MATERNAL NEWBORN PROCTORED 2019
QUESTIONS AND ANSWERS 100%CORRECT-
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Maternal Newborn
1. A nurse is caring for a client who is at 11 weeks of gestation and reports frequent vomiting. Which of the following findings
should the nurse identify as an indication that the client has hyperemesis gravidarum?
Ketonuria
The nurse should identify that ketonuria is an indication of hyperemesis gravidarum. Ketonuria occurs due to the breakdown of fat
secondary to malnutrition or starvation.
Bradycardia
The nurse should identify that a client who has hyperemesis gravidarum can exhibit tachycardia due to dehydration.
Bradypnea
The nurse should identify that a client who has hyperemesis gravidarum can exhibit tachypnea due to dehydration.
Proteinuria
The nurse should identify that proteinuria is an indication of preeclampsia, rather than hyperemesis gravidarum.
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2. A nurse is reinforcing teaching with a client who is at 9 weeks of gestation and reports frequent episodes of nausea and
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vomiting. Which of the following instructions should the nurse include?
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Eat foods that are served hot.
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The nurse should instruct the client that she will better tolerate foods that are served cold or at room temperature.
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Drink 360 mL (12 oz) of fluids during mealtimes
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The client should avoid drinking liquid with meals because this increases the risk for nausea. The client should alternate consumption
of fluids and foods every 2 to 3 hr throughout the day.
Consume small meals frequently each day.
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The nurse should instruct the client to eat five to six small meals throughout the day. The client should avoid an empty stomach, as this
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increases nausea.
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Eat a high-protein snack before getting out of bed.
The nurse should instruct the client to consume a snack high in carbohydrates, such as crackers, before getting out of bed in the
morning to decrease nausea.
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3. A nurse in a maternal-newborn unit is caring for a newborn in the nursery. The newborn's grandfather asks if he may take
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the newborn to his daughter's room. Which of the following responses should the nurse make?
"I'll first need to see your photo ID before I can release the baby to you."
Only facility personnel with appropriate identification badges that indicate that the individual works specifically in the maternal-
sh is
newborn unit should transport newborns.
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"Let me wash my hands and then I'll take your grandson to his mother."
Only facility personnel with appropriate identification badges that indicate that the individual works specifically in the maternal-
newborn unit should transport newborns.
"Please wash your hands first, then I'll allow you to carry the baby to your daughter's room."
Only facility personnel with appropriate identification badges that indicate that the individual works specifically in the maternal-
newborn unit should transport newborns. In addition, transport of the newborn must be in a designated bassinet.
"Have your daughter call the nursery so that the staf can release the baby to you."
Only facility personnel with appropriate identification badges that indicate that the individual works specifically in the maternal-
newborn unit should transport newborns
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