2027 Actual Complete Real Exam Questions And Correct
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Which maternal behavior is the nurse most likely to see when a
new mother receives her infant for the first time?
a. She eagerly reaches for the infant, undresses the infants,
and examines the infant completely
b. Her arms and hands receive the infant and she then
traces the infant's profile with her fingertips
c. Her arms and hands receive the infant and she then
cuddles the infant to her own body
d. She eagerly reaches for the infant and then holds the
infant close to her own body - ANSWER -b. Her arms and hands
receive the infant and she then traces the infant's profile with
her fingertips
Attachment/bonding theory indicates that most mothers will
demonstrate behaviors described in (B) during the first visit
with the newborn, which may be at delivery of later.
Client teaching is an important part of the maternity nurse's
role. Which factor
has the greatest influence on successful teaching on the
gravid client?
,a. The client's readiness
to learn
b. The client's educational
background
c. The order in which the information is
presented
d. The extent to which the pregnancy was planned - ANSWER
-a. the client's
readiness to
learn
When teaching any client, readiness to learn (A) is the most
important criterion. For example, the client with severe morning
sickness in the first trimester may not be "ready to learn" about
ways to relieve morning sickness.
During labor, the nurse determines that a full term client is
demonstrating late decelerations. In which sequence should
the nurse implement these nursing actions? (Arrange in order)
a. Provide oxygen via face mack
b. Reposition the client
c. Increase IV fluid
d. Call the healthcare provider - ANSWER -1. Reposition the
Client
2. Provide oxygen via face mask
3. Increase IV fluid
4. Call the healthcare provider
,To stabilize the fetus, intrauterine resuscitation is the first
priority, and to enhance the fetal blood supply, the laboring
client should be repositioned (1) to displace the gravid uterus
and improve fetal perfusion. Secondly, to optimize oxygenation
of the circulatory blood volume, oxygen via face mask (2)
should be applied to the mother. Next, the IV fluids should be
increased (3) to expand the maternal circulating blood volume.
Then, the primary healthcare provider should be notified (4) for
additional interventions to resolve the fetal stress.
The nurse is teaching care of the newborn to a group of
prospective parents and describes the need for administering
antibiotic ointment into the eyes of the newborn. Which
infectious organism will this treatment prevent from harming
the infant? a. Herpes
b. Staphylococcus
c. Gonorrhea
d. Syphilis - ANSWER -c. Gonorrhea
Erythromycin ointment is instilled into the lower conjunctive of
each eye within 2 hours after birth to prevent ophthalmica
neonatorum, an infection caused by gonorrhea, and inclusion
conjunctivitis, an infection caused by chlamydia (C). The infant
may be exposed to these bacteria when passing the birth canal.
The nurse identifies crepitus when examining the chest of a
newborn who was delivered vaginally. Which further
, assessment should the nurse perform? a. Elicit positive scarf
sign on the affected side
b. Observe for an asymmetrical Moro (startle) reflex
c. Watch for swelling of fingers on the affected side
d. Note paralysis of affected extremity and muscles - ANSWER -
b. Observe for an asymmetrical Moro (startle) reflex
The most common neonatal birth trauma due to vaginal
delivery is fracture of the clavicle. Although an infant may be
asymptomatic, a fracture clavicle should be suspected is an
infant has limited use of the affected arm malposition of the
arm, an asymmetric Moro reflex (B), crepitus over the clavicle,
focal swelling or tenderness, or cries when the arm is moved.
The nurse is calculating the estimated date of confinement
(EDC) using Nagele's rule for a client whose last menstrual
period started on December 1.
Which date is most accurate?
a. August 1
b. August 10
c. September 3
d. September 8 - ANSWER -d. September 8
Calculation of a client's EDC provides baseline data to monitor
fetal gestation. Nagele's rule uses the formula: subtract 3
months and add 7 days to the first day of the last normal
menstrual period, so December 1 minus 3 months + 7 days is
September 8 (D).