CMS MATERNAL NEWBORN PROCTORED EXAM LATEST 2024-2025 130 QUESTIONS & ANSWERS. GRADED A+, Exams of Nursing

Download CMS MATERNAL NEWBORN PROCTORED EXAM LATEST 2024-2025 130 QUESTIONS & ANSWERS. GRADED A+ and more Exams Nursing in PDF only on Docsity! CMS MATERNAL NEWBORN PROCTORED EXAM LATEST 2024-2025 ACTUAL EXAM 130 QUESTIONS AND CORRECT DETAILED ANSWERS. GRADE A+ A client at 32 weeks gestation is in preterm labor. Which medication should the nurse anticipate to enhance fetal lung maturity? - ANSBetamethasone A client experiences a large gush of fluid from her vagina while walking. What action should the nurse take first? - ANSMonitor FHR for distress A client has been in labor for 12 hr and her membranes are intact. The MD has decided to preform and amniotomy the nurse needs to ensure what during a vaginal exam? - ANSFetal engagement A client who is at 7 weeks of gestation is experiencing nausea and vomiting in the morning. Which of the following information should the nurse include? - ANSEat crackers or plain toast before getting out of bed A client who is at 8 weeks of gestation tells the nurse that she isn't sure she is happy about being pregnant. Which of the following responses should the nurse make? - ANS"It is normal to these feeling during the first few months of pregnancy" A father seems nervous to help with care of the newborn what action should you take to promote bonding? - ANSReinforce education about newborn care when father is present. A mother of a newborn has a concern about a blueish mark across the back and butt of the baby. What should the nurse inform the mother of? - ANSThis is frequently seen in newborns of African American, Asian, Native American origin. A newborn with high bilirubin and undergoing phototherapy. What is an expected finding? - ANSSunken fontanels A nurse at an antepartum clinic is caring for a client who is at 16 weeks gestation. The client reports continued nausea and vomiting and scant, prune colored discharge. She has experienced no weight loss and a fundal height larger than expected. Which complications should the nurse expect? - ANSHydatidiform mole -increased fundal height, elevated HCG W/ excessive N/V. Scant dark, discharge A nurse in a clinic is reinforcing instructions with a client of childbearing age about recommended folic acid supplements. Which of the following defects can occur in the neonate as a result of folic acid deficiency? - ANSNeural tube defects A nurse in a clinic is reinforcing teaching with a client about her new prescription for MEDROXYPROGESTERONE. Which of the following information should the nurse include? - ANS-"You should increase your intake of calcium." -"Irregular vaginal spotting can occur." A nurse in a clinic receives a phone call from a client whose period is 1 week late and requests a pregnancy test. Which of the following information should the nurse provide to the client? - ANS"You should collect the urine from your first morning void." A nurse in a health clinic is reviewing contraceptive use wit a group of adolescent clients. Which of the following statements by an adolescent reflects an understanding of the teaching? - ANS"A water-soluble lubricant should be used with condoms" A nurse in a prenatal clinic is caring for a client who is in the first trimester of pregnancy. The client's health record includes this data: G3 T1 P0 L1. How should the nurse interpret this information. - ANS- Client has delivered one newborn at term -Client has had two prior pregnancies -Client has one living A nurse in a prenatal clinic is caring for a client who is pregnant and experiencing episodes of hypotension. The client asks the nurse what causes these episodes. Which of the following responses should the nurse make? - ANS"This is due to the weight of the uterus on the large blood vessels." A nurse in a prenatal clinic is caring for four clinic is caring for four clients. Which of the following clients' weight gain should the nurse report to the provider. - ANS3.6 kg (8lbs) weight gain in the first trimester A nurse is assisting with the care of a client who has a prescription for mag sulf. What are the contraindications? - ANS-Fetal distress -Vaginal bleeding -Dilation >6 A nurse is assisting with the care of a client who has marginal abruptio placentae. Which of the following findings are risk factors? - ANS-Blunt abdominal trauma -Cocaine use -Cigarette smoking A nurse is assisting with the care of a client who is in preterm labor and is scheduled to undergo an amniocentesis. the nurse should review which of the following tests to determine fetal lung maturity? - ANSLecithin/sphingomyelin (L/S) ratio A nurse is assisting with the care of a client who is pregnant and is to undergo a contraction stress test (CST). Which of the following findings are indications for this procedure? - ANS-Decreased fetal movement -Intrauterine growth restriction -postmaturity A nurse is assisting with the care of a client who is receiving nifedipine for preterm labor prevention. The nurse should monitor for what manifestation? - ANSDizziness (orthostatic hypotension) A nurse is caring for a client who has gonorrhea. What medication should be anticipated? - ANSCeftriaxone A nurse is caring for a client who has pp psycosis, what is the priority action? - ANSAsk the client is she has thoughts of harming herself or infant. A nurse is caring for a client who is 1 day pp. the nurse is checking for maternal adaptation and bonding. For which behaviors should the nurse intervene? - ANS-Demonstrate apathy when newborn cries -Views behavior as uncooperative A nurse is caring for a client who is 14 weeks gestation and has HG. Which are risk factors? - ANS-Obesity -Multifetal pregnancy -Younger than 30 A nurse is caring for a client who is in active labor and is experiencing late decels. What action should the nurse take? - ANSAssist client to left lying position A nurse is caring for a client who is in early pregnancy and is very talkative The nurse is having difficulty collecting data. How should then nurse handle the situation? - ANSGive the client time to express feelings A nurse is caring for a client who is in labor. Which infections can be treated during labor or immediately after? - ANS-Gonorrhea -Chlamydia -HIV -Group B strep A nurse is caring for a client who is pregnant and reviewing clinical manifestations of complications the client should promptly report to the provider. Which of the following complications should the nurse include? - ANSVaginal bleeding A nurse is caring for a newborn who was born at 38 weeks weights 3200 g anf is in the 60th percentile. What category would the infant fall into? - ANSAppropriate of gestational age (must fall between 10th and 90th %) A nurse is caring for client who is pregnant and states that her last mensural period was April 1. Which if the following is the client's estimated date of delivery? - ANSJanuary 8 A nurse is collecting data from a newborn and observes small white nodules on the roof of the mouth. What are they called? - ANSEpstein pearls A nurse is collecting data from a newborn following birth. Which following findings indicate acceptable adaptation to extrauterine life? - ANS-Apnea for 10 sec periods -Obligate nasal breathing A nurse is collecting date from a pp client who is exhibiting tearfulness, insomnia, lack of appetite, and sadness. What is the client experiancing? - ANSPostpartum blues A nurse is discussing common discomforts of pregnancy with a client who is at 6 weeks of gestation. Which of the following findings should the nurse include? - ANS-Breast tenderness -Urinary frequency -Epistaxis A nurse is discussing external monitoring with a client of induction. What should the nurse include in the teaching? - ANSExternal monitoring doesn't allow for monitoring of contractions intensity A nurse is discussing intermittent fetal heart monitoring with a newly licensed nurse. Which statement should the nurse include? - ANSAuscultate the FHR immediately following the rupture of membranes A nurse is discussing risks factors for uti with a newly licensed nurse. Which risk factors should be included? - ANS-Epidural anesthesia -Bladder cath -Frequent pelvic exam -UTI history A nurse is evaluating the reflexes of a newborn. When looking for a Moro reflex what should the nurse evaluate? - ANSHold the newborn in a semi-sitting position, then allow the newborns head and trunk to fall backward A nurse is inspecting the perineal pad of a client who is postpartum 24 hr. Pad is saturated 12cm of dark- red discharge. Which of the following blood loss estimates should the nurse report to the charge nurse and document? - ANSModerate is >10cm A nurse is reviewing the medical record of a client who reports indications of preterm labor. What are some risk factors for this condition? - ANS-UTI -Multifetal pregnancy -DM -Uterine abnormalities A nurse manager is reviewing ways to prevent TORCH infection during pregnancy with a group of newly licensed nurses. Which statement is an understanding of the teaching? - ANSA woman should avoid consuming undercooked meat during pregnancy A nurse on a pp unit is contributing to the plan of care with a client who has thrombophlebitis. What intervention should be recommended? - ANSMeasure leg circumference A nurses is reviewing the health record of a client who is pregnant. The provider indicated the client exhibits probable signs of pregnancy. Which of the following findings should the nurse expect? - ANS- Goodell's sign -Ballottement -Chadwick's sign A sign of a newborn who has abstinence syndrome may have a ? - ANSA continuous high pitched cry Contraindications to circumcision? - ANS-hypospadias -epispadias(defect at location) -history of hemophilia Expected findings of the postmature newborn? - ANS-Leathery skin -Thin with loose skin -Meconium stained umbilical cord -Long finger nails How do you visualize a proper latch? - ANSWhen latched nose, cheek, and chin touching mothers breast Newborn born at 32 weeks and a birth weight of 1,100g. what should the nurse expect? - ANS-Lanugo -Weak grasp reflex -Translucent skin Promoting family bonding with family and siblings. - ANSEncourage the exploration of newborns features Proper bottle feeding technique? - ANSKeep the nipple full of formula throughout feeding Readiness of newborn to feed? - ANSHands in mouth When returning the baby to the mother how should the nurse confirm she has the right person - ANSMatching ID bands