Maternal Newborn Module Post-Test Questions with Complete & Verified Answers \Marking Sche, Exams of Nursing

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A nurse is assessing a patient who is 1 day postpartum and is not breastfeeding. The nurse notes the patient's breasts are engorged. Which of the following actions is appropriate for the patient to take? A) applying ice packs B) wearing a loose-fitting bra C) pumping her breasts D) taking a warm shower - Answer A) applying ice packs A nurse is assessing a patient at a routine antepartum visit. For a rough estimate of the number of gestational weeks the patient is at, the nurse should measure the number of cm between which two anatomical landmarks? A) the mons pubis and the xiphoid process B) the top of the fundus and the umbilibus

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C) the symphysis pubis and the top of the fundus D) the mons pubis and the umbilicus - Answer C) the symphysis pubis and the top of the fundus A nurse is performing umbilical cord care for a term newborn. Which of the following findings requires further assessment and intervention? A) blackening of the stump B)redness at the base C) clear gel at the tip D) hardening of the stump - Answer B) redness at the base A nurse is performing a gestational age assessment using the New Ballard Score for newborn maturity rating. Which of the following findings indicates that the newborn is preterm?

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a) flexion of the extremities at rest B) creases over the entire plantar surface C) leathery skin D) flat areola - Answer D) flat areola A nurse is assessing a patient who is at 20 weeks of gestation. She instructs the patient to be sure to report headaches, blurred vision, and swelling of her hands because these are indications of which of the following complications of pregnancy? A) gestational diabetes B) preeclampsia C) hyperemesis gravidarum D) abruptio placentae - Answer B) preeclampsia

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A nurse is caring for a newborn who has just had a circumsion using the Gomco clamp technique. Which of the following instructions should the nurse include when teaching the parents to care for the sale? Select all that apply) A) apply petroleum jelly to the penis for the first 24hr B) cleanse the penis with warm water and mild soap C) apply gentle pressure from a sterile gauze pad to control slight bleeding D) gently wipe away any yellow exudate on the penis E) apply the diaper loosely over the penis - Answer A,C,E A patient who is 1 day postpartum tells the nurse that she is concerned about her newborn receiving enough nourishment from breastfeeding. The newborn should explain that she should look for which of the following as a sign of adequate nutrition?

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A) the newborn feeds at least six times in 24 hr B) the newborn has six wet diapers and three stool per day after day 4 C) the milk supply is plentiful by the newborn's second day D) the newborn has returned to his birth weight 6-8 days following delivery - Answer B) the newborn has six wet diapers and three stools per day after day 4 A nurse is caring for a patient who is in labor and has pain in her lower back because the fetal head is in a posterior position. Which of the following nonpharm pain management techniques is likely to be most effective in relieving this type of pain? A) counterpressure B) effleurage C) therapeutic touch

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D) breathing tecnniques - Answer A) counterpressure A nurse is teaching the parents of a term newborn how to bathe him. Which of the following instructions should the nurse include? a) bathe him every day b) give him a bath after he has had a feeling c) give him a sponge bath until his cord stump falls off d) clean his ears and nose with cotton swabs - Answer C) give him a sponge bath until his cord stump falls off A newborn delivered vaginally at term 1 min ago cried loudly at delivery, has a heart rate of 140/min, has well flexed arms and legs, grimaces when the nurse rubs the soles of his feet, and is pink with mild acrocyanosis. What Apgar score should the nurse assign to this newborn? - Answer 8