NU 402 Exam 2 OB – Questions and Answers Latest Update Graded A+

NU 402 Exam 2 OB – Questions and Answers Latest Update Graded A+. As recently as 2005, the AAP revised safe sleep practices to assist in the prevention of Sudden Infant Death Syndrome (SIDS). The nurse should model these practices in the hospital and incorporate this information into the teaching plan for new parents. Which practices are ideal for role modeling? (Select all that apply.) Correct answer: Fully supine position for all sleep Answer, Side-sleeping position as an acceptable alternative Correct answer: “Tummy time” for play Correct answer: Infant sleep sacks or swaddlers Answer, Soft mattress Results for item 2. 2 2.5 / 2.5 points Which statements concerning the benefits or limitations of breastfeeding are accurate? (Select all that apply.) Correct answer: Breast milk changes over time to meet the changing needs as infants grow. Answer, Breastfeeding increases the risk of childhood obesity. Correct answer: Breast milk and breastfeeding may enhance cognitive development. Correct answer: Long-term studies have shown that the benefits of breast milk continue after the infant is weaned. Correct answer: Benefits to the infant include a reduced incidence of SIDS. Results for item 3. 3 2.5 / 2.5 points A mother expresses fear about changing her infant’s diaper after he had a Gomco circumcision. What does the client need to be taught to care for her newborn son? Cleanse the penis with prepackaged diaper wipes every three to four hours. , Not Selected Apply constant, firm pressure by squeezing the penis with the fingers for at least five minutes if bleeding occurs. , Not Selected Correct answer: Gently cleanse the penis with water and apply petroleum jelly around the glans after each diaper change. Wash off the yellow exudate that forms on the glans at least once every day to prevent infection. , Not Selected Results for item 4. 4 2.5 / 2.5 points The nurse is assigned a homecare visit of a five-day-old infant for the treatment of jaundice. A thorough assessment is completed, and health history is obtained. Which signs or symptoms will the newborn display prior to the onset of encephalopathy? High-pitched cry , Not Selected Severe muscle spasms (opisthosomas) , Not Selected Fever and seizures , Not Selected Correct answer: Hypotonia, lethargy, and poor suck Results for item 5. 5 2.5 / 2.5 points During a prenatal visit, the nurse is explaining dietary management to a woman with pregestational diabetes. Which statement by the client reassures the nurse that teaching has been effective? “I will need to eat 600 more calories per day because I am pregnant.” , Not Selected “I can continue with the same diet as before pregnancy as long as it is well balanced.” , Not Selected Correct answer: “Diet and insulin needs change during pregnancy.” “I will plan my diet based on the results of urine glucose testing.” , Not Selected Results for item 6. 6 2.5 / 2.5 points The above fetal heart tracing would be categorized as: Correct answer: Category I Category II , Not Selected Category III , Not Selected Category IV , Not Selected Results for item 7. 7 0 / 2.5 points What are the complications and risks associated with caring for women who have had a cesarean delivery? (Select all that apply) Correct answer: Pulmonary edema Correct answer: Wound dehiscence Correct answer: Hemorrhage Correct answer: Urinary tract infections Incorrect answer: Fetal injuries Missed option - incorrect Results for item 8. 8 2.5 / 2.5 points Which condition, not uncommon in pregnancy, is likely to require careful medical assessment during the puerperium? Varicosities of the legs , Not Selected Carpal tunnel syndrome , Not Selected Periodic numbness and tingling of the fingers , Not Selected Correct answer: Headaches Results for item 9. 9 2.5 / 2.5 points The labor of a pregnant woman with preeclampsia is going to be induced. Before initiating the oxytocin (Pitocin) infusion, the nurse reviews the woman’s latest laboratory test findings, which reveal a platelet count of 90,000 mm3 , an elevated aspartate amino transaminase (AST) level, and a falling hematocrit. The laboratory results are indicative of which condition? Eclampsia , Not Selected Disseminated intravascular coagulation (DIC) syndrome , Not Selected Correct answer: Hemolysis, elevated liver enzyme levels, and low platelet levels (HELLP) syndrome Idiopathic thrombocytopenia , Not Selected Results for item 10. 10 2.5 / 2.5 points What is the primary purpose for magnesium sulfate administration for clients with preeclampsia and eclampsia? To improve patellar reflexes and increase respiratory efficiency , Not Selected To shorten the duration of labor , Not Selected Correct answer: To treat and prevent seizures To prevent a boggy uterus and lessen lochia flow , Not Selected Results for item 11. 11 0 / 2.5 points A nurse is discussing the signs and symptoms of mastitis with a mother who is breastfeeding. Which findings should the nurse include in the discussion? (Select all that apply.) Correct answer: Breast tenderness Correct answer: Warmth in the breast Correct answer: Area of redness on the breast often resembling the shape of a pie wedge Incorrect answer: Small white blister on the tip of the nipple Selected Answer - Incorrect Incorrect answer: Fever and flu like symptoms Missed option - incorrect Results for item 12. 12 2.5 / 2.5 points Which actions are examples of appropriate techniques to wake a sleepy infant for breastfeeding? (Select all that apply.) Correct answer: Unwrapping the infant Correct answer: Changing the diaper Correct answer: Talking to the infant Answer, Slapping the infant’s hands and feet Answer, Applying a cold towel to the infant’s abdomen Results for item 13. 13 2.5 / 2.5 points Which adverse prenatal outcomes are associated with the HELLP syndrome? (Select all that apply.) Correct answer: Placental abruption Answer, Placenta previa Correct answer: Renal failure Answer, Cirrhosis Correct answer: Maternal and fetal death Results for item 14. 14 0.5 / 2.5 points Biophysical risks include factors that originate with either the mother or the fetus and affect the functioning of either one or both. The nurse who provides prenatal care should have an understanding of these risk factors. Match the specific pregnancy problem with the related risk factor. Select each answer only one time. Premature rupture of membranes Incorrect answer: Chromosomal abnormalities Correct Answer:Polyhydramnios Advanced maternal age Incorrect answer: Polyhydramnios Correct Answer:Chromosomal abnormalities Fetal congenital anomalies Incorrect answer: IUGR (fetoplacental cause) Correct Answer:Oligohydramnios Abnormal placenta development Incorrect answer: IUGR (maternal cause) Correct Answer:IUGR (fetoplacental cause) Smoking, alcohol, and illicit drug use Correct answer: IUGR (maternal cause) Results for item 15. 15 2.5 / 2.5 points A perinatal nurse is caring for a woman in the immediate post-birth period. Assessment reveals that the client is experiencing profuse bleeding. What is the most likely cause for this bleeding? Correct answer: Uterine atony Uterine inversion , Not Selected Vaginal hematoma , Not Selected Vaginal laceration , Not Selected Results for item 16. 16 2.5 / 2.5 points While evaluating the reflexes of a newborn, the nurse notes that with a loud noise the newborn symmetrically abducts and extends his arms, his fingers fan out and form a C with the thumb and forefinger, and he has a slight tremor. The nurse would document this finding as a positive _____ reflex.