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Exam (elaborations)

NSG 210 Maternal Newborn Exam QUESTIONS AND CORRECT ANSWERS LATEST UPDATE THIS YEAR NEW!!

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NSG 210 Maternal Newborn Exam QUESTIONS
AND CORRECT ANSWERS LATEST UPDATE THIS
YEAR NEW!!
NSG 210 Maternal Newborn Exam

QUESTION: A nurse is providing discharge instructions for a client who had a c-section 4 days
ago. The client's hemoglobin level is 9.2g/dL, and the provider has prescribed an iron
supplement. which of the following foods should the nurse recommend to help increase the
client's iron intake?

1) spinach

2) citrus fruit

3) milk

4) whole grain bread - ANSWER-citrus fruit: foods that have a high vit c content help increase
the absorption of iron. These foods include citrus fruits, strawberries, melons, and tomatoes.




QUESTION: A nurse is preparing a client who is in labor for the insertion of an intrauterine
pressure catheter. The client asks why this type of monitoring is needed. Which of the following
responses should the nurse make?

1) "This type of monitoring is necessary for timing the frequency of your contractions."

2) "This type of monitoring is noninvasive, so it is the best way to monitor your labor
contractions."




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3) "This type of monitor allows us to evaluate your baby's heart rate while you are in labor."

4) "This type of monitor will allow us to measure the intensity of your contractions." - ANSWER-
4) "This type of monitor will allow us to measure the intensity of your contractions."




A nurse in a prenatal clinic is assessing an adult client who had genital cutting performed as a
child as part of her cultural practices. The nurse notes the client's clitoris and labia minora were
removed, and she has scarring in the vaginal area. Which of the following actions should the
nurse take?

1) report the findings to local authorities

2) ask the client who performed the cutting

3) inform the client that giving birth vaginally might not be possible

4) prepare the client for the increased risk of spontaneous abortion - ANSWER-3) inform the
client that giving birth vaginally might not be possible




the nurse should recognize that female genital cutting is done in early adolescence as a part of
some religious and cultural practices. the scarring that can result from this practice may
necessitate a c-section.




QUESTION: A nurse is monitoring a client who is receiving spinal anesthesia. the nurse should
identify which of the following findings as a complication of the infusion?

1) maternal hypotension

2) fetal tachycardia



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3) increased fetal heart rate variability

4) maternal hypothermia - ANSWER-maternal hypotension: is a common adverse effect of a
spinal block. to prevent supine hypotension, the client should lie on a side or lie supine with a
wedge under a hip to displace the uterus




QUESTION: A nurse is teaching a client who is breastfeeding about strategies for preventing
mastitis. Which of the following instructions should the nurse include?

1) "Take an herbal galactagogue"

2) "Gradually increase the time in between feedings"

3) "Wear an underwire bra."

4) "Use your finger to release suction after feeding." - ANSWER-4) "Use your finger to release
suction after feeding."




Releasing the newborn's grasp on the nipple with a finger before removing the newborn from
the breast helps prevent injury to the nipples, which can lead to mastitis.




QUESTION: A nurse is caring for a client who is experiencing prolonged labor. Which of the
following fetal monitoring results indicates fetal compromise?

1) baseline fetal heartrate of 110-130bpm

2) moderate baseline variability

3) accelerations in response to fetal stimulations




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4) late decelerations with fetal bradycardia - ANSWER-4) late decelerations with fetal
bradycardia: indicates fetus is not tolerating labor and may be compromised




QUESTION: A nurse in a clinic is providing education to a client at 32wks of gestation who has
pruritus gravidarum. Which of the following pieces of information should the nurse provide?

1) "You should slightly increase your exposure to sunlight."

2) "You will need extensive dermatological treatment for this condition after you deliver your
baby."

3) "Your provider will schedule weekly lab testing to monitor your liver function."

4) "Your provider will prescribe isotretinoin cream." - ANSWER-1) "You should slightly increase
your exposure to sunlight."




Pruritus gravidarum is a condition during pregnancy that causes generalized itching w/out a
rash; this occurs due to stretching of the skin; exposure to sunlight can reduce itching




QUESTION: A nurse is assessing a client who is in the 4th stage of labor. Which of the following
findings should the nurse expect?

1) breast engorgement

2) hypothermia

3) urinary retention




4

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