Learning System RN 3.0: Maternal
Newborn Final
A nurse administers betamethasone to a patron who is 33 wks of gestation to stimulate fetal
lung adulthood. When planning take care of the new child, which of the following situations
ought to the nurse become aware of as an damaging impact of this remedy?
A. Hypothermia
b. Decreased Blood Glucose
c. Rapid Pulse Rate
d. Irritability - ANS-b. Decreased Blood Glucose
Betamethasone reasons hyperglycemia in the consumer, which predisposes the newbown to
hypoglycemia within the first hours after delivery. It is important to assess the newborn's blood
glucose degree within the first hour following birth and regularly thereafter till the blood glucose
levels are strong.
A nurse in a prenatal health center is worrying for a consumer who's in the advocated tenet for
weight. The consumer asks the nurse how plenty weight is secure to advantage during
pregnancy. Which of the following responses ought to the nurse make?
A. "Your issuer can speak the ideal amount of weight advantage with you."
b. "A weight gain of approximately 14 lbs every trimester is suggested."
c. "If you devour nutritious ingredients while you experience hungry, the quantity of weight gain
is insignificant."
d. "A weight advantage of approximately 25 to 35 lbs is good." - ANS-d. "A wt benefit of
approximately 25-35 lbs is right."
- is associated w/ correct fetal outcome
-4lb benefit in the 1st trimester & 12lb benefit every for 2d & third trimester
A nurse in an antepartum sanatorium answers a telephone name from a purchaser who's at
37wks of gestation and reviews, "I have become very dizzy at the same time as lying in
mattress this morning, however the feeling went away once I grew to become on my side."
Which of the following movements ought to the nurse take?
A. Instruct the consumer approximately vena cava syndrome and measures to save you it
b. Arrange for the pt to return to the health center for an assessment
c. Check the pt's chart for gestational DM
d. Schedule a nonstress check for the patron - ANS-a. Instruct the client about vena cava
syndrome and measures to save you it.
-Hypoglycemia is associated w/ dizziness NOT Hyperglycemia.
, A nurse is assessing a customer on the first postpartum day. Finding encompass fundus
organization & 1 fingerbreath above & too the proper of the umbilicus, moderate lochia rubra
with small clots, temp 37.3C (ninety nine.2F) & pulse charge fifty two/min. Which of the
subsequent actions must the nurse take?
A. Report the VS to the issuer.
B. Massage the fundus.
C. Ask the patron while she final voided.
D. Admin an oxytocic agent. - ANS-c. Ask the customer when she last voided
-fundus is easily displaced while the bladder is complete r/t stretched muscular tissues w/ being
pregnant
A nurse is assessing a customer who's receiving magnesium sulfate as treatment for
pre-eclampsia. Which of the subsequent clinical findings is the nurse's priority?
A. Resp sixteen/min
b. Urinary output 40mL in 2hr
c. Reflexes +2
d. FHR 158/min - ANS-b. Urinary output forty mL in 2hr
-urinary output is crucial to the excretion of magnesium
-Expected reflexes for pt receiving magazine = +2 or slight hyporeflexia
A nurse is assessing a new child who's 12 hr vintage and notes moderate jaundice of the face &
trunk. Which of the subsequent movements have to the nurse take?
A. Administer phytonadione IM
b. Obtain a stat prescription for a bilirubin level
c. Obtain a bagged urine specimen
d. Perform a gestational age assessment - ANS-b. Obtain a stat prescription for a bilirubin level
-Jaundice w/in 24hrs of existence = pathologic
-Phytonadione is given soon after beginning for prevention/remedy of hemorrhagic ailment
inside the new child
-bagged urine specimen= suspected/regarded maternal drug use in the course of being
pregnant
A nurse is worrying for a consumer who desires an IUD for contraception. Which of the
subsequent findings is a contraindication for using this tool?
A. HTN
b. Menorrhagia
c. Hx of Multiple Gestations
d. Hx of thromboembolic sickness - ANS-b. Menorrhagia
-also severe dysmenorrhea & hx of ectopic being pregnant
IUD = right alt to estrogen primarily based PO contraceptive as pt w/ HTN can't take it
Newborn Final
A nurse administers betamethasone to a patron who is 33 wks of gestation to stimulate fetal
lung adulthood. When planning take care of the new child, which of the following situations
ought to the nurse become aware of as an damaging impact of this remedy?
A. Hypothermia
b. Decreased Blood Glucose
c. Rapid Pulse Rate
d. Irritability - ANS-b. Decreased Blood Glucose
Betamethasone reasons hyperglycemia in the consumer, which predisposes the newbown to
hypoglycemia within the first hours after delivery. It is important to assess the newborn's blood
glucose degree within the first hour following birth and regularly thereafter till the blood glucose
levels are strong.
A nurse in a prenatal health center is worrying for a consumer who's in the advocated tenet for
weight. The consumer asks the nurse how plenty weight is secure to advantage during
pregnancy. Which of the following responses ought to the nurse make?
A. "Your issuer can speak the ideal amount of weight advantage with you."
b. "A weight gain of approximately 14 lbs every trimester is suggested."
c. "If you devour nutritious ingredients while you experience hungry, the quantity of weight gain
is insignificant."
d. "A weight advantage of approximately 25 to 35 lbs is good." - ANS-d. "A wt benefit of
approximately 25-35 lbs is right."
- is associated w/ correct fetal outcome
-4lb benefit in the 1st trimester & 12lb benefit every for 2d & third trimester
A nurse in an antepartum sanatorium answers a telephone name from a purchaser who's at
37wks of gestation and reviews, "I have become very dizzy at the same time as lying in
mattress this morning, however the feeling went away once I grew to become on my side."
Which of the following movements ought to the nurse take?
A. Instruct the consumer approximately vena cava syndrome and measures to save you it
b. Arrange for the pt to return to the health center for an assessment
c. Check the pt's chart for gestational DM
d. Schedule a nonstress check for the patron - ANS-a. Instruct the client about vena cava
syndrome and measures to save you it.
-Hypoglycemia is associated w/ dizziness NOT Hyperglycemia.
, A nurse is assessing a customer on the first postpartum day. Finding encompass fundus
organization & 1 fingerbreath above & too the proper of the umbilicus, moderate lochia rubra
with small clots, temp 37.3C (ninety nine.2F) & pulse charge fifty two/min. Which of the
subsequent actions must the nurse take?
A. Report the VS to the issuer.
B. Massage the fundus.
C. Ask the patron while she final voided.
D. Admin an oxytocic agent. - ANS-c. Ask the customer when she last voided
-fundus is easily displaced while the bladder is complete r/t stretched muscular tissues w/ being
pregnant
A nurse is assessing a customer who's receiving magnesium sulfate as treatment for
pre-eclampsia. Which of the subsequent clinical findings is the nurse's priority?
A. Resp sixteen/min
b. Urinary output 40mL in 2hr
c. Reflexes +2
d. FHR 158/min - ANS-b. Urinary output forty mL in 2hr
-urinary output is crucial to the excretion of magnesium
-Expected reflexes for pt receiving magazine = +2 or slight hyporeflexia
A nurse is assessing a new child who's 12 hr vintage and notes moderate jaundice of the face &
trunk. Which of the subsequent movements have to the nurse take?
A. Administer phytonadione IM
b. Obtain a stat prescription for a bilirubin level
c. Obtain a bagged urine specimen
d. Perform a gestational age assessment - ANS-b. Obtain a stat prescription for a bilirubin level
-Jaundice w/in 24hrs of existence = pathologic
-Phytonadione is given soon after beginning for prevention/remedy of hemorrhagic ailment
inside the new child
-bagged urine specimen= suspected/regarded maternal drug use in the course of being
pregnant
A nurse is worrying for a consumer who desires an IUD for contraception. Which of the
subsequent findings is a contraindication for using this tool?
A. HTN
b. Menorrhagia
c. Hx of Multiple Gestations
d. Hx of thromboembolic sickness - ANS-b. Menorrhagia
-also severe dysmenorrhea & hx of ectopic being pregnant
IUD = right alt to estrogen primarily based PO contraceptive as pt w/ HTN can't take it
