Maternity Proctored Test 2020 questions and answers 100% guaranteed success.

Maternity Proctored Test 2020 questions and answers 100% guaranteed success. A nurse in a prenatal clinic is caring for a group of clients. Which of the following client should the nurse recommend for an interdisciplinary care conference? - correct answers.A client who is at 35 weeks of gestation and has a biophysical profile of 6. A nurse is planning to teach a group of clients who are pregnant about breastfeeding after returning to work. Which of the following information should the nurse include in the teaching? - correct answers.A. Breast milk can be stored in deep freezer for 12 months. R. Do not refreeze thawed milk; breast milk can be stored at room temp for up to 8 hrs; thawed milk can be refrigerated for up to 20 hr. A nurse is performing an initial assessment of a newborn who was delivered with a nuchal cord. Which of the following clinical findings should the nurse expect? - correct answers.Facial petechiae A nurse manager is revising a maternal unit policy to ensure proper identification of newborns. Which of the following should the nurse include in the policy? - correct answers.A. Require visitors to wear and ID band A nurse is teaching a female client about nutrition during pregnancy. Which of the following instructions should the nurse include in the teaching? - correct answers.A. Do not eat swordfish, shark, or king mackerel while you are pregnant. R. These fish have high levels of mercury, which can harm the developing nervous system of the fetus. Consumption should be avoided prior to conception and until the cessation of breastfeeding. -Typically, a client should consume an additional 450 cals per day during the last trimester of pregnancy -A pregnant client of normal weight before pregnancy should expect to gain 25-35 lb during pregnancy. -A pregnant client should consume usual amounts of sodium during pregnancy unless she has an underlying medical condition like hypertension or kidney disease. A nurse in an outpatient setting is providing education for a client who is pregnant. Which of the following statements should the nurse include in the teaching? - correct answers.A. You will probably first notice your baby moving when you are around 20 weeks gestation. R. Fetal movement is typically noted by a pregnant client at 18 to 20 weeks gestation. Multiparous clients might notice the movement earlier. -Clients should avoid a supine position during the latter half of pregnancy due to the fetal pressure on the bladder. A client who is pregnant tells the nurse that she is financially unable to buy the food and vitamins recommended during pregnancy. Which of the following actions should the nurse take? - correct answers.A.Refer the client to a community resource that could assist with providing nutrition. R. federal and state programs are available to provide financial assistance that allows pregnant women and families with young children to purchase nutritious foods. A nurse is assessing a newborn at birth who was delivered at 32 weeks gestation. Which of the following findings should the nurse anticipate? - correct answers.A. extended extremities R. an infant born at 32 weeks gestation has poorly developed muscle tone and is unable to maintain the flexed position seen in infants born at full term. a nurse is assessing a newborn. which of the following findings suggests the newborn is post-mature - correct answers.A. nails extending over fingers A nurse is explaining lactation suppression to a client whose newborn will be bottle-fed. Which of the following client statements indicates an understanding of the teaching? - correct answers.A. I should wear a support bra for a few days R. The nurse should instruct the client to wear a support bra that fits securely. Wearing this bra continuously for the first 3 days postpartum helps promote suppression of lactation. A nurse is teaching a client who is at 30 wks gestation about warning signs of complications that she should report to the provider. Which of the following findings should the nurse include in the teaching? - correct answers.A. Vaginal bleeding R. this can indicate placental abruption, previa, or preterm labor. A nurse is discussing diaphragm use with a client. Which of the following statements by the client indicates an understanding of the teaching? - correct answers.A. I should replace my diaphragm every 2 years R. A diaphragm is flexible rubber cup that is filled with spermicide and inserted over the cervix prior to intercourse. It's prescribed device and should be cleaned with mild soap and water and dried gently. It should remain in place for at least 6 hours after intercourse. A nurse at a family-planning clinic is preparing to teach a class about how to use a diphragm. Which of the following pieces of information should the nurse plan to include in the teaching? - correct answers.A. Use spermicidal jelly whenever you use your diaphragm. R. using it alone is not 100% effective in preventing A nurse is caring for a client who is in labor. Which of the following assessment findings should the nurse report to the provider? - correct answers.A. Fetal heart rate baseline of 90 bpm R. this is considered bradycardia which is associated with fetal cardiac defects, maternal hypoglycemia, and fetal viral infections. A nurse is 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 gain during her pregnancy. Which of the following responses should the nurse offer? - correct answers.A. Weight gain of about 25 to 35 lb is good. R. this weight gain is associated with good fetal outcome. A gain of 4 lb in the first trimester and 12 lb each for the second and third trimesters is recommended. A nurse is caring for a client who is 2 hours postpartum and is exhibiting signs of hypovolemic shock. Which of the following actions should the nurse take? - correct answers.A. Elevate the client's legs to a 30 degree angle R. RN should position the client on her side with her right hip elevated by a pillow or in a supine position with her legs elevated to at least 30 degree angle. This improves blood flow and reduces manifestations of hypotension. -Client requires IV fluid replacement and potentially blood transfusion. RN should maintain running IV access and possible increase the IV fluid rate. -Oxygen supplementation is important for a client experiencing postpartum hypovolemic shock. O2 should be administered at 10L/min via facemask to increase oxygenation and perfusion to tissues. A nurse is monitoring a newborn who is receiving phototherapy. RN should identify which of following findings as required intervention? - correct answers.A. Weight loss 12% of birth weight R. an acceptable weight loss over the first 3-5 days is 10%. -Loose stools are a common finding in neborns receiving phototherapy. Green stools are also common before they transition to yellow. RN is providing postpartum teaching for a client who is breastfeeding. Client states, "I've heard that I can't use any birth control until stop breastfeeding." Which of the following responses should the nurse make? - correct answers.A. A progestin-only pill or injection is available for use while you are breastfeeding. R. progestin-only injections, ipmlants and BC pills are acceptable options for clients who are breastfeeding, though some experts recommend waiting until i6 weeks postaprtum to initiate the med. -estrogen-containing BC pills, implants, patches, and vaginal rings aren't recommended for clients who are breastfeeding due to risk of inhibiting breast milk production and supply. A nurse is teaching the guardian of a newborn about caring for a newborn's umbilical cord. For which of the following reasons should the nurse instruct the guardian to avoid using antimicrobial agents on the cord? - correct answers.A. They can cause delayed cord separation R. Keeping the cord moist with any kind of preparation prevents drying and separation and also increases risk for infection A nurse is providing discharge instrcutions to a client who is breastfeeding her newborn. Which of the following statements should the nurse include? - correct answers.A. Notify your provider if notice cracking on your nipples. R. Client should notify provider of cracking, bleeding, or blistered nipples since this increases client's risk of infection. -Client should notify provider if she doesn't have a bowel movement within 3 days. -Client should expect her lochia to turn brownish-red/ pink approx 3 days after birth and to remain that color for up to a week. Lochia will then turn a yellowish-white color for a few days before stopping. RN is caring for a client who is receiving oxytocin to induce labor. Which of the following actions should the nurse take? - correct answers.A. Perform continuous FHR monitoring R. When oxytocin is administered to an antepartum client, fetal monitor must be used to monitor FHR and maternal contractions continuously.