ESI PN Obstetrics/Maternity Practice Exam

ESI PN Obstetrics/Maternity Practice Exam a+ After repeating the vital signs for a newborn who is 4 hours old, the practical nurse (PN) obtains an axillary temperature of 97.2 F and places the newborn under a radiant heat warmer. Which additional finding should the PN observe in the newborn? - ANSTremors of the hands during crying. Which information should the practical nurse (PN) provide the parents about the purpose of instilling erythromycin (llotycin) ophthalmic ointment in the newborn's eyes. - ANS-Prophylactic treatment for gonorrheal and chlamydia infection. What is the most important action by the practical nurse (PN) in preventing neonatal infection? - ANS-Hand washing. a client who took iron supplements during pregnancy delivers and infant by cesarean section. On the second postpartum day, the client reports having a constipated stool that is greenish-black in color. Which action should the practical nurse (PN) implement? - ANS-Record color and consistency of the stool. A client is 5 weeks pregnant call the clinic to report that her home pregnancy test is positive. She asks what she should be concerned about during the weeks before her first visit. Which signs and symptoms should the practical nurse (PN) tell the client to report immediately to the healthcare provider? (select all that apply) - ANS-A. Vaginal bleeding D. Membrane rupture E. Severe headaches A 3-day-old newborn who weighed 7 pounds, 8 ounces at birth is breast feeding and now weighs 6 pound and 15 ounces. Which action should the practical nurse take? - ANS-Document the weight loss Which medication is prescribed for the prevention of ophthalmia neonatorum? - ANSErythromycin (iilotycin) A multiparous client's membranes rupture after 8 hours of labor. which action should the practical nurse implement at this time? - ANS-Assess the fetal heart rate (FHR) and pattern. The practical nurse (PN) palpates fundal height at the umbilicus of a multiparous client who has just given birth to an 8-pound boy when dark red blood comes from the client's vagina. What action is most important for the PN to implement? - ANS-Continue to massage the fundus until firm. CONTINUES...