Maternal Newborn Final EXAM TEST 2023//2024 SOLUTIONS 100% A+GUARANTEE PASS

Maternal Newborn Final EXAM TEST 2023//2024 SOLUTIONS 100% A+GUARANTEE PASS A nurse is assessing a client on the first postpartum day. Findings include fundus firm and one fingerbreadth above to the the right of umbilicus, moderate lochia rubra with small clots, temp 37.3 (99.2 F), pulse 52/min. Which of the following actions should the nurse take? A. report vital signs to the provider B. massage the fundus C. ask client when she last voided D. administer oxytocin agent - ANSWER C. ask the client when she last voided Fundus is easily displaced when the bladder is full. Should be found firm at midline. 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 - ANSWER 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 - ANSWER 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 - ANSWER 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 - ANSWER 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 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 - ANSWER A. respiratory depression Magnesium sulfate can cause resp. and neuromuscular depression in the newborn. The nurse should monitor the newborn for clinical manifestations of resp. depression A nurse is caring for a newborn who was born to a client who has a narcotic use disorder. Which of the following nursing actions should the nurse identify as a contraindication for the care of the newborn? A. promoting maternal-newborn bonding B. tight swaddling of the newborn C. small frequent feedings D. frequent stimulation - ANSWER D. frequent stimulation This newborn needs a quiet, calm environment with minimal stimulation to promote rest and reduce stress. A stimulating environment can trigger irritability and hyperactive behaviors A nurse is caring for a client who is in labor. A vaginal examination reveals the following info: 2 cm, 50%, +1 right occiput anterior. Based on this info, which of the following fetal positions should the nurse document in the medical record? A. transverse B. breech C. vertex D. mentum - ANSWER C. vertex ROA describes the relationship of the presenting part of the fetus to the client's pelvis. In this case, the occipital bone is the presenting part and is located anteriorly in the client's right side. Based on the presentation of the fetus, the position is vertex A nurse is caring for a client who desires an IUD for contraception. Which of the following findings is a contraindication for the use of this device? A. htn B. menorrhagia C. history of multiple gestations D. history of thromboembolic disease - ANSWER C. menorrhagia contraindication for women who have menorrhagia, severe dysmenorrhea, history of ectopic pregnancy A nurse is caring for a client who is at 39 weeks of gestation and is in active labor. Which of the following actions should the nurse include in the plan of care? A. keep four side rails up while the client is in bed B. monitor FHR every hour C. insert indwelling urinary catheter D. check the cervix prior to analgesic administration - ANSWER D. check the cervix prior to analgesic administration The nurse must know how many cm the cervix is dilated prior to analgesic administration during active labor. If administred too close to the time of delivery, the analgesic could cause resp. depression in the newborn A nurse is caring for a client who has trichomoniasis and a prescription for metronidazole. Which of the following should the nurse provide to the cilent about the treatment plan? A. your partner needs to be cultured and be treated with metronidazole only if his cultures are positive B. you and your partner need to take the medication and use a condom during intercourse until cultures are negative C. if both you and your partner are treated simultaneously, you may continue to engage in sexual intercourse D. only you will need to take the metronidazole, but you should not have intercourse until your culture is negative - ANSWER B. you and your partner need to take the medication and use a condom during intercourse until cultures are negative Both men and women can be infected with trichomoniasis. Clinical findings include yellowish to greenish, frothy, mucopurulent, copious discharge with an unpleasant odor, as well as itching, burning, or redness of the vulva and vagina. Easily treated with metronidazole. However, for the treatment to work, it is important to make sure both sexual partners receive treatment to prevent reinfection. Instruct the client to use condoms during sexual intercourse while being treated. A nurse is caring for four newborns. Which of the following newborns is at greatest risk for hypoglycemia? A. a newborn who is large for gestational age B. a newborn who has an Rh incompatibility C. a newborn who has pathologic jaundice D. a newborn who has fetal alcohol syndrome - ANSWER A. a newborn who is large for gestational age LGA newborns are those whose weight is at or above the 90th percentile. One of the most common etiologies of LGA is a mother who is diabetic. LGA newborns, especially those born to mothers who have diabetes, are at increased risk for hypoglycemia. Other