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Maternity Nursing Exam
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, A 4-week-old premature infant has been receiving Changes in apical heart rate from the 180s to the 140s.
epoetin alfa (Epogen) for the last three weeks. Which
assessment finding indicates to the nurse that the drug is
effective?
Epogen given to prevent or treat anemia, stimulates erythropoietin production, resulting in
an increase in RBCs. Since the body has not had to compensate for anemia with
an increased heart rate, changes in heart rate from high to normal
Epogen and RR Respiratory rate should decrease rather than increase
Epogen and urinary output is not related to Epogen
Epogen and bilirubin is usually related to resolution of hyperbilirubinemia, treated with phototherapy or
increased oral intake in the infant.
A client with no prenatal care arrives at the labor unit Date of last normal menstrual period.
screaming, "The baby is coming!" The nurse performs a Evaluating the gestation of the pregnancy (C) takes priority. If the fetus is preterm
vaginal examination that reveals the cervix is 3 and the fetal heart pattern is reassuring, the healthcare provider may attempt to
centimeters dilated and 75% effaced. What additional prolong the pregnancy and administer corticosteroids to mature the lungs of the
information is most important for the nurse to obtain? fetus.
A 30-year-old multiparous woman who has a 3-year-old Regression in behaviors in the older child is a typical reaction so he needs
boy and an newborn girl attention at this time.
␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣
manage both children when I get home." How should the
nurse respond?
Twenty-four hours after admission to the newborn a cephalhematoma, caused by forceps trauma and may last up to 8 weeks.
nursery, a full-term male infant develops localized edema Cephalhematoma (A), a slight abnormal variation of the newborn, usually arises
on the right side of his head. The nurse knows that, in the within the first 24 hours after delivery. Trauma from delivery causes capillary
newborn, an accumulation of blood between the bleeding between the periosteum and the skull
periosteum and skull which does not cross the suture line
is a newborn variation known as
A mother who is breastfeeding her baby receives Correctly place the infant on the breast.
instructions from the nurse. Which instruction is most
effective to prevent nipple soreness?
The nurse is performing a gestational age assessment on A. Admission weight of 4 pounds, 15 ounces (2244 grams). B. Head to heel length
a full-term newborn during the first hour of transition of 17 inches (42.5 cm). C. Frontal occipital circumference of 12.5 inches (31.25 cm).
using the Ballard (Dubowitz) scale. Based on this
assessment, the nurse determines that the neonate has a
maturity rating of 40-weeks. What findings should the
nurse identify to determine if the neonate is small for
gestational age (SGA)? (Select all that apply.)
appropriate for gestational age (AGA) newborn should fall between the measurement ranges of weight, 6-9
pounds (2700-4000 grams);; length, 19-21 inches (48-53 cm);; FOC, 13-14 inches
(33-35 cm).