ACTUAL EXAM WITH NGN FORMAT
ACTUAL QUESTION AND CORRECT
ANSWERS WITH RATIONALES NEWEST
VERSION . SCREENSHOT
A nurse is caring for a newborn whose mother received magnesium sulfate to treat
preterm labor. Which of the following clinical manifestations in the newborn indicates
toxicity due to the magnesium sulfate therapy?
A. respiratory depression
B. hypothermia
C. hypoglycemia
D. jaundice - ANSWERS--A. respiratory depression
A nurse is preparing to administer naloxone to a newborn. which of the following
conditions can require administration of this medication?
A. IV narcotics administered to the mother during labor
B. maternal drug use
C. hyaline membrane disease
D. meconium aspiration - ANSWERS--A. IV narcotics administered to the mother during
labor
, Should administer naloxone to reverse respiratory depression due to acute narcotic
toxicity, which can result from IV narcotics administration during labor
A nurse is discussing anesthesia with a client who is receiving oxytocin for induction of
labor. Which of the following statements should the nurse make?
A. an epidural given too early in labor can cause maternal hypertension
B. an epidural given too early during labor will not be effective in active labor
C. an epidural given too early can cause fetal depression
D. an epidural given too early can prolong labor - ANSWERS--D. an epidural given too
early can prolong labor
Clients who receive anesthesia before the active phase of labor usually find the
progression to be slow. The medication depresses the CNS, so it takes longer for the
cervix to dilate and efface
A nurse is caring for a client who is pregnant and reports nausea and vomiting. Which of
the following instructions should the nurse provide the client?
A. you should eat some crackers before rising from bed in the morning
B. you should eat foods served at warm temperature
C. you should sip whole milk withe breakfast
D. you should brush your teeth immediately after meals - ANSWERS--A. you should eat
some crackers before rising from bed in the morning
morning sickness is caused by the buildup of hcg in the mother's system. dry foods
eaten before rising in the morning tend to reduce the risk of nausea in clients who are
pregnant.
A nurse is planning care for a client who is pregnant and is Rh-. In which of the following
situations should the nurse administer Rhogam?
A. while the client is in labor
B. following an episode of influenza during pregnancy
C. prior to a blood transfusion
D. at 28 weeks of gestation - ANSWERS--D. at 28 weeks of gestation
Rhogam consists of passive antibodies against the Rh factor, which will destroy any
fetal RBCs in the maternal circulation and block maternal antibody production
Magnesium sulfate can cause resp. and neuromuscular depression in the newborn. The
nurse should monitor the newborn for clinical manifestations of resp. depression