A nurse is caring for a client in active labor and assesses hypotonic labor contractions. Which action should the nurse perform next?

The mother of an infant who has had a cleft lip repair tells the nurse that the surgeon said it was very important not to let the baby cry after surgery.  She asks the nurse “What is the reason for this?” Which is the most appropriate response by the nurse?

 A client is 4 days post-op a vaginal hysterectomy. The indwelling urinary catheter was removed 24 hours ago urine output for the previous shift was 410 mL, vital signs are T 100.1° F, HR 84; RR 20, and BP 110/70.  The client complains of burning with urination. Which of these newly received orders from the HCP will you prioritize and implement? 

The nurse is caring for a child with cleft lip and palate. Which of the following would the nurse identify as a potential complication of this disorder? (Select all that apply)

The nurse is caring for an infant being treated for Acute Otitis Media (AOM). The nurse knows that complications of AOM include all of the following except:

Last week, a client delivered their first pregnancy at 16 weeks gestation.  During the follow-up visit in the family health clinic today, the client notices the chart states they have had a spontaneous abortion. The client is upset over the use of the word abortion.  How can the nurse best explain this terminology to the client?

A nurse is assessing a 7-year-old boy and notes bruises in various stages of healing along with several small round burn marks on the child’s body. When the boy’s mother is questioned, she states “He’s so careless, falls all the time and plays with matches.” Which action by the nurse is appropriate?

The nurse is assessing a newborn born at 28 weeks gestation. Which of the following findings would be of greatest concern when planning nursing interventions?

A client is admitted to Labor and Delivery with an order for cephalexin 100 mg PO every 6 hours.  The drug is available as 125 mg/5 mL.  What volume would the nurse administer?

Last week, a client delivered their first pregnancy at 16 weeks gestation.  During the follow-up visit in the family health clinic today, the client notices the chart states they have had a spontaneous abortion. The client is upset over the use of the word abortion.  How can the nurse best explain this terminology to the client?