Maternal Newborn Nursing Practice Questions, Exams of Health psychology

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RN Maternal Newborn Online Practice

2023 A

A nurse is admitting a client to the labor and delivery until when the client states, "my water just broke." Which of the following interventions is the nurse's priority? - ✔✔Begin FHR monitoring A nurse is assessing the newborn of a client who took a SSRI during pregnancy. Which of the following manifestations should the nurse identify as in indication of withdrawal from an SSRI? - ✔✔Vomiting. (expected manifestations associated with fetal exposure to SSRIs include irritability, agitation, tremor, diarrhea, and vomiting. These typically last 2 days) A nurse is caring for a newborn who is 70 hr old. Maternal history of methadone use during pregnancy. (Exhibit 1-4) Which of the following findings should the nurse report to the provider? - ✔✔-Central Nervous system findings: the findings are manifestation of NAS.

• Gastrointestinal findings: Poor feeding and loose stools are manifestation of NAS.
• Everything else is within normal range. A nurse is caring for a newborn. Neonate: 4706g, difficult vaginal birth with shoulder dystocia. No movement in right arm. Diagnosis: Brachial

plexus injury resulting in Erb-Duchenne paralysis (Exhibit 1-3). For each potential nursing action, click to specify if the intervention is indicated or contraindicated for the newborn. - ✔✔-Educate the parents to begin ROM exercises on the affect arm after one week: indicated

• Assess for grasp reflex in the affected extremity: Indicated
• Immobilize the arm across the abdomen by pinning the newborns sleeve to their shift: Indicated
• Instruct parents to limit physical handling for 2 weeks: Contraindicated A nurse on an antepartum unit is caring for a client. G4P3, 30 w gestation, Previous pregnancies delivered via C/s. (Exhibit 1-3) For each potential nursing action, click to specify if the intervention is indicated or contraindicated for the client. - ✔✔-Admin Methotrexate: Contraindicated
• Assess Cervical Dilation: Contraindicated
• Insert a large bore IV catheter: Indicated
• Weigh perineal Pads: Indicated A nurse in a family planning clinic is caring for a client who requests an oral contraceptive. Which of the following findings in the client's history should the nurse recognize as a contraindication to oral contraceptives? (select all that apply) - ✔✔-Cholecystitis (hx of gallbladder disease is a contraindication for the use of oral contraceptives)
• Hypertension
• Migraine headaches