Save
R
N
M
a
t
e
r
n
a
l
N
e
w
b
o
r
n
O
n
li
n
e
P
r
a
c
ti
c
e
2
0
1
9
A
w
it
h
N
G
N
Students
also
studied
,Terms in this set (60)
The nurse should demonstrate how to bathe a newborn by using a head to toe, clean
A nurse is demonstrating to a to dirty, approach. Therefore, the nurse should first wipe the newborn's eyes from the
client how to bathe their newborn. inner canthus outward using plain water. The nurse should then wash the newborn's
neck by lifting the newborn's chin. Next, the nurse should cleanse the skin around the
In which order should the nurse umbilical cord stump followed by washing the newborn's legs and feet. The last step of
the bath should be to clean the newborn's diaper area.
perform the following actions?
(Move the steps into the box on
the right, placing them in the
selected order of performance.
Use all the steps.)
Remove all clothing from the newborn except the diaper.
A nurse is developing a plan of The nurse should remove all the newborn's clothing except the diaper while under
care for a newborn who is to phototherapy. Maximum skin exposure to the ultraviolet light is needed to break down
the excess bilirubin.
undergo phototherapy for
hyperbilirubinemia. Which of the
following actions should the
nurse include in the plan?
Feed the newborn 1 oz of water
every 4 hr.
Apply lotion to the newborn's skin
three times per day.
Remove all clothing from the
newborn except the diaper.
Discontinue therapy if the newborn
develops a rash.
A reduction in respiratory distress in the newborn
A nurse is caring for a client who Betamethasone is a glucocorticoid that is given to stimulate fetal lung maturity and
is anemic at 32 weeks of prevent respiratory distress.
gestation and is in preterm labor.
The provider prescribed
betamethasone 12 mg IM. Which
of the following outcomes should
the nurse expect?
Decreased uterine contractions
An increase in the client's
hemoglobin levels
A reduction in respiratory distress in
the newborn
Increased production of antibodies
in the newborn
"The person who comes to take my baby's pictures will be wearing a photo
A nurse is providing teaching for identification badge."
a client who gave birth 2 hr ago All personnel working on the unit should be wearing a photo identification badge. The
nurse should instruct the parent to never allow anyone who is not wearing an
about the facility policy for identification badge to come in contact with the newborn.
newborn safety. Which of the
following client statements
indicates an understanding of the
teaching?
"My sister will be able to carry my
baby from the nursery to my room
when she arrives."
"The nurse will match my wrist band
to my baby's crib card when they
bring him to me."
"The person who comes to take my
baby's pictures will be wearing a
photo identification badge."
"My baby doesn't need to wear the
electronic security bracelet when
he's in my room."
, Hypertension
A nurse is assessing a client who The nurse should recognize that carboprost is a vasoconstrictor that can cause
received carboprost for hypertension.
postpartum hemorrhage. Which
of the following findings is an
adverse effect of this medication?
Hypertension
Hypothermia
Constipation
Muscle weakness
Pregestational diabetes mellitus
A nurse in a provider's office is Pregestational diabetes mellitus increases a client's risk for the development of
reviewing the medical record of a preeclampsia. Other risk factors include preexisting hypertension, renal disease,
systemic lupus erythematosus, and rheumatoid arthritis.
client who is in the first trimester
of pregnancy. Which of the
following findings should the
nurse identify as a risk factor for
the development of
preeclampsia?
Singleton pregnancy
BMI of 20
Maternal age 32 years
Pregestational diabetes mellit
To locate a pocket of fluid
A nurse is caring for a client who An ultrasound is done to locate a pocket of amniotic fluid and the placenta prior to an
is at 36 weeks of gestation and amniocentesis. This decreases the risk of injury to the fetus.
has a prescription for an
amniocentesis. For which of the
following reasons should the
nurse prepare the client for an
ultrasound?
To estimate the fetal weight
To locate a pocket of fluid
To determine multiparity
To prescreen for fetal anomalies
Acrocyanosis is correct. Acrocyanosis is an expected finding for at least the first 24
A nurse is performing a physical hr following birth. Poor peripheral perfusion leads to bluish discoloration in the
assessment of a newborn upon newborn's hands and feet.
Positive Babinski reflex is correct. Newborns should exhibit a positive Babinski sign
admission to the nursery. Which following birth. The nurse should stroke the newborn's foot upward from the heel to
the toes. The toes should hyperextend, and dorsal flexion of the big toe should occur.
of the following manifestations The absence of this finding requires neurological evaluation. The Babinski reflex is no
should the nurse expect? (Select longer present after 1 year of age.
Two umbilical arteries visible is correct. The nurse should observe two arteries and
all that apply.) one vein in the umbilical cord. The presence of only one artery can indicate a renal
anomaly.
Yellow sclera
Acrocyanosis
Posterior fontanel larger than the
anterior fontanel
Positive Babinski reflex
Two umbilical arteries visible
Administer oxygen via a nonrebreather mask.
A nurse is caring for a client who When using the airway, breathing, and circulation approach to client care, the nurse
is at 26 weeks of gestation and should place the priority on administering oxygen to the client via a nonrebreather
mask at 10 L/min to ensure adequate oxygenation to the fetus.
has epilepsy. The nurse enters
the room and observes the client
having a seizure. After turning the
client's head to one side, which of
the following actions should the
nurse take immediately after the
seizure?
Monitor the FHR.
Assess uterine activity.
Administer oxygen via a
nonrebreather mask.
Start a bolus of IV fluids.
R
N
M
a
t
e
r
n
a
l
N
e
w
b
o
r
n
O
n
li
n
e
P
r
a
c
ti
c
e
2
0
1
9
A
w
it
h
N
G
N
Students
also
studied
,Terms in this set (60)
The nurse should demonstrate how to bathe a newborn by using a head to toe, clean
A nurse is demonstrating to a to dirty, approach. Therefore, the nurse should first wipe the newborn's eyes from the
client how to bathe their newborn. inner canthus outward using plain water. The nurse should then wash the newborn's
neck by lifting the newborn's chin. Next, the nurse should cleanse the skin around the
In which order should the nurse umbilical cord stump followed by washing the newborn's legs and feet. The last step of
the bath should be to clean the newborn's diaper area.
perform the following actions?
(Move the steps into the box on
the right, placing them in the
selected order of performance.
Use all the steps.)
Remove all clothing from the newborn except the diaper.
A nurse is developing a plan of The nurse should remove all the newborn's clothing except the diaper while under
care for a newborn who is to phototherapy. Maximum skin exposure to the ultraviolet light is needed to break down
the excess bilirubin.
undergo phototherapy for
hyperbilirubinemia. Which of the
following actions should the
nurse include in the plan?
Feed the newborn 1 oz of water
every 4 hr.
Apply lotion to the newborn's skin
three times per day.
Remove all clothing from the
newborn except the diaper.
Discontinue therapy if the newborn
develops a rash.
A reduction in respiratory distress in the newborn
A nurse is caring for a client who Betamethasone is a glucocorticoid that is given to stimulate fetal lung maturity and
is anemic at 32 weeks of prevent respiratory distress.
gestation and is in preterm labor.
The provider prescribed
betamethasone 12 mg IM. Which
of the following outcomes should
the nurse expect?
Decreased uterine contractions
An increase in the client's
hemoglobin levels
A reduction in respiratory distress in
the newborn
Increased production of antibodies
in the newborn
"The person who comes to take my baby's pictures will be wearing a photo
A nurse is providing teaching for identification badge."
a client who gave birth 2 hr ago All personnel working on the unit should be wearing a photo identification badge. The
nurse should instruct the parent to never allow anyone who is not wearing an
about the facility policy for identification badge to come in contact with the newborn.
newborn safety. Which of the
following client statements
indicates an understanding of the
teaching?
"My sister will be able to carry my
baby from the nursery to my room
when she arrives."
"The nurse will match my wrist band
to my baby's crib card when they
bring him to me."
"The person who comes to take my
baby's pictures will be wearing a
photo identification badge."
"My baby doesn't need to wear the
electronic security bracelet when
he's in my room."
, Hypertension
A nurse is assessing a client who The nurse should recognize that carboprost is a vasoconstrictor that can cause
received carboprost for hypertension.
postpartum hemorrhage. Which
of the following findings is an
adverse effect of this medication?
Hypertension
Hypothermia
Constipation
Muscle weakness
Pregestational diabetes mellitus
A nurse in a provider's office is Pregestational diabetes mellitus increases a client's risk for the development of
reviewing the medical record of a preeclampsia. Other risk factors include preexisting hypertension, renal disease,
systemic lupus erythematosus, and rheumatoid arthritis.
client who is in the first trimester
of pregnancy. Which of the
following findings should the
nurse identify as a risk factor for
the development of
preeclampsia?
Singleton pregnancy
BMI of 20
Maternal age 32 years
Pregestational diabetes mellit
To locate a pocket of fluid
A nurse is caring for a client who An ultrasound is done to locate a pocket of amniotic fluid and the placenta prior to an
is at 36 weeks of gestation and amniocentesis. This decreases the risk of injury to the fetus.
has a prescription for an
amniocentesis. For which of the
following reasons should the
nurse prepare the client for an
ultrasound?
To estimate the fetal weight
To locate a pocket of fluid
To determine multiparity
To prescreen for fetal anomalies
Acrocyanosis is correct. Acrocyanosis is an expected finding for at least the first 24
A nurse is performing a physical hr following birth. Poor peripheral perfusion leads to bluish discoloration in the
assessment of a newborn upon newborn's hands and feet.
Positive Babinski reflex is correct. Newborns should exhibit a positive Babinski sign
admission to the nursery. Which following birth. The nurse should stroke the newborn's foot upward from the heel to
the toes. The toes should hyperextend, and dorsal flexion of the big toe should occur.
of the following manifestations The absence of this finding requires neurological evaluation. The Babinski reflex is no
should the nurse expect? (Select longer present after 1 year of age.
Two umbilical arteries visible is correct. The nurse should observe two arteries and
all that apply.) one vein in the umbilical cord. The presence of only one artery can indicate a renal
anomaly.
Yellow sclera
Acrocyanosis
Posterior fontanel larger than the
anterior fontanel
Positive Babinski reflex
Two umbilical arteries visible
Administer oxygen via a nonrebreather mask.
A nurse is caring for a client who When using the airway, breathing, and circulation approach to client care, the nurse
is at 26 weeks of gestation and should place the priority on administering oxygen to the client via a nonrebreather
mask at 10 L/min to ensure adequate oxygenation to the fetus.
has epilepsy. The nurse enters
the room and observes the client
having a seizure. After turning the
client's head to one side, which of
the following actions should the
nurse take immediately after the
seizure?
Monitor the FHR.
Assess uterine activity.
Administer oxygen via a
nonrebreather mask.
Start a bolus of IV fluids.
