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NSG 210 Maternal Newborn Exam ALL 400 Questions and Verified Solutions Latest Update This Year

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NSG 210 Maternal Newborn Exam ALL

400 Questions and Verified Solutions

Latest Update This Year

NSG 210 Maternal Newborn Exam


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


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."




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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) rupture of membranes - ANSWER-3) urinary retention: after delivery, many clients have

reduced urge to urinate; this can result from birth trauma, a larger bladder capacity after birth,

analgesia, pelvic soreness, an episiotomy, & other factors




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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 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?




4

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