KAP maternity A NGN Questions and Solutions
1. Chicken livers
The nurse provides education on 5. Spinach
increasing dietary iron to a client 6. Tofu
diagnosed with anemia. The
nurse recommends the client eat
which food?
4. When the fetal heart rate is baseline perform fetal stimulation to
The nurse provides care for a assess for heart rate acceleration
client in labor The fetus is
displaying occasional category 2
fetal heart rate patterns on the
monitor Which is the first action
for the nurse to perform ?
1. received no prenatal care
2. uncertain about her estimated date of conception EDC
3. current gestation is 32 weeks .
4. A moderate amount of bright red vaginal blood is noted
5. Nothing hurts at all
The nurse provides care for a 41
- year - old pregnant client who
comes to the emergency
department ( ED ) with a report of
vaginal bleeding.
Nurse's Notes ( ED )
0900: Client is a Gravida 4 Term
1 Preterm 0 Abortion 2 Living 1
(GTPAL) history with 2 elective
abortions. Client has recieved no
prenatal care and is uncertain
about her estimated date of
conception (EDC). Client believes
that she conceived while breast
feedimg her last child; estimates
current gestation 32 weeks. The
client is wearing a perineal pad
and a moderate amount of bright
red vaginal blood is noted. Client
is crying loudly and asking for
someone to call her partner. "I
don't understand why im
bleeding! Nothing hurts at all."
Fetal heart tones (FHT) at 148
beats/minute with fetal activity
palpable externally.
0945: Abdominal unltrasound
complete. Client transported to
obstetrics unit.
>>> Click to highlight the
information in the nurses n
The nurse recognizes the client is likely exhibiting
Complete the following sentence (1. placenta previa)
by choosing from the list of as evidenced by
options (2. painless vaginal bleeding)
, KAP maternity A NGN Questions and Solutions
An abdominal ultrasound indicates that the placenta is partially
covering the cervix . The client is admitted to the obstetrics unit
and the physician writes several orders
>>> Which intervention does the nurse question ? Select all that
apply
1. Vaginal assessment of cervical dilatation
Nurse's Notes OB 5. Encourage activity as tolerated
1000: Client admitted to OB unit .
External fetal monitoring applied .
FHT regular at 140 beats / minute
with adequate variability and no
decelerations noted . Skin warm
and dry Denies discomfort .
Perineal pad in place . IV LR
infusing in the left forearm at 100
mL / hr per pump . Assisted to
void clear yellow urine per
bedpan . Partner at bedside .
1400: Client having increased
bright bleeding , soaking 2
perineal pads past in 30 minutes .
Client notes irregular mild
contractions . Diminished FHT
variability noted , and FHT
baseline decreasing to 110 bpm
with occasional late decelerations
1. The baby might have breathing problems and need
supplemental oxygen by cannula
2. The baby might require medications and may need insertion of
The nurse from the Neonatal umbilical IV line
Intensive Care Nursing ( NICU ) 3. The baby might have trouble staying warm and implementation
meets with the client and partner of kangaroo care will help with thermoregulation
to explain the challenges and 5. The baby might become jaundice and may need photo therapy
possible care interventions for the
baby in the event the child is
delivered before 36 weeks
gestation
>>> Which information is correct
for the NICU nurse to discuss
with the client ? ( Select all that
apply . )
The nurse assesses the client's vital signs . The client has a
sudden increase in vaginal bleeding and dropping baseline in the
fetal heart tones ( FHT) with late decelerations noted.
>>> Complete the following sentences from the lists of options.
Vital Signs 0900 1000 1400 The nurse immediately (1. applies oxygen by mask at 5 L /
0900 BP 124/76 mmHg minute). It is a priority for the nurse to (2. turn the client onto the
1000 BP 128/70 mmHg left side). The nurse will (3. increase the IV rate to wide open). The
1400 BP 110/62 mmHg nurse ensures the (4. amount of bleeding is measured).
0900 Pulse 70
1000 Pulse 74
1400 Pulse90
0900 Respirations 18
1000 Respiration 20
1400 Respirations 22
0900 Temp oral° F 97.9 ( 36.6 ° C
)
1000 Temp oral ° F 98.1 ( 36.7 °
C)
1400 Temp oral ° F 98.1 ( 36.7 °
C)
0900 Pulse Oximetry 95 % (
room air )
1000 Pulse Oximetry 97 % (
room air )
1400 Pulse Oximetry 94 % (
room air )
1. Chicken livers
The nurse provides education on 5. Spinach
increasing dietary iron to a client 6. Tofu
diagnosed with anemia. The
nurse recommends the client eat
which food?
4. When the fetal heart rate is baseline perform fetal stimulation to
The nurse provides care for a assess for heart rate acceleration
client in labor The fetus is
displaying occasional category 2
fetal heart rate patterns on the
monitor Which is the first action
for the nurse to perform ?
1. received no prenatal care
2. uncertain about her estimated date of conception EDC
3. current gestation is 32 weeks .
4. A moderate amount of bright red vaginal blood is noted
5. Nothing hurts at all
The nurse provides care for a 41
- year - old pregnant client who
comes to the emergency
department ( ED ) with a report of
vaginal bleeding.
Nurse's Notes ( ED )
0900: Client is a Gravida 4 Term
1 Preterm 0 Abortion 2 Living 1
(GTPAL) history with 2 elective
abortions. Client has recieved no
prenatal care and is uncertain
about her estimated date of
conception (EDC). Client believes
that she conceived while breast
feedimg her last child; estimates
current gestation 32 weeks. The
client is wearing a perineal pad
and a moderate amount of bright
red vaginal blood is noted. Client
is crying loudly and asking for
someone to call her partner. "I
don't understand why im
bleeding! Nothing hurts at all."
Fetal heart tones (FHT) at 148
beats/minute with fetal activity
palpable externally.
0945: Abdominal unltrasound
complete. Client transported to
obstetrics unit.
>>> Click to highlight the
information in the nurses n
The nurse recognizes the client is likely exhibiting
Complete the following sentence (1. placenta previa)
by choosing from the list of as evidenced by
options (2. painless vaginal bleeding)
, KAP maternity A NGN Questions and Solutions
An abdominal ultrasound indicates that the placenta is partially
covering the cervix . The client is admitted to the obstetrics unit
and the physician writes several orders
>>> Which intervention does the nurse question ? Select all that
apply
1. Vaginal assessment of cervical dilatation
Nurse's Notes OB 5. Encourage activity as tolerated
1000: Client admitted to OB unit .
External fetal monitoring applied .
FHT regular at 140 beats / minute
with adequate variability and no
decelerations noted . Skin warm
and dry Denies discomfort .
Perineal pad in place . IV LR
infusing in the left forearm at 100
mL / hr per pump . Assisted to
void clear yellow urine per
bedpan . Partner at bedside .
1400: Client having increased
bright bleeding , soaking 2
perineal pads past in 30 minutes .
Client notes irregular mild
contractions . Diminished FHT
variability noted , and FHT
baseline decreasing to 110 bpm
with occasional late decelerations
1. The baby might have breathing problems and need
supplemental oxygen by cannula
2. The baby might require medications and may need insertion of
The nurse from the Neonatal umbilical IV line
Intensive Care Nursing ( NICU ) 3. The baby might have trouble staying warm and implementation
meets with the client and partner of kangaroo care will help with thermoregulation
to explain the challenges and 5. The baby might become jaundice and may need photo therapy
possible care interventions for the
baby in the event the child is
delivered before 36 weeks
gestation
>>> Which information is correct
for the NICU nurse to discuss
with the client ? ( Select all that
apply . )
The nurse assesses the client's vital signs . The client has a
sudden increase in vaginal bleeding and dropping baseline in the
fetal heart tones ( FHT) with late decelerations noted.
>>> Complete the following sentences from the lists of options.
Vital Signs 0900 1000 1400 The nurse immediately (1. applies oxygen by mask at 5 L /
0900 BP 124/76 mmHg minute). It is a priority for the nurse to (2. turn the client onto the
1000 BP 128/70 mmHg left side). The nurse will (3. increase the IV rate to wide open). The
1400 BP 110/62 mmHg nurse ensures the (4. amount of bleeding is measured).
0900 Pulse 70
1000 Pulse 74
1400 Pulse90
0900 Respirations 18
1000 Respiration 20
1400 Respirations 22
0900 Temp oral° F 97.9 ( 36.6 ° C
)
1000 Temp oral ° F 98.1 ( 36.7 °
C)
1400 Temp oral ° F 98.1 ( 36.7 °
C)
0900 Pulse Oximetry 95 % (
room air )
1000 Pulse Oximetry 97 % (
room air )
1400 Pulse Oximetry 94 % (
room air )
