A nurse is assessing a client who is in preterm labor and has a new prescription or terbutaline 0.25 mg subcutaneous. For which of the following findings should the nurse Withhold the medication and Report to the provider?
a. fasting blood glucose 75 mg / DL
b. blood pressure 88/58 mmhg
c. urinary output 40 ml /hr
d. FHR 120/min
- ANSWER>>b. blood pressure 88/58 mmhg
A nurse is providing teaching to the parents of a newborn about the plausible circumcision technique. Which of the following? - p170-171 - postprocedure bottom of 170 and goes into top of 171.
a. the plausible will be removed 4 hours after the procedure
b. notify the provider is the end of your penis appears dark red
c. make sure the newborn's diaper is snug
d. yellow exudate will form at the surgical site in 24 hours
- ANSWER>>d. yellow exudate will form at the surgical site in 24 hours
A nurse is planning care immediately following birth for a newborn who has Myelomeningocele that is cerebrospinal fluid. Which of the following actions should the nurse include in the plan of care?
a. Administer broad-spectrum antibiotics
b. cleanse the site with Povidone iodine
c. monitor the rectal temperature every 4 hours
d. prepare for surgical closure after 72 hours
- ANSWER>>a. Administer broad-spectrum antibiotics
A nurse is caring for a newborn Boys 6 hours old and has a bedside glucose meter reading of 65 mg / DL. The New Orleans mother has Type 2 diabetes mellitus. Which of the following actions should the nurse take?
a. Administer 50 mL of dextrose solution IV
b. obtain a blood sample of serum glucose level
c. reassess the blood glucose level prior to the next feeding
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