NR 327 EXAM 2 QUESTIONS WITH
DETAILED VERIFIED ANSWERS
Priority actions for the newborn Ans: ABCs, dry off, suction, assess
breathing
Priority interventions for umbilical cord prolapse Ans: Relieve pressure
on the cord to improve umbilical blood flow until delivery.priority is to
relieve pressure on the cord to improve umbilical blood flow until
delivery.
Priority interventions for umbilical cord prolapse Ans: The priority of care
is to reduce compression and restore normal blood flow through the cord
by elevating the presenting part while giving the mother oxygen to
maximize her blood oxygen concentration.
The classic sign of _____ is the sudden onset of painless uterine bleeding
in the last half of pregnancy Ans: placenta previa
Delivery may be scheduled if the fetus is older than 36 weeks of
gestation and the lungs are mature.
Immediate delivery may be necessary regardless of fetal immaturity if
bleeding is excessive, the woman demonstrates signs of hypovolemia, or
signs of fetal compromise are present. Ans: placenta previa
When communicating with the patient, avoid _____ Ans: -Don't say it'll
be okay, or be enabling
-No false reassurance, and promote open communication
_____ are indicators that the newborn is receiving enough during
feedings. Ans: -Not losing more than 10% body weight
-# of dirty diapers and diaper weight (at least 3 wet diapers and 3 stools
a day by the third day)
, Page | 2
Primary ways nurses protect newborns are by _____ Ans: (1) ensuring
that infants always go to the correct parents
(2) taking precautions to prevent infant abductions
(3) preventing infections or recognizing early signs
(4) preventing infant falls.
Appropriate interventions for proper umbilical cord care. Ans: Clean the
cord with plain water, if necessary, and keep it dry. Fold the diaper below
it so it is not wet by urine.
_____ is hypertension (systolic blood pressure ≥140 mm Hg or diastolic
≥90 mm Hg) occurring after 20 weeks of pregnancy in women with
previously normal blood pressure usually accompanied by proteinuria.
Ans: Preeclampsia
_____ is characterized as the following:
Systolic blood pressure of 160 mm Hg or greater or a diastolic blood
pressure of 110 mm Hg or greater on at least 2 occasions at least 4 to 6
hours apart while the patient is on bed rest Ans: Severe Preeclampsia
Mothers with preeclampsia should do the following: Ans: -reduced
activity (sedentary activity most of the day)
-home blood pressure monitoring (same time & arm)
-f/u visits to the provider every 3 to 4 days.
-ample protein/calorie diet
_____ requires inpatient hospitalization. Current recommendations for
management depend on disease severity and include progression toward
delivery, even if the gestation is less than 34 weeks. Ans: Severe
preeclampsia