A nurse is teaching a client about Rho(D) immunoglobulin (RhoGAM). Which of

thefollowing statements by the client indicated an understanding of the

teaching?

a. I will receive this medication if my baby is Rh-negative

b. I will receive this medication at time of delivery

c. I will need a second dose of this medication when my baby is 6

weeks old

d. I will need this medication if I have an amniocentesisRecommended because of thepotential of fetal RBCs entering the

maternal circulation

2. A nurse is caring for a client who is to receive oxytocin (Pitocin) to

augment her labor. Whichof the following contraindicates the initiation

of the oxytocin infusion and requires notification of the provider?

a. Late decelerations- Oxytocin is contraindicated based on late

decelerations noted onfetal assessment findings because they

indicate uteroplacental insufficiency.

b. Baseline variability

c. Cessation of uterine dilation

d. Prolonged active phase of labor

3. A nurse on the newborn unit is planning discharge for four clients.

Which of the followingwill require care beyond that of a standard

follow-up visit with the provider after delivery?

a. A newborn being sent home after 22 hr after birth- Screening tests

must be repeatedif they were performed before he newborn was

24 hr. old.

b. A newborn at 38 weeks of gestational age

c. A newborn who is bottle feeding

d. Twin newborns with Apgar scores of 8 and 9

4.

5. 01. A nurse on the postpartum unit is caring for a client following a

cesarean birth. Which ofthe following assessments is the nurse's

priority?

6.

7. Amount of lochia

8. When using the airway, breathing, circulation approach to client care,

the nurse should placethe priority in the immediate postpartum period

on assessing the amount of postpartum lochia.

9. The greatest risk to the client is bleeding and

postpartum hemorrhage.10.

11. 02. A nurse is caring for a client who is in labor and whose fetus is in the

right occiput posterior position. The client is dilated to 8 cm and reports

back pain. Which of the followingactions should the nurse take?

12.

13. Apply sacral counterpressure