Maternal/Newborn Exam 2 Questions And Answers

Maternal/Newborn Exam 2 Questions
And Answers
Acdeliveredcclientcwithcpreeclampsiachascreceivedcmagnesiumcsulfatecthroughoutclabor.cW
hich
clinicalcsignscdemonstratecthecresolutioncofcpreeclampsia?slidec8c-
cDiuresiscandcdecreasedcedema




Acdiabeticcmothercwouldcbecatcriskcforcthecfollowingcifchercwascmacrocosmiccduectocpoor
glycemicccontrol?slidec4c-cCesareancbirth

Acwomancincaclatecstagecpregnancycbeginsctocchokecandciscunablectocspeakcorccough.cWhic
hcinitial
actionciscmostcappropriate?slidec15c-cPerformcchestcthrust

ThechealthcarecprovidercorderscaccontinuouscheparincIVcinfusioncatc1700cunits.cHeparincis
providedcatc25,000cunitscinc500mlcD5W.cThecnursecshouldcsetcinfusioncratecatc?c-c34

ThechealthcarecprovidercorderscAcetaminophencelixirc10mg/kgcpocforcacchildcwhocweighsc1
1
pounds.cAvailablecAcetaminophencelixirc160cmg/c5ml.cThecnursecwillcadministerc?c-c1.6

Thechealthcarecprovidercorderscaminophyllinec0.3cgramscpo.cAminophyllineciscsuppliedcasc
150cmg
tablets.cThecnursecwillcadminister?c-c2

Thecnursecassessescacclientcincthecthirdctrimestercofcpregnancycforcpreeclampsia.cWhichcofc
the
followingcclinicalcsignscindicatesctheconsetcofcthisccondition?slide6c-
cHypertension,cproteinuriacandcheadachecunrelievedcbyctylenol




Thecnursecassessescacpostcpartumcclientcwhocdeliveredc4cweekscago.cThecmotherchasclittle
interestcincthecinfantcandctellscthecnursecshechaschadcthoughtscofcself-harm.cThecnurse
understands,cthecclientciscexperiencingcwhichcofcthecfollowing?slidec37c-
cPostpartumcdepression




Thecnurseccarescforcacclientcwhocexperiencedcprecipitousclaborcandcbirth.cWhichcclinicalcsig
ns

, shouldcthecnursecbecalertcforcincthiscclient,cincthecimmediatecpostpartumcperiod?cSelectcallct
hat
apply.cslidec19c-c-Hemorrhage
-VulvarcHematoma
-Lacerations
-uterinecrupture

Thecnurseccarescforcacpreeclampticcclientcwhocbeginsctocseize.cWhichcnursingcactionciscacpr
iority
duringcthecseizure?c-cKeepcairwaycpatent

Thecnursecenterscthecroomcofcacpostpartumcclientcandcseescthecmothercholdingcthecinfant,
makingceyeccontactcandcsingingctocthecchild.cThiscmaternalcbehaviorcdemonstratescwhichco
fcthe
following?slidec36c-cFacilitatingcbehaviors

ThecnursechascidentifiedcRiskcforcAlteredcTissuecPerfusioncrelatedchypovolemiacascancappr
opriate
nursingcdiagnosiscforcacclientcexperiencingcpostpartumchemorrhage?cWhichcofcthecfollowin
g
goalsciscacpriority?c-cThecclientcwillcmaintaincstablecvitalcsignscandcoxygencsaturation

Thecnursechascreceivedcancordercforcprostaglandincgelcforcacclientcwhocisc42-
cweekcgestation.

Whichcstatementsciscmostcappropriatecregardingcthiscmedication?cslidec20,39c-
citciscusedcwhencthecBishopcscoreciscfourcorcles




Thecnurseciscadmittingcacclientcrecentlycdiagnosedcwithcpreeclampsiacwhochascperipheralce
dema
andccomplainscaboutcrightcuppercquadrantcpaincandcacheadache.cAdmissionclabscrevealcP
LT'scat
90,000cdecreasedcHgbcandcHCT,celevatedclivercenzymes,candclowcfibrinogenclevels.cThecn
urse
identifiescthesecfindingscascconsistentcwithcwhichcofcthecfollowingcconditions?slidec7c-
cHELLPcsyndrome




Thecnurseciscassessingcacclientc32cweekcgestationcdiagnosedcwithcpreeclampsia?cWhich
assessmentcfindingciscofcconcernctocthecnurse?slidec52,53,c-
cVisualcchanges,cdifficultycfocusin




Thecnurseciscassessingcacpostpartumcclientcandcnotescthecfundusciscboggycandclocatedcabo
vecthe
umbilicuscandctocthecright.cAftercmassagingcthecfundus,cwhatcothercnursingcactionciscapprop
riate?
slidec30c-cAskcthecclientctocvoid