CMS Maternal Newborn Practice 2020 A

CMS Maternal Newborn Practice 2020 A A nurse is collecting data from a client who is at 36 weeks of gestation during a prenatal examination. Which of the following findings should the nurse report to the provider? - ANSWER Blurred vision - indication of preeclampsia Expected findings: non pitting ankle edema, 10 fetal movements in 2 hr, leg cramps A nurse is caring or a newborn who is receiving phototherapy. Which of the following actions should the nurse take? - ANSWER Place an opaque mask over the newborn's eyes - to prevent damage to the retinas - Should remove mask for feedings DO NOT apply a thin layer of lotion to the newborn's skin A nurse is caring for a client who is at 11 weeks of gestation and reports frequent vomiting. Which of the following findings should the nurse identify as an indication that the client has hyperemesis gravidarum? - ANSWER Ketonuria Occurs due to the breakdown of fat secondary to malnutrition or starvation Tachycardia and tachypnea due to dehydration A nurse is caring for a newborn who has a high-pitched cry and does not respond to consoling efforts. Which of the following neonatal data collection tools should the nurse expect to complete? - ANSWER Neonatal Abstinence Scoring System: exhibiting opioid withdrawal Additional manifestations: restlessness, tremors, increased muscle tone, and an exaggerated Moro reflex - Apgar score: heart rate, respiratory rate, muscle tone, reflex irritability and skin color - Newborn Hearing Screen should be completed before the newborn is discharged from the hospital - Critical Congenital Heart Disease screen should be completed 24- 28 hours following birth and before the newborn is discharged from the hospital A nurse is assisting in the care of a newborn immediately following birth. Which of the following images should the nurse identify as an indication that the newborn has a myelomeningocele? - ANSWER Occurs when the neural tube fails to close, and the meninges and spinal cord herniate Occurs in the lumbar area and may be covered by a thin membranous sac - Exstrophy of the bladder; occurs from abnormal development of the abdominal wall, symphysis pubis and bladder ; visible in the suprapubic area and requires surgical intervention soon after birth - Omphalocel: occurs when abdominal organs herniate through the umbilical ring at the base of the umbilical cord - Cephalohematoma; collection of blood between the skull bone and its covering, the periosteum. A cephalohematoma does not cross the suture lines of the newborn's skull and will spontaneously resolve in 2-8 weeks