ss ss ss ss ss ss
Questions & 100% Correct Answers(Rated
ss ss ss ss ss
A+)
ss ss
ss
A ssnurse sson ssthe sspostpartum ssunit ssis sscaring ssfor ssa sspt. ssfollowing ssa sscesarean ssbirth.
ssWhich ssof ssthe ss
ss
following ssassessments ssis ssthe ssnurse's
sspriority?
ss
a. parent-child ssattachment ss
ss
b. amount ssof sslochia ss
ss
c. patency ssof ssthe ssIV sscatheter ss
ss
d. quality ssand ssquantity ssof ssurine ss- ssb. ssamount ssof sslochia ss
ss
when ssusing ssthe ssABCs ssapproach ssto ssclient sscare, ssthe ssnurse ssshould ssplace ssthe sspriority ssin
ssthe ssimmediate sspostpartum ssperiod sson ssassessing ssthe ssamount ssof sspostpartum sslochia. ssthe
ssgreatest ssrisk ssto ssthe ssclient ssis ssbleeding ssand sspostpartum sshemorrhage. ss
ss
a ssnurse ssis sscaring ssfor ssa ssclient sswho ssis ssin sslabor ssand sswhose ssfetus ssis ssin ssthe ssright
ssocciput ssposterior ssposition. ssthe ssclient ssis ssdilated ssto ss8cm ssand ssreports ssback sspain. sswhich
ssof ssthe ssfollowing ssactions ss should ssthe ssnurse sstake? ss
ss
a. apply sssacral sscounter sspressure ss
ss
b. perform sstrancutaneous sselectrical ssnerve ssstimulation ss(TENS) ss
ss
c. initiate ssslow-paced ssbreathing ss
ss
d. assist sswith ssbiofeedback ss- ssa. ssapply sssacral sscounter sspressure ss
ss
the ssnurse ssshould ssapply sssacral sscounter sspressure ssto ssassist ssin ssrelieving ssback sslabor sspain
ssrelated ssto ss
ss
fetal ssposterior
ssposition
ss
b. the ssnurse ssshould ssperform ssTENS ssduring ssthe ssfirst ssstage ssof sslabor. ss ss
ss
c. the ssnurse ssshould sstransition ssa ssclient ssto sspattern-paced ssbreathing ssduring ssthis ssstage ssof
sslabor. ss ss
ss
d. ssThe ssnurse ssshould ssteach ssthe ssclient ssabout ssbiofeedback ssduring ssthe ssprenatal ssperiod
ssfor ssit ssto ssbe ss
ss
effective ssduring
sslabor.
ss
a ssnurse ssis ssdemonstrating ssto ssa ssclient sshow ssto ssbathe ssher ssnewborn. ssin sswhich ssorder
ssshould ssthe ss
ss
nurse ssperform ssthe ssfollowing
ssactions
ss
,a. wipe ssthe ssnewborn's sseyes ssfrom ssinner sscanthus ssoutward ss
ss
b. wash ssthe ssnewborn's sslegs ssand ssfeet ss
ss
c. wash ssthe ssnewborn's ssneck ssby sslifting ssthe ssnewborn's sschin ss
ss
d. cleanse ssthe ssskin ssaround ssthe ssnewborn's ssumbilical ssstump ss
ss
e. clean ssthe ssnewborn's ssdiaper ssarea ss- ssa. sswipe ssthe ssnewborn's sseyes ssfrom ssinner sscanthus
ssoutward ss
ss
c. wash ssthe ssnewborn's ssneck ssby sslifting ssthe ssnewborn's sschin ss
ss
d. cleanse ssthe ssskin ssaround ssthe ssnewborn's ssumbilical ssstump ss
ss
b. sswash ssthe ssnewborn's sslegs ssand ssfeet ss
ss
e. ssclean ssthe ssnewborn's ssdiaper ssarea ss
ss
The ssnurse ssshould ssdemonstrate sshow ssto ssbathe ssa ssnewborn ssby ssusing ssa sshead ssto sstoe,
ssclean ssto ssdirty, ss
ss
approach.
ss
a ssnurse ssis sscaring ssfor ssa ssclient ssand ssher sspartner sswho sshave ssexperienced ssa ssfetal ssdeath.
sswhich ssof ssthe ss
ss
following ssactions ssshould ssthe ssnurse
sstake?
ss
a. take ssphotos ssof ssthe ssnewborn ssto ssgive ssto ssthe ssparents ss
ss
b. tell ssthe ssparents ssthat ssthey sscan ssconsider ssorgan ssdonation ss
ss
c. encourage ssthe ssparents ssto ssavoid ssallowing ssolder sschildren ssto ssvisit ssthem ssin ssthe sshospital
ss
ss
d. ssexplain ssto ssthe ssparents ssthe ssneed ssto ssname ssthe ssnewborn ss- ssa. sstake ssphotos ssof ssthe
ssnewborn ssto ssgive ss
ss
to ssthe
ssparents
ss
the ssnurse ssshould sscreate ssa ssmemory ssbox ssthat ssincludes ssmementos ssof ssthe ssnewborn ss(ex:
ssphotos, ssID ss
ss
bands, ssnewborn sshat ssand
ssblanket)
ss
b. ssOrgan ssdonation sscan ssbe ssconsidered ssif ssa ssnewborn ssis ssdelivered ssalive. ss
ss
c. ssThe ssnurse ssshould ssencourage ssthe ssclient ssto ssallow ssolder sschildren ssto sscome ssto ssthe
sshospital ssas ss a ss
ss
beneficial sspart ssof ssthe ssgrieving
ssprocess.
ss
d. ssThe ssnurse ssshould ssexplain ssto ssthe ssclient ssthat ssnaming ssthe ssbaby sscan ssbe sshelpful
ssduring ssthe ss
ss
grieving ssprocess, ssbut ssit ssis ssnot ssa
ssrequirement.
ss
,a ssnurse ssis sscaring ssfor ssa ssclient sswho ssis ss36 ssweeks ssgestation ssand sshas ssa sspositive
sscontraction ssstress
test. ssthe ssnurse ssshould ssplan ssto ssprepare ssthe ssclients ssfor sswhich ssof ssthe ssfollowing
ssdiagnostic sstests?
ss
a. biophysical ssprofile ss
ss
b. amniocentesis ss
ss
c. cordocentesis ss
ss
d. Kleihauer- ssBurke sstest ss- ssa. ssbiophysical ssprofile ss
ss
a sspositive sscontraction ssstress sstest ssindicate ssfurther ssevaluation ssof ssthe ssfetus ssis
ssnecessary. ssa ss
ss
biophysical ssprofile sswill ssprovide ssfurther ssevaluation sswith ssreal-time
ssultrasound
ss
b. ssAn ssamniocentesis ssis ssused ssto ssdetermine sslung ssmaturity, ssdetect sscongenital
ssanomalies, ssand ss
ss
diagnose ssfetal sshemolytic
ssdisease.
ss
c. ssA sscordocentesis ssis ssused ssto ssidentify ssfetal ssblood sstype ssand ssRBC sswhen ssthere
ssis ssa ssrisk ssof ss
ss
isoimmune sshemolytic
ssanemia.
ss
d. ssThe ssKleihauer-Betke sstest ssis ssused ssto ssdetermine ssthe ssamount ssof ssfetal ssblood ssin ssthe
ssmaternal ss
ss
circulation sswhen ssthere ssis ssa ssrisk ssof ssRh-
isoimmunization.
ss
a ssnurse ssis ssreviewing ssthe ssmedical ssrecord ssof ssa ssclient sswho ssis sspostpartum ssand sshas
sspreeclampsia. ss
ss
which ssof ssthe ssfollowing sslaboratory ssresults ssshould ssthe ssnurse ssreport ssto ssthe
ssprovider?
ss
a. hct ss39% ss
ss
b. serum ssalbumin ss4.5 ssg/dL ss
ss
c. WBC ss9,000/mm3 ss
ss
d. platelets ss50,000/mm3 ss- ssd. ssplatelets ss50,000/mm3 ss
ss
a ssplatelet sscount ssof ss50,000/mm3 ssis ssbelow ssthe ssexpected ssreference ssrange, sswhich sscan
ssindicate ssdisseminated ssintravascular sscoagulation. ssthe ssnurse ss should ssreport ssthis ssresult ssto
ssthe ssprovider ss
ss
a. ssAn ssHct ssof ss39% ssis sswithin ssthe ssexpected ssreference ssrange ssand ssis ssnot ssindicative ssof ssa
sspostpartum ss
ss
complication.
ss
, b. ssA ssserum ssalbumin sslevel ssof ss4.5 ssg/dL ssis sswithin ssthe ssexpected ssreference ssrange. ssThis
ssfinding ssis ss
ss
consistent sswith ssmild sspreeclampsia ssand ssdoes ssnot ssindicate ssa ssworsening ssof ssthe
sscondition.
ss
c. ssA ssWBC ssof ss9,000/mm3 ssis sswithin ssthe ssexpected ssreference ssrange. ss
ss
a ssnurse ssis ssassessing ssa ssnewborn sswho sswas ssborn ssat ss26 ssweeks ssgestation ssusing ssthe
ssBallard ssscore. ss
ss
which ssof ssthe ssfollowing ssfindings ssshould ssthe ssnurse
ssexpect?
ss
a. minimal ssarm ssrecoil ss
ss
b. popliteal ssangle ssof ss90 ss
ss
c. creases ssover ssthe ssentire ssfoot sssole ss
ss
d. raised ssareolas sswith ss3-4mm ssbuds ss- ssa. ssminimal ssarm ssrecoil ss
ss
the ssnurse ssshould ssexpect ssa ssnewborn ssthat sswas ssborn ssat ss26 ssweeks ssto sshave ssdecreased
ssmuscular ss
ss
tone ssor ssminimal ssarm
ssrecoil
ss
b. ssA sspopliteal ssangle ssof ss90° ssis ssan ssindicator ssof ssphysical ssmaturity sswith ssincreasing
ssgestational ss age ss
ss
after ss26
ssweeks.
c. ssCreases ssover ssthe ssentire sssole ssof ssa ssnewborn's ssfoot ssare ssan ssindicator ssof ssphysical
ssmaturity sswith ss
ss
increasing ssgestational ssage ssafter ss26
ssweeks.
ss
d. ssRaised ssareolas sswith ss3 ssto ss4 ssmm ssbuds ssis ssan ssindicator ssof ssphysical ssmaturity sswith
ssincreasing ss
ss
gestational ssage ssafter ss26
ssweeks.
ss
a ssnurse ssis ssassessing ssa ssnewborn ssfollowing ssa sscircumcision. sswhich ssof ssthe ssfollowing
ssfindings ss
ss
should ssthe ssnurse ssidentify ssas ssan ssearly ssindication ssthat ssthe ssnewborn ssis
ssexperiencing sspain?
ss
a. decrease ssheart ssrate ss
ss
b. chin ssquivering ss
ss
c. pinpoint sspupils ss
ss
d. slowed ssrespirations ss- ssb. sschin ssquivering ss
ss
behavioral ssresponses ssto ssa ssnewborn's sspain ssinclude ssfacial ssexpressions ss(ex: sschin
ssquivering, ss