ACTUAL EXAM COMPREHENSIVE QUE w w w
STIONS AND VERIFIED ANSWERSGRAD w w w w
ED A+ | 100% CORRECT | 2024 UPDATE
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!!
A gravida 3 para 3 who is Rh negative delivers a full infant at home with
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assistance of a nurse midwife. Two days later, the client calls the clinic t
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o ask if it is necessary to see the health care provider since the infant is
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healthy, and she is not having any complications. The woman's history i
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ndicates that both previously born infants were Rh-negative.
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A The newborn's blood type should be tested to determine the needfo
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r RhoGAM
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B. It is likely that the husband is Rh-negative, and if so RhoGam
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C. RhoGam injections must be administered within 24 hours after deliv
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ery - w
✔✔✔ Correct Answer > The newborn's blood type shouldbe tested t
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o determine the need for RhoGAM
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A 3- w
hour old male infants hands and feet as cyanotic, and has an axillary te
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mperature of 96.5 degrees Fahrenheit 35.8 degrees centigrade a respir
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atory rate of 40 breaths per minute and a heart rateof 165 beats per mi
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nute what nursing action should nurse implement.
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A Administer oxygen by mouth at 2L/min
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,B Gradually warm the infant under a radiant heat source.
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C Notify the pediatrician of the infant's vital signs
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D Perform a heel-stick to maintain blood glucose level -
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w✔✔✔ Correct Answer > Gradually warm the infant under a radiant h
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eat source w
A new born nursery protocol includes a prescription for ophthalmic eryt
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hromycin 5% ointment to both eyes upon a new born admission.What
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action should the nurse take to ensure adequate installation ofthe clien
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t.
A Instill a thin ribbon into each lower conjunctival sac
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B Occlude the inner canthus after retracting the eyelids
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C Mummy wrap the infant before instilling the ointment
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D Stabilize the instilling hand on the neonate's head -
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w✔✔✔ Correct Answer > Instill a thin ribbon into each lower conjuncti
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val sac w
A newborn's head circumference is 12inches and his chest measureme
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nt is 13 inches. The nurse notes that this infant has no molding, and wa
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s a breech presentation delivered by Cesarean section.What action sho
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uld the nurse take based on these data?
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A. No action need be taken. It is normal for an infant born by Cesarean
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section to have a small head circumference.
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B. Notify the pediatrician immediately. These findings support the
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possibility of hydrocephalus. w w
C. Call these findings to the attention of the pediatrician. The
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head/chest ratio is abnormal. w w w
,D. Record the findings on the chart. They are within normal limits. -
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✔✔✔ Correct Answer > Call these findings to the attention of theped
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iatrician. The head/chest ratio is abnormal
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A 17 year old client gave birth 12 hours ago she states that she doesn'tk
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now how to care for her baby. To promote parent infant attachment b
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ehaviors which intervention should the nurse implement.
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A. Ask if she has help to care for the baby at home.
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B. Provide a video on newborn safety and care.
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C. Explored the basis of fears with the client.
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D. Encourage rooming in while in the hospital. - w w w w w w w
w✔✔✔ Correct Answer > Encourage rooming in while in the h
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ospital
A woman in her third trimester of pregnancy has been in active labor f
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or the past 8 hours and has dilated 3cm. The nurse's assessment findin
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gs and electronic fetal monitoring(EFM) are consistent with hypotonic
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dystocia, and the healthcare provider prescribed and oxytocin drip. W
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hich data is most important for the nurse to monitor?
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A. Preparation for emergency cesarean birth. w w w w
B. Client's hourly blood pressure.
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C. Checking the perineum for bulging. w w w w
D. Intensity, interval, and length of contractions. -
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w✔✔✔ Correct Answer > Intensity, interval, and length of contr
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actions.
, The nurse is preparing a young couple and their 24-hour-
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old infant fordischarge from the hospital. In conducting discharge teach
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ing, which intervention is most important for the nurse to implement?
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A. Ensure that they have the pediatric clinic's phone number.
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B. Provide the results of the infant's hearing test to the parents.
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C. Request a return demonstration of a diaper change.
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D. Evaluate infant feeding technique prior to discharge. -
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w✔✔✔ Correct Answer > Evaluate infant feeding technique prior to di
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scharge
The healthcare provider prescribes zidovudine 100mg po 5x daily for ap
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regnant woman who is HIV positive. The drug is available in a 240mLbo
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ttle labeled, "50mg/5mL." How many mL should the nurse administer?
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A. 8.5
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B. 8w
C. 10.5
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D. 10 - ✔✔✔ Correct Answer > 10
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Using the Ballard Gestational Age Assessment Tool, the nurse determin
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es that a 15-minute old infant has a gestational age of 42-
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weeks. Based on this finding, which intervention is most important fort
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he nurse to implement?
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A. Provide blow-by oxygen w w
B. Draw arterial blood gases
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