicates normovolemia?

Which assessment finding indicates a complication in the patient attempting a vaginal birth after cesarean (VBAC)?

The labor nurse is providing care to a multigravida waitbhirmb.ocdoemra/ttetsot strong contractions every 2 to 3 minutes, duration 45 to 60 seconds. On admission, her cervical assessment was 5 cm, 80%, and +2. An epidural was administered shortly thereafter. Two hours after admission, her contraction pattern remains the same and her cervical assessment pattern 5 cm, 90%, and +2. What is the nurse’s next action?

which patient is most at risk for a uterine rupture

A pregnant woman develops hypertension. The nurse monitors the patient’s blood pressure closely at subsequent visits because the nurse is aware that hypertension is associated with which complication?

After birth, the nurse monitors the mother for postpartum hemorrhage secondary to uterine atony. Which clinical finding would increase the nurse’s concern regarding this risk?

Emergency measures used in the treatment of a prolapsed cord include which of the following? (Select all that apply.)

Which presentation is most likely to occur with a hypertonic labor pattern? (Select all that apply.)

Which patient would be most likely to have severe afterbirth pains and request a narcotic analgesic?

Which maternal event is abnormal in the early postpartal period

Which fundal assessment finding at 12 hours after birth requires further assessment?

If the patient’s white blood cell (WBC) count is 25,000/mm3 on her second postpartum day, which action should the nurse take?

Postpartal overdistention of the bladder and urinary retention can lead to which complication?

A postpartum patient asks, “Will these stretch marks ever go away?” Which is the nurse’s best response?

A pregnant patient asks when the dark line on her abdomen (linea nigra) will go away. The nurse knows the pigmentation will fade after birth due to

Which clinical finding should the nurse suspect if the fundus is palpated on the right side of the abdomen above the expected level?

Which situation would require the administration of Rho(D) immune globulin?

If the rubella vaccine is indicated for a postpartum patient, which instructions should be provided?

Which measure is optimal in order to prevent abdominal distention following cesarean birth?

To assess fundal contraction 6 hours after cesarean birth, which technique should the nurse utilize?

The nurse has completed a postpartum assessment on a patient who delivered 1 hour ago. Which amount of lochia consists of a moderate amount

The postpartum nurse has completed discharge teaching for a patient being discharged after an uncomplicated vaginal birth. Which statement by the patient indicates that further teaching is necessary?

The nurse is caring for a postpartum patient who delivered by the vaginal route 12 hours ago. Which assessment finding should the nurse report to the health care provider?

To facilitate adequate urinary elimination during the postpartum period, the nurse should incorporate which intervention into the plan of care?

When assessing the A of the acronym REEDA, the nurse should evaluate the

Which assessment finding 24 hours after vaginal birth would indicate a need for further intervention?

The nurse is providing care to a patient who delivered a 3525-g infant 14 hours ago. The nurse palpates the fundus of the uterus as firm and at the umbilicus. What is the nurse’s priority action related to this finding?

The nurse is providing care to a patient 2 hours after a cesarean birth. In the hand-off report, the preceding nurse indicated that the patient’s lochia was scant rubra. On initial assessment,the oncoming nurse notes the patient’s peripad is saturated with lochia rubra immediately after breastfeeding her infant. What is the nurse’s priority action with this finding?

The nurse includes the addition of ice sitz baths for the postpartum patient. Which assessment finding indicates the treatment has been effective?

Which description best explains the term reciprocal attachment behavior?

The postpartum patient who continually repeats the story of her labor, birth, and recovery experiences is performing which of the following tasks

During which stage of role attainment do the parents become acquainted with their baby and combine parenting activities with cues from the infant?

The nurse observes a patient on her first postpartum day sitting in bed while her newborn lies anticipatory stage begins during the pregnancy when the parents choose a physician and attend childbirth classes.awake in the bassinet. Which action is most appropriate for the nurse to take at this time?

The postpartum nurse is observing a patient holding the baby she delivered less than 24 hours ago. The partner is watching his wife and asking questions about newborn care. The 4-year-old big brother is punching his mother on the back what should the nurse do next?

During which phase of maternal adjustment will the mother relinquish the baby of her fantasies and accept the real baby?

A new father calls the nurse’s station stating that his wife, who delivered last week, is happy one minute and crying the next. He states, “She was never like this before the baby was born.”How should the nurse best respond?

To promote bonding and attachment immediately after birth, which action should the nurse take?

Which patient is more likely to have less stress adjusting to her role as a mother?

Which anticipatory guidance action by the nurse makes role transition to parenthood easier?

Which action should the nurse take in order to provide support and encouragement to the new postpartum patient?

Which should the nurse do to provide support to a patient who must return to full-time employment 6 weeks after a vaginal birth?

The postpartum nurse is reviewing dietary practices for an Asian patient. Which of the following should the nurse expect to observe as a dietary practice for this culture?

An example of binding in during the postpartum period is a

Which of the following behaviors would be applicable to a nursing diagnosis of Risk for Impaired Parenting?

A family is concerned about how their 2-year-old son is going to react to the new baby. Which intervention would help facilitate sibling attachment?

The nurse is developing a plan of care for the patient’s fourth stage of labor. One nursing intervention is to promote bonding. Specifically, which nursing action will facilitate the bonding process?

A postpartum patient calls the clinic and reports to the nurse feelings of fatigue, tearfulness, and anxiety. What is the nurse’s most appropriate response at this time?

Which vaccinations are indicated for the postpartum patient if she does not have immunity? (Select all that apply.)

The nurse is planning comfort measures to implement for a patient after a vaginal birth. Which measures should the nurse plan to include in the patient’s care plan? (Select all that apply.)

The nurse is teaching a non–breastfeeding patient measure to suppress lactation. Which information should the nurse include in the teaching session? (Select all that apply.)

The nurse is conducting discharge teaching for a patient going home after a cesarean birth. Which signs and symptoms should the patient be taught to report? (Select all that apply.)

Which of the following are nursing measures that can promote parent-infant bonding and attachment? (Select all that apply.)

Which statement by a postpartum patient indicates that further teaching regarding thrombus formation is unnecessary?

The nurse understands that late postpartum hemorrhage may be prevented by

A multiparous patient is admitted to the postpartum unit after a rapid labor and birth of a 4000-g infant. Her fundus is boggy, lochia is heavy, and vital signs are unchanged. The nurse has the patient void and massages her fundus; however, the fundus remains difficult to find and the rubra lochia remains heavy. Which action should the nurse take next?

Early postpartum hemorrhage is defined as a blood loss greater than

A steady trickle of bright red blood from the vagina in the presence of a firm fundus suggests

A postpartum patient would be at increased risk for postpartum hemorrhage if she delivered a(n)

The nurse should expect medical intervention for subinvolution to include

If nonsurgical treatment for subinvolution is ineffective, which surgical procedure is appropriate to correct the cause of this condition?

A positive sign of thrombophlebitis includes

Which nursing measure would be most appropriate to prevent thrombophlebitis in the recovery period following a cesarean birth?

Which temperature indicates the presence of postpartum infection?

A white blood cell (WBC) count of 35,000 cells/mm3 on the morning of the first postpartum day indicates

The patient who is being treated for endometritis is placed in the Fowler position because this position

Nursing measures that help prevent postpartum urinary tract infection include

Which measure may prevent mastitis in a breastfeeding patient?

A patient with mastitis is concerned about breastfeeding while she has an active infection. Which is an appropriate response by the nurse?

The nurse suspecting a uterine infection in a postpartum patient should assess the

Following a difficult vaginal birth of a singleton pregnancy, the patient starts bleeding heavily. Clots are expressed and a Foley catheter is inserted to empty the bladder becausethe uterine fundus is soft and displaced laterally from midline. Vital signs are 37.6°C (99.8°F), pulse 90 beats/minute, respirations 20 breaths per minute, and BP 130/90 mm Hg.Which pharmacologic intervention is indicated?

Following a vaginal birth, a patient has lost a significant amount of blood and is starting to experience signs of hypovolemic shock. Which clinical signs would be consistent with this diagnosis?

A patient has been treated with oxytocin (Pitocin) for postpartum hemorrhage. Bleeding has stabilized and slowed down considerably. The peripad in place reveals a moderate amount of bright red blood, with no clots expelled when masbsiargbi.ncgomth/etefusnt dus. The patient now complains of having difficulty breathing. Auscultation of breath sounds reveals adventitious sounds. Based on this clinical presentation, the priority nursing action is to

A postpartum patient has developed deep vein thrombosis and treatment with warfarin (Coumadin) has been initiated. Which dietary selection should be modified in view of this treatment regimen?

To determine an adverse response to carboprost tromethamine (Hemabate), the nurse should on Coumadin therapy. Vitamin K is the antidote to Coumadin activity. frequently assess

If the nurse suspects a complication of a low forceps birth labor, she should immediately

Prior to ambulating the patient whose admission hemoglobin level was 10.2 g/dL to the bathroom, the nurse should

If a late postpartum hemorrhage is documented on a patient who delivered 3 days ago, the nurse recognizes that this hemorrhage occurred

Which patient data received during report should the nurse recognize as being at risk for postpartum complications?

Before administering methylergonovine (Methergine), the nurse checks the

To evaluate the desired response of methylergonovainbeir, the nurse would assess the patient’s

As you receive a report, which assessment finding should you recognize as an indication of a vaginal laceration?

The nurse observes the patient as she ambulates to the bathroom. Which clinical finding might indicate development of a DVT (deep vein tharboimrbb.ocsoims)?

If a DVT (deep vein thrombosis) is suspected, the nurse should

If the nurse suspects a pulmonary embolism in the patient who suddenly complains of chest pain, she or he should immediately

To prevent infection of the reproductive tract, the nurse should instruct the patient to

The nurse notes that the fundus of a postpartum patient is boggy, shifted to the left of the midline, and 2 cm above the umbilicus. What is the nurse’s priority action?

Which information should the nurse recognize as contributing to mastitis in the breastfeeding mother? (Select all that apply.)

The visiting nurse must be aware that women who have had a postpartum hemorrhage are subject to a variety of complications after discharge from the hospital. These include which of the following? (Select all that apply.)

A nursing student is helping the mother-baby nurse with morning vital signs. A baby born 10 hours ago via cesarean birth is found to have moist lung sounds. Which is the best interpretation of this information?

Which of the following organs are nonfunctional during fetal life?

Which method of heat loss may occur if a newborn is placed on a cold scale or touched with cold hands?

How can nurses prevent evaporative heat loss in the newborn?

The nurse is explaining how a newly delivered baby initiates respirations. Which statement explains this process most accurately?

During fetal circulation the pressure is greatest in the

The infant’s heat loss immediately at birth is predominantly from

The nurse is explaining the risk of hypothermia in the newborn to a group of nursing students. Which statement best describes the manifestations of hypothermia in the newborn?

Which infant has the lowest risk of developing high levels of bilirubin?

The nurse is preparing to administer a vitamin K injection to the infant shortly after birth. Which statement is important to understand regarding the properties of vitamin K?

A meconium stool can be differentiated from a transitional stool in the newborn because the meconium stool is

Which of the following is the most likely cause of regurgitation when a newborn is fed?

The process in which bilirubin is changed from a fat-soluble product to a water-soluble product is known as

A newborn is admitted to the special care nursery with hypothermia. Which complication should the nurse monitor for closely?

Which action by the nurse can result in hyperthermia in the newborn?

A multiparous patient arrives to the labor unit and urgently states, “The baby is coming RIGHT NOW!” The nurse assists the patient into a comfortable position and delivers the infant. To prevent infant heat loss from conduction, what is the priority nursing action?

The nurse is planning to conduct the initial assessment of a full-term newborn. Included in the plan is providing a neutral thermal environment. To accomplish this plan, what is the desired environmental temperature to conduct the assessment

An infant at 39 weeks’ gestation was just delivered; included in the protocol for a term infant is an initial blood glucose assessment. The nurse obtains the blood sample and the reading is 58 mg/dL. What is the priority nursing action based upon this reading?

During the first few minutes after birth, which physiologic change occurs in the newborn as a response to vascular pressure changes in increased oxygen levels?

Which infant is at greater risk to develop cold stress?

A reported hematocrit level for a newborn delivered by vaginal birth is 75%. Based on this lab value, which complication is the newborn least likely to develop?

In the newborn nursery, you are reviewing the maternal medication list to ascertain if there is any significant risk to the newborn. Which medications would pose a potential risk to the newborn in terms of clotting ability? (Select all that apply.)

The nurse is teaching the postpartum patient about newborn transitional stools. Which should the nurse include in the teaching session with regard to transitional stools? (Select all that apply.)

Which newborn is at higher risk for developing hypoglycemia? (Select all that apply.)