MATERNAL NEWBORN EXAM WITH SEVENT FIVE GRADED QUESTIONS

MATERNAL NEWBORN EXAM WITH SEVENT FIVE GRADED QUESTIONS A nurse is caring for a client who is 8 hours postpartum and is experiencing hemorrhage. Which of the following actions should the nurse implement after notifying the provider? (Select all that apply) a. Massage the fundus b. Give oxygen at 2L/min via nasal cannula c. Administer oxytocin d. Insert an indwelling catheter e. Place the client in a lateral position with her legs elevated 30 degrees - Massage the fundus Administer oxytocin Insert an indwelling catheter Place the client in a lateral position with her legs elevated 30 degrees While assessing a client in the fourth stage of labor, the nurse suspects bladder distention. Which of the following findings would the nurse expect to see? a. The fundus is displaced from the midline b. The uterus is firm. c. The fundus is below the umbilicus. d. The bladder is resonant with percussion - The fundus is displaced from the midline A nurse is testing the reflexes of a newborn to assess neurological maturity. Which of the following reflexes is the nurse assessing by holding the newborn upright with feet touching a flat surface? a. Babinski Reflex b. Moro Reflex c. Stepping Reflex d. Plantar Grasp Reflex - Stepping Reflex The nurse in the newborn nursery has just received report. Which of the following infants should the nurse see FIRST? a. A 2 day old infant who is lying quietly alert with a heart rate of 185 b. A 1 day old infant who is crying and has a bulging anterior fontanel c. A 12 hour old infant who is being held, with respirations that are 45 breaths per minute and regular d. A 5 hour old infant who is sleeping and whose hands and feet are blue bilaterally - A 2 day old infant who is lying quietly alert with a heart rate of 185 The nurse on a postpartum unit is preparing 4 clients for discharge. It would be MOST important for the nurse to refer which of the following clients for home care? a. A 15 year old primipara who delivered a 7 lb male 2 days ago b. An 1