PN Learning System Maternal Newborn Final Quiz Questions with Complete Solutions Graded A+

PN Learning System Maternal Newborn Final Quiz Questions with Complete Solutions Graded A+ A nurse is caring for four newborns. Which of the following findings should the nurse report to the provider? - Answer: A 12-hr old newborn who has a heart rate of 70/ while sleeping A nurse is contributing to the plan of care for client who plans to formula feed her newborn. Which of the following actions should the nurse include in the plan? - Answer: Have the client place ice packs on her breast four times per day A nurse is caring for a client who is at 34 weeks of gestation and has a prescription for terbutaline for preterm labor. Which of the following statements by the client is the nurse's priority? - Answer: My heart feels as if its racing A nurse is an antepartum clinic answers a phone call from a client who is at 37 weeks of gestation and reports "I became very dizzy while lying in bed this morning, but the feeling went away when i turned on my side." Which of the following actions should the nurse take? - Answer: Instruct the client about vena cava syndromw and measure to prevent it A nurse is caring for a client who has trichomoniasis and a prescription for metronidazole. Which of the following instructions should the nurse reinforce with the client about the treatment plan? - Answer: You and your partner need to take the medication and use a condom during intercourse until cultures are negative A nurse is reinforcing teaching about formula feeding with a parent of a newborn. Which of the following statements by the parent indicates an understanding of the teaching? - Answer: I will warm the bottle of formula by placing it in a pan of hot water A nurse is assisting with the care of a preterm newborn who is receiving oxygen therapy. Which of the following findings should the nurse identfy as a potential complication from the oxygen therapy? - Answer: Retinopathy A nurse is reinforcing teaching with a client who is postpartum and breastfeeding. Which of the following nutrients should the nurse include in the teaching as a nutrient for the client to increase the intake of while breastfeeding? - Answer: Vitamin C A nurse is caring for a client who is pregnant and reports nausea and vomiting. Which of the following instructions should the nurse provide to the client? - Answer: You should eat some crackers before rising from the bed in the morning A nurse is reinforcing teaching with a client who had active genital herpes simplex virus, type 2. Which of the following statements by the nurse should be included in the teaching? - Answer: You will have a cesarean birth prior to the onset of labor A nurse is caring for a newborn who has irregular respirations of 52/min with several periods of apnea lasting approximately 5 seconds. The newborn is pink with acrocyanosis. Which of the following actions should the nurse take? - Answer: Continue to routinely monitor the newborn A nurse is caring for a newborn who has neonatal abstinence syndrome. Which of the following clincial findings should the nurse expect? - Answer: Exaggerated reflexes A nurse collecting data for a newborn who is 12 hr old and notes mild jaundice of the face and trunk. Which of following actions should the nurse take? - Answer: Obtain a stat prescription for bilirubin level a nurse is caring for a client who is at 16 weeks gestation and have severe iron-deficiency anemia. The provider prescribes an injection of iron dextran IM. Which of the following methods should the nurse use to administer the medication? - Answer: use a 20-gauge needle and administer the medication using the z-tract method. A nurse is reinforcing teaching about oxytocin with a client who is in the 3rd trimester of pregnancy and has pre-eclampsia. Which of the following is a contraindication for use of this medication? - Answer: active genital herpes a nurse is discussing diaphragm use with a client. which of the following statements by the client indicates an understanding of the teaching? - Answer: I should replace my diaphragm every 2 years a nurse is assisting with the care of a newborn who has myelomeningocele. which of the following actions should the nurse take? - Answer: initiate a latex free environment a nurse is caring for a client who desires an intrauterine device (IUD) for contraception. which of the following findings is a contraindication for use of this device - Answer: menorrhagia a nurse is assisting with caring for a client who is at 36 weeks of gestation and has preeclampsia. which of the following findings should the nurse identify as the priority. - Answer: nonreactive non stress test a nurse is speaking with an expectant father who says that he feels resentful of the added attention others are giving his wife since the pregnancy was announced several weeks ago. which of the following responses should the nurse make - Answer: these feelings are common for expectant fathers in early pregnancy a nurse is assisting In the plan of care for a newborn who requires phototherapy for hyperbilirubinemia. which of the following actions should the nurse include in the plan of care? - Answer: ensure the newborns eyes are closed before applying the eye shield a nurse is preparing to elicit the fencing reflex from a newborn. which of the following actions should the nurse take? - Answer: turn the newborns head quickly to one side a nurse is assisting with the plan of care for a client who is at 35 weeks of gestation. which of the following laboratory tests should the nurse obtain? - Answer: Group B streptococcus B-hemolytic culture a nurse administers betamethasone to a client who is at 33 weeks of gestation to stimulate fetal lung maturity. When assisting with the plan of care for the newborn, which of the following conditions should the nurse identify as an adverse effect of the medication? - Answer: decreased blood glucose a nurse is preparing a client who is pregnant for an ultrasound. which of the following information is the most important for the nurse to collect? - Answer: the time of the clients last void a nurse is reinforcing teaching with a client about a non stress test. which of the following statement by the client indicates an understanding of the teaching? - Answer: I should press the button on the hand held marker when my baby moves a nurse is reinforcing teaching with a client who is breastfeeding. which of the following information should the nurse include? - Answer: your baby should have burst of 15 sucks of swallows at a time a nurse is caring for four newborns. which of the following newborns is at greatest risk for hypoglycemia - Answer: a newborn who is large for gestational age a nurse is collecting data on a newborn who was born at 43 weeks gestation. which of the following findings should the nurse expect? - Answer: absent vernix a nurse is caring for a newborn who was born to a client who has a narcotic use disorder. which of the following nursing actions should the nurse identify as a contraindication for the newborn? - Answer: frequent stimulation a nurse is reinforcing teaching with a client who is pregnant. which of the following instructions should the nurse include? - Answer: you should use fluoride-based toothpaste to prevent dental caries a nurse is caring for a client who is 2 hr postpartum. the nurse notes that the clients perineal pad has a large amount of loch ruby with several clots. which of the following actions should the nurse take first. - Answer: massage the fundus a nurse is caring for a client who has clinical manifestations of an ectopic pregnancy. which of the following findings is a risk factor for an ectopic pregnancy? - Answer: pelvic inflammatory disease a nurse in a prenatal clinic is caring for a client who is within the recommended guideline for weight. the client asks the nurse how much weight is safe for her to gain during her pregnancy. Which of the following responses should the nurse make? - Answer: a weight gain of about 25 to 35 pounds is good a nurse is caring for a client who is at 8 weeks of gestation with twins and is primigravida. The client states that even though she and her husband planned this pregnancy, she is experiencing man ambivalent feelings about it. which of the following responses should the nurse make? - Answer: these feelings are normal at the beginning of pregnancy a nurse is reinforcing discharge instructions with a client following the removal of a hydatidiform mole. which of the following statements should the nurse include in the teaching - Answer: do not become pregnant for at least 1 year a nurse is collecting data from a client on the first postpartum day. findings include funds firm and one finger breadth above and to the right of the umbilicus, moderate lochia rubia with small clots, temperature 37.3 C (99.2 F) and pulse rate 52/min. which of the following actions should the nurse take? - Answer: ask the client when she last voided a nurse is assisting with the plan of care for a client who is pregnant and is Rh negative. in which of the following situations should the nurse administer Rh(D) immune globulin? - Answer: at 28 weeks gestation a nurse is collecting data on a client who is at 8 weeks of gestation. which of the following findings should the nurse report to the provider? - Answer: small amounts of brown vaginal discharge a nurse is caring for a client who reports that her las menstrual period (LMP) began on July 8. based on nageles rule, which of the following is the clients expected date of birth (EDB)? - Answer: April 15th