MATERNAL NEWBORN FOR EXAM NEWEST 2024 ACTUAL EXAM 300 QUESTIONS AND CORRECT DETAILED ANSWERS (VERIFIED ANSWERS) |ALREADY GRADED A+

MATERNAL NEWBORN FOR EXAM NEWEST 2024 ACTUAL EXAM 300 QUESTIONS AND CORRECT DETAILED ANSWERS (VERIFIED ANSWERS) |ALREADY GRADED A+ 1. A nurse is reviewing the medical record of a client who is one day postpar-tum. The client had a vaginal birth with a fourth-degree perineal laceration. The nurse should contact the provider regarding which of the following pre- scriptions?: The nurse should not administer a rectal suppository or enema to a client who has a fourth-degree perineal laceration. These can cause separation ofthe suture line, bleeding, or infection. 2. A nurse is preparing to administer hepatitis B immune globulin to a new- born. The prescription states, "Administer 5 mcg IM once today." Available is a5 mL vial with 10 mcg/mL.How many mL should the nurse administer? (Roundthe answer to the nearest tenth. Use a leading zero if it applies. Do not use atrailing zero.): STEP 8: Reassess to determine whether the amount to administermakes sense. If there are 10 mcg/mL and the prescription reads 5 mcg, it makes sense to administer 0.5 mL.The nurse should administer hepatitis B immunoglobulin 0.5 mL IM. 3. A nurse is teaching a client who is at 8 weeks of gestation about exercise.Which of the following instructionsshould the nurse include in the teaching?- : The nurse should instruct the client to engage in 30 min of moderate exercise every day to improve muscle tone throughout her pregnancy. 4. A nurse is assessing a client who is in labor and notes early decelerations on the fetal monitor. Which of the following findings should the nurse identify as a possible cause of the early decelerations?: The nurse should identify fetal head compression as a likely cause of the early decelerations on the fetal monitor. Early decelerations are an expected fetal pattern caused by fetal head compression due to uterine contractions, fundal pressure, and vaginal examinations. 5. A nurse is caring for a client and her partner who have experienced a fetaldeath. Which of the following actions should the nurse take?: Take photos of the newborn to give to the parents. The nurse should create a memory box that includes mementos of the newborn (forexample, photos, the newborn's ID bands, the newborn's hat, and the newborn's blanket). 6. A nurse is observing a new mother caring for her crying newborn who is bottle feeding.Which of the following actions by the mother should the nurserecognize as a positive parenting behavior?: Lays the newborn across her lap and gently sways. This is a correct technique for quieting a newborn.This tactile stimulation promotesa sense of security for the newborn. 7. A nurse on an antepartum unit is caring for four clients. Which of the following clients should the nurse identify as the priority?: Epigastric pain is a clinical manifestation of preeclampsia and indicates hepatic involvement, which isan urgent finding.Therefore, the nurse should identify this client as the priority. 8. A nurse is preparing to administer oxytocin to a client who is postpartum. Which of the following findings is an indication for the administration of the medication? (Select all that apply.): Flaccid uterus is correct. Oxytocin increasesthe contractility of the uterus. Cervical laceration is incorrect. Bleeding resulting from a cervical laceration contin-ues even when the uterusis contracted and firm.It will require repair by the provider. Excess vaginal bleeding is correct.Oxytocin enhances uterine contractility, decreas-ing vaginal bleeding. Increased afterbirth cramping is incorrect.The use of oxytocin will increase, ratherthan decrease, afterbirth cramping. Increased maternal temperature is incorrect.The use of oxytocin will have no effecton maternal temperature. 9. A nurse is teaching a new mother about newborn safety. Which of the fol- lowing instructions should the nurse include in the teaching?: Room-sharing is recommended during the first few weeks. This allows the parents to be readily available to the newborn and learn the newborn's cues. However, the nurse shouldinstruct the parents to avoid placing the newborn in their bed as it increases the riskfor sudden infant death syndrome. 10. A nurse is calculating a client's expected date of birth using Naegele's rule.The client tells the nurse that her last menstrual cycle started on November 27th.Which of the following dates is the client's expected date of birth?: Whenusing Naegele's rule to calculate the estimated date of birth for a client, the nurse should subtract 3 months from the first day of the client's last menstrual cycle and then add 7 days. November 27th minus 3 months equals August 27th. August 27thplus 7 days equals September 3rd. 11. A charge nurse on a labor and delivery unit is teaching a newly licensed nurse how to perform Leopold maneuvers.Which of the following imagesindi-cates the first step of Leopold maneuvers?: Evidence-based practice indicatesthe nurse should perform thisstep first when performing Leopold maneuvers.Duringthisstep, the nurse palpatesthe client's abdomen with her palmsto determine which fetal part is in the uterine fundus.This step also identifies the lie (transverse orlongitudinal) and presentation (cephalic or breech) of the fetus. 12. A nurse is caring for a client who is at 38 weeks of gestation. Which of the following actions should the nurse take prior to applying an external transducer for fetal monitoring?: The nurse should perform Leopold maneuversto assess the position of the fetus to best determine the optimal placement for theexternal fetal monitoring transducer 13. A staff nurse on an obstetric unit is caring for a client who isscheduled foran induced abortion.The staff nurse informs the nurse manager that she hasa moral issue with the client's decision.Which of the following actions shouldthe nurse manager take?: The nurse manager should take into account the staff nurse's moral beliefs and recognize that she also has rights and responsibilities concerning the care of a client who is undergoing an induced abortion. Therefore, the nurse manager should reassign the care of the client to another staff nurse. 14. A nurse is caring for a client who is pregnant and is at the end of her first trimester. The nurse should place the Doppler ultrasound stethoscope in which of the following locations to begin assessing for the fetal heart tones (FHT)?: At the end of the first trimester of pregnancy, the client's uterus is approximately the size of a grapefruit and is positioned low in the pelvis slightly above the symphysis pubis.Therefore, the nurse should begin assessing for FHTsjust above the symphysis pubis. 15. A nurse is planning care for a client who is to undergo a nonstress test. Which of the following actions should the nurse include in the plan of care?: -Fetal movement may not be evident on the fetal monitor and tracing. Instructing theclient to press the button when she detects fetal movement will ensure that the fetalmovement is noted. 16. A nurse in the antepartum clinic is assessing a client's adaptation to pregnancy. The client states that she is, "happy one minute and crying the next." The nurse should interpret the client's statement as an indication of which of the following?: The nurse should recognize and interpret the client's statement as an indication of emotional lability. Many women experience rapid andunpredictable changes in mood during pregnancy. Intense hormonal changes maybe responsible for mood changes that occur during pregnancy. Tears and anger alternate with feelings of joy or cheerfulness for little or no reason. 17. A nurse is caring for a prenatal client who has parvovirus B19 (fifth dis- ease). Which of the following actions should the nurse take?: The nurse shouldschedule serial ultrasound examinations to monitor the fetus during the pregnancyto detect the possible development of fetal hydrops. 18. A nurse is caring for a client who is at 35 weeks of gestation and is undergoing a nonstress test that reveals a variable deceleration in the FHR. Which of the following actionsshould the nurse take?: Having the client changeposition is an appropriate intervention for a variable deceleration to relieve umbilicalcord compression. 19. A nurse is providing teaching about comfort measures to a client who is breastfeeding and is experiencing engorgement. Which of the following nonpharmacological measures should the nurse include in the teaching?: -The nurse should suggest applying cold compresses or ice packs to alleviate thediscomforts of engorgement in the client who is breastfeeding. 20. A nurse is caring for a client who is in active labor and has had no cervicalchange in the last 4 hr. Which of the following statements should the nurse make?: Insertion of an intrauterine pressure catheter is necessary to determine uterine contraction intensity, which will identify whether or not the contractions are adequate for progression of labor. 21. A nurse in an antepartal clinic is providing care for a client who is at 26 weeks of gestation. Upon reviewing the client's medical record, which ofthe following findings should the nurse report to the provider? (Click on the"Exhibit" button for additional information about the client. There are three tabs that contain separate categories of data.): Progress Notes Fundal height 30 cm Good fetal movement Not experiencing headache, dizziness, blurred vision, or vaginal bleedingFetal heart rate 110/min A fundal height measurement of 30 cm should be reported to the provider. Fundal height should be measured in centimeters and is the same as the number of gestational weeks plus or minus 2 weeks from 18 to 32 weeks gestation.Therefore,the nurse should report this finding to the provider. 22. A nurse is assessing a client who is at 30 weeks of gestation during a routine prenatal visit.Which of the following findings should the nurse report to the provider?: Swelling of the face, sacral area, and hands can indicate gestational hypertension or preeclampsia. Reduction in renal perfusion leads to sodium and water retention. Fluid moves out of the intravascular compartment intothe tissues, causing edema. 23. A nurse in a prenatal clinic is assessing a group of clients. Which of the following clients should the nurse request the provider see first?: A client whois at 11 weeks of gestation and reports abdominal cramping When using the urgent vs nonurgent approach to client care, the nurse should de-termine that the priority finding is a client who is at 11 weeks of gestation and reportsabdominal cramping. Abdominal cramping can indicate an ectopic pregnancy or manifestations of spontaneous abortion.The nurse should request that the providersee this client first. Wrong Answers A client who is at 15 weeks of gestation and reports tingling and numbness in herright hand A client who is at 20 weeks of gestation and reports constipation for the past 4 days A client who is at 8 weeks of gestation and reports having three bloody noses in thepast week 24. A nurse is planning discharge for a client who is 3 days postpartum.Whichof the following nonpharmacological interventions should the nurse include in the plan of care for lactation suppression?: Plant sterols and salicylates from cabbage leaves can help to relieve swelling and discomfort caused by breastengorgement. 25. A nurse is reviewing the laboratory report of a client who is 24 hr post- partum following a vaginal delivery.Which of the following laboratory resultsshould the nurse identify as an indication of a postpartum infection?: The nurse should realize that this value exceeds the expected reference range for a postpartum client and indicates an infection. 26. A nurse is assessing a newborn 12 hr after birth. Which of the following manifestations should the nurse report to the provider?: Jaundice occurring within the first 24 hr of birth is associated with ABO incompatibility, hemolysis, or Rhisoimmunization.The nurse should report this manifestation to the provider. 27. A nurse on a postpartum unit is caring for a client who is experiencing hypovolemic shock. After notifying the provider, which of the following ac- tions should the nurse take next?: The greatest risk to the client is hemorrhage.Therefore, the next action the nurse should take is to massage the client's fundus to expel clots and promote contractions. 28. A nurse is caring for a full-term newborn immediately following birth. Which of the following actions should the nurse take first?: When using the urgent vs. nonurgent approach to client care, the nurse should determine that the greatest risk to the newborn is cold stress.Therefore, the first action the nurse shouldtake immediately after delivery is to dry the newborn. 29. A nurse is teaching a client who is pregnant about managing nausea and vomiting. Which of the following instructions should the nurse include in the teaching?: The nurse should instruct the client to eat high-carbohydrate foods (for example, toast, potatoes, and rice) to decrease nausea and vomiting. The nurse should also instruct the client to avoid spicy, fatty, or fried food