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A newborn's one minute APGAR score is 8. Which of the following
nursing interventions will you provide to this newborn?
A. Routine post-delivery care
B. Full resuscitation assistance is needed and reassess APGAR score
C. Continue to monitor and reassess the APGAR score in 10 minutes
D. Some resuscitation assistance such as oxygen
A. Routine post-delivery care
Scoring Interventions are as follows: 7-10: no interventions, baby doing
good just needs routine post-delivery care, 4-6: some resuscitation
assistance required like oxygen, suction.... stimulate the baby, rub
baby's back, 0-3: needs full resuscitation *Remember the APGAR
scoring is performed at 1 minute and 5 minutes after birth and
reassessed at 10 minutes (5 minutes later) after birth if the score is 6 or
less.
,You are doing an assessment on a female patient. She tells you she
gave birth to twin girls at 39 weeks. You would chart the following
regarding parity?*
A. Primipara
B. Gravida
C. Multipara
D. Nullipara
A. primipara
This describes a primipara woman because she had one birth that
occurred after 20 weeks gestation. Note parity is the number of births
NOT the number of fetuses as with twins in this situation. Multipara is a
woman who has had two or more pregnancies resulting in a successful
delivery, and nullipara is a woman who has not had a birth at more than
20 weeks gestation.
A pregnant patient tells the prenatal nurse she has been having some
"unusual food cravings." After further assessment, the nurse discovers
the patient has been ingesting white clay dirt from her backyard. Which
laboratory study indicates a physiological consequence of the patient's
action?
A. WBC 12,300
B. Glucose 96
C. Hemoglobin 9.1
D. Platelets of 250,000
C. Hemoglobin 9.1
, The nurse is about the give a Type 2 diabetic her insulin before
breakfast on her first day postpartum. Which of the following answers
best describes insulin requirements immediately postpartum?
A. Lower than during her pregnancy
B. Higher than during her pregnancy
C. Lower than before she became pregnant
D. Higher than before she became pregnant
C. Lower than before she became pregnant
PP insulin requirements are usually significantly lower than pre
pregnancy requirements. Occasionally, clients may require little to no
insulin during the first 24 to 48 hours postpartum.
Which of the following physiological responses is considered normal in
the early postpartum period?
A. Urinary urgency and dysuria
B. Rapid diuresis
C. Decrease in blood pressure
D. Increase motility of the GI system
B. Rapid diuresis
In the early PP period, there's an increase in the glomerular filtration
rate and a drop in the progesterone levels, which result in rapid
diuresis. There should be no urinary urgency, though a woman may feel
anxious about voiding. There's a minimal change in blood pressure
following childbirth, and a residual decrease in GI motility