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Maternal Newborn Practice Complete Study Guide Test.

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Maternal Newborn Practice Complete Study Guide Test. 1. A nurse is assessing a client who has gestational di- abetes mellitus and is experiencing hyperglycemia. Which of the following findings should the nurse ex- pect? 1) reports increased urinary output 2) sweating 3) blurred vision 4) shallow respirations 2. A nurse is caring for a client who is at 22 weeks of gestation and is HIV positive. Which of the following actions should the nurse take? Reports increased urinary output Report the client's condi- tion to the local health de- partment 3. A nurse is providing teaching for a client who has a new Depression prescription for combined oral contraceptives. Which of the following findings should the nurse include as an adverse effect of this medication? 1) depression 2) polyuria 3) hypotension 4) urticaria 4. A nurse is providing teaching to a client who is at 40 weeks of gestation and has a new prescription for misoprostol. Which of the following instructions should the nurse include in the teaching? 1) "I can administer oxytocin 4 hours after the insertion of the medication" 2) "you will need a full bladder prior to the insertion of the medication" "I can administer oxytocin 4 hours after the insertion of the medication" 3) "remain in a side-lying position for 15 minutes after medication is given" 4) "an antacid will be given 20 minutes prior to the insertion of the medication" 5. A nurse is caring for a prenatal client who has par- vovirus B19 (fifth disease). Which of the following ac- tions should the nurse take? 1) administer antiviral medication 2) schedule an ultrasound 3) administer flu type b vaccine 4) schedule an indirect Coomb's test 6. A nurse is preparing to collect a blood specimen from a newborn via a heel stick. Which of the following techniques should the nurse use to help minimize the pain of the procedure for the newborn? 1) apply a cool pack for 10 minutes to the heel prior to the puncture 2) request IM analgesic 3) use a manual lance blade to pierce the skin 4) place the newborn skin to skin on the mothers chest 7. A nurse is performing a vaginal exam on a client who is in labor and observes the umbilical cord protruding from the vagina. After calling for assistance, which of the following actions should the nurse take? 1) Insert two gloved fingers into the vagina and apply upward pressure to the presenting part 2) wrap the cord tightly with sterile gauze Schedule an ultrasound examination Place the newborn skin to skin on the mothers chest Insert two gloved fingers into the vagina and ap- ply upward pressure to the presenting part 3) apply O2 at 2L via nasal cannula place the client in the lithotomy position and apply

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Maternal Newborn Practice Complete Study Guide
Test.
1. A nurse is assessing a client who has
Reports increased
gestational di- abetes mellitus and is
urinary output
experiencing hyperglycemia. Which of the
following findings should the nurse ex- pect?

1)reports increased urinary output
2)sweating
3)blurred vision
4)shallow respirations

2. A nurse is caring for a client who is at 22 Report the client's
weeks of gestation and is HIV positive. Which condi- tion to the local
of the following actions should the nurse health de- partment
take?

3. A nurse is providing teaching for a client who has a new
Depression
prescription for combined oral contraceptives.
Which of the following findings should the
nurse include as an adverse effect of this
medication?

1)depression
2)polyuria
3)hypotension
4)urticaria

4. A nurse is providing teaching to a client 1)"I can
who is at 40 weeks of gestation and has a administer
new prescription for misoprostol. Which of oxytocin 4
the following instructions should the nurse hours after
include in the teaching? the insertion
of the


, Maternal Newborn Practice Complete Study Guide
Test.
medication" "I can administer
2)"you will need a full bladder prior to the oxytocin 4 hours after
insertion of the medication" the insertion of the
medication"






, Maternal Newborn Practice Complete Study Guide
Test.
3)"remain in a side-lying position for 15 1) Insert
minutes after medication is given" two gloved
4)"an antacid will be given 20 minutes fingers into
prior to the insertion of the medication" the vagina
and apply
5. A nurse is caring for a prenatal client who has upward
par- vovirus B19 (fifth disease). Which of the pressure to
following ac- tions should the nurse take? the
presenting
1)administer antiviral medication
part
2)schedule an ultrasound
2) wrap the
3)administer flu type b vaccine cord
4)schedule an indirect Coomb's test tightly
with
6. A nurse is preparing to collect a blood sterile
specimen from a newborn via a heel stick. gauze
Which of the following techniques should the
nurse use to help minimize the pain of the
procedure for the newborn?

1)apply a cool pack for 10 minutes to the
heel prior to the puncture
2)request IM analgesic
3)use a manual lance blade to pierce the skin
4)place the newborn skin to skin on the mothers
chest

7. A nurse is performing a vaginal exam on a
client who is in labor and observes the
umbilical cord protruding from the vagina.
After calling for assistance, which of the
following actions should the nurse take?




, Maternal Newborn Practice Complete Study Guide
Test.




Schedule an ultrasound examination




Place the newborn skin to skin on the mothers chest




Insert two gloved fingers into the vagina and ap- ply upward pressure
to the presenting part

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