D
A 30-12 months-antique multiparous girl who has a three-yr-antique boy and a newborn girl tells
the nurse, "My son is so jealous of my daughter, I don't know how I'll ever manage each
youngsters after I get domestic." How need to the nurse respond?
A. "Tell the older infant that he's a large boy now and need to love his new sister."
B. "Ask friends and spouse and children not to convey items to the older sibling due to the fact
you do no longer need to smash him."
C. "Let the older toddler live with his grandparents for the primary six weeks to permit him to
modify to the new child."
D. "Regression in behaviors inside the older baby is a regular reaction so he desires attention at
the moment."
A
A vaginally delivered infant of an HIV positive mother is admitted to the newborn nursery. What
intervention ought to the nurse perform first?
A. Bathe the little one with an antimicrobial soap
B. Measure the pinnacle and chest circumference
C. Obtain the infant's footprints
D. Administer nutrition K
A
A client in active hard work is admitted with preeclampsia. Which evaluation finding is most
widespread in planning this purchaser's care?
A. Patellar reflex 4+
B. Blood stress 158/eighty
C. Four-hour urine output 240 ml
D. Respiration 12/minute
A
A pregnany patron with mitral stenosis Class III is prescribed complete bedrest. The consumer
asks the nurse, "Why ought to I stay in bed all of the time?" Which reaction is first-class for the
nurse to offer this purchaser?
A. "Complete bedrest decreases oxygen needs and needs on the coronary heart muscles."
B. "We need your infant to be healthful, and this is the best manner we can ensure to be able to
show up."
,C. "I recognise you are disillusioned. Would you want to speak about a few matters you can do
while in bed?"
D. "Labor is difficult and you need to apply this time to rest before you have to anticipate all
baby-being concerned obligations."
CDF
The nurse is preparing a patron with a term being pregnant who is in lively labor for an
amniotomy. What equipment ought to the nurse have available at the consumer's bedside?
(Select all that observe)
A. Litmus paper
B. Fetal scalp electrode
C. A sterile glove
D. An amnihook
E. Sterile vaginal speculum
F. Lubricant
D
The nurse is making ready to offer an enema to a laboring client. Which purchaser calls for the
most warning whilst wearing out this system?
A. A gravida 6. Para five who is 38 years of age and in early exertions
B. A 37-week primigravida who presents at a hundred% effacement, three cm dilatation, and a
-1 station
C. A gravida 2, para 1 who's at 1 cm cervical dilatation and a 0 station admitted for induction of
labor due to submit dates
D. A 40-week primigravida who is at 6 cm cervical dilatation and the offering component isn't
engaged
D
A primigravida client who's five cm dilated, 90% effaced, and at zero station is inquiring for an
epidural for pain alleviation. Which assessment locating is most vital for the nurse to record to
the healthcare provider?
A. Cervical dilation of 5 cm with ninety% effacement
B. White blood cell rely of 12,000/mm3
C. Hemoglobin of 12 mg/dl and hematocrit of 38%
D. A platelet count of 67,000/mm3
D
The nurse is calculating the expected date of confinement (EDC) using Ngele's rule for a
customer whose remaining menstrual period commenced on December 1. Which date is most
correct?
, A. August 1
B. August 10
C. September 3
D. September 8
ABC
The nurse is acting a gestational age evaluation on a full-term newborn for the duration of the
primary hour of transition using the Ballard (Dubowitz) scale. Based in this evaluation, the nurse
determines that the neonate has a adulthood rating of 40-weeks. What findings should the
nurse identify to decide if the neonate is small for gestational age (SGA)? (Select all that
observe.)
A. Admission weight of four pounds, 15 oz (2244 grams)
B. Head to heel duration of 17 inches (42.Five cm)
C. Frontal occipital circumference of 12.Five inches (31.25 cm)
D. Skin smooth with seen veins and abundant vernix
E. Anterior plantar crease and easy heel surfaces
F. Complete flexion of all extremities in resting supine function
C
The nurse is assessing the umbilical wire of a new child. Which locating constitutes a ordinary
locating?
A. Two vessels; one artery and one vein
B. Two vessels; two arteries and no veins
C. Three vessels; two arteries and one vein
D. Three vessels; veins and one artery
A
A complete time period infant is admitted to the newborn nursery. After cautious assessment,
the nurse suspects that the infant may additionally have an esophageal atresia. Which
symptoms is that this newborn possibly to exhibit?
A. Choking, coughing, and cyanosis
B. Projectile vomiting and cyanosis
C. Apneic spells and grunting
D. Scaphoid abdomen and anorexia
A
A girls with Type 2 diabetes mellitus will become pregnant, and her oral hypoglycemic marketers
are discontinued. Which intervention is maximum critical for the nurse to put into effect?
A. Describe weight-reduction plan adjustments that can enhance the management of her
diabetes