Pn Maternal Newborn Online Practice (2023/2024) 48 Questions And Answers (Graded A+)

A nurse is caring for a client who is at 11 weeks of gestation and reports frequent vomiting. Which of the following findings should the nurse identify as an indication that the client has hyperemesis gravidarum? Ketonuria Bradycardia Bradypnea Proteinuria - =Ketonuria -A nurse is collecting data from a client who is at 36 weeks gestation during a prenatal examination. Which of the following findings should the nurse report to the provider? Blurred vision Nonpitting ankle edema 10 fetal movements in 2 hr Leg cramps - =blurred vision The nurse should report blurred vision to the provider as it is an indication that the client might have preeclampsia. -A nurse is caring for a newborn who has a high-pitched cry and does not respond to consoling efforts. Which of the following neonatal data collection tolls should the nurse expect to complete? Apgar score Newborn Hearing Screen Critical Congenital Heart Disease screen (CCHD) Neonatal Abstinence Scoring System - =Neonatal Abstinence scoring system This newborn is exhibiting manifestations of opioid withdrawal and should be screened using the Neonatal Abstinence Scoring System. Some additional manifestations of withdrawal include restlessness, tremors, increased muscle tone, and an exaggerated Moro reflex. -A nurse is caring for a newborn who is receiving phototherapy. Which of the following actions should the nurse take? Reposition the newborn every 4 hr. Feed the newborn 30 mL (1 oz) of glucose water four times per day. Apply a thin layer of lotion to the newborn's skin. Place an opaque mask over the newborn's eyes. - =place an opaque mask over the newborn's eyes -A nurse is collecting data from a newborn who is 8 hr old. which of the following findings should the nurse report to the provider? Vernix in the skin folds positive moro reflex apneic episode of 10 seconds apical HR of 90/minute while crying - =apical HR of 90/minute while crying -A nurse is caring for a client 6 hr after a vaginal birth who is going to breastfeed her newborn. The client reports perineal pain of 6 on a scale of 1 to 10. The nurse also notes mild perineal edema and ecchymosis, with a fundus that is 2 cm above the umbilicus with deviation to the right. Which of the following actions in the nurse's priority? Administer analgesics. Apply an ice pack to the perineum. Assist the client with breastfeeding. Help the client ambulate to the toilet. - =Help the client ambulate to the toilet The greatest risk for this client is postpartum hemorrhage from uterine atony. Therefore, the priority intervention by the nurse is to assist the client to urinate and completely empty the bladder, which will allow the uterus to contract. -A nurse is reinforcing teaching with a client who is at 20 weeks of gestation and has gestational diabetes mellitus. Which of the following should the nurse include in the teaching? Exercise before meals. Consume at least 2,000 cal/day. Avoid consuming an evening snack. Maintain a fasting blood glucose of 110 to 120 mg/dL. - =Consume at least 2.000 cal/day A client who has gestational diabetes should consume at least 2,000 kcal/day which is about 35 cal/kg/day. This will ensure adequate glucose intake and prevent hypoglycemia. -A nurse is reinforcing teaching about risk factors for respiratory distress syndrome (RDS) in newborns with a group of clients who are pregnant. Which of the following risk factors should the nurse include? Cord compression Chronic hypertension Alcohol use during pregnancy Prematurity - =prematurity A newborn who is premature has inadequate surfactant production, which can lead to RDS. -A nurse is caring for a client who is planning to become pregnant. The client asks the nurse why folic acid supplements are necessary. The nurse should inform the client that the purpose of folic acid supplements is to do which of the following? Facilitate the storage of iron in the fetus' liver Prevent certain kinds of birth defects Inhibit premature labor Aid in the absorption of other important nutrients - =prevent certain kinds of birth defects The nurse should inform the client that adequate folic acid intake prior to and early during pregnancy is necessary to help prevent neural tube defects. -A nurse is reinforcing discharge teaching about methods to prevent engorgement during lactation suppression with a client who is bottle-feeding her newborn. Which of the following statements should the nurse identify as an indication that the client understands the instructions? "I will massage my breasts while I take a shower." "I should wear an underwire bra during the day." "I should use a breast pump several times a day to relieve discomfort." "I will apply cold cabbage leaves to my breasts throughout the day." - =I will apply cold cabbage leaves to my breasts throughout the day -A nurse is assisting with the care of a client who is at 40 weeks of gestation and is in active labor. Which of the following findings should the nurse report to the charge nurse? Maternal Temp of 99.5 F Contractions every 3 min Presence of bloody show prolonged decels of FHR - =prolonged decels of FHR -A client requests information about the use of a diaphragm for birth control. Which of the following statements should the nurse make? "You will need to replace your diaphragm every 2 years." "You can use an oil-based lubricant with your diaphragm." "You should have a full bladder when you insert diaphragm." "You should remove your diaphragm 1 hour after intercourse to clean it." - =You will need to replace the diaphragm every 2 years -a nurse is reinforcing teaching with a client who is at 9 weeks gestation and reports frequent episodes of nausea and vomiting. Which of the following instructions should the nurse include? Eat foods that are served hot. Drink 360 mL (12 oz) of fluids during mealtimes. Consume small meals frequently each day. Eat a high-protein snack before getting out of bed. - =consume small meals frequently each day -A nurse on a postpartum unit is assisting in the care of a client who is experiencing hypovolemic shock. Which of the following actions should the nurse take? Place the client in high-Fowler's position. Administer terbutaline subcutaneously. Apply oxygen at 2 L/min via nasal cannula. Insert an indwelling urinary catheter. - =insert an indwelling urinary catheter The nurse should insert an indwelling urinary catheter to monitor output closely. Decreased kidney perfusion caused by shock can lead to oliguria. -a nurse is assisting with planning care for a client who is breastfeeding and had mastitis. Which of the following recommendations should the nurse include? Instruct the client to discontinue feeding from the affected breast. Tell the client to wear an underwire bra. Instruct the client to apply warm compresses to the affected breast. Administer an antiviral medication. - =instruct the client to apply warm compresses to the affected breast The nurse should instruct the client to apply warm compresses to the breast, which will decrease inflammation and edema. This will enable more effective emptying of the breast to prevent milk stasis, which decreases bacterial growth. -A nurse is reinforcing teaching about car seat safety with the parent of a newborn. Which of the following client statements indicates an understanding of the teaching?