EXAM QUESTIONS WITH NGN AND
ACCURATE SOLUTION A+ GRADED.
A nurse is caring for a client following an amniocentesis. The nurse should
observe the client for which of the following complications?
A. Hyperemesis
B. Proteinuria
C. Hypoxia
D. Hemorrhage
Hemorrhage
bleeding is sometimes noted after the procedure
A nurse is planning care for a client who is receiving oxytocin by continuous IV
infusion for labor induction. Which of the following interventions should the
nurse include in the plan?
A. Increase the infusion rate every 30 to 60 min.
B. Maintain the client in a supine position.
C. Titrate the infusion rate by 4 milliunits/min.
D. Limit IV intake to 4 L per 24 hr.
Titrate the infusion rate by 4 milliunits/min.
The infusion rate may be increased by 1-5mU/min (6- 30ml/hour) every 15-30
minutes up to a maximum of 30mU/min (180 ml/hour). The oxytocin infusion rate
should be titrated against the fetal heart rate, frequency of uterine contractions and
progress in labour.
A nurse is caring for a 2-day-old newborn who was born at 35 weeks of gestation.
Which of the following actions should the nurse the nurse takes? (Click on the
,"Exhibit" Button for additional information about the newborn. There are three
tabs that contain separate categories of date.)
A. Administer nitric oxide inhalation therapy to the newborn
B. Insert an orogastric decompression tube with low wall suction.
C. Provide the newborn with an iron
D. Measure the abdominal circumference at the level of the newborn's umbilicus
every 2 hr.
Provide the newborn with an iron
rich formula containing vitamin B12 every 2 hr.
A nurse is caring for a client who is receiving oxytocin for induction of labor and
notes late decelerations of the fetal heart rate on the monitor tracing. Which of
the following action should the nurse take?
A. Decrease maintenance IV solution infusion rate. dose is the correct answer
B. Place the client in lateral position.
C. Administer misoprostol 25 mcg vaginally
D. Administer oxygen via face mask at 2 L/min
Decrease maintenance IV solution infusion rate.
too much contraction is happening due to the oxytocin hence decreasing the dose is
the correct answer
A nurse is planning care for a client who is pregnant and has HIV. Which of the
following actions should the nurse include in the plan of care?
A. Instruct the client to stop taking the antiretroviral medication at 32 weeks of
gestation.
B. Use a fetal scalp electrode during labor and delivery.
C. Administer a pneumococcal immunization to the newborn within 4 hr following
birth.
D. Bathe the newborn before initiating skin-to-skin contact
, Administer a pneumococcal immunization to the newborn within 4 hr following birth.
this is given after testing the baby for reaction to HIV antigen and if negative, vaccine
will be given after 4 hours of birth to baby
A nurse is preparing to administer methylergonovine 0.2 mg orally to a client who
is 2 hr postpartum and has a boggy uterus. For which of the following assessment
findings should the nurse withhold the medication?
A. Blood pressure 142/92 mm Hg
B. Urine output 100 mL in hr
C. Pulse 58/min
D. Respiratory rate 14/min
Blood pressure 142/92 mm Hg
this medication is contraindicated for
A nurse is reviewing laboratory results for client who is pregnant. The Nurse
should expect which of the following laboratory values to increase?
A. RBC count
B. Bilirubin
C. Fasting blood glucose
D. BUN
RBC count
the RBC normally increasing during pregnancy due to hormonal changes
A nurse is caring for a client who is experiencing preterm labor and has a
prescription for 4 doses of dexamethasone 6 mg IM 12 hr. Available in
dexamethasome 10 mg/mL. How many mL of dexamethasome should the nurse
administer per dose? (Round the answer to the nearest tenth. Use a leading zero if
it applies. Do not use trailing zero.)
mL. D/H x V
6mg/10mg x 1mL = 0.6mL per dose