Newborn Proctored Exam | Questions and
Correct Answers | Graded A+ | Verified
Answers
A nurse is caring for a client who is 2 weeks postpartum following a cesarean
birth. Which of the following clinical findings should the nurse identify as an
indication of postpartum infection? ---------CORRECT ANSWER-----------------
Unilateral breast pain
A nurse is assessing client who has preeclampsia during a prenatal visit. Which of
the following findings should the nurse report to the provider? ---------CORRECT
ANSWER-----------------Urine protein of 3+
A nurse is providing teaching about the expected effects of magnesium sulfate to
a client who is at 28 weeks of gestation and has preeclampsia. Which of the
following responses by the nurse is appropriate? ---------CORRECT ANSWER----------
-------"This medication prevents seizures."
A nurse is teaching a prenatal class regarding false labor. Which of the following
information should the nurse include?f ---------CORRECT ANSWER-----------------
"Your contractions will become temporarily regular."
,A nurse manager is revising a maternal unit policy to ensure proper identification
of newborns. Which of the following should the nurse include in the policy? --------
-CORRECT ANSWER-----------------Obtain an imprint of the infant's feet prior to
taking him to the nursery.
A nurse is caring for a client who delivered by cesarean birth 6 hr ago. The nurse
notes a steady trickle of vaginal bleeding that does not stop with fundal massage.
Which of the following actions should the nurse take? ---------CORRECT ANSWER---
--------------Evaluate urinary output.
A nurse is providing discharge instructions to a client who is postpartum and has
engorged breasts. Which of the following nonpharmacological comfort measures
should the nurse include in the teaching? ---------CORRECT ANSWER-----------------
Apply cabbage leaves after feedings.
A nurse is calculating estimated date of birth using Naegele's rule for a client who
is pregnant and whose last menstrual cycle started June 21. Which of the
following is the estimated delivery in the next year? ---------CORRECT ANSWER-----
------------March 28
A nurse is caring for a client immediately following the delivery of a stillborn fetus.
Which of the following actions should the nurse take? ---------CORRECT ANSWER---
--------------Prepare the client for what to expect the fetus to look like.
,A nurse is observing an adolescent client who is offering her newborn a bottle
while he is lying in the bassinet. When the nurse offers to pick the newborn up
and place him 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? ---------CORRECT
ANSWER-----------------Demonstrate how to hold the newborn and allow client to
practice.
A nurse is caring for a client who is in labor. Which of the following findings
should prompt the nurse to reassess the client? ---------CORRECT ANSWER-----------
------An urge to have a bowel movement during contractions
A nurse is assessing a client who is at 27 weeks of gestation and has preeclampsia.
Which of the following findings should the nurse report to the provider? ---------
CORRECT ANSWER-----------------Platelet count 60,000/mm3
A nurse in a clinic is preparing to measure the fundal height of a client who is
pregnant. Which of the following actions should the nurse take? ---------CORRECT
ANSWER-----------------Measure from the upper border of the pubis to the upper
border of the fundus.
A nurse is caring for a client who is at 20 weeks of gestation and reports
constipation. Which of the following recommendations should the nurse make to
help retrieve this common discomfort of pregnancy? ---------CORRECT ANSWER----
-------------Drink 2 to 3 L of water each day.
, A nurse is assessing the fetal heart rate for a client who is at 38 weeks of
gestation. When using an ultrasound device, the nurse hears blood rushing
through the umbilical vessels in synchronization with the fetal heart beat. Which
of the following terms should the nurse use
to document this finding? ---------CORRECT ANSWER-----------------Funic souffle
A nurse manager in a newborn nursery is reviewing infection control procedures
with a group of newly hired nurses. Which of the following instructions should the
nurse manager include in the teaching? ---------CORRECT ANSWER-----------------
Place newborn bassinets at least 3 feet apart.
A nurse is caring for a client who is receiving magnesium sulfate by continuous IV
infusion. The nurse notes a respiratory rate of 8/min and absent deep-tendon
reflexes. Which of the following medications should the nurse administer? ---------
CORRECT ANSWER-----------------Calcium gluconate
A nurse is caring for a client who is 8 hr postpartum following vaginal delivery and
is unable to void. Which of the following interventions should the nurse use to
promote voiding? ---------CORRECT ANSWER-----------------Encourage the client to
void in the shower.