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Final (Nurn 218) questions with accurate solutions
a 16 wk gestation pt at her first prenatal visit has informed you that she has been using heroin during her pregnancy. what would be included in the plan of care? Correct Answers provide information about the relationship between substance abuse & maternal health probs and potential newborn complications A baby was just born to a mother who had positive vaginal cultures for group B strep. The mother was admitted to labor 2 hours before the birth. Which of the following should the nurse closely observe for in this baby Correct Answers hypothermia A new mother asks why they are bruises on her newborns sacral area. Your response is based on the knowledge that: Correct Answers they are a type of skin variation called Mongolian spots a new mother is concerned that she is having difficulty awakening her 3hr old baby. you recognize this as: Correct Answers the sleep phase a newborn will lose 5-10% of her birth weight and can be expected to regain back by: Correct Answers 10-14 days a newborn's early hunger cues include which of the following? Correct Answers hand to mouth movements
a nurse is assessing a newborn baby, the nb is vigrous & crying on own, what should the nurse do? Correct Answers let the fluid dissolve by baby crying & no suction a one day old newborns head circ is 34 cms and chest circ is 32 cms. what would be the nurses appropriate action? Correct Answers document finding is WNL A patient has gestational diabetes and is currently 34 weeks pregnant. Which assessment findings below should you immediately report to the physician? Select all that apply: A. Blood glucose 129 mg/dL B. Blood pressure 190/ C. Proteinuria D. Linea nigra E. Negative glycosuria Correct Answers Blood pressure 190/ Proteinuria BG 129 mg/dL a patient with severe preeclampsia is receiving magnesium sulfate therapy IV for seizure prophylaxis. The nurse would be alert for which of the following signs of mag tox? Correct Answers RR of 10/min decreased LOC flushing & sweating urinary output less than 30 ml/hr
increase in maternal tissue response to insulin increase in maternal storage of glycogen and fat birth asphyxia is also known as Correct Answers hypoxic ischemic encephalopathy both breast milk and formula provide: Correct Answers 20cal/oz catabolic phase of pregnancy there is placental hormones (HPL, prolactin & insulinase) and increased cortisol causes: Correct Answers maternal insulin resistance maternal plasma glucose rises increased fat breakdown direct coombs test Correct Answers measures antibody coated rbcs in baby's blood if a baby was born just 30 mins ago and BS was low @34 and asymptomatic, what is the 1st intervention the nurse would do? Correct Answers feed them if a baby was born just 30 mins ago and BS was low @34 and symptomatic, what is the 1st intervention the nurse would do? Correct Answers feed them, if not tolerating food give 40% dextrose (sucrose)
if a baby who is 1hr old and presents with acrocyanosis, nasal flaring, tachypnea, what is the first thing the nurse will do? Correct Answers get pulse ox if a preeclamptic pt in preterm labor (tocolysis) and is getting mag sulf and methamphetamine, what will the nurse do? Correct Answers question order as both drugs are CCB if pt had a bioprofile done, what would indicated they would not tolerate labor? Correct Answers low NST, low amniotic fluid indirect coombs test Correct Answers Measures # of Rh+ antibodies in maternal blood Late PP Hemorrhage is commonly caused by: Correct Answers retained placental fragments LGA babies born to diabetic moms are at risk for: Correct Answers hypoglycemia, hyperthermia, hyperbili, birth trauma, respiratory depression pathologic jaundice of newborn 1st appears Correct Answers first 24 hrs Physiologic Jaundice of the Newborn 1st appears Correct Answers 2nd - 3rd day of life
retractions S/s of PROM and PPROM Correct Answers Rupture of amniotic sac, leakage of amniotic fluids s/s of untreated hyperbilirubinemia Correct Answers lethargy hypotonia poor feeding high pitched cry back arching seizures Select the correct statement about newborn stooling patterns: a) the breastfed baby will have 4-6 brown loose stools per day b) the breastfed baby will have a longer period of transitional stools before stools become pale yellow c) the breast fed baby will have 8-10 liquid stools daily d) the breast fed baby may stool every 1-3 days once breast feeding is completely established after 1 month of age Correct Answers d) the breastfed baby may stool every 1-3 days once breast feeding is completely established after 1 month of age
T/F: rhogam can be given with rubella vaccine Correct Answers false, its contraindicated T/F: Rhogam is given via IM or IV Correct Answers true the axillary temp of a 6hr old newborn is 97.2. which intervention should the nurse implement first? Correct Answers place baby skin - skin on the mother's chest and cover w/ 2 blankets the closure of the ductus arteriosis results from: Correct Answers increased oxygen levels and a decrease of maternal prostaglandin levels the nurse is caring for a baby who is getting enteral feeding, what would nursing care would be included? Correct Answers daily weight, tube placement w/ xray before each feed the nurse is doing a baby assessment and notices the temp of a baby is 36.0 but the other vitals appear normal. the baby presents w/ nasal flaring and appears lethargic. What will the nurse do? Correct Answers heat warmer and pulse ox immediately there is a bloody d/c on the diaper of a 4 day old baby girl. your nursing actions depend on the fact that: Correct Answers this is pseudomenstruation which is caused by withdrawal of maternal hormones
what are the s/s of endometritis? Correct Answers tender fundus, fever (>101.1), foul lochia, sub involution, malaise what are the s/s of gestational trophoblastic disease? Correct Answers hyperemesis, brown clumpy blood, high HCG, High fundal height what are the s/s of mag tox? Correct Answers respiratory depression, decreased LOC, DTRs, slurred speech, decreased urine output what are the s/s of mastitis? Correct Answers unilateral breast tenderness, nipple pain, erythema, palpable breast mass, fever, malaise what are the s/s of transient tachypnea of a newborn? Correct Answers grunting, nasal flaring, mild cyanosis what assessment is required for a baby who is undergoing phototherapy for jaundice? Correct Answers frequent monitor Q3H eye mask Assess for hydration reposition baby is naked except for a diaper increase temperature
what changes in a laboring client w/ mitral valve stenosis would require further intervention? Correct Answers cough & rails in base of lungs what factors are associated with LGA neonates? Correct Answers genetic predisposition multiparity occurrence of erythroblastosis fetalis, beckwith-weidemann syndrome, IDM what is a normal axillary temperature of a baby? Correct Answers 36.5-
what is a recommendation the nurse will provide to a pt who has gestational trophoblastic disease? Correct Answers avoid pregnancy for 1 year what is a risk factor of perinatal asphyxia? Correct Answers non reassuring FHR (prolonged brady) what is an apgar score? Correct Answers Assess newborn's condition at birth. A = appearance, P = pulse, G= grimace, A = activity and R = Respiratory effect. Strength & viability what is HELLP syndrome? Correct Answers hemolysis, elevated liver enzymes, low platelets
when assessing a women for abruption placenta the nurse would be alert for which of the following? Correct Answers painful dark red bleeding when caring for a lesbian couple during the childbearing process, the nurse recognizes that: Correct Answers the nonbiologic mother often has legal and biologic concerns when will you give a bath to a baby born to an HIV (+) mom? Correct Answers immediately after birth which method of heat loss is the newborn most susceptible to immediately after birth? Correct Answers evaporation which of the following information on a patient's health record place her at risk for an ectopic pregnancy? Correct Answers recurrent pelvic infections which of the following promotes the grieving process in a couple who have experienced a perinatal loss? Correct Answers refer to baby by name provide tokens of remembrance provide for spiritual and cultural preferences for family which statement is true regarding formula feeding?
a) the casein protein in formula is easier to digest b) is it ok to refeed form the same bottle as long as it is refridgerated c) all bottles and nipples need to be sterilzed d) warm formula in a pan of warm water Correct Answers d) warm formula in a pan of warm water which statement is true regarding PP depression (peripartum major mood episodes)? Correct Answers PP depression can occur up to a year after birth which water source is not suitable for reconstituting formula? Correct Answers natural mineral water why do you give magnesium sulfate to preeclamptic pts? Correct Answers to prevent seizures you are assessing a pp pt. you note that the fundus is firm and 2in below umbilicus. the pt also states her bleeding is moderate. Are these signs considered normal? Correct Answers yes You're assessing the one minute APGAR score of a newborn baby. On assessment, you note the following about your newborn patient: heart rate 130, pink body and hands with cyanotic feet, weak cry, flexion of the arms and legs, active movement and crying when stimulated. What is your patient's APGAR score?
