A nurse is teaching a client who is at 12 wks gestation and has HIV. What statement

should the nurse include in the teaching?

a. you will be in isolation after delivery

b. abstain from sexual intercourse throughout pregnancy

c. breastfeed your newborn to provide passive immunity

d. you should continue to take zidovudine throughout the pregnancy - ANSWER-d. you

should continue to take zidovudine throughout the pregnancy

-can be transmitted through breastfeeding

-she can continue to have sex

The nurse should inform the client that taking prescription antiviral medication every day

decreases the risk of transmission of HIV to her newborn.

A nurse is providing teaching to a client who is at 8 wks gestation about manifestations

to report to the provider during pregnancy. What info should the nurse include in the

teaching?

a. nausea upon awakening

b. blurred or double vision

c. increase in white vaginal discharge

d. leg cramps when sleeping - ANSWER-b. blurred or double vision

A nurse is caring for a client who is in the latent phase of labor and is receiving oxytocin

via continuous IV infusion. The nurse notes that the client is having contractions every 2

min which last 100-110 seconds that the fetal heart rate is reassuring. What action

should the nurse take?

a. decrease the dose of oxytocin by half

b. administer oxygen via nonrebreather mask

c. decrease the infusion rate of the maintenance IV fluid

d. administer terbutaline 0.25mg subq - ANSWER-a. decrease the dose of oxytocin by

half

The nurse should decrease the dose of oxytocin by half because the client is

experiencing uterine tachysystole.

A nurse is caring for a client who is in active labor and has meconium staining of the

amniotic fluid. The nurse notes a reassuring FHR tracing from the external fetal monitor.

What action should the nurse take?

a. prepare the client for emergency c-section

b. perform endotrach suctioning as soon as the fetal head is delivered

c. prepare equipment needed for newborn resuscitation