OB Exam Number Two Study Material - Verified Correct Answer Key

OB Exam Number Two Study Material - Verified Correct Answer Key A nurse is assessing a postpartum client for signs of an impending hemorrhage resulting from laceration of the cervix. Besides monitoring the client for a firm uterus, what other assessment is important? 1 Slowed pulse rate 2 Increased blood pressure 3 Persistent muscular twitching 4 Continuous trickling of blood - answer - Continuous trickling of blood The nurse is caring for a group of postpartum clients. Which factor puts a client at increased risk for postpartum hemorrhage? 1 Breastfeeding in the birthing room 2 Receiving a pudendal block for the birth 3 Having a third stage of labor that lasts 10 minutes 4 Giving birth to a baby weighing 9 lb 8 oz - answer - Giving birth to a baby weighing 9 lb 8 oz A nurse is assessing a postpartum client for signs of hemorrhage by evaluating the degree of perineal pad saturation. What other parameter can the nurse use to estimate blood loss in a postpartum client? 1 Odor of the lochia 2 Color of the lochia 3 Presence of small clots on the pad 4 Time elapsed between pad changes - answer - Time elapsed between pad changes The nurse is assessing a newborn immediately after birth. Which finding indicates normal development in a newborn? 1 A body weight of 3500 g 2 A core body temperature of 96° F 3 Blood pressure of 70/60 mm Hg 4 Head circumference is 3 cm less than chest circumference - answer - A body weight of 3500 **Normal is between 2700 and 4000** A nurse assessing a newborn reports an asymmetric Moro reflex, and Erb palsy is diagnosed. What does the nurse understand about the origin of this problem? 1 It is acquired in utero. 2 It is a tumor arising from muscle tissue. 3 The cause is an X-linked inheritance pattern. 4 The cause is an injury to the shoulder during birth. - answer - The cause is an injury to the shoulder during birth A newborn with a cleft lip is fed with a special nipple. What instructions should the nurse give the parents to reduce the incidence of regurgitation of the feedings? 1 Burp frequently during feedings. 2 Offer thickened formula as prescribed. 3 Place the baby in an infant seat during feedings. 4 Position the infant on one side with the bottle propped. - answer - Burp frequently during feedings What should the nurse include in the plan of care for a newborn with hypospadias before corrective surgery is performed? 1 Wrapping the penis in petrolatum gauze 2 Explaining to the parents why a circumcision is not done 3 Preparing the newborn for the insertion of a cystotomy tube 4 Teaching the parents about the genetic basis of the hypospadias - answer - Explaining to the parents why a circumcision is not done The parent of a newborn asks a nurse why, except for hepatitis B vaccine, the immunization schedule does not start until the infant is 2 months old. How should the nurse respond? 1 "A newborn's spleen can't produce efficient antibodies." 2 "Infants younger than 2 months are rarely exposed to infectious disease." 3 "The immunization will attack the infant's immature immune system and cause the disease." 4 "Maternal antibodies interfere with the development of active antibodies by the infant when immunized." - answer - "Maternal antibodies interfere with the development of active antibodies by the infant when immunized." What should the nurse teach parents about their newborn's diagnosis of phenylketonuria (PKU)? 1 A low-phenylalanine diet is required. 2 Phenylalanine is not necessary for growth. 3 Phenylalanine can be administered to correct the deficiency. 4 A substitute for phenylalanine is an increased amount of other amino acids. - answer - A low-phenylalanine diet is required. At 20 hours of age a newborn is found to have a bilirubin concentration of 13 mg/dL. Which finding most likely contributed to this bilirubin level? 1 Clubfoot 2 Cephalhematoma 3 Caput succedaneum 4 Gestation of 41 weeks - answer - Cephalhematoma On admission to the nursery a newborn is found to be experienci