• A charge nurse on the postpartum unit is observing a newly licensed nurse who is preparing o administer pain medication to a client. The charge nurse should intervene when the newly licensed nurse uses which of the following secondary id to identify the client?

o The client's room number

R: is not acceptable identifier and places the client at risk for a med error

• A nurse is providing discharge teaching to a patient whose newborn has just had a circumcision. Which of the following instructions should the nurse include?

o Apply slight pressure with a sterile gauze pad for mild bleeding

R: Nurse should instruct client to attempt to stop mild bleeding by applying pressure with sterile gauze. If bleeding continues the client should notify the provider.

• A nurse is teaching about effective breastfeeding to a client who is 3 days postpartum. Which of the following information should the nurse include?

o Your newborn should appear content after feeding

R: If the baby is not content after feeding signs of hunger are rooting, sucking on the hands or crying because they might not be emptying the breasts during feeding completely

• A nurse planning care for a client who is in labor and is requesting epidural anesthesia for pain control. Which of the following actions should the nurse include in the plan of care?

o Monitor the clients B/P every 5 min following the first dose of anesthetic solution

B: The nurse should plan to obtain a baseline blood pressure prior to the

initiation of anesthetic solution. The nurse should then continue to monitor the client's blood pressure every 5 to 10 min to assess for maternal hypotension caused by the anesthetic solution

• A nurse is teaching a new mother how to use a bulb syringe to suction her newborn's secretions. Which of the following instructions should the nurse include?

o Stop suctioning when the newborn cry sounds clear

R: nurse should instruct client to stop suctioning when cry no longer sounds like it is coming through a bubble of fluid or mucus

• A nurse is assessing a client who is 12hr postpartum. The client's fundus is two finger breadths above the umbilicus deviated to the right of the midline, and less firm than previously noted. Which of the following actions should the nurse take?

o Assist the client to the bathroom to void

R: a dissented bladder can cause the uterus from contracting and can cause uterine atony. Therefore, the nurse should assist the client to void.

• A nurse is reviewing the medical record at 1800 for a client who is at 34wks gestation. Based in the chart findings and documentation the nursing plan of care should include which of the following actions?