A woman who is 8 months pregnant is brought to the emergency department after a
serious motor vehicle crash. Although she has no apparent injuries, she is admitted to
the hospital. Her partner is upset and wants to know why she just can't come home.
What response by the nurse is best?
a. This is standard procedure for all pregnant crash victims.‖
b. She needs to be monitored for some potential complications.‖
c. We may have to deliver the baby at any time now.‖
d. We are giving her medicine to keep her from laboring.‖
Give this one a try later!
b. She needs to be monitored for some potential complications.‖
A newborn has meconium aspiration at birth. The nurse notes increasing respiratory
distress. What action takes priority?
a. Obtain an oxygen saturation.
b. Notify the provider at once.
,c. Stimulate the baby to increase respirations.
d. Prepare to initiate ECMO.
Give this one a try later!
a. Obtain an oxygen saturation.
Which actions by the nurse may prevent infections in the labor and delivery area?
a. Vaginal examinations every hour while the woman is in active labor
b. Use of clean techniques for all procedures
c. Cleaning secretions from the vaginal area by using back-to-front motion
d. Keeping underpads and linens as dry as possible
Give this one a try later!
d. Keeping underpads and linens as dry as possible
The parents of a newborn are considering circumcision. What possible complications
does the nurse teach them about? (Select all that apply.)
a. Urinary retention
b. Adhesions
c. Necrosis of the site
d. Kidney infection
e. Unsatisfactory cosmetic result
Give this one a try later!
, a. Urinary retention
b. Adhesions
c. Necrosis of the site
e. Unsatisfactory cosmetic result
At 1 minute after birth, the nurse assesses the newborn to assign an Apgar score. The
apical heart rate is 110 bpm, and the infant is crying vigorously with the limbs flexed.
The infant's trunk is pink, but the hands and feet are blue. What APGAR score does the
nurse assign to this infant?
a. 7
b. 8
c. 9
d. 10
Give this one a try later!
c. 9
The nurse is caring for a laboring patient who develops a fever after she has had her
epidural initiated. What actions by the nurse are appropriate? (Select all that apply.)
a. Palpate the woman's bladder distention.
b. Assess the woman's blood pressure.
c. Observe the woman for shivering.
d. Check the skin for color and warmth.
e. Prepare to assist with a blood patch.
Give this one a try later!
c. Observe the woman for shivering.
d. Check the skin for color and warmth.
, A new mother is concerned because her 1-day-old newborn is taking only 1 ounce at
each feeding. The nurse should explain that the
a. infant does not require as much formula in the first few days of life.
b. infant's stomach capacity is small at birth but will expand within a few days.
c. infant tires easily during the first few days but will gradually take more formula.
d. infant is probably having difficulty adjusting to the formula.
Give this one a try later!
b. infant's stomach capacity is small at birth but will expand within a few
days.
What information does the student learn about the newborn's developing
cardiovascular system?
a. The heart rate of a crying infant may rise to 120 beats/min.
b. Heart murmurs heard after the first few hours are cause for concern.
c. The point of maximal impulse (PMI) is on the third or fourth left intercostal space.
d. Persistent bradycardia may indicate respiratory distress syndrome (RDS).
Give this one a try later!
c. The point of maximal impulse (PMI) is on the third or fourth left
intercostal space.
A 25-year-old gravida 1 para 1 who had an emergency cesarean birth 3 days ago is
scheduled for discharge. As the nurse prepares her for discharge, she begins to cry.
What action should the nurse take first?
a. Assess her for pain.
b. Point out how lucky she is to have a healthy baby.
c. Explain that she is experiencing postpartum blues.
d. Allow her time to express her feelings.
serious motor vehicle crash. Although she has no apparent injuries, she is admitted to
the hospital. Her partner is upset and wants to know why she just can't come home.
What response by the nurse is best?
a. This is standard procedure for all pregnant crash victims.‖
b. She needs to be monitored for some potential complications.‖
c. We may have to deliver the baby at any time now.‖
d. We are giving her medicine to keep her from laboring.‖
Give this one a try later!
b. She needs to be monitored for some potential complications.‖
A newborn has meconium aspiration at birth. The nurse notes increasing respiratory
distress. What action takes priority?
a. Obtain an oxygen saturation.
b. Notify the provider at once.
,c. Stimulate the baby to increase respirations.
d. Prepare to initiate ECMO.
Give this one a try later!
a. Obtain an oxygen saturation.
Which actions by the nurse may prevent infections in the labor and delivery area?
a. Vaginal examinations every hour while the woman is in active labor
b. Use of clean techniques for all procedures
c. Cleaning secretions from the vaginal area by using back-to-front motion
d. Keeping underpads and linens as dry as possible
Give this one a try later!
d. Keeping underpads and linens as dry as possible
The parents of a newborn are considering circumcision. What possible complications
does the nurse teach them about? (Select all that apply.)
a. Urinary retention
b. Adhesions
c. Necrosis of the site
d. Kidney infection
e. Unsatisfactory cosmetic result
Give this one a try later!
, a. Urinary retention
b. Adhesions
c. Necrosis of the site
e. Unsatisfactory cosmetic result
At 1 minute after birth, the nurse assesses the newborn to assign an Apgar score. The
apical heart rate is 110 bpm, and the infant is crying vigorously with the limbs flexed.
The infant's trunk is pink, but the hands and feet are blue. What APGAR score does the
nurse assign to this infant?
a. 7
b. 8
c. 9
d. 10
Give this one a try later!
c. 9
The nurse is caring for a laboring patient who develops a fever after she has had her
epidural initiated. What actions by the nurse are appropriate? (Select all that apply.)
a. Palpate the woman's bladder distention.
b. Assess the woman's blood pressure.
c. Observe the woman for shivering.
d. Check the skin for color and warmth.
e. Prepare to assist with a blood patch.
Give this one a try later!
c. Observe the woman for shivering.
d. Check the skin for color and warmth.
, A new mother is concerned because her 1-day-old newborn is taking only 1 ounce at
each feeding. The nurse should explain that the
a. infant does not require as much formula in the first few days of life.
b. infant's stomach capacity is small at birth but will expand within a few days.
c. infant tires easily during the first few days but will gradually take more formula.
d. infant is probably having difficulty adjusting to the formula.
Give this one a try later!
b. infant's stomach capacity is small at birth but will expand within a few
days.
What information does the student learn about the newborn's developing
cardiovascular system?
a. The heart rate of a crying infant may rise to 120 beats/min.
b. Heart murmurs heard after the first few hours are cause for concern.
c. The point of maximal impulse (PMI) is on the third or fourth left intercostal space.
d. Persistent bradycardia may indicate respiratory distress syndrome (RDS).
Give this one a try later!
c. The point of maximal impulse (PMI) is on the third or fourth left
intercostal space.
A 25-year-old gravida 1 para 1 who had an emergency cesarean birth 3 days ago is
scheduled for discharge. As the nurse prepares her for discharge, she begins to cry.
What action should the nurse take first?
a. Assess her for pain.
b. Point out how lucky she is to have a healthy baby.
c. Explain that she is experiencing postpartum blues.
d. Allow her time to express her feelings.
