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NRS 400 Exam 3 with correct answers

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NRS 400 Exam 3 with correct answers

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NRS 400 Exam 3 with correct |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\




answers
A woman gave birth to a healthy 7-pound, 13-ounce infant girl. The nurse suggests that the
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woman place the infant to her breast within 15 minutes after birth. The nurse knows that
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breastfeeding is effective during the first 30 minutes after birth because this is the: |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\




a. Transition period.
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b. First period of reactivity.
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c. Organizational stage.
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d. Second period of reactivity. - correct answer✔✔B
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Part of the health assessment of a newborn is observing the infant's breathing pattern. A full-
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term newborn's breathing pattern is predominantly:
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a. Abdominal with synchronous chest movements.
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b. Chest breathing with nasal flaring.
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c. Diaphragmatic with chest retraction.
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d. Deep with a regular rhythm. - correct answer✔✔A
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A newborn is placed under a radiant heat warmer, and the nurse evaluates the infant's body
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temperature every hour. Maintaining the newborn's body temperature is important for |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\




preventing:



a. Respiratory depression.
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b. Cold stress.
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,c. Tachycardia.
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d. Vasoconstriction. - correct answer✔✔B
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While examining a newborn, the nurse notes uneven skin folds on the buttocks and a click
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when performing the Ortolani maneuver. The nurse recognizes these findings as a sign that the
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newborn probably has: |||\\\ |||\\\




a. Polydactyly.
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b. Clubfoot.
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c. Hip dysplasia.
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d. Webbing - correct answer✔✔C
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A new mother states that her infant must be cold because the baby's hands and feet are blue.
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The nurse explains that this is a common and temporary condition called:
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a. Acrocyanosis.
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b. Erythema neonatorum.
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c. Harlequin color.
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d. Vernix caseosa. - correct answer✔✔A
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The nurse assessing a newborn knows that the most critical physiologic change required of the
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newborn is: |||\\\




a. Closure of fetal shunts in the circulatory system.
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b. Full function of the immune defense system at birth.
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c. Maintenance of a stable temperature.
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d. Initiation and maintenance of respirations. - correct answer✔✔D
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,A client is warm and asks for a fan in her room for her comfort. The nurse enters the room to
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assess the mother and her infant and finds the infant unwrapped in his crib with the fan
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blowing over him on "high." The nurse instructs the mother that the fan should not be directed
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toward the newborn and the newborn should be wrapped in a blanket. The mother asks why.
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The nurse's best response is: |||\\\ |||\\\ |||\\\ |||\\\




a. "Your baby may lose heat by convection, which means that he will lose heat from his body to
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the cooler ambient air. You should keep him wrapped and prevent cool air from blowing on
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him."

b. "Your baby may lose heat by conduction, which means that he will lose heat from his body
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to the cooler ambient air. You should keep him wrapped and prevent cool air from blowing on
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him."

c. "Your baby may lose heat by evaporation, which means that he will lose heat from his body
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to the cooler ambient air. You should keep him wrapped a - correct answer✔✔A
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The cheeselike, whitish substance that fuses with the epidermis and serves as a protective
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coating is called: |||\\\ |||\\\




a. Vernix caseosa.
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b. Surfactant.|||\\\




c. Caput succedaneum.
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d. Acrocyanosis. - correct answer✔✔A
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For a woman at 42 weeks of gestation, which finding requires more assessment by the nurse?
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A. Fetal heart rate of 116 beats/minute
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B. Cervix dilated 2 cm and 50% effaced
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C. Score of 8 on the biophysical profile
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, D. One fetal movement noted in 1 hour of assessment by the mother - correct answer✔✔D
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A pregnant client experienced preterm labor at 30 weeks gestation. Upon assessing the client
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the nurse finds that the newborn is at risk of having cerebral palsy. Which medication
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administration should the nurse perform to prevent cerebral palsy in the newborn? |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\




A. Calcium gluconate.
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B. Magnesium sulfate.
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C. Glucocorticoid drugs.
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D. Antibiotic medications. - correct answer✔✔B
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Which drug is used for treating a client with severe postpartum bleeding?
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A. Nifedipine (Adalat)
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B. Oxytocin (Pitocin)
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C. Propranolol (Inderal)
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D. Metronidazole (Flagyl) - correct answer✔✔B
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During a prenatal visit, the nurse finds that the client has decreased mobility and symptoms of
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preterm labor. Which nursing intervention is to be followed to prevent thrombophlebitis?
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A. Teach gentle lower extremity exercises to the client.
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B. Suggest the client to lie in the supine position in bed.
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C. Provide a calm and soothing atmosphere to the client.
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D. Give tocolytic medications as per the physician's prescription. - correct answer✔✔A
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