OB exam 4
A 2-day postpartum customer states, "My infant nurses all of the time. I do not suppose I
actually have enough milk." What training ought to the nurse offer to the client?
1.
"Colostrum is thick and small in extent. Babies need to nurse regularly to get the vitamins they
need."
2.
"Transitional milk is decrease in calories than colostrum. Babies must nurse frequently to gain
weight."
three.
"You want to start pumping to increase your milk deliver."
four.
"Hindmilk has better fats, so you need to ensure your baby nurses for at least 20 minutes in
keeping with breast." - ANS-1. "Colostrum is thick and small in extent. Babies ought to nurse
frequently to get the vitamins they want."
A 30-week gestation toddler has been born at a small rural health center with out a neonatal in
depth care unit (NICU). The fitness care group has decided that the toddler can be transferred
via ambulance to a local care middle 45 minutes away. Place the subsequent nursing
interventions in the suitable order in which they may want to be achieved.
Call and report pertinent records concerning maternal and neonatal histories to the local care
center.
Dispatch an appropriate healthcare team and device wanted for the delivery.
Inform the mother and father of the infant's fame upon arrival at the regional care center.
Provide developmental care to the infant, which include light and sound protection for the
duration of transport. - ANS-Call and file pertinent records regarding maternal and neonatal
histories to the local care center.
Dispatch the best healthcare team and equipment needed for the delivery.
Provide developmental care to the little one, including mild and sound safety at some stage in
shipping.
Inform the parents of the little one's repute upon arrival on the local care middle.
A breastfeeding customer asks the nurse, "Why has my toddler misplaced five ounces
considering the fact that she turned into born?" What is the satisfactory response by the nurse?
,1.
"She may additionally lose weight until your milk comes in."
2.
"It is normal for the child to lose five to ten% of her weight at some point of the first week due to
diuresis."
3.
"The infant may be dehydrated, which isn't unusual in a breastfed infant."
four.
"The baby is having bowel moves, which results in a weight trade." - ANS-2. "It is normal for the
toddler to lose five to 10% of her weight during the first week because of diuresis."
A breastfeeding mother modifications her new child's diaper and asks the nurse why the stool is
black and tough to clean. What is the first-rate response through the nurse?
1.
"This may be as a result of blood within the stool and I will test it to make certain the whole lot is
ok."
2.
"Let me name the medical doctor and spot if we need to complement the toddler with method."
three.
"The stool is normal and known as meconium. The infant may also bypass this for the primary
day or two."
four.
"The iron you took throughout the being pregnant induced the stool to be tarry and thick." -
ANS-three. "The stool is everyday and referred to as meconium. The infant might also pass this
for the primary day or ."
A breastfeeding mom is making plans to return to work and asks the nurse the way to save her
breastmilk. What is the exceptional response by using the nurse?
1.
"Keep the milk warm in a thermos at your desk."
2.
"You can store breastmilk for 6 to 8 hours at room temperature."
3.
"Expressed milk can continue to be within the refrigerator for a month."
4.
"Do now not shop breastmilk in a freezer as it damages the milk proteins." - ANS-2. "You can
save breastmilk for six to eight hours at room temperature."
A client asks the nurse how she knows if the toddler is getting enough to eat. What is the
pleasant reaction by using the nurse?
1.
"The baby's suckle ought to be strong enough to purpose mild soreness."
2.
,"The toddler will feed for as a minimum 20 mins in step with facet."
3.
"Your breasts will sense complete and firm which shows adequate milk deliver."
4.
"The toddler can be drowsy and relaxed after feeding." - ANS-4. "The child could be drowsy and
at ease after feeding."
A purchaser calls the nurse to her room and states, "The baby is virtually sleepy and hasn't
been feeding well." The nurse notes the toddler is jittery. What additional evaluation need to the
nurse perform?
1.
LATCH rating
2.
Urine output
3.
Weight
4.
Blood glucose - ANS-4. Blood glucose
A customer is preparing to formulation-feed her one-day-vintage newborn with a bottle. The
patron states, "I can't don't forget how a great deal to feed my child, and this bottle is in
milliliters. What is the maximum I must be feeding my baby with this bottle?" Enter the nurse's
solution in numerical price. - ANS-30
A customer states that breastfeeding could be very painful. The nurse observes redness and
cracking on each nipples. What movements by means of the nurse would be appropriate?
Select all that apply.
1.
Assess the little one's latch position.
2.
Instruct the purchaser to apply ice to her breasts before feeding.
Three.
Notify the health care issuer to monitor for contamination.
Four.
Instruct the consumer to explicit colostrum and rub it on her nipple.
5.
Teach the patron to wash breasts with water most effective. - ANS-1. Assess the little one's
latch role.
3. Notify the health care issuer to reveal for infection.
Four. Instruct the consumer to express colostrum and rub it on her nipple.
5. Teach the purchaser to wash breasts with water only.
A day shift nurse gives a report to the night time shift nurse on four newborns. Which new child
ought to be assessed first?
1.
, Newborn 15 hours antique with acrocyanosis
2.
Preterm new child breastfeeding for the second time
three.
Male new child who failed the hearing check and became circumcised today
four.
Newborn with clear breath sounds and grunting - ANS-four. Newborn with clear breath sounds
and grunting
A mom asks the nurse while her little one's nasogastric tube can be removed. What is the
suitable reaction by using the nurse?
1.
"Once he is eating as a minimum 60 mL per feeding."
2.
"When he reaches an adjusted gestational age of 34 weeks."
3.
"When he demonstrates a coordinated suck, swallow, breathe pattern."
4.
"Once he can keep a blood glucose level above 50 mg/dL." - ANS-3. "When he demonstrates a
coordinated suck, swallow, breathe sample."
A mom comes to go to her infant inside the neonatal extensive care unit (NICU). She verbalizes
tension concerning caring for the infant after discharge. What is the excellent reaction with the
aid of the nurse?
1.
"Being fingers-on on your child's care now will growth your confidence to deal with matters at
home."
2.
"Could you lease a home fitness nurse?"
3.
"I apprehend your difficulty. You have a delicate new child."
four.
"We will write down all your discharge commands for you." - ANS-1. "Being hands-on on your
infant's care now will boom your self assurance to deal with things at home."
A mother is worried about the eye ointment that turned into administered to her newborn and
the eyelid edema. What is the maximum suitable coaching for this mother?
1.
The new child may additionally have an allergic reaction to the drugs.
2.
The eyelid swelling can be from a watch contamination.
Three.
The eye ointment prevents eye infections and the edema is a common aspect effect to be able
to subside.
A 2-day postpartum customer states, "My infant nurses all of the time. I do not suppose I
actually have enough milk." What training ought to the nurse offer to the client?
1.
"Colostrum is thick and small in extent. Babies need to nurse regularly to get the vitamins they
need."
2.
"Transitional milk is decrease in calories than colostrum. Babies must nurse frequently to gain
weight."
three.
"You want to start pumping to increase your milk deliver."
four.
"Hindmilk has better fats, so you need to ensure your baby nurses for at least 20 minutes in
keeping with breast." - ANS-1. "Colostrum is thick and small in extent. Babies ought to nurse
frequently to get the vitamins they want."
A 30-week gestation toddler has been born at a small rural health center with out a neonatal in
depth care unit (NICU). The fitness care group has decided that the toddler can be transferred
via ambulance to a local care middle 45 minutes away. Place the subsequent nursing
interventions in the suitable order in which they may want to be achieved.
Call and report pertinent records concerning maternal and neonatal histories to the local care
center.
Dispatch an appropriate healthcare team and device wanted for the delivery.
Inform the mother and father of the infant's fame upon arrival at the regional care center.
Provide developmental care to the infant, which include light and sound protection for the
duration of transport. - ANS-Call and file pertinent records regarding maternal and neonatal
histories to the local care center.
Dispatch the best healthcare team and equipment needed for the delivery.
Provide developmental care to the little one, including mild and sound safety at some stage in
shipping.
Inform the parents of the little one's repute upon arrival on the local care middle.
A breastfeeding customer asks the nurse, "Why has my toddler misplaced five ounces
considering the fact that she turned into born?" What is the satisfactory response by the nurse?
,1.
"She may additionally lose weight until your milk comes in."
2.
"It is normal for the child to lose five to ten% of her weight at some point of the first week due to
diuresis."
3.
"The infant may be dehydrated, which isn't unusual in a breastfed infant."
four.
"The baby is having bowel moves, which results in a weight trade." - ANS-2. "It is normal for the
toddler to lose five to 10% of her weight during the first week because of diuresis."
A breastfeeding mother modifications her new child's diaper and asks the nurse why the stool is
black and tough to clean. What is the first-rate response through the nurse?
1.
"This may be as a result of blood within the stool and I will test it to make certain the whole lot is
ok."
2.
"Let me name the medical doctor and spot if we need to complement the toddler with method."
three.
"The stool is normal and known as meconium. The infant may also bypass this for the primary
day or two."
four.
"The iron you took throughout the being pregnant induced the stool to be tarry and thick." -
ANS-three. "The stool is everyday and referred to as meconium. The infant might also pass this
for the primary day or ."
A breastfeeding mom is making plans to return to work and asks the nurse the way to save her
breastmilk. What is the exceptional response by using the nurse?
1.
"Keep the milk warm in a thermos at your desk."
2.
"You can store breastmilk for 6 to 8 hours at room temperature."
3.
"Expressed milk can continue to be within the refrigerator for a month."
4.
"Do now not shop breastmilk in a freezer as it damages the milk proteins." - ANS-2. "You can
save breastmilk for six to eight hours at room temperature."
A client asks the nurse how she knows if the toddler is getting enough to eat. What is the
pleasant reaction by using the nurse?
1.
"The baby's suckle ought to be strong enough to purpose mild soreness."
2.
,"The toddler will feed for as a minimum 20 mins in step with facet."
3.
"Your breasts will sense complete and firm which shows adequate milk deliver."
4.
"The toddler can be drowsy and relaxed after feeding." - ANS-4. "The child could be drowsy and
at ease after feeding."
A purchaser calls the nurse to her room and states, "The baby is virtually sleepy and hasn't
been feeding well." The nurse notes the toddler is jittery. What additional evaluation need to the
nurse perform?
1.
LATCH rating
2.
Urine output
3.
Weight
4.
Blood glucose - ANS-4. Blood glucose
A customer is preparing to formulation-feed her one-day-vintage newborn with a bottle. The
patron states, "I can't don't forget how a great deal to feed my child, and this bottle is in
milliliters. What is the maximum I must be feeding my baby with this bottle?" Enter the nurse's
solution in numerical price. - ANS-30
A customer states that breastfeeding could be very painful. The nurse observes redness and
cracking on each nipples. What movements by means of the nurse would be appropriate?
Select all that apply.
1.
Assess the little one's latch position.
2.
Instruct the purchaser to apply ice to her breasts before feeding.
Three.
Notify the health care issuer to monitor for contamination.
Four.
Instruct the consumer to explicit colostrum and rub it on her nipple.
5.
Teach the patron to wash breasts with water most effective. - ANS-1. Assess the little one's
latch role.
3. Notify the health care issuer to reveal for infection.
Four. Instruct the consumer to express colostrum and rub it on her nipple.
5. Teach the purchaser to wash breasts with water only.
A day shift nurse gives a report to the night time shift nurse on four newborns. Which new child
ought to be assessed first?
1.
, Newborn 15 hours antique with acrocyanosis
2.
Preterm new child breastfeeding for the second time
three.
Male new child who failed the hearing check and became circumcised today
four.
Newborn with clear breath sounds and grunting - ANS-four. Newborn with clear breath sounds
and grunting
A mom asks the nurse while her little one's nasogastric tube can be removed. What is the
suitable reaction by using the nurse?
1.
"Once he is eating as a minimum 60 mL per feeding."
2.
"When he reaches an adjusted gestational age of 34 weeks."
3.
"When he demonstrates a coordinated suck, swallow, breathe pattern."
4.
"Once he can keep a blood glucose level above 50 mg/dL." - ANS-3. "When he demonstrates a
coordinated suck, swallow, breathe sample."
A mom comes to go to her infant inside the neonatal extensive care unit (NICU). She verbalizes
tension concerning caring for the infant after discharge. What is the excellent reaction with the
aid of the nurse?
1.
"Being fingers-on on your child's care now will growth your confidence to deal with matters at
home."
2.
"Could you lease a home fitness nurse?"
3.
"I apprehend your difficulty. You have a delicate new child."
four.
"We will write down all your discharge commands for you." - ANS-1. "Being hands-on on your
infant's care now will boom your self assurance to deal with things at home."
A mother is worried about the eye ointment that turned into administered to her newborn and
the eyelid edema. What is the maximum suitable coaching for this mother?
1.
The new child may additionally have an allergic reaction to the drugs.
2.
The eyelid swelling can be from a watch contamination.
Three.
The eye ointment prevents eye infections and the edema is a common aspect effect to be able
to subside.
