Learning System RN 3.0 Maternal
Newborn Final Quiz
A nurse administers betamethasone to a purchaser who's at 33 weeks gestation to stimulate
fetal lung maturity. Which planning care for the newborn, which of the following conditions
ought to the nurse discover as an negative effect of this medicine? - ANS-Decreased blood
glucose
Betamethasone causes hyperglycemia inside the patron, which predisposes the newborn to
hypoglycemia within the first hours after delivery. It is important to assess the new child's
blood glucose degree in the first hour following start and regularly thereafter until blood
glucose levels are stable.
A nurse in a prenatal medical institution is worrying for a client who's in the endorsed
pointers for weight. The patron asks the nurse how a whole lot weight is secure for her to
gain at some stage in her pregnancy. Which of the subsequent responses have to the nurse
make? - ANS-A weight advantage of approximately 25-35 pounds is good
A nurse in an antepartum clinic solutions a phone name from a consumer who's at 37 weeks
of gestation and reports, "I emerge as very dizzy even as mendacity in mattress this
morning, but the feeling went away once I turned on my facet." Which of the subsequent
movements have to the nurse take? - ANS-Instruct the patron about vena cava syndrome
and measures to prevent it
A nurse is assessing a purchaser on the primary postpartum day. Findings encompass
fundus firm and one fingerbreadth above and to the right of the umbilicus, slight lochia rubra
with small clots, temperature 37.3 C (99.2 F), and pulse price 52/min. Which of the following
moves have to the nurse take? - ANS-Ask the client when she last voided
A nurse is assessing a consumer who is receiving magnesium sulfate as remedy for
preeclampsia. Which of the subsequent clinical findings is the nurse's priority? - ANS-Urinary
output 40ml in 2 hours
A nurse is assessing a new child who is 12 hours vintage and notes mild jaundice of the face
and trunk. Which of the following movements have to the nurse take? - ANS-Obtain a stat
prescription for a bilirubin degree
A nurse is worrying for a customer who goals an intrauterine device (IUD) for birth control.
Which of the following findings is a contraindication for the use of this device? -
ANS-Menorrhagia
An IUD is a small plastic or copper device placed within the uterus that changes the uterine
environment to prevent being pregnant. An IUD is contraindicated for women who've
menorrhagia, intense dysmenorrhea, or history of ectopic pregnancy.
A nurse is worrying for a purchaser who has a prescription for naloxone. Which of the
subsequent is the intended movement of the drugs in relation to the vital fearful system? -
ANS-Blocks results of narcotics on the CNS
, A nurse is being concerned for a purchaser who has medical manifestations of an ectopic
pregnancy. Which of the following findings is a risk component for an ectopic being
pregnant? - ANS-Pelvic inflammatory disease (PID)
An ectopic pregnancy happens while the fertilized egg implants in tissue out of doors of the
uterus and the placenta and fetus begin to increase there. The maximum commonplace site
is inside a fallopian tube, however ectopic pregnancies can sometimes occur in the ovary or
the abdomen. Most instances are a result of scarring due to a previous tubal contamination
or tubal surgical treatment. Therefore, PID locations the client at risk for an ectopic
pregnancy.
A nurse is being concerned for a customer who has trichomoniasis and a prescription for
metronidazole. Which of the subsequent instructions need to the nurse offer to the purchaser
about the remedy plan? - ANS-You and your partner want to take the medication and use a
condom in the course of sex until cultures are terrible
Trichomonas vaginalis is the organism that reasons the sexually transmitted contamination
trichomoniasis. Both ladies and men may be infected with trichomoniasis. Clinical findings
include yellowish to greenish, frothy, mucopurulent, copious discharge with an unsightly
odor, in addition to itching, burning, or redness of the vulva and vagina. Trichomoniasis can
be handled easily with metronidazole. However, for the treatment to paintings, it's far critical
to ensure each sexual companions acquire treatment to prevent reinfection. Instruct the
patron to use condoms at some stage in sexual sex even as being dealt with.
A nurse is caring for a customer who is 2 hours postpartum. The nurse notes the purchaser's
perineal pad has a huge amount of lochia rubra with numerous clots. Which of the
subsequent actions ought to the nurse take first? - ANS-Massage the fundus
A nurse is being concerned for a consumer who's at sixteen weeks of gestation and has
extreme iron deficiency anemia. The issuer prescribes an injection of iron dextran IM. Which
of the subsequent strategies ought to the nurse use to administer the medication? -
ANS-Use a 20-guage needle, and administer the drugs the use of the Z track approach
A nurse is being concerned for a consumer who's at 34 weeks of gestation and has a
prescription for terbutaline for preterm labor. Which of the following statements by means of
the customer is the priority? - ANS-My heart feels as if it's far racing
The primary motion of terbutaline is to reason bronchodilation and loosen up smooth muscle
tissues. However, an adverse impact is tachycardia. If the heart beat is greater than one
hundred thirty/min, the terbutaline desires to be held until the issuer is notified. The nurse
might also want to apply Maslow's hierarchy of wishes, the ABC precedence-putting
framework, or nursing knowledge to pick out which finding is the maximum pressing.
A nurse is worrying for a customer who is at 36 weeks of gestation and has preeclampsia.
Which of the subsequent findings need to the nurse identify as the priority? -
ANS-Nonreactive nonstress check
A nonstress take a look at measures fetal coronary heart charge (FHR) accelerations with
regular motion. A fetal acceleration is a high-quality signal gift when the FHR increases
15/min and lasts 15 seconds. In a nonreactive nonstress take a look at, there aren't any
accelerations. Absence of FHR accelerations shows that the fetus might be going into
distress. The nurse might also want to use Maslow's hierarchy of needs, the ABC
Newborn Final Quiz
A nurse administers betamethasone to a purchaser who's at 33 weeks gestation to stimulate
fetal lung maturity. Which planning care for the newborn, which of the following conditions
ought to the nurse discover as an negative effect of this medicine? - ANS-Decreased blood
glucose
Betamethasone causes hyperglycemia inside the patron, which predisposes the newborn to
hypoglycemia within the first hours after delivery. It is important to assess the new child's
blood glucose degree in the first hour following start and regularly thereafter until blood
glucose levels are stable.
A nurse in a prenatal medical institution is worrying for a client who's in the endorsed
pointers for weight. The patron asks the nurse how a whole lot weight is secure for her to
gain at some stage in her pregnancy. Which of the subsequent responses have to the nurse
make? - ANS-A weight advantage of approximately 25-35 pounds is good
A nurse in an antepartum clinic solutions a phone name from a consumer who's at 37 weeks
of gestation and reports, "I emerge as very dizzy even as mendacity in mattress this
morning, but the feeling went away once I turned on my facet." Which of the subsequent
movements have to the nurse take? - ANS-Instruct the patron about vena cava syndrome
and measures to prevent it
A nurse is assessing a purchaser on the primary postpartum day. Findings encompass
fundus firm and one fingerbreadth above and to the right of the umbilicus, slight lochia rubra
with small clots, temperature 37.3 C (99.2 F), and pulse price 52/min. Which of the following
moves have to the nurse take? - ANS-Ask the client when she last voided
A nurse is assessing a consumer who is receiving magnesium sulfate as remedy for
preeclampsia. Which of the subsequent clinical findings is the nurse's priority? - ANS-Urinary
output 40ml in 2 hours
A nurse is assessing a new child who is 12 hours vintage and notes mild jaundice of the face
and trunk. Which of the following movements have to the nurse take? - ANS-Obtain a stat
prescription for a bilirubin degree
A nurse is worrying for a customer who goals an intrauterine device (IUD) for birth control.
Which of the following findings is a contraindication for the use of this device? -
ANS-Menorrhagia
An IUD is a small plastic or copper device placed within the uterus that changes the uterine
environment to prevent being pregnant. An IUD is contraindicated for women who've
menorrhagia, intense dysmenorrhea, or history of ectopic pregnancy.
A nurse is worrying for a purchaser who has a prescription for naloxone. Which of the
subsequent is the intended movement of the drugs in relation to the vital fearful system? -
ANS-Blocks results of narcotics on the CNS
, A nurse is being concerned for a purchaser who has medical manifestations of an ectopic
pregnancy. Which of the following findings is a risk component for an ectopic being
pregnant? - ANS-Pelvic inflammatory disease (PID)
An ectopic pregnancy happens while the fertilized egg implants in tissue out of doors of the
uterus and the placenta and fetus begin to increase there. The maximum commonplace site
is inside a fallopian tube, however ectopic pregnancies can sometimes occur in the ovary or
the abdomen. Most instances are a result of scarring due to a previous tubal contamination
or tubal surgical treatment. Therefore, PID locations the client at risk for an ectopic
pregnancy.
A nurse is being concerned for a customer who has trichomoniasis and a prescription for
metronidazole. Which of the subsequent instructions need to the nurse offer to the purchaser
about the remedy plan? - ANS-You and your partner want to take the medication and use a
condom in the course of sex until cultures are terrible
Trichomonas vaginalis is the organism that reasons the sexually transmitted contamination
trichomoniasis. Both ladies and men may be infected with trichomoniasis. Clinical findings
include yellowish to greenish, frothy, mucopurulent, copious discharge with an unsightly
odor, in addition to itching, burning, or redness of the vulva and vagina. Trichomoniasis can
be handled easily with metronidazole. However, for the treatment to paintings, it's far critical
to ensure each sexual companions acquire treatment to prevent reinfection. Instruct the
patron to use condoms at some stage in sexual sex even as being dealt with.
A nurse is caring for a customer who is 2 hours postpartum. The nurse notes the purchaser's
perineal pad has a huge amount of lochia rubra with numerous clots. Which of the
subsequent actions ought to the nurse take first? - ANS-Massage the fundus
A nurse is being concerned for a consumer who's at sixteen weeks of gestation and has
extreme iron deficiency anemia. The issuer prescribes an injection of iron dextran IM. Which
of the subsequent strategies ought to the nurse use to administer the medication? -
ANS-Use a 20-guage needle, and administer the drugs the use of the Z track approach
A nurse is being concerned for a consumer who's at 34 weeks of gestation and has a
prescription for terbutaline for preterm labor. Which of the following statements by means of
the customer is the priority? - ANS-My heart feels as if it's far racing
The primary motion of terbutaline is to reason bronchodilation and loosen up smooth muscle
tissues. However, an adverse impact is tachycardia. If the heart beat is greater than one
hundred thirty/min, the terbutaline desires to be held until the issuer is notified. The nurse
might also want to apply Maslow's hierarchy of wishes, the ABC precedence-putting
framework, or nursing knowledge to pick out which finding is the maximum pressing.
A nurse is worrying for a customer who is at 36 weeks of gestation and has preeclampsia.
Which of the subsequent findings need to the nurse identify as the priority? -
ANS-Nonreactive nonstress check
A nonstress take a look at measures fetal coronary heart charge (FHR) accelerations with
regular motion. A fetal acceleration is a high-quality signal gift when the FHR increases
15/min and lasts 15 seconds. In a nonreactive nonstress take a look at, there aren't any
accelerations. Absence of FHR accelerations shows that the fetus might be going into
distress. The nurse might also want to use Maslow's hierarchy of needs, the ABC
