RN Maternal Newborn Online Practice 2019 NGN TEST 100% VERIFIED SOLUTIONS 2023/2024

RN Maternal Newborn Online Practice 2019 NGN TEST 100% VERIFIED SOLUTIONS 2023/2024 A nurse is demonstrating to a client how to bathe their newborn. In which order should the nurse perform the following actions? - ANSWER 1. Wipe the newborn's eyes from the inner canthus outward 2. Wash the newborns neck by lifting the newborns chin 3. Cleanse the skin around the newborn's umbilical cord stump 4. Wash the newborn's legs and feet 5. Clean the newborns diaper area A nurse is developing a plan of care for a newborn who is to undergo phototherapy for hyperbilirubinemia. Which of the following actions should the nurse include in the plan? 1. Feed the newborn 1 oz of water very 4 hr. 2. Apply lotion to the newborn's skin three times per day 3. Remove all clothing from the newborn except the diaper 4. Discontinue therapy if newborn develops a rash - ANSWER 3. Remove all clothing from the newborn except the diaper A nurse is caring for a client who is anemic at 32 weeks of gestation and is in preterm labor. The provider prescribed betamethasone 12 mg IM. Which of the following outcomes should the nurse expect? 1. Decreased uterine contractions 2. An increase in the client's hemoglobin levels 3. A reduction in respiratory distress in the newborn 4. Increased production of antibodies in the newborn - ANSWER 3. A reduction in respiratory distress in the newborn A nurse is providing teaching for a client who gave birth 2 hr ago about the facility policy for newborn safety. Which of the following client statements indicates an understanding of the teaching? 1. My sister will be able to carry my baby from the nursery to my room when she arrives 2. The nurse will match my wrist band to my baby's crib card when they bring him to me 3. The person who comes to take my baby's pictures will be wearing a photo ID badge 4. My baby doesn't need to wear the electronic security bracelet when he's in my room - ANSWER 3. The person who comes to take my baby's pictures will be wearing a photo ID badge A nurse is assessing a client who received carboprost for postpartum hemorrhage. Which of the following findings is an adverse effect of this medication? 1. Hypertension 2. Hypothermia 3. Constipation 4. Muscle weakness - ANSWER 1. Hypertension A nurse in a providers office is reviewing the medical record of a client who is in the first trimester of pregnancy. Which of the following findings should the nurse identify as a risk factor for the development of preeclampsia? 1. Singleton pregnancy 2. BMI 20 3. Maternal age 32 years 4. Pregestational diabetes mellitus - ANSWER 4. Pregestational diabetes mellitus A nurse is caring for a client who is at 36 weeks of gestation and has a prescription for an amniocentesis. For which of the following reasons should the nurse prepare the client for an ultrasound? 1. To estimate the fetal weight 2. to locate the pocket of fluid 3. to determine multiparity 4. to prescreen for fetal anomalies - ANSWER 2. to locate the pocket of fluid A nurse is performing a physical assessment of a newborn upon admission to the nursery. Which of the following manifestations should the nurse expect? (Select all that apply.) 1. yellow sclera 2. acrocyanosis 3. posterior fontanel larger than the anterior fontanel 4. positive Babinski reflex 5. two umbilical arteries visible - ANSWER 2. acrocyanosis 4. positive Babinksi reflex 5. two umbilical arteries visible A nurse is caring for a client who is at 26 weeks of gestation and has epilepsy. The nurse enters the room and observes the client having a seizure. After turning the client's head to one side, which of the following actions should the nurse take immediately after the seizure? 1. monitor FHR 2. assess uterine acitivity 3. administer oxygen via a nonrebreather mask 4. start a bolus of IV fluids - ANSWER 3. administer oxygen via a nonrebreather mask A nurse is preparing to administer magnesium sulfate 2g/hr IV to a client who is in preterm labor. Available is 20 g magnesium sulfate in 500 mL of dextrose 5% in water (D5W). The nurse should set the IV infusion pump to administer how many mL/hr? - ANSWER 50 mL/hr A nurse is providing education about family bonding to parents who recently adopted a newborn. The nurse should make which of the following suggestions to aid the family's 7-year-old child in accepting the new family member? 1. allow the sibling to hold the newborn during a bath 2. make sure the sibling kisses the newborn each night 3. obtain a gift from the newborn to present to the sibling 4. switch the sibling's room with the nursery - ANSWER 3. obtain a gift from the newborn to present to the sibling A nurse is teaching a client who is at 10 weeks of gestation about nutrition during pregnancy. Which of the following statements by the client indicates an understanding of the teaching? 1. I should increase my protein intake to 60 grams each day 2. I should drink 2 liters of water each day 3. I should increase my overall daily caloric intake by 300 calories 4. I should take 600 micrograms of folic acid each day - ANSWER 4. I should take 600 micrograms of folic acid each day Which of the following actions should the nurse plan to implement? For each potential nursing action, click to specify if the intervention is indicated or contraindicated for the newborn 1. educate the parents to begin range of motion exercises on the affected arm after 1 week 2. assess for grasp reflex in affected extremity 3. immobilize the arm across the abdomen by pinning the newborns sleeve to the shirt 4. instruct the parents to limit physical handling for 2 weeks - ANSWER 1. indicated 2. indicated 3. indicated 4. contraindicated A nurse is providing teaching to a client about the physiological changes that occur during pregnancy. The client is at 10 weeks of gestation and has a BMI within the expected reference range. Which of the following client statements indicates an understanding of the teaching? 1. I will gain more than 15 to 20 pounds during my pregnancy 2. I will likely need to use alternative positions for sexual intercourse 3. I'm glad I had a breast reduction years ago, so they will not enlarge with my pregnancy 4. I'm glad I have a light complexion and will not get any stretch marks - ANSWER 2. I will likely need to use alternative positions for sexual intercourse A nurse is assessing a client who is at 38 weeks of gestation during a weekly prenatal visit. Which of the following finding should the nurse report to the provider? 1. blood pressure 136/88 2. report of insomnia 3. weight gain of 2.2 kg (4.8lb) 4. report of braxton hicks contractions - ANSWER 3. weight gain of 2.2 kg (4.8lb) A nurse is assessing a client who is receiving morphine via IV bolus for pain following a cesarean birth. The nurse notes a respiratory rate of 8/min. Which of the following medications should the nurse administer? 1. fentanyl 2. butorphanol 3. naloxone 4. meperidine - ANSWER 3. naloxone A nurse is teaching a newly licensed nurse about collecting a specimen for the universal newborn screening. Which of the following statements should the nurse include in the teaching