Exam
Zero.Five - ANS-A nurse is preparing to administer hep b immune globulin to new child.
Prescription states, "administer 5mcg Im as soon as these days." available is a 5mL vial with
10mcg/mL. How many mL need to the nurse administer?
A. 11 wks gestation and reviews abd cramping - ANS-A nurse in a prenatal health facility is
assessing a group of customers/ What client need to the nurse request the provider to peer
first?
A. 11 wks gestation and reports abd cramping
b. 15 wks gestation and reports tingling and numbness in her proper hand
c. 20 wks gestation and reports constipation for past four days
d. 8 wks gestation and reports having three bloody noses in beyond week
a. Follow sacral coutnerpressure - ANS-A nurse is caring for a customer who's in exertions
and whose fetus is in the proper occiput submit position. The customer is dilated to 8cm and
reports again ache. What movement ought to the nurse take?
A. Follow sacral coutnerpressure
b. Perform transcutaneous electrical nerve stimulation
c. Provoke gradual-paced respiratory
d. Help with biofeedback
a. Biophysical profile - ANS-A nurse is caring for a purchaser who is 36 wks gestation and
has a fantastic contraction pressure test. The nurse ought to plan to prepare the purchaser
for what diagnostic test?
A. Biophysical profile
b. Amnicentesis
c. Cordocentesis
d. Kleihauer-betke check
a. BUN 25 mg/dL - ANS-A nurse is caring for a customer who has hyperememis gravidarum
and is receiving IV fluid substitute. Which of the following findings ought to the nurse file to
the company?
A. BUN 25 mg/dL
b. Serum creatinine 0.Eight mg/dL
c. Urine output of 280 mL within 8 hour
d. Urine bad for ketones
a. Decide resp function - ANS-A nurse is being concerned for a purchaser who becomes
unresponsive upon delivery of the placenta. What movement have to the nurse take first?
A. Decide resp characteristic
b. Increase the IV fluid rate
c. Access emergency meds from cart
d. Acquire maternal blood sample for coagulopathy research
a. Emotional lability - ANS-A nurse within the antepartum medical institution is assessing a
client's version to being pregnant. The client states she is, "glad one minute and crying the
, next." the nurse ought to interpret the patron's declaration as a demonstration of which of the
following?
A. Emotional lability
b. Focusing phase
c. Cognitive restructuring
d. Couvade syndrome
a. Flaccid uterus
c. Extra vaginal bleeding - ANS-A nurse is preparing to administer oxytocin to a client who's
postpartum. What findings imply the admin of the med (Select all)
a. Flaccid uterus
b. Cerical laceration
c. Extra vaginal bleeding
d. Improved afterbirth cramping
e. Extended maternal temp
a. Get a 2hr oral glucose tolerance check in 6-12 weeks - ANS-A nurse is presenting
discharge coaching to a customer who's postpartum and changed into taking insulin for
gestational diabetes mellitus. What instructions have to the nurse include inside the
coaching?
A. Get a 2hr oral glucose tolerance check in 6-12 weeks
b. Keep away from the use of low-dose oral contraceptives for bc
c. Want to reveal glucose tiers day by day at home for 2-three wks
d. Take a decrease dose of insulin than you took at some point of your pregnancy
a. HR 154/mon
c. Resp fee 58/min
e. Weight 2.6 kg (5lb 12 oz.) - ANS-A nurse is performing a physical evaluation of a
newborn. What medical findings ought to the nurse expect? (pick all)
a. HR 154/mon
b. Axillary temp 36 C (ninety six.8F)
c. Resp price fifty eight/min
d. Period 43 cm (16.Nine in)
e. Weight 2.6 kg (5lb 12 oz.)
a. Lays the newborn across her lap and lightly sways - ANS-A nurse is looking at a new
mother being concerned for her crying new child who is bottle feeding/ What action through
th emother have to the nurse recognize as fantastic parenting conduct?
A. Lays the newborn throughout her lap and lightly sways
b. Locations the new child in the crib in a susceptible position
c offers the newborn a pacifier dipped in formula
d. Prepares a bottle of components blended with rice cereal
a. Massage the patron's fundus - ANS-A nurse on a postpartum unit is being concerned for a
consumer who is experiencing hypovolemic surprise. After notifying the issuer, what
movement should the nurse take next?
A. Massage the purchaser's fundus
b. Insert an indwelling urinary catheter
c. Administer O2 at 10L/min
d. Raise the customers proper hip
a. Minimum arm draw back - ANS-A nurse is assessing a newborn who become born at 26
wks gestation the usage of the New Ballard Score. Which findings should the nurse
anticipate?