WRATIONALES W/RN WATI WMATERNAL WNEWBORN WPROCTORED W2019
WWITH WVERIFIED WQUESTION W& WANSWERS W100% WPASS.
The Wnurse Wcan Wadminister Woxytocin Wno Wsooner Wthan W4 Whr Wafter Wthe Wlast Wdose Wof
Wmisoprostol. WOxytocin Wcan Wbe Wadministered Wfollowing Wmisoprostol Wfor Wclients Wwho
Whave Wcervical Wripening Wand Whave Wnot Wbegun Wlabor.
A Wnurse Wis Wassessing Wa Wlate Wpreterm Wnewborn. WWhich Wof Wthe Wfollowing
Wmanifestations Wis Wan Windication Wof Whypoglycemia?
A. WHypertonia
B. WIncreased Wfeeding
C. WHyperthermia
D. WRespiratory Wdistress
D. WRespiratory Wdistress
Late Wpreterm Wnewborns Ware Wat Wan Wincreased Wrisk Wfor Whypoglycemia Wdue Wto
Wdecreased Wglycogen Wstores Wand Wimmature Winsulin Wsecretion. WRespiratory Wdistress Wis
Wa Wmanifestation Wof Whypoglycemia. WOther Wmanifestations Wof Whypoglycemia Winclude
Wan Wabnormal Wcry, Wjitteriness, Wlethargy, Wpoor Wfeeding, Wapnea, Wand Wseizures.
Hypoglycemia W- Whypothermia, Wpoor Wfeeding Wbehaviors, Whypotonia
A Wnurse Wis Wproviding Wdischarge Wteaching Wto Wa Wclient Wwho Whad Wa Wcesarean
Wbirth W3 Wdays Wago. WWhich Wof Wthe Wfollowing Winstructions Wshould Wthe Wnurse
Winclude?
A. W"You Wcan Wresume Wsexual Wactivity Win W1 Wweek."
B. W"You Wwon't Wneed Wto Wdo WKegel Wexercises Wsince Wyou Whad Wa Wcesarean."
C. W"You Wcan Wstill Wbecome Wpregnant Wif Wyou Ware Wbreastfeeding."
D. W"You Ware Wsafe Wto Wstart Wadding Wsit-ups Wto Wyour Wexercise Wroutine Win W2 Wweeks."
C. W"You Wcan Wstill Wbecome Wpregnant Wif Wyou Ware Wbreastfeeding."
The Wnurse Wshould Winstruct Wthe Wclient Wthat Wbreastfeeding Wdoes Wnot Wprevent Wovulation.
WTherefore, Wthe Wclient Wcan Wbecome Wpregnant. WThe Wnurse Wshould Wdiscuss
Wcontraception Wthat Wis Wsafe Wto Wuse Wwhile Wbreastfeeding.
A Wnurse Wis Wassessing Wa Wclient Wwho Wis W1 Wday Wpostpartum Wand Whas Wa Wvaginal
Whematoma. WWhich Wof Wthe Wfollowing Wmanifestations Wshould Wthe Wnurse Wexpect?
A. WLochia Wserosa Wvaginal Wdrainage
B. WVaginal Wpressure
C. WIntermittent Wvaginal Wpain
D. WYellow Wexudate Wvaginal Wdrainage
B. WVaginal Wpressure
The Wnurse Wshould Wexpect Wa Wclient Wwho Whas Wa Wvaginal Whematoma Wto Wreport Wpressure
Win Wthe Wvagina Wdue Wto Wthe Wblood Wthat Wleaked Winto Wthe Wtissues.
A Wnurse Wis Wcaring Wfor Wa Wclient Wwho Wis Wat W38 Wweeks Wof Wgestation. WWhich Wof
Wthe Wfollowing Wactions Wshould Wthe Wnurse Wtake Wprior Wto Wapplying Wan Wexternal
Wtransducer
,for Wfetal Wmonitoring?
A. WDetermine Wprogression Wof Wdilatation Wand Weffacement.
B. WPerform WLeopold Wmaneuvers.
C. WComplete Wa Wsterile Wspeculum Wexam.
D. WPrepare Wa WNitrazine Wpaper Wtest.
B. WPerform WLeopold Wmaneuvers.
The Wnurse Wshould Wperform WLeopold Wmaneuvers Wto Wassess Wthe Wposition Wof Wthe Wfetus Wto
Wbest Wdetermine Wthe Woptimal Wplacement Wfor Wthe Wexternal Wfetal Wmonitoring Wtransducer.
A Wnurse Wis Wcaring Wfor Wa Wclient Wwho Wis Wpregnant Win Wan Wantepartum Wclinic.
Which Wof Wthe Wfollowing Wfindings Wshould Wthe Wnurse Wreport Wto Wthe
Wprovider? WSelect Wthe W3 Wfindings Wthat Wshould Wbe Wreported.
Vital WSigns
W0900:
Temperature W36.6° WC W(97.9° WF), WHeart Wrate W88/min, WRespiratory Wrate W18/min,
WBlood Wpressure W130/70 Wmm WHg, WOxygen Wsaturation W97% Won Wroom Wair
1000:
Heart Wrate W76/min, WRespiratory Wrate W20/min, WBlood Wpressure W138/68 Wmm WHg,
WOxygen Wsaturation W98% Won Wroom Wair
Medical
WHistory W0900:
Gravida W3,
A. WUterine Wcontractions
The Wclient Wis Wexperiencing Wregular Wuterine Wcontractions Wand Wcervical Wchange, Wwhich
Ware Windicators Wof Wpreterm Wlabor; Wtherefore, Wthe Wnurse Wshould Wnotify Wthe Wprovider
Wabout Wthis Wfinding.
C. WGestational Wage
The Wclient Wis Wat W32 Wweeks Wof Wgestation Wand Wis Wexperiencing Wregular Wuterine
Wcontractions Wand Wcervical Wdilation, Wwhich Windicates Wthat Wthe Wclient Wis Win Wpreterm
Wlabor; Wtherefore, Wthe Wnurse Wshould Wnotify Wthe Wprovider Wabout Wthis Wfinding.
D. WVaginal Wexamination
The Wclient's Wcervix Wis Wdilated Wto W2 Wcm Wand Wis W50% Weffaced, Wwhich Windicate Wthe
Wclient Wis Win Wpreterm Wlabor; Wtherefore, Wthe Wnurse Wshould Wnotify Wthe Wprovider Wabout
Wthis Wfinding.
A Wcharge Wnurse Won Wa Wlabor Wand Wdelivery Wunit Wis Wteaching Wa Wnewly Wlicensed
Wnurse Whow Wto Wperform WLeopold Wmaneuvers. WWhich Wof Wthe Wfollowing Wimages
Windicates Wthe Wfirst Wstep Wof WLeopold Wmaneuvers?
A.
B.
C.
D.
,C.
Evidence-based Wpractice Windicates Wthe Wnurse Wshould Wperform Wthis Wstep Wfirst Wwhen
Wperforming WLeopold Wmaneuvers. WDuring Wthis Wstep, Wthe Wnurse Wpalpates Wthe Wclient's
Wabdomen Wwith Wthe Wpalms Wto Wdetermine Wwhich Wfetal Wpart Wis Win Wthe Wuterine Wfundus.
WThis Wstep Walso Widentifies Wthe Wlie W(transverse Wor Wlongitudinal) Wand Wpresentation
W(cephalic Wor Wbreech) Wof Wthe Wfetus.
A Wnurse Wis Wcaring Wfor Wa Wclient Wwho Wis Wat W35 Wweeks Wof Wgestation Wand Whas
Wplacenta Wprevia. WWhich Wof Wthe Wfollowing Wactions Wshould Wthe Wnurse Wtake?
Initiate Wcontinuous Wexternal Wfetal Wmonitoring.
The Wnurse Wshould Widentify Wthat Wa Wclient Wwho Whas Wa Wplacenta Wprevia Wand Wis Wactively
Wbleeding Wis Wat Wan Wincreased Wrisk Wfor Wpreterm Wlabor Wand Whemorrhage. WThe Wnurse
Wshould Winitiate Winterventions Wsuch Was Wbed Wrest, Wpelvic Wrest, Wand Wcontinuous Wfetal
Wheart Wmonitoring, Wwhich Wassesses Wfetal Wwell-being Wand Wthe Wpresence Wof
Wcontractions. WThe Wnurse Wshould Wobtain WIV Waccess Wand Wmonitor Wlaboratory Wvalues.
WAlso, Wthe Wnurse Wshould Wimplement Winterventions Wto Wprepare Wfor Wan Wemergency
Wbirth.
A Wnurse Wis Wteaching Wa Wclient Wwho Wis Win Wpreterm Wlabor Wabout Wterbutaline.
WWhich Wof Wthe Wfollowing Wstatements Wby Wthe Wclient Windicates Wan Wunderstanding
Wof Wthe Wteaching?
"I Wwill Whave Wblood Wtests Wbecause Wmy Wpotassium Wmight Wdecrease."
Terbutaline Wis Wadministered Wsubcutaneously Wevery W4 Whr Wfor Wno Wlonger Wthan W24 Whr.
WAn Wadverse Weffect Wof Wterbutaline Wis Whypokalemia.
hyperglycemia.
Whypotension.
A Wnurse Wis Wperforming Wa Wnewborn Wassessment. WWhich Wof Wthe Wfollowing
Wimages Wshould Wthe Wnurse Widentify Was Wan Windication Wof Wspina Wbifida Wocculta?
spina Wbifida WOcculta
mildest Wtype Wof Wspina Wbifida. WIt Wis Wsometimes Wcalled W“hidden” Wspina Wbifida. WWith
Wit, Wthere Wis Wa Wsmall Wgap Win Wthe Wspine, Wbut Wno Wopening Wor Wsac Won Wthe Wback.
External Windications Wof Wthis Wneural Wtube Wdefect Winclude Wa Wdimpled Warea Wover Wthe
Wdefect Wand Wthe Wpresence Wof Wa Wbirthmark Wor Whairy Wpatch Wabove Wthe Warea.
A Wnurse Wis Wcaring Wfor Wa Wclient Wwho Wis Wat W24 Wweeks Wof Wgestation Wand Whas Wa
Wsuspected Wplacental Wabruption. WWhich Wof Wthe Wfollowing Wlaboratory Wtests
Wshould Wthe Wnurse Wexpect Wthe Wprovider Wto Wprescribe?
A. WKleihauer-Betke Wtest
B. WProgesterone Wserum Wlevel
C. WLecithin/sphingomyelin W(L/S) Wratio
D. WMaternal WAlpha-fetoprotein W(AFP)
A. Kleihauer-Betke Wtest
The Wnurse Wshould Wexpect Wthe Wprovider Wto Wprescribe Wa WKleihauer-Betke Wtest Wfor Wa
Wclient Wwho Whas Wsuspected Wplacental Wabruption Wto Wdetermine Wif Wfetal Wblood Wis Win
Wmaternal Wcirculation. WThis Wtest Wis Wuseful Wto Wdetermine Wif WRho-(D) Wimmune Wglobulin
Wtherapy Wshould
, be Wadministered Wto Wa Wclient Wwho Wis WRh-negative.
Progesterone: Wconfirm Wpregnancy Wand Wif Wectopic
L/S Wratio: Wpart Wof Wamniocentesis Wto Wevaluate Wfetal Wlung
Wmaturity WMaternal WAFP: Wneural Wtube Wdefects Wor
Wchromosome Wdisorder.
A Wnurse Wis Wdemonstrating Wto Wa Wclient Whow Wto Wbathe Wtheir Wnewborn. WIn Wwhich
Worder Wshould Wthe Wnurse Wperform Wthe Wfollowing Wactions? W(Move Wthe Wsteps Winto
Wthe Wbox Won Wthe Wright, Wplacing Wthem Win Wthe Wselected Worder Wof Wperformance.
WUse Wall Wthe Wsteps.)
A. Clean Wthe Wnewborn's Wdiaper Warea.
B. Wash Wthe Wnewborn's Wneck Wby Wlifting Wthe Wnewborn's Wchin.
C. Wipe Wthe Wnewborn's Weyes Wfrom Wthe Winner Wcanthus Woutward.
D. Cleanse Wthe Wskin Waround Wthe Wnewborn's Wumbilical Wcord Wstump.
E. Wash Wthe Wnewborn's Wlegs Wand Wfeet.
C. WWipe Wthe Wnewborn's Weyes Wfrom Wthe Winner Wcanthus Woutward.
B. Wash Wthe Wnewborn's Wneck Wby Wlifting Wthe Wnewborn's Wchin.
D. WCleanse Wthe Wskin Waround Wthe Wnewborn's Wumbilical Wcord Wstump.
E. WWash Wthe Wnewborn's Wlegs Wand Wfeet.
A. Clean Wthe Wnewborn's Wdiaper Warea.
The Wnurse Wshould Wdemonstrate Whow Wto Wbathe Wa Wnewborn Wby Wusing Wa Whead Wto Wtoe,
Wclean Wto Wdirty, Wapproach. WTherefore, Wthe Wnurse Wshould Wfirst Wwipe Wthe Wnewborn's
Weyes Wfrom Wthe Winner Wcanthus Woutward Wusing Wplain Wwater. WThe Wnurse Wshould Wthen
Wwash Wthe Wnewborn's Wneck Wby Wlifting Wthe Wnewborn's Wchin. WNext, Wthe Wnurse Wshould
Wcleanse Wthe Wskin Waround Wthe Wumbilical Wcord Wstump Wfollowed Wby Wwashing Wthe
Wnewborn's Wlegs Wand Wfeet. WThe Wlast Wstep Wof Wthe Wbath Wshould Wbe Wto Wclean Wthe
Wnewborn's Wdiaper Warea.
A Wnurse Wis Wcaring Wfor Wa Wclient Wwho Whas Whyperemesis Wgravidarum Wand Wis Wreceiving
WIV Wfluid Wreplacement. WWhich Wof Wthe Wfollowing Wfindings Wshould Wthe Wnurse Wreport
Wto Wthe Wprovider?
A. WBUN W25 Wmg/dL
B. WSerum Wcreatinine W0.8 Wmg/dL
C. WUrine Woutput Wof W280 WmL Wwithin W8 Whr
D. WUrine Wnegative Wfor Wketones
A. WBUN W25 Wmg/dL
The Wnurse Wshould Wreport Wan Welevated WBUN Wto Wthe Wprovider Wsince Wit Wcan Windicate
Wdehydration.
A Wnurse Wis Wassessing Wa Wclient Wwho Wis Wat W38 Wweeks Wof Wgestation Wduring Wa
Wweekly Wprenatal Wvisit. WWhich Wof Wthe Wfollowing Wfindings Wshould Wthe Wnurse
Wreport Wto Wthe Wprovider?
A. WBlood Wpressure W136/88 Wmm WHg
B. WReport Wof Winsomnia
C. WWeight Wgain Wof W2.2 Wkg W(4.8 Wlb)
D. WReport Wof WBraxton WHicks Wcontractions