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Learning System RN 3.0 Maternal Newborn Final Exam.

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Learning System RN 3.0 Maternal Newborn Final Exam. 1. A nurse is assessing a client on the first post- partum day. Findings in- clude fundus firm and one fingerbreadth above and to the right of the umbilicus, moderate lochia rubra with small clots, temperature 37.3 C (99.2 F), and pulse rate 52/min. Which of the following actions should the nurse take? 2. A nurse is preparing to administer naloxone to a newborn. Which of the following conditions can Ask the client when she last voided IV narcotics administered to the mother during labor The nurse should administer naloxone to reverse respiratory depres- sion due to acute narcotic toxicity, which can result from IV narcotics require administration of administration during labor. this medication? 3. A nurse is discussing epidural anesthesia with a client who is receiv- ing oxytocin for induc- tion of labor. Which of An epidural given too early can prolong labor Clients who receive anesthesia before the active phase of labor usually find the progression of their labor to slow. The medication depresses the central nervous system. Therefore, it will take longer for the cervix the following statements to dilate and ettace. should the nurse make? 4. A nurse is caring for a client who is preg- nant and reports nau- You should eat some crackers before rising from bed in the morning sea and vomiting. Which of the following instruc- tions should the nurse provide the client? 5. A nurse is planning care for a client who is preg- nant and is Rh-negative. In which of the follow- At 28 weeks of gestation The nurse should administer Rh(D) Immune Globulin to a client who is pregnant and has Rh-negative blood at 28 weeks of gestation. Rh(D) ing situations should the Immune Globulin consists of passive antibodies against the Rh factor, nurse administer Rh(D) Immune Globulin? 6. A nurse is caring for a newborn whose mother received magnesium sul- fate to treat preterm la- bor. Which of the fol- lowing clinical manifes- tations in the newborn indicates toxicity due to the magnesium sulfate therapy? 7. A nurse is caring for a newborn who was born to a client who has a nar- cotic use disorder. Which of the following nursing actions should the nurse identify as a contraindi- which will destroy any fetal RBCs in the maternal circulation and block maternal antibody production. Respiratory depression

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Learning System RN 3.0 Maternal Newborn Final Exam.

1. A nurse is assessing
Ask the client when she last voided
a client on the first
post- partum day.
Findings in- clude
fundus firm and one
fingerbreadth above
and to the right of
the umbilicus,
moderate lochia
rubra with small
clots, temperature
37.3 C (99.2 F), and
pulse
rate 52/min. Which of
the following actions IV narcotics administered to the mother during labor
should the nurse
take? The nurse should administer naloxone to reverse respiratory
depres- sion due to acute narcotic toxicity, which can result from
2. A nurse is preparing IV narcotics
to administer
naloxone to a
newborn. Which of
the following
conditions can
require administration of administration during labor.
this medication?

3. A nurse is discussing labor. Which of
epidural anesthesia
with a client who is
receiv- ing oxytocin
for induc- tion of
1/
25

, Learning System RN 3.0 Maternal Newborn Final Exam.

An epidural given too early can the active phase of labor usually find the progression of their
prolong labor labor to slow. The medication depresses the central nervous
system. Therefore, it will take longer for the cervix
Clients who receive anesthesia before
the following statements to dilate and ettace.
should the nurse make?

4. A nurse is caring You should eat some crackers before rising from bed in the
for a client who is morning
preg-
nant and reports
nau-




2/
25

, Learning System RN 3.0 Maternal Newborn Final Exam.

sea and vomiting.
Which of the
following instruc-
tions should the
nurse provide the
client? At 28 weeks of gestation

5. A nurse is planning The nurse should administer Rh(D) Immune Globulin to a client
care for a client who who is pregnant and has Rh-negative blood at 28 weeks of
is preg- nant and is gestation. Rh(D)
Rh-negative. In which
of the follow-
ing situations should the Immune Globulin consists of passive antibodies against
the Rh factor,
nurse administer 7. A nurse is caring for a newborn who
Rh(D) Immune was born to a client who has a nar-
Globulin? cotic use disorder. Which of the
following nursing actions should the
6. A nurse is caring for nurse identify as a contraindi-
a newborn whose
mother received
magnesium sul- fate
to treat preterm la-
bor. Which of the fol-
lowing clinical
manifes- tations in
the newborn
indicates toxicity
due to the
magnesium sulfate
therapy?


3/
25

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