Complete Review | Graded A+
1. The nurse is about to give a full-term neonate his first bath. Which of the
following should the nurse do first?
Scrub the neonate's skin to remove the vernix caseosa
Bathe the neonate only after his vital signs have stabilized
Clean the neonate with medicated soap
Wash the neonate from feet to head
2. When doing a non-stress test (NST), the results are considered reactive, or
normal, if there are:
Reduced variability with increased accelerations
Four or more accelerations within a 20-minute period
Two accelerations exceeding 15 bpm, sustained for at least 15
seconds in a 20-minute period
Accelerations associated with fetal movements over a 30-minute
period
3. Describe the role of betamethasone in the context of maternal and neonatal
health.
Betamethasone is administered to enhance fetal lung development
in cases of preterm labor.
Betamethasone is used to induce labor in pregnant women.
Betamethasone is prescribed to treat postpartum depression.
Betamethasone is used to manage maternal hypertension.
,4. The nurse is working with a laboring woman who has a known intrauterine
fetal demise. To facilitate the family's acceptance of the fetal loss, after
delivery the nurse should do which of the following?
Encourage the parents to look at the infant from across the room.
Take the infant to the morgue immediately.
Offer the parents the choice of holding the infant in their arms.
Call family members and inform them of the birth.
5. What is a recommended item for mothers to use to alleviate sore nipples and
promote air circulation?
Lanolin cream
Breast pads
Breast shells
Nipple shields
6. If a registered nurse refuses to provide care based on their moral beliefs,
what steps should the charge nurse take to ensure patient care continues
effectively?
Force the nurse to provide care regardless of their beliefs.
Document the nurse's refusal without further action.
Assess the situation and arrange for alternative care while
respecting the nurse's beliefs.
Remove the nurse from the unit immediately.
,7. A nurse is planning to care for a client who is in labor and is to have an
amniotomy. Which of the ff assessments should the nurse identify as the
priority?
O2 sat
Temp
Urinary output
BP
8. A woman comes into the clinic exclaiming she's pregnant because of her
missed period and having breast tenderness the past few weeks. What
should the nurse tell the patient?
" A missed period is a true indication of pregnancy, tell me when your
last period was?"
" Those are presumptive symptoms of pregnancy and are not
indicators of true pregnancy"
9. The nurse is caring for a patient who has regular menstrual cycles every 28
days. Based on the calendar method, which recommendation would the
nurse provide to the patient to prevent conception?
Abstain from sexual intercourse from days 6 through 19
Abstain from sexual intercourse from days 10 through 17
Pregnancy is less likely to occur during days 12 through 16
Pregnancy is less likely to occur during days 11 through 17
10. If a mother experiences severe nipple pain after feeding, what steps should
she take to address the issue while continuing to breastfeed?
Consult a lactation consultant for guidance.
, Ignore the pain and continue feeding without changes.
Switch to formula feeding permanently.
Stop breastfeeding immediately.
11. A priority intervention for the infant undergoing phototherapy is:
Keeping the infant in the supine position with the genitals covered
Exposing as much skin as possible by turning the infant every 2
hours
Covering the infant's face with a soft mask
Administering glucose water between breast or bottle feedings
12. What is the typical duration of a non-stress test (NST)?
30 to 60 minutes
20 to 40 minutes
10 to 15 minutes
1 to 2 hours
13. If a pregnant woman reports feeling contractions in her upper abdomen,
what might this indicate, and what should the nurse do?
This suggests dehydration, and the nurse should provide fluids.
This is normal, and the nurse should advise her to rest.
This may indicate a potential complication, and the nurse should
assess further and consult a physician.
This indicates the baby is in a breech position, and the nurse should
prepare for delivery.