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Exam (elaborations)

Unit Exam 2

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Exam of 4 pages for the course Unit Exam 2 at Unit Exam 2 (Unit Exam 2)

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1. Crying is to be avoided in a child who has had a cleft lip repair. You recognize that crying can cause which
outcome?
a. Tension on the suture line
R: Prevention of stress on the lip suture line is essential for optimum healing and the cosmetic appearance
of a cleft lip repair. Although crying also causes (B, C and D), these conditions do not create a problem for
the child with a cleft lip repair.

2. The nurse is concerned that a postpartum client with a cervical laceration is developing hypovolemic shock.
What did the nurse assess in this client?
a. Weak and Rapid pulse
R: The sign of weak and rapid pulse in the body is a compensatory mechanism attempting to increase the
blood circulation. This finding needs to be reported to the health care provider and RN as soon as possible.

3. A 39-week-old multigravida has a prior history of placenta previa with her two previous pregnancies. During
your assessment, you suspect she is bleeding. What sign/symptoms indicates hypovolemia? SATA

4. A client has just given birth at 42 weeks’ gestation. Which abnormal finding would the nurse expect to find
during the assessment of this neonate?
a. Hypoglycemia and polycythemia
peeling and wrinkling of the neonate's epidermis – I found this answer on Quizlet.


5. The nurse is planning care for a group of pregnant clients. Which of the following women should the nurse
notify the health care provider about immediately?
a. A woman at 32 weeks’ gestation and is pre-eclamptic and with +3 proteinuria epigastric pain and
headache

6. A client has been admitted for induction of labor. The nurse should assess which of the following to determine
the success of the induction?
a. Bishop score of 8

7. As part of a thorough assessment of a newborn the nurse should use which of the following techniques to
check for hip dislocation and dysplasia?
a. Ortolani’s Maneuver

8. When assessing a 34-year-old multigravida client at 34 weeks’ gestation experiencing moderate vaginal
bleeding, which of the following would most likely alert the nurse that placenta previa is present?
a. Painless Vaginal Bleeding

9. The primary healthcare provider prescribes intravenous magnesium sulfate for a primigravida client at 38
weeks’ gestation diagnosed with severe preeclampsia. Which one of the following medications should the
nurse have readily available?
a. Calcium Gluconate

10. A postpartum client has a history of thrombophlebitis. What should the nurse do to determine if the client is
developing femoral thrombophlebitis after delivery?
a. Asses the calf for edema and erythema

11. The nurse is concerned that a pregnant client is experiencing abruptio placentae. What did the nurse asses in
this client?
a. Sharp, stabbing pain high in the uterus

12. A woman has been diagnosed with ruptured ectopic pregnancy. Which of the following signs and symptoms
is/are primary characteristics of this diagnosis?
a. Sharp unilateral pain
b. Cullen Sign

13. It is possible to predict which pregnancies will end early by analyzing changes in the length of the cervix by
ultrasound and analysis of vaginal mucus for the presence of a protein produced by the trophoblast cells.
Which of the following tests describes the protein?
a. Fetal Fibronectin (fFN)

14. Hypertonic labor is characterized by short irregular contractions without complete relaxation of the uterine wall
in between contractions. Hypertonic labor can be cause by an increased sensitivity to oxytocin What would the
nurse do for a client experiencing hypertonic labor because of oxytocin augmentation?
a. Turn of Pitocin

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Uploaded on
August 13, 2022
Number of pages
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Written in
2022/2023
Type
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