I. A nurse in a newborn nursery has received reports on 4 newborns. Which of the
following newborns should the nurse identify a requiring intervention?
- A newborn whose axillary temp is 36.1 degrees Celsius (96.9 degrees F)
II. A nurse is admitting a client who is in labor and experiencing moderate bright red
vaginal bleeding. Which of the following actions should the nurse take?
- Obtain blood samples for baseline lab values
III. A nurse is caring for a newborn who has irregular respirations of 52/min with several
periods of apnea lasting approximately 5 sec. the newborn is pink with acrocyanosis.
Which of the following actions should the nurse take?
- Continue to monitor the newborn routinely
IV. A nurse is assessing a client who is 3 days post-partum. When examining the
client’s uterus, which of the following techniques should the nurse use?
- Measure the height of the fundus in fingerbreadths in relation to the umbilicus
V. A nurse is planning care for a newborn who has hyperbilirubinemia and a new
prescription for phototherapy. Which of the following interventions should the nurse
include in the plan?
- Reposition the newborn every 3 hours
VI. A nurse is assessing a is released in response to the
postpartum client who baby’s sucking and causes
reports strong milk to flow also making the
contractions whenever uterus contract.
she breastfeeds her
newborn. The nurse
should respond with VII. A nurse is care for a client who has
which of the following should the nurse expect?
statement?
- Renal agenesis
- The same hormone that