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WGU D447 EXAM WITH QUESTIONS AND WELL VERIFIED ANSWERS [GRADED A+]

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WGU D447 EXAM WITH QUESTIONS AND WELL VERIFIED ANSWERS [GRADED A+] A nurse is teaching a client who is postpartum and has a new prescription for an injection of Rho (D) immunoglobulin. Which of the following should be included in the teaching? A. It destroys Rh antibodies in newborns who are Rh positive. B. It destroys Rh antibodies in mothers who are Rh negative. C. It prevents the formation of Rh antibodies in mothers who are Rh negative. D. It prevents the formation of Rh antibodies in newborns who are Rh positive. - ANS---C. It prevents the formation of Rh antibodies in mothers who are Rh negative. A nurse is caring for a client who is postpartum. The client tells the nurse that the newborn's maternal grandmother was born deaf and asks how to tell if her newborn hears well. Which of the following statements should the nurse make? A. "We do routine hearing screenings on newborns. You'll know the results before you leave the hospital." B. "There is no need to worry about that. Most forms of hearing loss are not inherited." C. "Look at how she looks as you when you speak. That's a good sign." D. "The best way to determine if your baby can hear is to clap your hands loudly and see if she startles." - ANS---A. "We do routine hearing screenings on newborns. You'll know the results before you leave the hospital." A nurse is caring a client who is 3 days postpartum and is attempting to breastfeed. Which of the following findings indicate mastitis? A. Swelling in both breasts B. A white patch on a nipple C. Red and painful area in one breast D. Cracked and bleeding nipples - ANS---C. Red and painful area in one breast A laboring patient is being admitted for delivery has + GBS noted in her prenatal records. Penicillin-G 500,000 u IVPB is ordered every 6 hours while in labor. The medication is delivered from the pharmacy Penicillin-G 500,000 u in 100 mL NS. How many mL/hr will the nurse infuse the medication to infuse in 30 minutes? - ANS---200 mL/hr A nurse is providing teaching about comfort measures for breast engorgement to a client who is postpartum and is breastfeeding. Which of the following statements by the client indicates a need for further teaching? A. "I should apply hot packs to my breasts during feeding." B. "I will apply ice packs to my breasts after feeding." C. "I should crush cabbage leaves and place them on my breasts." D. "I will breastfeed every 2 hours." - ANS---A. "I should apply hot packs to my breasts during feeding." A nurse is caring for a client who is 6 hours postpartum and asks the nurse to feed her newborn. Which of the following responses should the nurse provide? A. "I'll feed him today. Maybe tomorrow you can try it." B. "You can learn to feed him; I wasn't comfortable the first time I fed a baby either." C. "Feeding an infant can feel a little intimidating at first, but I'll stay and help you." D. "Oh, this isn't difficult. You'll be fine doing this." - ANS---C. "Feeding an infant can feel a little intimidating at first, but I'll stay and help you." A nurse is caring for a client who just delivered a newborn. Following the delivery, which nursing action should be done first to care for the newborn? A. Stimulate the infant to cry. B. Clear the respiratory tract. C. Cut the umbilical cord. D. Dry the infant off and cover the head. - ANS---B. Clear the respiratory tract. A nurse is caring for a new mother who is concerned that her newborn's eyes cross. Which of the following statements is a therapeutic response by the nurse? A. "This is a concern, but strabismus is easily treated with patching." B. "I will call your primary care provider to report your concerns." C. "This occurs because newborns lack muscle control to regulate eye movement." D. "I will take your baby to the nursery for further examination." - ANS--- C. "This occurs because newborns lack muscle control to regulate eye movement." A nurse is preparing to assess a newborn who is postmature. Which of the following findings should the nurse expect? (Select all that apply.) A. Positive Moro reflex B. Vernix in the folds and creases C. Hypertonicity of the extremities D. Cracked, peeling skin E. Abundant lanugo - ANS---A. Positive Moro reflex D. Cracked, peeling skin A nurse is caring for a newborn who has macrosomia and whose mother has diabetes mellitus. The nurse should recog

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WGU D447 EXAM WITH
QUESTIONS AND WELL
VERIFIED ANSWERS [GRADED
A+]




A nurse is teaching a client who is postpartum and has a new prescription for an
injection of Rho (D) immunoglobulin. Which of the following should be included
in the teaching?
A. It destroys Rh antibodies in newborns who are Rh positive.
B. It destroys Rh antibodies in mothers who are Rh negative.
C. It prevents the formation of Rh antibodies in mothers who are Rh
negative.
D. It prevents the formation of Rh antibodies in newborns who are Rh
positive. - ANS✔✔---C. It prevents the formation of Rh antibodies in
mothers who are Rh negative.

, A nurse is caring for a client who is postpartum. The client tells the nurse that
the newborn's maternal grandmother was born deaf and asks how to tell if her
newborn hears well. Which of the following statements should the nurse make?
A. "We do routine hearing screenings on newborns. You'll know the
results before you leave the hospital."
B. "There is no need to worry about that. Most forms of hearing loss are
not inherited."
C. "Look at how she looks as you when you speak. That's a good sign."
D. "The best way to determine if your baby can hear is to clap your hands
loudly and see if she startles." - ANS✔✔---A. "We do routine hearing
screenings on newborns. You'll know the results before you leave the
hospital."
A nurse is caring a client who is 3 days postpartum and is attempting to
breastfeed. Which of the following findings indicate mastitis?
A. Swelling in both breasts
B. A white patch on a nipple
C. Red and painful area in one breast
D. Cracked and bleeding nipples - ANS✔✔---C. Red and painful area in
one breast
A laboring patient is being admitted for delivery has + GBS noted in her prenatal
records. Penicillin-G 500,000 u IVPB is ordered every 6 hours while in labor.
The medication is delivered from the pharmacy Penicillin-G 500,000 u in 100 mL
NS. How many mL/hr will the nurse infuse the medication to infuse in 30
minutes? - ANS✔✔---200 mL/hr
A nurse is providing teaching about comfort measures for breast engorgement
to a client who is postpartum and is breastfeeding. Which of the following
statements by the client indicates a need for further teaching?

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