Picture This
What's next?
Small Problems
Big Problems
100
How would you document this assessment finding and would you report it to the healthcare provider?
What is molding?
100
The L&D nurse is caring for a client who just delivered the placenta. The nurse will now administer this medication.
What is oxytocin?
100
The parents of a male newborn have refused erythromycin and Vitamin K. This procedure cannot be performed on ths child.
What is circumcision?
100
In order to obtain the most accurate blood pressure in a pregnant woman, this type of cuff should be used.
What is a manual cuff?
200
This condition is often associated with poor latch during breastfeeding.
What is mastitis?
200
A client calls the nurse at an OBY/GYN Office complaining of persistent vaginal bleeding since delivery, at 4 weeks postpartum. What should the nurse do after receiving this information?
What is notify the healthcare provider?
200
Poor feeding, cephalohematoma, maternal diabetes, Maternal blood type O+/newborn blood type A+ put the newborn at risk of developing this complication
What is jaundice?
200
This activity shold be part of the plan of care to prevent the development of VTE in most postpartum women.
What is early ambulation?
300
The mark noted on the newborn's cheek is related to this type of birth.
What is a forceps birth?
300
A client has just had the Bakri Balloon place after a blood loss of 1300 ml during delivery. The nurse anticipates that the client will also have this device inserted.
What is an indwelling urinary catheter?
300
This is the most important nursing intervention to prevent neonatal hypoglycemia.
What is early breast or bottle feeding?feeding
300
Woman should be taught to watch for the development of this type of edema which can is associated with worsening of pre-eclampsia.
What is peri-orbital edema?
400
A nurse is assessing the perineum of a woman complaining of severe perineal pain. She notes that the perineum appears as pictured and suspects a complication related to vaginal delivery.
What is vulvar hematoma?
400
The nurse is caring for a client, now 1 hour post-C.Section, who was delivered at 31 weeks for pre-eclampsia with severe features. The OB resident has ordered Methergine IM for the client who is now hemorrhaging. The nurse's most appropriate action is this.
What is call the doctor back for a new order?
400
An infant whose head circumference is at the 8th percentile and her weight is at the 6th percentile would be classified as this.
What is Small for Gestational Age (SGA)?
400
A client is being admitted to the hospital for pre-eclampsia with severe features at 28 weeks gestation. The nurse anticipates that this medication will be prescribed for seizure prophylaxis.
What is Magnesium Sulfate?
500
When the nurse is taking the VS of a ten hour old infant, he notes this assessment finding.
What are intercostal retractions? (Report to HCP)
500
The OR nurse is caring for a client undergoing a scheduled Cesarean Section. The nurse anticipates that he will perform this action in order to most accurately quantify blood loss during the surgery.
What is weigh all soft materials and measure all blood suctioned during the case?
500
When a radiant warmer is being used to treat low temperature in a newborn., it should be set on this mode.
What is Servo Mode?
500
A client who delivered yesterday complains to the nurse on the postpartum unit that she is experiencing a headache, dizziness, and epigastric pain. The most appropraite actions by the nurse include.
What are check blood pressure and notify the healthcare provider?