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TEST BANK FOR LPN TO RN TRANSITIONS 5TH EDITION CLAYWELL COMPLETE GUIDE LATEST UPDATE 2023

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TEST BANK FOR LPN TO RN TRANSITIONS 5TH EDITION CLAYWELL COMPLETE GUIDE LATEST UPDATE 2023

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February 26, 2025
Number of pages
148
Written in
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HESIpRN:pMaternityp-pTestpBankpForpLPNptopRNpTransitionspAchievingpSuccesspinpyourpNewpRolep5thpEdition




HESI RN: p




Maternity - p




Test Bank For LPN t
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o RN Transitions Ac
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hieving Success in y p p p




our New Role 5th Ed
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ition With Rationale p p




s

,HESIpRN:pMaternityp-pTestpBankpForpLPNptopRNpTransitionspAchievingpSuccesspinpyourpNewpRolep5thpEdition


A 38-p



week primigravida who works as a secretary and sits at a comput
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er for 8 hours each day tells the nurse that her feet have begun to
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swell. Which instruction would be most effective in preventing p
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ooling of blood in the lower extremities? - CORRECT ANSWER-
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Move about every hour p p p




Pooling of blood in the lower extremities results from the enlarg
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ed uterus exerting pressure on the pelvic veins. Moving about ev
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ery hour will straighten out the pelvic veins and increase venous
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return.


A 26-year-
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old, gravida 2, para 1 client is admitted to the hospital at 28-
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weeks gestation in preterm labor. She is given 3 doses of terbuta
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line sulfate (Brethine) 0.25 mg subcutaneously to stop her labor
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contractions. The nurse plans to monitor for which primary side p p p p p p p p p p



effect of terbutaline sulfate? - CORRECT ANSWER-
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Tachycardia and a feeling of nervousness p p p p p




Terbutaline sulfate (Brethine), a beta- p p p p



sympathomimetic drug, stimulates beta- p p p



adrenergic receptors in the uterine muscle to stop contractions
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. The beta-adrenergic agonist properties of
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,HESIpRN:pMaternityp-pTestpBankpForpLPNptopRNpTransitionspAchievingpSuccesspinpyourpNewpRolep5thpEdition


the drug may cause tachycardia, increased cardiac output, restlessn
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ess, headache, and a feeling of "nervousness".
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When do the anterior and posterior fontanels close? -
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CORRECT ANSWER-
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anterior fontanel closes at 12 to 18 months and the posterior by t
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he end of the second month.
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When assessing a client who is at 12-
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weeks gestation, the nurse recommends that she and her husband c
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onsider attending childbirth preparation classes. When is the best ti
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me for the couple to attend these classes? - CORRECT ANSWER-
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30 weeks gestation
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at 30 weeks gestation is closest (of the options) to the time paren
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ts would be ready for such classes. Learning is facilitated by an int
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erested pupil! The couple is most interested in childbirth toward t
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he end of the pregnancy when they are psychologically ready for t
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he termination of the pregnancy, and the birth of their child is an i
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mmediate concern. p




The nurse should encourage the laboring client to begin pushing
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when... - CORRECT ANSWER-the cervix is completely dilated.
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, HESIpRN:pMaternityp-pTestpBankpForpLPNptopRNpTransitionspAchievingpSuccesspinpyourpNewpRolep5thpEdition




Pushing begins with the second stage of labor, i.e., when the cer
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vix is completely dilated at 10 cm (C). If pushing begins before th
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e cervix is completely dilated the cervix can become edematous
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and may never completely dilate, necessitating an operative del
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ivery. Many primigravida's begin active labor 100% effaced and
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then proceed to dilate.
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The nurse instructs a laboring client to use accelerated-
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blow breathing. The client begins to complain of tingling fingers
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and dizziness. What action should the nurse take? -
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CORRECT ANSWER-
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Have the client breathe into her cupped hands
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Tingling fingers and dizziness are signs of hyperventilation (blowi
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ng off too much carbon dioxide). Hyperventilation is treated by re
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taining carbon dioxide. This can be facilitated by breathing into a
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paper bag or cupped hands. p p p p




Twenty-
four hours after admission to the newborn nursery, a full-
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term male infant develops localized edema on the right side of his
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head. The nurse knows that, in the newborn, an accumulation of
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blood between the periosteum and skull which
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