Maternal Newborn Proctored Exam - Florida International University (Fiu)

A nurse assesses a client's uterus during contractions and notes that it becomes firm with each contraction, lasting 45 seconds, and softens completely between contractions. Cervical change from 4 cm

A 39-week gravida 2 client arrives at the birthing unit stating, "I've been contracting every 5 minutes for the past hour, and they're getting stronger.”. She says walking made the contractions feel e

A 37-week primigravida tells the nurse, "I feel like my baby dropped. I can finally take a deep breath again, but now I have to go to the bathroom all the time.”. Which nursing response is most approp

A labor and delivery nurse is caring for a 26-year-old G1P0 client who was admitted in active labor. The provider has ordered vaginal exams as indicated. In which of the following situations would the

A laboring woman experienced spontaneous rupture of membranes (SROM) 18 hours ago. Her temperature is now 100.8°F (38.2°C) and the amniotic fluid has a foul odor. What complication should the

When assessing a multiparous woman who has just given birth to an 8-pound boy 15 minutes ago, the nurse notes that the woman's fundus has become globular in shape. A gush of dark red blood comes from

A client 40 weeks in early labor tells the nurse she feels wet. The nurse observes spontaneous rupture of membranes with clear fluid. Which nursing action is priority?

Ten minutes after placental delivery, the nurse notes a soft, boggy uterus and steady trickle of bright red blood. What is the nurse's first action?

A 40 weeks gestation client delivered a baby girl 20 minutes ago. The nurse observes a gush of blood from the vagina and lengthening of the umbilical cord. The nurse prepares Pitocin IV to be administ

A nurse is caring for a laboring client whose membranes ruptured spontaneously. Immediately afterward, the fetal heart rate drops to 70 beats per minute and does not recover after repositioning to her

A nurse is caring for a client who is 1 hour postpartum and observes minimal lochia rubra with a dime-sized clot on the sanitary pad. The fundus is midline and firm at the umbilicus. Which of the foll

A postpartum client who delivered 24 hours ago continues to complain of severe perineal pain after being medicated with pain medication. The client's vital signs are stable. The uterus is firm and mid

A nurse is assessing a client who is 2 days postpartum and is breastfeeding. The nurse notes that the fundus is two centimeters below the umbilicus, lochia rubra is scant, and the breasts are warm to

The nurse is caring for a postpartum client who delivered 1 hour ago by Cesarean section. The client had a quantity blood loss of 350 milliliters during the delivery. One hour later, the client's bed

A postpartum client delivered by Cesarean section 1 day ago. The mother's blood type is O negative and the newborn's blood type is B positive. Which of the interventions should the nurse perform?

A postpartum client who is 2 days post-vaginal delivery reports cramping in her lower abdomen that worsens while she is breastfeeding. Which response by the nurse best explains this finding?

A postpartum woman chooses not to breastfeed and reports painful, swollen breasts two days after delivery. Which nursing intervention is most appropriate?

A nurse is caring for a client who experienced a vaginal delivery 48 hours ago. When assessing the client's uterus, where should the nurse expect to palpate the uterine fundus at this time?

Four hours postpartum, the nurse notes the uterus is firm but displaced to the right. The client voided 150 mL one hour ago and feels pressure in her bladder. What should the nurse do first?

A postpartum woman at day 8 reports that her vaginal discharge has turned yellow-white and has no foul odor. The client denies pain or any urinary discomfort. Which interpretation is correct?

The nurse teaches new parents about normal healing after circumcision. Which observation should the parents report to the provider?

A newborn is lying naked on a cold mattress near a drafty window. Which two types of heat loss are occurring simultaneously?

The nurse is assessing an infant's heart rate who woke up crying for 5 minutes. The infant's heart rate is 170 beats per minute. When would it be appropriate for the nurse to reassess the infant's hea

A new father wants to know what medication was put into his infant's eyes and why it is needed. The nurse explains the purpose of Erythromycin is to:

A nurse is caring for a newborn under a radiant warmer. The temperature probe becomes detached, causing the warmer to overheat. Which finding requires immediate action?