BSN 346 EXAM 2 QUESTIONS AND
CORRECT ANSWERS!!
Which assessment is the highest priority for the nurse to monitor during the administration
of terbutaline (Brethine).?
monitoring maternal and fetal heart rates
Biophysical profile (BPP).
after a non-stress test indicated that the fetus is experiencing some difficulties in utero. Which
diagnostic test should the nurse prepare the client for additional information about fetal status?
A woman with Type 2 diabetes mellitus becomes pregnant, and her oral hypoglycemic
agents are discontinued. Which intervention is most important for the nurse to implement?
Describe diet changes that can improve the management of her diabetes.
When assisting a client to relieve postpartum uterine contractions, which nursing
intervention would be most helpful for the nurse to take?"
Lying client prone with a pillow on the abdomen.
dark red vaginal bleeding , increased uterine irritability
The symptoms of abruptio placentae
Raise the foot of the bed
A client receiving epidural anesthesia begins to experience nausea and becomes pale and
clammy. What intervention should the nurse implement first?
The "3 Cs" of esophageal atresia are
coughing, chocking and cyanosis
In the normal infant the anterior fontanel closes at()and the posterior fontanel by the end
of the
12 to 18 months of age, second month .
,terbutaline (Brethine) increases
blood glucose levels.
the umbilical cord has how many arteries and veins
2 arteries and 1 vein
A new mother is afraid to touch her baby's head for fear of hurting the "large soft spot."
Which explanation should the nurse give to this anxious client?
There's a strong, tough membrane there to protect the baby so you need not be afraid to wash or
comb his/her hair."
Which temperature pattern indicates the occurrence of ovulation, and therefore, the best
time for intercourse to ensure conception?
Between the time the temperature falls and rises
Erythromycin ointment is instilled into the lower conjunctiva of each eye within 2 hours
after birth to prevent
ophthalmica neonatorum, an infection caused by gonorrhea, and inclusion conjunctivitis, an
infection caused by chlamydia.
Epogen, given to prevent or treat
anemia, stimulates erythropoietin production
A nurse knows Epogen is effective when
heart rate decreases
If the tubes are patent (open), pain is referred to
the shoulder
A client is admitted with the diagnosis of total placenta previa. Which finding is most
important for the nurse to report to the healthcare provider immediately?
on set of uterine contractions
, Breast milk provides calories and enhances GI motility
can help eliminate bilirubin
During labor, the nurse determines that a full-term client is demonstrating late
decelerations.
1. Reposition the client.
2. Increase IV fluid.
3. Provide oxygen via face mask.
4. Call the healthcare provider.
infant has spontaneous respirations and the nurse assesses an apical heart rate of 80
beats/minute and respirations of 20 BPM
immediately begin positive pressure ventilation
which is an early warning sign of an impending convulsion in eclampsia
Epigastric pain is indicative of an edematous liver or pancreas
Edema, basilar rales, and an irregular pulse indicate
cardiac decompensation
The therapeutic level of magnesium sulfate is
4 to 7 mEq/L
A vaginally delivered infant of an HIV positive mother is admitted to the newborn nursery.
What intervention should the nurse perform first?
bath infant in antimicrobial soap
Methergine is used to treat postpartum hemorrhage, but is contraindicated for clients with
elevated blood pressure
If BP drops after continuous epidural anesthetic is administered
CORRECT ANSWERS!!
Which assessment is the highest priority for the nurse to monitor during the administration
of terbutaline (Brethine).?
monitoring maternal and fetal heart rates
Biophysical profile (BPP).
after a non-stress test indicated that the fetus is experiencing some difficulties in utero. Which
diagnostic test should the nurse prepare the client for additional information about fetal status?
A woman with Type 2 diabetes mellitus becomes pregnant, and her oral hypoglycemic
agents are discontinued. Which intervention is most important for the nurse to implement?
Describe diet changes that can improve the management of her diabetes.
When assisting a client to relieve postpartum uterine contractions, which nursing
intervention would be most helpful for the nurse to take?"
Lying client prone with a pillow on the abdomen.
dark red vaginal bleeding , increased uterine irritability
The symptoms of abruptio placentae
Raise the foot of the bed
A client receiving epidural anesthesia begins to experience nausea and becomes pale and
clammy. What intervention should the nurse implement first?
The "3 Cs" of esophageal atresia are
coughing, chocking and cyanosis
In the normal infant the anterior fontanel closes at()and the posterior fontanel by the end
of the
12 to 18 months of age, second month .
,terbutaline (Brethine) increases
blood glucose levels.
the umbilical cord has how many arteries and veins
2 arteries and 1 vein
A new mother is afraid to touch her baby's head for fear of hurting the "large soft spot."
Which explanation should the nurse give to this anxious client?
There's a strong, tough membrane there to protect the baby so you need not be afraid to wash or
comb his/her hair."
Which temperature pattern indicates the occurrence of ovulation, and therefore, the best
time for intercourse to ensure conception?
Between the time the temperature falls and rises
Erythromycin ointment is instilled into the lower conjunctiva of each eye within 2 hours
after birth to prevent
ophthalmica neonatorum, an infection caused by gonorrhea, and inclusion conjunctivitis, an
infection caused by chlamydia.
Epogen, given to prevent or treat
anemia, stimulates erythropoietin production
A nurse knows Epogen is effective when
heart rate decreases
If the tubes are patent (open), pain is referred to
the shoulder
A client is admitted with the diagnosis of total placenta previa. Which finding is most
important for the nurse to report to the healthcare provider immediately?
on set of uterine contractions
, Breast milk provides calories and enhances GI motility
can help eliminate bilirubin
During labor, the nurse determines that a full-term client is demonstrating late
decelerations.
1. Reposition the client.
2. Increase IV fluid.
3. Provide oxygen via face mask.
4. Call the healthcare provider.
infant has spontaneous respirations and the nurse assesses an apical heart rate of 80
beats/minute and respirations of 20 BPM
immediately begin positive pressure ventilation
which is an early warning sign of an impending convulsion in eclampsia
Epigastric pain is indicative of an edematous liver or pancreas
Edema, basilar rales, and an irregular pulse indicate
cardiac decompensation
The therapeutic level of magnesium sulfate is
4 to 7 mEq/L
A vaginally delivered infant of an HIV positive mother is admitted to the newborn nursery.
What intervention should the nurse perform first?
bath infant in antimicrobial soap
Methergine is used to treat postpartum hemorrhage, but is contraindicated for clients with
elevated blood pressure
If BP drops after continuous epidural anesthetic is administered
