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Questions And Answers vr vr
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This Test Consists Of 55 Questions And Answers
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1. A primipara has delivered a stillborn fetus at 30-weeks gestation.To assist
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the parents with the grieving process, which intervention is most important for
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vr the nurse to implement?
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a.Provide an opportunity for the parents to hold their infant in privacy.
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B. Assist the couple in completing a request for autopsy.
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C. Encourage the couple to seek family counseling within the next few weeks. vr vr vr vr vr vr vr vr vr vr vr
D. Explainthe possible causes offetal demise vr vr vr vr vr vr
.: Ans>> A.Provideanopportunityfortheparents to hold their infant in privacy.
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,2. What is the priority nursing assessment immediately following the birth ofan
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vr infant with esophageal atresia and a tracheoesophageal (TE) fistula?
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A. Body temperature. vr
B. Level of pain. vr vr
C. Time of first void. vr vr vr
D. Number of vessels in the cord vr vr vr vr vr
.: Ans>> A.Body temperature
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3. What is the most important assessment for the nurse to conduct followingthe
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vr administration of epidural anesthesia to a client who is at 40-weeks gestation? vr vr vr vr vr vr vr vr vr vr vr
A. Maternal blood pressure. vr vr
B. Level of pain sensation vr vr vr
C. Station of presenting part. vr vr vr
D. Variability of fetal heart rate vr vr vr vr
.: Ans>> A.Maternal blood pressure
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4. A 6-year-old with heart failure (HF) gained 2 pounds in the last 24 hours.
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Which intervention is more important for the nurse to implement?
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A. Graph the daily weight for the past week.
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B. Decrease IV flow rate. vr vr vr
C. Assess bilateral lung sounds. vr vr vr
,D. Restrict intake of oral fluids vr vr vr vr
.: Ans>> C.Assess bilateral lung sounds
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5. A mother of a 3-year-old boy has just given birth to a new baby girl. The little boy
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asks the nurse, "Why is my baby sister eating my mommy's breast?" How should
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vr the nurse respond? (Select all that apply.)
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A. Explain that newborns get milk from their mothers in this way.
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B. Reassure the older brother that is does not hurt his mother. vr vr vr vr vr vr vr vr vr vr
C. Remind him that his mother breastfed him too. vr vr vr vr vr vr vr
D. Suggest that the baby can also drink from a bottle. vr vr vr vr vr vr vr vr vr
E. Clarifythebreastfeedingishismother'schoice
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.: Ans>> A.Explainthatnewbornsgetmilk from their mothers in this way
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B.Reassure the older brother that this does not hurt his mother
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C.Remind him that his mother breastfed him too
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, 6. The nurse is examining an infant for possible cryptorchidism.Which exam
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technique should be used?
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A. Place the infant in side-lying position to facilitate the exam.
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B. Hold the penis and retract the foreskin gently.
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C. Cleanse the penis with an antiseptic-soaked pad. vr vr vr vr vr vr
D. Place the infant in a warm room and use a calm approach: D.Placetheinfantin a
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vr warm room and use a calm approach
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7. The nurse is planning care for a client at 30-weeks gestation who is ex-
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periencing preterm labor. What maternal prescription is most important in
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preventing this fetus from developing respiratory syndrome?
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A. Betamethasone (Celestone) 12mg deep IM. vr vr vr vr
B. Butorphanol 1mg IV push q2h PRN pain. vr vr vr vr vr vr
C. Ampicillin 1g IV push q8h. vr vr vr vr
D. Terbutaline (Brethine) 0.25mg subcutaneously q15 minutes x3:A.Be- vr vr vr vr vr vr vr vr
tamethasone (Celestone) 12 mg deep IM.
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8. Insulin therapy isinitiated for a 12-year-old child who is admitted with diabet- ic
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vr ketoacidosis (DKA).Which action is most important for the nurse it includein the vr v
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vr child's plan of care?vr vr vr
A. Monitor serum glucose for adjustment in infusion rate of regular insulin
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