Maternal Newborn Assessment

Maternal Newborn Assessment
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1. A Inurse Iis Iperforming Ia Ivaginal Iexam Ion Ia Iclient Iwho Iis Iin Iactive Ilabor. IThe Inurse Inotes
It he Iumbilical Icord Iprotruding Ithrough Ithe Icervix. IWhich Iof Ithe Ifollowing Iactions Ishould


It he Inurse Itake?




Administer Ioxytocin Ito Ithe Iclient Ivia Iintravenous Iinfusion.

Apply Ioxygen Iat I2 IL/min Ivia Inasal Icannula.
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Prepare Ifor Iinsertion Iof Ian Iintrauterine Ipressure Icatheter.

Assist Ithe Iclient Iinto Ithe Iknee-chest Iposition.
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2. A Inurse Iis Iassessing Ia Inewborn Iwho Iis I48 Ihr Iold Iand Iis Iexperiencing Iopioid Iwithdrawals.
IWhich Iof Ithe Ifollowing Ifindings Ishould Ithe Inurse Iexpect?




Hypotonicity

Moderate Itremors Iof Ithe Iextremities

I Axillary Itemperature I36.1° IC I(96.9°

I F)IExcessive Isleeping

3. A Inurse Iis Ireviewing Ia Iclient's Imedical Irecord Iand Inotes Ithat Ithe Iclient Iis Itaking
Itamoxifen. IThe Inurse Ishould Iidentify Ithat Itamoxifen Iis Iused Ito Itreat Iwhich Iof Ithe


Ifollowing Iconditions?




Non-Hodgkin's Ilymphoma

Endometriosis
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Breast Icancer

Polycystic Iovary Isyndrome

4. A Inurse Iis Icaring Ifor Ia Iclient Iwho Iis Ireceiving Ioxytocin Ito Iaugment Ilabor. IThe Iclient Ihas
Ian Iintrauterine Ipressure Icatheter Iand Ian Iinternal Ifetal Iscalp Ielectrode Ifor Imonitoring.


IWhich Iof Ithe Ifollowing Iis Ian Iindication Ithat Ithe Inurse Ishould Idiscontinue Ithe Iinfusion?




Contraction Ifrequency Ievery I3 Imin

Contraction Iduration Iof I100 Iseconds
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I Fetal Iheart Irate Iwith Imoderate Ivariability

, Fetal Iheart Irate Iof I118/min

5. A Inurse Iproviding Idietary Iteaching Ifor Ia Iclient Iwho Iis Iat I29 Iweeks Iof Igestation Iand Ihas

phenylketonuria. IWhich Iof Ithe Ifollowing Isuggested Ifoods Ishould Ithe Inurse Iinclude Iin Ithe
It eaching?




A Ipeanut Ibutter Isandwich Ion Iwheat Ibread

A Isliced Iapple Iand Ired Igrapes
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A Ichocolate Ichip Icookie Iwith Ia Iglass Iof Iskim Imilk

A Iscrambled Iegg Iwith Icheddar Icheese
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6. A Inurse Iis Ireviewing Ia Ilaboratory Ireport Ifor Ia Iclient Iwho Iis Iat I33 Iweeks Iof Igestation Iand
Ihas Ipreeclampsia. IWhich Iof Ithe Ifollowing Ilaboratory Iresults Ishould Ithe Inurse Ireport Ito Ithe


Iprovider?




BUN I35 Img/dL

Hgb I15 Img/dL
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Bilirubin I0.6 Img/dL

Hct I37%

7. A Inurse Iis Iproviding Iteaching Iabout Inewborn Isafety Ito Ia Iclient Iwho Iis Ibeing Iadmitted Ifor
Iinduction Iof Ilabor. IWhich Iof Ithe Ifollowing Iclient Istatements Iindicate Ian Iunderstanding Iof


It he Iteaching?




"I Iwill Icheck Ithe Iidentication Ibadge Iof Ianyone Iwho Iremoves Imy Ibaby Ifrom Iour Iroom."

"I Ishould Iinclude Ia Iphoto Iof Imy Ibaby Ialong Iwith Iany Ipublic Ibirth Iannouncements Ito Isocial
Imedia."




"I Iwill Iallow Imy Ibaby Ito Isleep Ion Ithe Ibed Iin Imy Iroom Iwhen II Iam Iin Ithe Ishower."I"I

should Iexpect Ithe Inurses Ito Icarry Imy Ibaby Iin Itheir Iarms Ito Ithe Inursery."
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8. A Inurse Iis Iassessing Ia Iclient Iwho Iis Iat I31 Iweeks Iof Igestation. IWhich Iof Ithe Ifollowing
Ifindings Ishould Ithe Inurse Iidentify Ias Ian Iindication Iof Ia Ipotential Iprenatal Icomplication?




Periodic Itingling Iof Ifingers

Absence Iof Iclonus
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Leg Icramps