1-IV MAT ml/hr. 12.5

2-Women in the bathroom who has delivery at the bathroom. The nurse call for

help.

15- The nurse is teaching a new mother about breast feeding. The client tell the

nurse that her sister become very uncomfortable when she tries to breast feeding

because she had too much milk What suggestion should the nurse provide to

help this client complains with the discomfort associated with engorged breast ?

ANSWER / Wear a supportive bra at all time.

16- A 38 weeks primigravida is admitted in labor -delivery with a non – reactive

result (NST).The nurse begins a contraction stress with oxytocin Pitocin infusion.

Which finding is most important for the nurse to reporthealthprovider?

ANSWER/ A pattern of fetal late decelerations

17- A 33 years old client gravida 7 para 5 is submitted to the hospital in emergency

room at 32 weeks of gestation.She is not pain, is alert and is not acute distress FHR

120 BEATS/MINUTES with minim variability. She tells the nurse thatshe woke up

to find that she was lyingin a pool a blood. Which assessment data should the nurse

obtain first?

Cervical dilation

Maternal blood pressure

Hematocrit and Hemoglobin

Uterine Contraction

ANSWER / Blood pressure

18- During the admission of a newborn, the nurse identifies alocalized swelling

that does not cross the suture line on the posterior area of the parietal bone. What

intervention the nurse implement?

ANSWER Notification pediatrician of the cephalohematoma

19-A 34 weeks’ gestation multigravida come to clinic for her bimonthlyappointment. Which assessment finding should the nurse report in the

healthcare provider?

-1+ Edema in lower extremities.

-Fundal height of 30 cm.

-Fetal heart rate 110 beats/minute.

-weight gain of 2 pounds.