Maternal Newborn Proctored with NGN questions with accurate answers /detailed correctly an, Exams of Nursing

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Maternal Newborn Proctored with NGN questions with

accurate answers /detailed correctly answered/24/

1.client who is 16 weeks of gestation asks the nurse how to prepare her father to a younger sibling. Statements should the nurse make? a. You should hold your newborn in your arms when you introduce him to your toddler b. you should move your toddler out of her crib 2 weeks prior to your due date c. c. you should give your toddler a gift from the baby when she visit you in the facility d. You should place your toddler in timeout if she exhibits regressive Behavior after the baby is born: c. you should give your toddler a gift from the baby when she visit you in the facility 2.nurse is observing an adolescent client who is offering her newborn a bottle while he is laying in the bassinet. When the nurse offers to pick the newborn up and place them in the client's arms, the mother States " No, the baby is too tired to be held". Which of the following actions should the nurse take? a. Insist that the mother pick up the newborn to feed him b. demonstrate how to hold a newborn and allow the client to practice

2 / 27 c. persuade the client to breastfeed the newborn to promote bonding d. offer to take the newborn to the nursery to finish his feeding: b. demonstrate how to hold a newborn and allow the client to practice 3.A nurse is assessing a client who is in preterm labor and has a new prescrip- tion or terbutaline 0.25 mg subcutaneous. For which of the following findings should the nurse Withhold the medication and Report to the provider? a. fasting blood glucose 75 mg / DL b. blood pressure 88/58 mmhg c. urinary output 40 ml /hr d. FHR 120/min: b. blood pressure 88/58 mmhg 4.4. A nurse is providing teaching to the parents of a newborn about the plastibell circumcision technique. Which of the following? - p170-171 - post- procedure bottom of 170 and goes into top of 171. a. the plastibell will be removed 4 hours after the procedure b. notify the provider is the end of your penis appears dark red c. make sure the newborn's diaper is snug

4 / 27 7.A nurse is caring for four enter-partum clients. Which of the following clients should the nurse assess first?

5 / 27 a. A client who is at 7 weeks of gestation and reports urinary frequency b. a client who is at 32 weeks of gestation and reports seeing floating spots c. a client who is 38 weeks of gestation and reports leg cramps d. a client who is at 20 weeks of gestation and reports periodic numbness in her fingers: b. a client who is at 32 weeks of gestation and reports seeing floating spots 8.A nurse is planning care for a client who is pregnant and has HIV. Which of the following actions Should the nurse include in the plan of care? a. Use a fetal scalp electrode during labor and delivery b. Bathe the newborn before initiating skin to skin contact c. instruct the client to stop taking the antiretroviral medication at 32 weeks of gestation d. administer pneumococcal immunization to the newborn within 4 hours following birth: d. administer pneumococcal immunization to the newborn within 4 hours following birth 9.A nurse is caring for a client who has placenta previa. Which of the following findings should the nurse expect?

7 / 27 c. offer the newborn 30 ml (1 oz.) a water between feedings d. feed the newborn 5 to 10 minutes per breast: b. allow the baby to feed at least every 3 hours 12.A nurse is assessing a client during her first prenatal visit the client reports March 20th us her last menstrual.. Use Niagele's rule to calculate the estimated date of delivery. Use the mmdd format with four numerals and no spaces or punctuation. 03/20: 12/ 13.A nurse is caring for a client who is at 30 weeks of gestation. The nurse should plan to immunize the client which of the following vaccinations? Select all the apply a. Varicella b. human papillomavirus c. Diphtheria - acellular pertussis d. inactivated influenza e. measles, mumps, and rubella: c. Diphtheria - acellular pertussis d. inactivated influenza 14.A nurse is caring for a client who has preterm labor and receiving mag- nesium sulfate by continuous IV infusion. Which of the following laboratory values should the nurse review during tocolytic therapy? a. indirect Coombs test

8 / 27 b. liver enzymes

10 / 27 c. Airborne d. Protective environment: b. Contact 17.A nurse is assessing a client who is 27 weeks of gestation and has pre eclampsia. Which of the following findings should the nurse report to the provider? a. Hemoglobin 14.8 g/dL b. Platelet count 60,000/ mm c. Creatine 0.8 mg/ dL d. Urine protein concentration 200 mg/24hr: b. Platelet count 60,000/ mm 18.A nurse is providing teaching to a client who is 2 days postpartum and wants to continue using her diaphragm for contraception. Which of the fol- lowing instructions should the nurse include? a. You should use an oil based vaginal lubricant when inserting your di- aphragm b. you should store your diaphragm in sterile water after each use c. you should keep the diaphragm in place for at least 4 hours after intercourse d. you should have your provider refit you for a new diaphragm: d. you should have your

11 / 27 provider refit you for a new diaphragm 19.A nurse is caring for a client who is receiving prenatal care and is at her 24-week appointment. Which of the following laboratory tests should the nurse plan to conduct? a. 1 hour glucose tolerance test b. rubella titer c. Group B strep culture d. blood type and Rh: a. 1 hour glucose tolerance test 20.A nurse is caring for a client who has gestational diabetes mellitus. Which of the following clinical findings should indicate to the nurse the client has hyperglycemia? a. double vision b. increased urination c. Sweating d. dizziness: b. increased urination 21.. A nurse is reviewing the laboratory results of a newborn. Which of the following findings should the nurse report to the provider?

13 / 27 b. hematocrit 48% c. platelets 100,000/ mm 3 d. hemoglobin 16 G / DL: c. platelets 100,000/ mm 3 22.. A nurse is using Niagele's rule to calculate the expected delivery date of a client who reports the first day of the last menstrual cycle was July 28th. Which of the following dates should the nurse document as a client expected delivery date? 07/ a. April 21st b. April 4th c. May 5th d. May 21st: c. May 5th 23.The nurse is teaching a client and her partner about the technique of counter pressure during labor. Which of the following statements by the nurse is appropriate? a. your partner will apply upward pressure on your lower abdomen between contractions b. your partner will apply continuous from pressure between your thumb and index finger c. your partner will apply pressure to the top of your uterus during contractions d. your partner will apply steady

14 / 27 pressure with a tennis ball to your lower back: d. your partner will apply steady pressure with a tennis ball to your lower back 24.. A nurse is caring for a client who is 6 weeks of gestation and reports nausea and vomiting. Which of the following Recommendations should the nurse make? a. avoid Eating snacks before bedtime b. eat high-fat snack before getting out of bed c. drink additional liquids with each meal d. consume food served at cool temperatures: d. consume food served at cool temperatures 25.A nurse is providing teaching to a client who is receiving medroxyproges- terone IM for contraception. Which of the following statements by the client indicates an understanding of the teaching? a. I should discontinue this medication if I experience spotting b. I will need to return to the clinic in the next eight weeks for my next injection c. c. I should increase my calcium intake while taking this medication d. I will get two shots each time I receive this medication: c. c. I should increase my calcium intake while taking this medication 26.. A nurse is preparing to perform a fundal massage for a postpartum client with hearing seeing uterine atony. In which order should the nurse plan to perform the following actions? (molded steps into the box on the right. Placing them in order of performance use all steps )

1. Ask the client to lie on her back in with her knees flexed 2. Position one hand around the top of the client's when fundus in one hand just above the client's symphysis pubis 3. Rotate the upper hand to massage that clients uterus while using slight downward pressure to

16 / 27 following clinical findings should the nurse report to the provider? a. Transient circumoral cyanosis - i think this is referring to acro- cyanosis which is normal b. single Palmar creases

• down syndrome - p.27 c. subconjunctival hemorrhage - expected d. rust stain urine - expected: b. single Palmar creases 30.A nurse is caring for a client who is receiving oxytocin to induce labor. The nurse should discontinue the oxytocin if which of the following occurs? a. Contractions last 60 Seconds b. non-repetitive early decelerations c. 6 contractions in 10 minutes d. moderate variability of the fetal heart rate: c. 6 contractions in 10 minutes 31.A nurse is planning care for a client following a chorionic villus sampling. The nurse should recognize that the client is at risk for developing which of the following complications? a. Late decelerationsb. Infection c. Anemia d. placental insufficiency: b. Infection 32.A nurse is providing dietary teaching to a client who is 32 weeks of gestation and has cholelithiasis. Which of the following foods should the nurse recommend for the client to include in her diet? a. Baked chicken b. whole milk c. french fries d. bacon cheeseburger: a. Baked chicken 33.A nurse is providing teaching to a client who is primigravid and is sched- uled to have an abdominal ultrasound. Which of the following statements by the client indicates an understanding of the teaching? a. I need to take a stool softener the night before the test b. I

17 / 27 can't have anything to eat after midnight c. I won't apply perfumed lotion to my abdomen before the test d. I will drink water before the test until my bladder feels full: d. I will drink water before the test until my bladder feels full 34.A nurse is performing an assessment of a newborn's but Bensky reflex. Which of the following findings should the nurse expect? a. Flexion of the forearm b. extension of the leg c. Downward curl of the toes d. dorsiflexion of the greater toes: d. dorsiflexion of the greater toes 35.. A nurse is caring for a client who received epidural analgesia during labor and is 4 hours for postpartum. Which of the following client reports should the nurse address first? - page 84 a. Itching b. inability to void c. abdominal cramps d. tingling in the legs: a. Itching 36.A nurse is caring for a client who is at 30 weeks of gestation and receiving magnesium sulfate for preeclampsia. The nurse should recognize which of the following manifestations as an adverse reaction to the medication?a. Respiratory rate a 16 / minutes b. Hypertension c. urine output 20 ml / hour d. Hyperglycemia: c. urine output 20 ml / hour 37.Nurse is performing a Heel stick on a newborn. Which of the following actions should the nurse take? a. Use an automatic puncture device on the heel b. Puncture the heels of the inner aspect of the foot c. cleanse the newborns heel with an alcohol swab after the procedure d. place an ice pack on the newborn's heel 5 minutes before the procedure: a. Use

19 / 27 d. Pump your breast twice-daily to relieve discomfort from engorgement: c. Apply ice packs to your breast using a 15 minutes on, 45 minutes off schedule 42.A nurse in a newborn Nursery is receiving change-of-shift report for for newborns. Which of the following newborn should the nurse assess first? a. Newborn who is 24 hours old and has not had meconium stool b. a newborn who is 10 hours old and has a new onset tachypnea c. newborn who has a short frenulum and is having difficulty breastfeeding d. a newborn was 30 hours old and has blood-tinged discharge in her diaper: b. a newborn who is 10 hours old and has a new onset tachypnea 43.A nurse is assessing the results of a non-stress test for an antepartal client at 35 weeks of gestation. Which of the following findings should indicate to the nurse the need for further diagnostic testing? a. 3 fetal movements perceived by the client in a 20-minute testing period b. No late deceleration in the fetal heart rate loaded with 3 uterine contractions of 60 seconds in duration within a 10-minute testing period c. Irregular contractions of 10 to 20 seconds in duration that are not felt by the client d. an increase in fetal heart rate to 150 / minute above Baseline of 140 minute lasting 10 seconds in response to fetal movement with a 40 minute testing period: d. an increase in fetal heart rate to 150 / minute above Baseline of 140 minute lasting 10 seconds in response to fetal movement with a 40 minute testing period 44.A nurse in a prenatal Clinic is reviewing the laboratory results for a client who is at 12 weeks of gestation. Which of the following actions should the nurse take? (Click

20 / 27 on the exhibit button for additional information about