RN Maternal Newborn Online Practice 2023 NGN TEST SOLUTION 100% GUARANTEE PASS

RN Maternal Newborn Online Practice 2023 NGN TEST SOLUTION 100% GUARANTEE PASS 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