RN MATERNAL NEWBORN 2024| PROCTORED EXAM WITH NGN | BMI of 32
70 QUESTIONS AND ANSWERS
The nurse is assessing the client 24 hr later. How should the nurse interpret the findings?
Question 1 of 70 For each findings, click to specify whether the finding is unrelated to the diagnosis, an indication of
Exhibit 1 potential improvement, or an indication of potential worsening condition.
A nurse is caring for a client who is 48 hr postpartum and has a deep vein thrombosis. Unrelated Sign of Sign of potential
Findings 24
to potential worsening
Vital Signs hr later
diagnosis improvement condition
Blood pressure 130/72 mm Hg Redness in
Heart rate 90/min the
extremity
Respiratory rate 18/min
Increased
Temperature 37oC (98.6oF) warmth in
the
extremity
The nurse is assessing the client 24 hr later. How should the nurse interpret the findings?
Decreased
For each findings, click to specify whether the finding is unrelated to the diagnosis, an indication of extremity
potential edema
Tachycardia
Scant lochia
rubra
leukocytosis
Exhibit 3
A nurse is caring for a client who is 48 hr postpartum and has a deep vein thrombosis.
Diagnostic Results
Doppler ultrasound indicative of deep vein blockage
Positive D-dimer
Exhibit 2 The nurse is assessing the client 24 hr later. How should the nurse interpret the findings?
A nurse is caring for a client who is 48 hr postpartum and has a deep vein thrombosis. For each findings, click to specify whether the finding is unrelated to the diagnosis, an indication of
potential improvement, or an indication of potential worsening condition.
Medical History
Sign of Sign of
Gravida 2 Para 2 Findings
Unrelated to potential potential
24 hr
Cesarean birth diagnosis improvement worsening
later
condition
Deep vein thrombosis with previous pregnancy
Preeclampsia
, Redness Decreased
in the extremity
extremity edema
Increased Tachycardia
warmth
in the Scant lochia
extremity rubra
Decreased leukocytosis
extremity
edema
Tachycardia
Scant lochia
rubra
Question 2 of 70
leukocytosis
Exhibit 1
Question 5
A nurse is caring for a newborn who is 4 hr old.
Nurses’ Notes
Exhibit 4
Newborn is lying in bassinet, lightly swaddled.
Newborn is noted to be jittery with a weak cry when disturbed.
A nurse is caring for a client who is 48 hr postpartum and has a deep vein thrombosis.
Extremities are mottled with acrocyanosis
Medication Administration Record
Respirations are rapid and unlabored
Acetaminophen 1,000 mg IV every 6 hr
Nifedipine 20 mg/capsule PO twice per day
Complete the diagram by dragging from the choices below to specify what condition the client is most
Heparin 25,000 units per 250 mL of 0.45% sodium chloride IV to infuse at 1,000 units/hr for 24 hr. likely experiencing. 2 actions the nurse should take to address that condition, and 2 parameters the nurse
should monitor to assess the client’s progress.
The nurse is assessing the client 24 hr later. How should the nurse interpret the findings? Potential Condition: Congenital Syphilis
For each findings, click to specify whether the finding is unrelated to the diagnosis, an indication of Parameter 1: Sking integrity
potential improvement, or an indication of potential worsening condition. Parameter 2: Respiratory status
Sign of Sign of
Findings 24 Unrelated to potential potential
hr later diagnosis improvement worsening
condition
Redness in
the
extremity
Increased
warmth in
the
extremity
, Action 1: Obt
Exhibit 3
Exhibit 2 A nurse is caring for a newborn who is
4 hr old.
A nurse is caring for a newborn who is 4 hr old.
Vital Signs
Medical History
Newborn vita signs:
Gravida 2 para 2
Axillary temperature 36oC (96.8oF)
Spontaneous vaginal birth at 41 weeks of gestation.
Heart rate 132/min
Maternal history positive for syphilis in the first semester, which was treated with penicillin. No
reoccurrence during the pregnancy. Respiratory rate 72/min
Client reports intermittent cannabis use during pregnancy. Weight 4,366 g (9 lb to 10 oz)
Action 1: Collect urine sample
Complete the diagram by dragging from the choices below to specify what condition the client is most Action 2: Obtain a capillary blood sample
likely experiencing. 2 actions the nurse should take to address that condition, and 2 parameters the nurse
should monitor to assess the client’s progress. Potential condition: Congenital syphilis
Parameter to monitor 1: Respiratory states
Parameter to monitor 2: Skin integrity
monitor to assess the client’s progress.
Complete the diagram by dragging from the choices below to specify what condition the client is most likely
experiencing. 2 actions the nurse should take to address that condition, and 2 parameters the nurse should
70 QUESTIONS AND ANSWERS
The nurse is assessing the client 24 hr later. How should the nurse interpret the findings?
Question 1 of 70 For each findings, click to specify whether the finding is unrelated to the diagnosis, an indication of
Exhibit 1 potential improvement, or an indication of potential worsening condition.
A nurse is caring for a client who is 48 hr postpartum and has a deep vein thrombosis. Unrelated Sign of Sign of potential
Findings 24
to potential worsening
Vital Signs hr later
diagnosis improvement condition
Blood pressure 130/72 mm Hg Redness in
Heart rate 90/min the
extremity
Respiratory rate 18/min
Increased
Temperature 37oC (98.6oF) warmth in
the
extremity
The nurse is assessing the client 24 hr later. How should the nurse interpret the findings?
Decreased
For each findings, click to specify whether the finding is unrelated to the diagnosis, an indication of extremity
potential edema
Tachycardia
Scant lochia
rubra
leukocytosis
Exhibit 3
A nurse is caring for a client who is 48 hr postpartum and has a deep vein thrombosis.
Diagnostic Results
Doppler ultrasound indicative of deep vein blockage
Positive D-dimer
Exhibit 2 The nurse is assessing the client 24 hr later. How should the nurse interpret the findings?
A nurse is caring for a client who is 48 hr postpartum and has a deep vein thrombosis. For each findings, click to specify whether the finding is unrelated to the diagnosis, an indication of
potential improvement, or an indication of potential worsening condition.
Medical History
Sign of Sign of
Gravida 2 Para 2 Findings
Unrelated to potential potential
24 hr
Cesarean birth diagnosis improvement worsening
later
condition
Deep vein thrombosis with previous pregnancy
Preeclampsia
, Redness Decreased
in the extremity
extremity edema
Increased Tachycardia
warmth
in the Scant lochia
extremity rubra
Decreased leukocytosis
extremity
edema
Tachycardia
Scant lochia
rubra
Question 2 of 70
leukocytosis
Exhibit 1
Question 5
A nurse is caring for a newborn who is 4 hr old.
Nurses’ Notes
Exhibit 4
Newborn is lying in bassinet, lightly swaddled.
Newborn is noted to be jittery with a weak cry when disturbed.
A nurse is caring for a client who is 48 hr postpartum and has a deep vein thrombosis.
Extremities are mottled with acrocyanosis
Medication Administration Record
Respirations are rapid and unlabored
Acetaminophen 1,000 mg IV every 6 hr
Nifedipine 20 mg/capsule PO twice per day
Complete the diagram by dragging from the choices below to specify what condition the client is most
Heparin 25,000 units per 250 mL of 0.45% sodium chloride IV to infuse at 1,000 units/hr for 24 hr. likely experiencing. 2 actions the nurse should take to address that condition, and 2 parameters the nurse
should monitor to assess the client’s progress.
The nurse is assessing the client 24 hr later. How should the nurse interpret the findings? Potential Condition: Congenital Syphilis
For each findings, click to specify whether the finding is unrelated to the diagnosis, an indication of Parameter 1: Sking integrity
potential improvement, or an indication of potential worsening condition. Parameter 2: Respiratory status
Sign of Sign of
Findings 24 Unrelated to potential potential
hr later diagnosis improvement worsening
condition
Redness in
the
extremity
Increased
warmth in
the
extremity
, Action 1: Obt
Exhibit 3
Exhibit 2 A nurse is caring for a newborn who is
4 hr old.
A nurse is caring for a newborn who is 4 hr old.
Vital Signs
Medical History
Newborn vita signs:
Gravida 2 para 2
Axillary temperature 36oC (96.8oF)
Spontaneous vaginal birth at 41 weeks of gestation.
Heart rate 132/min
Maternal history positive for syphilis in the first semester, which was treated with penicillin. No
reoccurrence during the pregnancy. Respiratory rate 72/min
Client reports intermittent cannabis use during pregnancy. Weight 4,366 g (9 lb to 10 oz)
Action 1: Collect urine sample
Complete the diagram by dragging from the choices below to specify what condition the client is most Action 2: Obtain a capillary blood sample
likely experiencing. 2 actions the nurse should take to address that condition, and 2 parameters the nurse
should monitor to assess the client’s progress. Potential condition: Congenital syphilis
Parameter to monitor 1: Respiratory states
Parameter to monitor 2: Skin integrity
monitor to assess the client’s progress.
Complete the diagram by dragging from the choices below to specify what condition the client is most likely
experiencing. 2 actions the nurse should take to address that condition, and 2 parameters the nurse should
