RN Maternal Newborn 2019

RN Maternal Newborn 2019 1. A client who is 16 weeks of gestation asks the nurse how to prepare her father to a younger sibling. Statements should the nurse make? a. You should hold your newborn in your arms when you introduce him to your toddler b. you should move your toddler out of her crib 2 weeks prior to your due date c. you should give your toddler a gift from the baby when she visit you in the facility d. You should place your toddler in timeout if she exhibits regressive Behavior after the baby is born 2. A nurse is observing an adolescent client who is offering her newborn a bottle while he is laying in the bassinet. When the nurse offers to pick the newborn up and place them in the client's arms, the mother States “ No, the baby is too tired to be held”. Which of the following actions should the nurse take? a. Insist that the mother pick up the newborn to feed him b. demonstrate how to hold a newborn and allow the client to practice c. persuade the client to breastfeed the newborn to promote bonding d. offer to take the newborn to the nursery to finish his feeding 3. A nurse is assessing a client who is in preterm labor and has a new prescription or terbutaline 0.25 mg subcutaneous. For which of the following findings should the nurse Withhold the medication and Report to the provider? a. fasting blood glucose 75 mg / DL b. blood pressure 88/58 mmhg c. urinary output 40 ml /hr d. FHR 120/min 4. A nurse is providing teaching to the parents of a newborn about the plastibell circumcision technique. Which of the following? - p170-171 - postprocedure bottom of 170 and goes into top of 171. a. the plastibell will be removed 4 hours after the procedure b. notify the provider is the end of your penis appears dark red c. make sure the newborn's diaper is snug d. yellow exudate will form at the surgical site in 24 hours 5. A nurse is planning care immediately following birth for a newborn who has Myelomeningocele that is cerebrospinal fluid. Which of the following actions should the nurse include in the plan of care? a. Administer broad-spectrum antibiotics b. cleanse the site with Povidone iodine c. monitor the rectal temperature every 4 hours d. prepare for surgical closure after 72 hours 6. A nurse is caring for a newborn Boys 6 hours old and has a bedside glucose meter reading of 65 mg / DL. The New Orleans mother has Type 2 diabetes mellitus. Which of the following actions should the nurse take? a. Administer 50 mL of dextrose solution IV b. obtain a blood sample of serum glucose level c. reassess the blood glucose level prior to the next feeding d. Feed the newborn immediately 7. A nurse is caring for four enter-partum clients. Which of the following clients should the nurse assess first? a. A client who is at 7 weeks of gestation and reports urinary frequency b. a client who is at 32 weeks of gestation and reports seeing floating spots c. a client who is 38 weeks of gestation and reports leg cramps d. a client who is at 20 weeks of gestation and reports periodic numbness in her fingers 8. A nurse is planning care for a client who is pregnant and has HIV. Which of the following actions Should the nurse include in the plan of care? a. Use a fetal scalp electrode during labor and delivery b. Bathe the newborn before initiating skin to skin contact c. instruct the client to stop taking the antiretroviral medication at 32 weeks of gestation d. administer pneumococcal immunization to the newborn within 4 hours following birth 9. A nurse is caring for a client who has placenta previa. Which of the following findings should the nurse expect? a. Firm rigid abdomen b. painless, vaginal bleeding c. uterine hypertonicity d. persistent headache 10. A nurse is planning care for a newborn who is scheduled to start phototherapy using a lap. Which of the following actions should the nurse include? a. Apply a thin layer lotion to the newborn skin every 8 hours b. trust in you born in a thin layer clothing during the therapy c. ensure the newborn's eyes are closed beneath the shield d. give the newborn 1 oz of glucose water every 4 hours 11. A nurse is providing discharge instructions to a client who is breastfeeding her newborn. Which of the following instructions should the nurse include? a. Expect 2 to 4 wet diapers every 24 hours b. allow the baby to feed at least every 3 hours c. offer the newborn 30 ml (1 oz.) a water between feedings d. feed the newborn 5 to 10 minutes per breast 12. A nurse is assessing a client during her first prenatal visit the client reports March 20th us her last menstrual.. Use Niagele’s rule to calculate the estimated date of delivery. Use the mmdd format with four numerals and no spaces or punctuation. 03/20 ! 1$%$& 12/27 13. A nurse is caring for a client who is at 30 weeks of gestation. The nurse should plan to immunize the client which of the following vaccinations? Select all the apply a. Varicella b. human papillomavirus c. Diphtheria - acellular pertussis d. inactivated influenza e. measles, mumps, and rubella 14. A nurse is caring for a client who has preterm labor and receiving magnesium sulfate by continuous IV infusion. Which of the following laboratory values should the nurse review during tocolytic therapy? a. indirect Coombs test b. liver enzymes c. uric acid level d. Serum medication level 15. A nurse is caring for a client who reports spontaneous rupture. The nurse observed fetal bradycardia in the FHR tracing and notices the umbilical cord is protruding. After calling for assistance and notifying the provider, which of the following should the nurse take next? a. Initiate an infusion of IV fluids for the client b. Perform vaginal examination by applying upward pressure on the presenting part d. Administer oxygen via non rebreather mask at 8L/ min. D. Cover the umbilical cord with sterile saline saturated towel. 16. A nurse is caring for a client who is 36 weeks gestation and has MRSA. Which of the following isolation precautions should the nurse initiate? a. Droplet b. Contact c. Airborne d. Protective environment 17. A nurse is assessing a client who is 27 weeks of gestation and has pre eclampsia. Which of the following findings should the nurse report to the provider? a. Hemoglobin 14.8 g/dL b. Platelet count 60,000/ mm c. Creatine 0.8 mg/ dL d. Urine protein concentration 200 mg/24hr 18. A nurse is providing teaching to a client who is 2 days postpartum and wants to continue using her diaphragm for contraception. Which of the following instructions should the nurse include? a. You should use an oil based vaginal lubricant when inserting your diaphragm b. you should store your diaphragm in sterile water after each use c. you should keep the diaphragm in place for at least 4 hours after intercourse d. you should have your provider refit you for a new diaphragm 19. A nurse is caring for a client who is receiving prenatal care and is at her 24-week appointment. Which of the following laboratory tests should the nurse plan to conduct? a. 1 hour glucose tolerance test b. rubella titer c. Group B strep culture d. blood type and Rh 20. A nurse is caring for a client who has gestational diabetes mellitus. Which of the following clinical findings should indicate to the nurse the client has hyperglycemia? a. double vision b. increased urination c. Sweating d. dizziness 21. A nurse is reviewing the laboratory results of a newborn. Which of the following findings should the nurse report to the provider? a. Blood glucose 58 mg / DL b. hematocrit 48% c. platelets 100,000/ mm 3 d. hemoglobin 16 G / DL 22. A nurse is using Niagele’s rule to calculate the expected delivery date of a client who reports the first day of the last menstrual cycle was July 28th. Which of the following dates should the nurse document as a client expected delivery date? 07/28 a. April 21st b. April 4th c. May 5th d. May 21st 23. The nurse is teaching a client and her partner about the technique of counter pressure during labor. Which of the following statements by the nurse is appropriate? a. your partner will apply upward pressure on your lower abdomen between contractions b. your partner will apply continuous from pressure between your thumb and index finger c. your partner will apply pressure to the top of your uterus during contractions d. your partner will apply steady pressure with a tennis ball to your lower back 24. A nurse is caring for a client who is 6 weeks of gestation and reports nausea and vomiting. Which of the following Recommendations should the nurse make? a. avoid Eating snacks before bedtime b. eat high-fat snack before getting out of bed c. drink additional liquids with each meal d. consume food served at cool temperatures 25. A nurse is providing teaching to a client who is receiving medroxyprogesterone IM for contraception. Which of the following statements by the client indicates an understanding of the teaching? a. I should discontinue this medication if I experience spotting b. I will need to return to the clinic in the next eight weeks for my next injection c. I should increase my calcium intake while taking this medication d. I will get two shots each time I receive this medication 26. A nurse is preparing to perform a fundal massage for a postpartum client with hearing seeing uterine atony. In which order should the nurse plan to perform the following actions? (molded steps into the box on the right. Placing them in order of performance use all steps ) 1. Ask the client to lie on her back in with her knees flexed 2. Position one hand around the top of the client’s when fundus in one hand just above the client's symphysis pubis 3. Rotate the upper hand to massage that clients uterus while using slight downward