CMS Maternal Newborn Practice B Exams Final with A+ Answers., Exams of Health, psychology

Download CMS Maternal Newborn Practice B Exams Final with A+ Answers. and more Exams Health, psychology in PDF only on Docsity! CMS Maternal Newborn Practice B Exams Final with A+ Answers. A nurse in a provider's office is reinforcing teaching with a client. Which of the following statements should the nurse include? a. you should discontinue your medication if your urine appears dark in color b. you should douche every other day for 1 week while taking your medication. c. you might experience a metallic taste in your mouth while taking your medication. d. your partner will require medication - ✔✔c. you might experience a metallic taste in your mouth while taking your medication. a nurse in an antepartum clinic is reviewing laboratory test results for a group of clients. The nurse should notify the provider of which of the following results? a. Hemoglobin 14 g/dL b. WBC count 14,000/mm3 c. Hematocrit 31 % d. Platelets 200,000/mm3 - ✔✔c. Hematocrit 31 % A nurse is assisting in the care of a client during the active phase of labor. Which of the following actions should the nurse take to promote the client's comfort? a. prepare the client for a pudendal nerve block b. administer a sedative to the client c. encourage the client to push d. have the client perform relaxing breathing techniques - ✔✔d. have the client perform relaxing breathing techniques A nurse is assisting with monitoring a client after an amniocentesis. Which of the following findings should the nurse expect? a. FHR 120/min b. vaginal bleeding c. temperature of 39 FC d. leakage of amniotic fluid - ✔✔a. FHR 120/min A nurse is assisting with the admission of a newborn who has respiratory distress. While collecting data, which of the following should the nurse report to the provider? select all that apply. a. nasal flaring b. respiratory rate 60/min c. intercostal retractions d. grunting e. heart rate 120/min - ✔✔a. nasal flaring c. intercostal retractions d. grunting a. scrotum appears edematous b. skin appears jaundiced c. voiding has not occurred d. the umbilical cord contains two arteries and one vein - ✔✔b. skin appears jaundiced A nurse is caring for a client following a cesarean birth. Which of the following actions should the nurse take to decrease the client's risk of developing thrombophlebitis? a. Have the client ambulate several times each day b. Administer aspirin 80 mg orally once per day c.Tell the client to expect leg pain for 48 hr d. apply warm compresses to the client's leg - ✔✔a. Have the client ambulate several times each day A nurse is caring for a client who delivered vaginally 6 hr ago. Which of the following findings should the nurse report to the provider? a. labial edema b. fundus firm at the umbilicus c. WBC count 15,000/mm3 d. perineal pad soaked in 15 mins - ✔✔d. perineal pad soaked in 15 mins A nurse is caring for a client who is 48 hr postpartum following a vaginal birth. Which of the following findings should the nurse report to the provider? a. warm, tender area on the calf b. orthostatic hypotension c. moderate loch rubra d. dysuria e. cracked nipples - ✔✔a. warm, tender area on the calf d. dysuria e. cracked nipples A nurse is caring for a client who is in preterm labor and is receiving betamethasone. Which of the following actions should the nurse take? a. check the client's blood pressure every 15 min for 1 hr after administration b. monitor the client's magnesium level c. inject the medication into the client's vests laterals muscle d. inform the client that the medication can cause dizziness - ✔✔c. inject the medication into the client's vests laterals muscle A nurse is collecting data from a 28-year-old client who is requesting a prescription for an oral contraceptive. Which of the following information in the client's history should the nurse identify as a contraindication for the use of oral contraceptives? a. History of mononucleosis 1 yr ago b. Frequent headaches with visual changes c. Reports of occasional heartburn in the evening d. irregular menstrual cycles with dysmenorrhea - ✔✔b. Frequent headaches with visual changes A nurse is collecting data from a client who gave birth 18 hr ago. Which of the following findings should the nurse identify as an indication of a postpartum complication? a. fundus is palpable at 2 cm above the umbilicus b. Temperature is 38 C c. Lochia increases after breastfeeding d. the perineal pad contains several small blood clots - ✔✔a. fundus is palpable at 2 cm above the umbilicus A nurse is collecting data from a client who is 1 day postpartum. Which of the following findings should the nurse identify as an indication of infection? a. BUN 15 mg/dL b. WBC 35,000/mm3 c. Urine specific gravity 1.025 d. Hgb 10g/dL - ✔✔b. WBC 35,000/mm3 d. provide privacy for the parent to examine the newborn - ✔✔c. demonstrate to the parent how to hold the newborn A nurse is contributing to the plan of care for a client who has eclampsia. Which of the following interventions should the nurse plan to include as the priority immediately following a seizure? a. initiate an IV line with an 18-gauge needle b. insert an indwelling urinary catheter c. Administer oxygen via facemask at 10L/min d. monitor the client during magnesium sulfate therapy - ✔✔c. Administer oxygen via facemask at 10L/min A nurse is contributing to the plan of care for a client who has hyperemesis gravidarum. Which of the following interventions should the nurse recommend? a. Encourage fluids with meals b. obtain a specimen for a uric acid level c. initiate a high-fat and low-protein diet d. monitor intake and output - ✔✔d. monitor intake and output A nurse is contributing to the plan of care for a client who is at 18 weeks gestation and has just learned that the fetus has trisomy 21. Which of the following resources should the nurse recommend for the client? a. physical therapy b. occupational therapy c. palliative services d. genetic counseling - ✔✔d. genetic counseling A nurse is contributing to the plan of care for a client who is pregnant and has intermittent constipation. Which of the following interventions should the nurse recommend in the plan? a. take 2 decussate calcium capsules each evening b. use a hypertonic enema when episodes occur c. consume 10 mL (2 tsp) of mineral oil each morning. d. Drink 2 L of water per day - ✔✔d. Drink 2 L of water per day A nurse is contributing to the plan of care for a newborn following a vaginal birth. Which of the following information should the nurse include when helping to develop the newborn's plan of care? Select all that apps. a. maternal group B streptococcus (GBS) status b. Apgar score c. maternal urinary output d. type of birth e. maternal weight - ✔✔a. maternal group B streptococcus (GBS) status b. Apgar score d. type of birth A nurse is planning to perform a blood collection via heel stick on a newborn. After performing hand hygiene and donning gloves, which of the following actions should the nurse plan to take next? a. Cleanse the newborn's heel with antiseptic and allow it to dry b. Wrap the newborn's heel with a cloth moistened with warm water c. cuddle and comfort the newborn d. Apply pressure to the newborn's heel by using a dry gauze square - ✔✔b. Wrap the newborn's heel with a cloth moistened with warm water A nurse is planning to reinforce discharge teaching about formula feeding with the guardian of a newborn. Which of the following instructions should the nurse plan to include? a. provide the newborn with 6-8 feedings during a 24-hr period b. Ensure that the newborn receives 45-60 mL of formula per feeding during the first 48 hr. c. offer water to the newborn between feedings. d. delay burping the newborn until the feeding is complete. - ✔✔a. provide the newborn with 6-8 feedings during a 24-hr period A nurse is preparing to administer phytonadione to a newborn. the nurse should plan to administer this medication by which of the following routes? a. I will wipe the colostrum off my nipple before my baby feeds b. I should wake up my baby to feed during the night c. Since I am breastfeeding, I won't need to give my baby iron supplements until he's a year old d. I should start to pump my breasts after each feeding when I get home - ✔✔b. I should wake up my baby to feed during the night A nurse is reinforcing teaching about car seat safety with the guardian of a newborn. Which of the following statements by the guardian indicates an understanding of the teaching? a. I will place the baby's car seat in a rear-facing position until she is 1 year old. b. I will position the retainer clip at the level of the baby's armpits. c. I will place the shoulder harness straps in a slot 2 inches above the baby's shoulders. d. I will position the baby at a 60-degree angle in the car seat - ✔✔b. I will position the retainer clip at the level of the baby's armpits. . A nurse is reinforcing teaching about formula preparation with the parent of a newborn. Which of the following information should the nurse include? a. warmed formula can increase spitting up b. over diluted formula can result in inadequate growth c. the water used to prepare the formula must be sterile d. formula left in the bottle can be given at the next feeding - ✔✔b. over diluted formula can result in inadequate growth A nurse is reinforcing teaching about newborn home safety precautions with a group of guardians. Which of the following instructions should the nurse include? a. You should be able to place three fingers between the mattress and the sides of the crib. b. You should ensure that crib slats are no more than 2.25 inches apart c. you should attach a pacifier to your baby's clothing d. you should set your water heater at 130 degrees Fahrenheit - ✔✔b. You should ensure that crib slats are no more than 2.25 inches apart A nurse is reinforcing teaching about newborn umbilical cord care with a client who is postpartum. Which of the following statements should the nurse identify as an indication that the client understands the instructions? a. I will report any drainage from my baby's umbilical cord b. I will wash my baby's umbilical cord with soapy water. c. I will expect my baby's umbilical cord to fall off in 2-3 days. d. I will secure the diaper over my baby's umbilical cord - ✔✔a. I will report any drainage from my baby's umbilical cord A nurse is reinforcing teaching about preventing urinary tract infections with a client who is at 25 weeks of gestation. Which of the following instructions should the nurse include? a. you should perform Kegel exercises four times per day b. you should empty your bladder before you go to bed at night c. you should wipe from back to front after urinating d. you should wear underwear made from nylon - ✔✔b. you should empty your bladder before you go to bed at night A nurse is reinforcing teaching with a client who has a new prescription for medroxyprogesterone acetate injection for contraception. Which of the following statements by the client indicates understanding of the teaching? a. I should not receive this medication while I am breastfeeding b. I will need monthly injections of this medication c. I am likely to gain weight while taking this medication d. I should limit my calcium intake while taking this medication - ✔✔c. I am likely to gain weight while taking this medication A nurse is reinforcing teaching with a client who is at 8 weeks of gestation. Which of the following responses by the client indicates an understanding of the teaching? a. I should feel fetal movements by 12 weeks of pregnancy b. I should expect my pregnancy to start showing after the 20th week.