Exam
0.5 - ANS-A nurse is getting ready to administer hep b immune globulin to new child.
Prescription states, "administer 5mcg Im as soon as these days." to be had is a 5mL vial
with 10mcg/mL. How many mL should the nurse administer?
A. Eleven wks gestation and reports abd cramping - ANS-A nurse in a prenatal health facility
is assessing a collection of customers/ What patron must the nurse request the issuer to
peer first?
A. Eleven wks gestation and reviews abd cramping
b. 15 wks gestation and reports tingling and numbness in her right hand
c. 20 wks gestation and reports constipation for past four days
d. 8 wks gestation and reports having three bloody noses in past week
a. Apply sacral coutnerpressure - ANS-A nurse is caring for a patron who is in hard work and
whose fetus is inside the proper occiput publish function. The client is dilated to 8cm and
reviews returned pain. What movement have to the nurse take?
A. Observe sacral coutnerpressure
b. Perform transcutaneous electrical nerve stimulation
c. Provoke slow-paced breathing
d. Assist with biofeedback
a. Biophysical profile - ANS-A nurse is being concerned for a customer who's 36 wks
gestation and has a high-quality contraction stress test. The nurse must plan to prepare the
customer for what diagnostic check?
A. Biophysical profile
b. Amnicentesis
c. Cordocentesis
d. Kleihauer-betke check
a. BUN 25 mg/dL - ANS-A nurse is being concerned for a patron who has hyperememis
gravidarum and is receiving IV fluid alternative. Which of the following findings ought to the
nurse file to the issuer?
A. BUN 25 mg/dL
b. Serum creatinine 0.8 mg/dL
c. Urine output of 280 mL within eight hour
d. Urine poor for ketones
a. Decide resp characteristic - ANS-A nurse is being concerned for a purchaser who turns
into unresponsive upon transport of the placenta. What movement have to the nurse take
first?
A. Decide resp feature
b. Boom the IV fluid charge
c. Get entry to emergency meds from cart
d. Gather maternal blood pattern for coagulopathy studies
a. Emotional lability - ANS-A nurse in the antepartum sanatorium is assessing a patron's
variation to pregnancy. The client states she is, "glad one minute and crying the
, subsequent." the nurse need to interpret the customer's statement as an illustration of which
of the subsequent?
A. Emotional lability
b. Focusing segment
c. Cognitive restructuring
d. Couvade syndrome
a. Flaccid uterus
c. Excess vaginal bleeding - ANS-A nurse is making ready to manage oxytocin to a
purchaser who is postpartum. What findings imply the admin of the med (Select all)
a. Flaccid uterus
b. Cerical laceration
c. Excess vaginal bleeding
d. Extended afterbirth cramping
e. Expanded maternal temp
a. Get a 2hr oral glucose tolerance check in 6-12 weeks - ANS-A nurse is imparting
discharge coaching to a patron who's postpartum and become taking insulin for gestational
diabetes mellitus. What instructions have to the nurse encompass in the coaching?
A. Get a 2hr oral glucose tolerance take a look at in 6-12 weeks
b. Keep away from using low-dose oral contraceptives for bc
c. Need to reveal glucose stages every day at domestic for two-three wks
d. Take a decrease dose of insulin than you took during your being pregnant
a. HR 154/mon
c. Resp charge 58/min
e. Weight 2.6 kg (5lb 12 oz.) - ANS-A nurse is performing a bodily assessment of a new
child. What scientific findings have to the nurse expect? (select all)
a. HR 154/mon
b. Axillary temp 36 C (96.8F)
c. Resp price fifty eight/min
d. Period forty three cm (sixteen.Nine in)
e. Weight 2.6 kg (5lb 12 ounces)
a. Lays the newborn throughout her lap and gently sways - ANS-A nurse is looking at a
brand new mom being concerned for her crying newborn who's bottle feeding/ What action
through th emother have to the nurse recognize as high quality parenting behavior?
A. Lays the new child across her lap and gently sways
b. Locations the newborn within the crib in a prone function
c offers the new child a pacifier dipped in components
d. Prepares a bottle of formulation blended with rice cereal
a. Rubdown the consumer's fundus - ANS-A nurse on a postpartum unit is caring for a
patron who's experiencing hypovolemic shock. After notifying the issuer, what action have to
the nurse take subsequent?
A. Massage the customer's fundus
b. Insert an indwelling urinary catheter
c. Administer O2 at 10L/min
d. Raise the clients proper hip
a. Minimal arm flinch - ANS-A nurse is assessing a newborn who become born at 26 wks
gestation using the New Ballard Score. Which findings ought to the nurse anticipate?
A. Minimal arm draw back
b. Popliteal perspective of ninety levels