PN Maternal Newborn Online Practice 2020 B with NGN, Exams of Nursing

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QUESTIONS AND CORRECT DETAILED ANSWERS LATEST UPDATE

2024/2025 BEST EXAM RATED A+

A nurse is caring for a client who is in preterm labor and is receiving betamethasone. Which of the following actions should the nurse take? - CORRECT ANSWERS Inject the medication into the clients vastus lateralis muscle. Rationale: Administer the medication IM into the vastus lateralis muscle and administer a second dose 24 hr later. A nurse is reinforcing teaching about car seat safety with the guardian of a newborn. Which of the following statements by the guardian indicates an understanding of the teaching? - CORRECT ANSWERS "I will position the retainer clip at the level of the baby's armpits." A nurse is assisting with the care of a client who is at 39 weeks of gestation. Which of the following statements should alert the nurse as a sign of a potential complication? - CORRECT ANSWERS "I have pain in my upper right abdomen." Rationale: Epigastric pain can indicate hepatic involvement and severe preeclampsia. A nurse is reinforcing teaching about nonstress test with a client who is at 33 weeks of gestation. Which of the following statements should the nurse include? - CORRECT ANSWERS "You will press a button when you feel the baby move." The nurse should assist the RN in taking which of the following actions based on the most recent data collection findings? Select all that apply. (a nurse is assisting with the care of a client who is in labor) - CORRECT ANSWERS Discontinue the magnesium infusion Administer calcium gluconate Apply oxygen at 10 L/min via nonrebreather mask A nurse is contributing to the plan of care for a client who is at 18 weeks gestation and has just learned that the fetus has trisomy 21. Which of the following resources should the nurse recommend for the client? - CORRECT ANSWERS Genetic counseling

QUESTIONS AND CORRECT DETAILED ANSWERS LATEST UPDATE

2024/2025 BEST EXAM RATED A+

A nurse in an antepartum clinic is reviewing lab test results for a group of clients. The nurse should notify the provider of which of the following results? - CORRECT ANSWERS Hematocrit 31% Rationale: Below the expected reference range for a client who is pregnant. A nurse is contributing to the plan of care for a client who is pregnant and has intermittent constipation. Which of the following interventions should the nurse recommend in the plan?

• CORRECT ANSWERS Drink 2L of water per day A nurse in a provider's office is reinforcing teaching with a client. Which of the following statements should the nurse include? - CORRECT ANSWERS "You might experience a metallic taste in your mouth while taking your medication." Rationale: A metallic taste in the mouth is a common adverse effect of metronidazole and does not warrant notification of the provider. A nurse is assisting with the neuromuscular assessment of a newborn by eliciting primitive reflexes. Which of the following images indicates a characteristic response of the tonic neck reflex? - CORRECT ANSWERS Newborn's head is quickly turned to one side, the arm and leg on the same side extended, while the arm and leg on the opposite side flex. A nurse is reinforcing teaching with a client who has a new prescription for medroxyprogesterone acetate injection for contraception. Which of the following statements by the client indicates understanding of the teaching? - CORRECT ANSWERS "I am likely to gain weight while taking this medication" A nurse is planning to perform a blood collection via heel stick on a newborn. After performing hand hygiene and donning gloves, which of the following actions should the nurse plan to take next? - CORRECT ANSWERS Wrap the newborn's heel with a cloth moistened with warm water. Rationale: The nurse should first warm the newborn's heel by applying a cloth moistened with warm water for 5 to 10 min. This will allow dilation of the vessels in the area in order to obtain an adequate sample.

QUESTIONS AND CORRECT DETAILED ANSWERS LATEST UPDATE

2024/2025 BEST EXAM RATED A+

A nurse is reinforcing discharge teaching about home care with the parent of a newborn. Which of the following instructions should the nurse include? - CORRECT ANSWERS "Ensure the water temperature during your newborn's bath is maintained at 100 degrees Fahrenheit." A nurse is caring for a client who delivered vaginally 6 hr ago. Which of the following findings should the nurse report to the provider? - CORRECT ANSWERS Perineal pad soaked in 15 min Rationale: Perineal pad soaked in 15 minutes or less is a manifestation of postpartum hemorrhage. A nurse on a postpartum unit is contributing to the discharge teaching plan of a client. Which of the following instructions should the nurse suggest for the plan? - CORRECT ANSWERS Use a firm mattress in the newborn's crib A nurse is collecting data from the parent of a newborn immediately following birth. The parent states she is so tiny. We don't know how to pick her up without hurting her. Which of the following actions should the nurse take first to promote parent-newborn attachment? - CORRECT ANSWERS Demonstrate to the parent how to hold the newborn. A nurse in a clinic is collecting data from a client who is at 12 weeks of gestation. Which of the following actions should the nurse take? - CORRECT ANSWERS Use an ultrasound stethoscope to listen for fetal heart tones. A nurse is collecting data from a client who is receiving magnesium sulfate. Which of the following findings should the nurse report to the provider? - CORRECT ANSWERS Absent deep-tendon reflexes A nurse is assisting with monitoring a client after an amniocentesis. Which of the following findings should the nurse expect? - CORRECT ANSWERS FHR 120/min A nurse is reinforcing teaching with a client who is pregnant and will undergo a 1-hr oral glucose tolerance test. Which of the following instructions should the nurse include? - CORRECT ANSWERS Avoid caffeine the morning of the test

QUESTIONS AND CORRECT DETAILED ANSWERS LATEST UPDATE

2024/2025 BEST EXAM RATED A+

A nurse is collecting data about the client. Which of the following findings should the nurse report to the provider? Select all that apply. (A nurse is caring for a postpartum client.) - CORRECT ANSWERS BP 152/105 mm Hg +2 pitting edema Headache Heartburn Based on the nurse's findings, which of the following conditions is the client at the greatest risk for developing? (A nurse is caring for a postpartum client.) - CORRECT ANSWERS The client is at the greatest risk for developing preeclampsia as evidenced by increased blood pressure. Complete the following sentence by using the lists of options. (A nurse is caring for a postpartum client.) - CORRECT ANSWERS Check the clients deep tendon reflexes (DTRs) Check the client for visual disturbances The nurse is planning care for the postpartum client. For each potential provider's prescription, click to specify if the potential prescription is anticipated or contraindicated for the client. (The nurse is reviewing the postpartum client's medical record.) - CORRECT ANSWERS Urinalysis- anticipated I&O- anticipated Magnesium sulfate- anticipated Seizure precautions- anticipated Labetalol- Contraindicated (she has asthma) Creatinine and BUN- anticipated The nurse is reviewing the client's electronic medical record. which of the following actions should the nurse take? Select the 5 actions that the nurse should take. - CORRECT ANSWERS Place client on seizure precautions assist with magnesium sulfate

QUESTIONS AND CORRECT DETAILED ANSWERS LATEST UPDATE

2024/2025 BEST EXAM RATED A+

obtain the creatinine, platelet, BUN, and liver enzymes Check for worsening headache and epigastric pain Monitor level of consciousness, deep tendon reflexes, and visual disturbances The nurse has reviewed the nurses' notes and the diagnostic results. Click to highlight the findings that indicate the client's condition is not improving. - CORRECT ANSWERS Clonus positive. Deep tendon reflexes 4+ Reports headache as 4 on 0 to 10 pain scale. platelets 95,000/mm aspartate aminotransferase 60 units/L Alanine aminotransferase 50 units/L A nurse is reinforcing teaching about newborn home safety precautions with a group of guardians. Which of the following instructions should the nurse include? - CORRECT ANSWERS "You should ensure that crib slats are no more than 2.25 inches apart." A nurse is reinforcing teaching about breastfeeding with a client who has a 12 hour old newborn. Which of the following statements should the nurse identify as an indication that the client understands the instructions? - CORRECT ANSWERS "I should wake my baby up to feed during the night" A nurse is collecting data from client who is a primigravida and has hyperthyroidism. Which of the following findings should the nurse expect? - CORRECT ANSWERS Diaphoresis A nurse is assisting in the care of a client during the active phase of labor. Which of the following actions should the nurse take to promote the client's comfort? - CORRECT ANSWERS Have the client perform relaxing breathing techniques. Based on the assessment findings, which of the following actions should the nurse take? Select all that apply. (A nurse is assisting in the care of a client who is in labor. The client's assessment and documentation are performed by the RN. - CORRECT ANSWERS Place the client in Trendelenburg Provide oxygen at 8 to 10 L/min via nonrebreather

QUESTIONS AND CORRECT DETAILED ANSWERS LATEST UPDATE

2024/2025 BEST EXAM RATED A+

Wrap the cord in warm, sterile, saline compresses A nurse is reinforcing teaching with a client who requests hydrotherapy for pain management during labor. Which of the following statements is true? - CORRECT ANSWERS "you must be at least at 37 weeks of gestation before you can use hydrotherapy." A nurse is collecting data form a 28 year old client who is requesting a prescription for an oral contraceptive. Which of the following information in the client's history should the nurse identify as a contraindication for the use of oral contraceptive? - CORRECT ANSWERS Frequent headaches with visual changes A nurse is assisting with the admission of a newborn who has respiratory distress. While collecting data, which of the following should the nurse report to the provider? select all that apply - CORRECT ANSWERS Nasal flaring Intercostal retractions Grunting A nurse is reinforcing education about the prevention of newborn abduction with a client who recently gave birth. Which of the following statements should the nurse identify as an indication that the client understands the instructions? - CORRECT ANSWERS "An alarm will sound if someone removes my baby's safety device." A nurse is caring for a client following a cesarean birth. Which of the following should the nurse take to decrease the client's risk of developing thrombophlebitis? - CORRECT ANSWERS Have the client ambulate several times each day. A nurse is reinforcing teaching with a client who is trying to become pregnant. Which of the following foods should the nurse recommend as the best source of folate? - CORRECT ANSWERS 1 cup cooked spinach Which of the following actions should the nurse plan to implement? For each potential action, click to specify if the intervention is indicated or contraindicated for the newborn. (A nurse is caring for a newborn) - CORRECT ANSWERS ROM exercises on the affected arm after 1 week- indicated

QUESTIONS AND CORRECT DETAILED ANSWERS LATEST UPDATE

2024/2025 BEST EXAM RATED A+

Check grasp reflex- indicated Immobilize the arm across the abdomen by pinning- indicated Limit physical handling for 2 weeks- contraindicated A nurse is preparing to administer phytonadione to a newborn. The nurse should plan to administer this medication by which of the following routes? - CORRECT ANSWERS Intramuscular A nurse is collecting data from a client who is 37 weeks of gestation. Which of the following finding should the nurse report to the provider? - CORRECT ANSWERS Blurred vision A nurse is reinforcing teaching about formula preparation with the parent of a newborn. Which of the following information should the nurse include? - CORRECT ANSWERS Overdiluted formula can result in inadequate growth A nurse is collecting data from a client who gave birth 18 hr ago. Which of the following findings should the nurse identify as an indication of a postpartum complication? - CORRECT ANSWERS Fundus is palpable at 2 cm above the umbilicus. A nurse is assisting with the care of a client who is postpartum and is receiving lactated ringer's 1500 ml IV to infuse over 10 hr. The nurse should verify that the IV pump's settings will deliver how many mL/hr? - CORRECT ANSWERS 150 mL/hr The nurse is reviewing the data collection findings. For each data collection finding, click to specify if the finding is consistent with a clavicle fracture or Erb-Duchenne paralysis. Each finding may support more than one condition. (A nurse is caring for a newborn) - CORRECT ANSWERS clavicle- crepitus, birth history. Erb- Duchenne Paralysis- palmar grasp reflex, birth history, crepitus. A nurse is collecting data from a client who is receiving magnesium sulfate IV for preeclampsia. The nurse should identify which of the following findings as an indication of toxicity to report to the provider? - CORRECT ANSWERS Respiratory rate of 10/min

QUESTIONS AND CORRECT DETAILED ANSWERS LATEST UPDATE

2024/2025 BEST EXAM RATED A+

A nurse is reinforcing teaching with a client who is 8 weeks gestation. Which of the following responses by the client indicates an understanding of the teaching? - CORRECT ANSWERS "I should expect to have white vaginal discharge during pregnancy." A nurse is caring for a client who is 48 hour postpartum following a vaginal birth. Which of the following findings should the nurse report to the provider? Select all that apply - CORRECT ANSWERS Warm, tender are on the calf Dysuria Cracked nipples A nurse is reinforcing teaching about newborn umbilical cord care with a client who is postpartum. Which of the following statements should the nurse identify as an indication that the clients understands the instructions? - CORRECT ANSWERS "I will report any drainage from my baby's umbilical cord." A nurse is planning to reinforce discharge teaching about formula feeding with the guardian of a newborn. Which of the following instructions should the nurse plan to include? - CORRECT ANSWERS Provide the newborn with six to eight feedings during a 24-hr period. A nurse is contributing to the plan of care for a client who has hyperemesis gravidarum. Which of the following interventions should the nurse recommend? - CORRECT ANSWERS Monitor intake and output