NSG3 EXAM 1 Questions & Answers Graded A 2023

1. The nurse is assessing a newborn. What sign of hypoglycemia does the nurse record? - High-pitched cry 2. What would the nurse expect to find when assessing the fundus of the uterus immediately after delivery? - Well-contracted with its upper border at or just below the umbilicus 3. What should the nurses first action be when postpartum hemorrhage from uterine atony is suspected? - Begin massaging the fundus while another person notifies the physician. 4. Although the nurse has massaged the uterus every 15 minutes, it remains flaccid, and the patient continues to pass large clots. What does the nurse recognize these signs indicate? - Uterine atony 5. What is the first sign of hypovolemic shock from postpartum hemorrhage? - Tachycardia 6. A pulsating structure is felt during a vaginal examination of a woman in labor. How would the nurse position the woman to prevent compression of a prolapsed cord? - on her back with her head lower than the rest of her body 7. A new mother is distressed and tearful about the elevated dome over her infants posterior fontanelle. The nurse responds, This condition will resolve itself in a few days. What is the cause? - The effect of the vacuum extractor 8. What nursing care should be provided to a woman with a third-degree laceration immediately after delivery? - Cold pack to the perineum 9. A laboring patient requests hot and cold applications be applied to her abdomen for pain control. How will this intervention act to control pain? - By stimulation of large nerve fibers 10. Which narcotic antagonist is used to reverse narcotic-induced respiratory depression? - Naloxone (Narcan) 11. A woman who is 6 cm dilated has theurge to push. What will thenurse instruct thewoman to do during thecontraction? - Blow in short breaths. 12. When is a pregnant woman fully dilated? - 10 centimeters 13. What chemical substance(s) produced in the body acts as a natural pain reliever? - Endorphins 14. At 1 and 5 minutes of life, a newborns Apgar score is 9. What does thenurse understand that a score of 9 indicates? - The newborn is in stable condition 15. How should the nurse intervene to relieve perineal bruising and edema following delivery? - Place an ice pack on the area for 12 hours. 16. What is important nursing intervention during the fourth stage of labor? - assessed for signs of hemorrhage 17. What is the function of contractions during the second stage of labor? - Push the infant out of the mothers body 18. What does meconium-stained amniotic fluid indicate when the infant is in a vertex presentation? - Fetal distress 19. Vaginal examination reveals the presenting part is the infants head, which is well flexed on the chest. What is this presentation? - Vertex 20. Why is the relaxation phase between contractions important? - The contractions can interfere with fetal oxygenation 21. A patient with gestational hypertension is exhibiting all of the signs below. What should the nurse report immediately? - Blurred vision 22. A woman seeking prenatal care relates a history of macrosomic infants, two stillbirths, and polyhydramnios with each pregnancy. What does the nurse recognize these factors highly suggest? - Diabetes mellitus 23. What situation would concern the nurse about the presence of Rh incompatibility? - Rh-negative mother, Rh-positive fetus 24. An ultrasound on a woman who is 32 weeks pregnant reveals the placenta implanted over the entire cervical os. What does the nurse understand best describes this condition? - Total placenta previa 25. A woman reports that her last normal menstrual period began on August 5, 2013. What is this woman's expected delivery date using Ngeles rule? - May 12, 2014 26. What type of lochia will the nurse assess initially after delivery? - Rubra 27. A pregnant woman is attending her second postpartum visit. Prenatal lab work indicates she is not immune to the rubella virus. What is the most appropriate nursing intervention? - Inform the woman she should receive the vaccine in the hospital after delivery. 28. A woman asks about resumption of her menstrual cycle after childbirth. What should the nurse respond? - Most nonlactating women resume menstruation about 2 months postpartum. 29. Below what blood glucose level is the newborn considered hypoglycemic? - Below 40 mg/dL 30. A patient asks the nurse when her infants heart will begin to pump blood. What will the nurse reply? - By the end of week 3 31. A pregnant woman states, My husband hopes I will give him a boy because we have three girls. What will the nurse explain to this woman? - When a Ybearing sperm fertilizes an ovum, a male child is produced.