PN Maternal Newborn Practice B Questions and Complete Solutions Graded A+.

PN Maternal Newborn Practice B Questions and Complete Solutions Graded A+ For each an assessment finding click to specify if the finding is consistent with hypoglycemia, hyperbilirubinemia, or sepsis. - Answer: Respiratory distress- Hypoglycemia, Sepsis Yellow sclera and oral mucosa- Hyperbilirubinemia, Sesis Decreased Temperature- Hypoglycemia, Sepsis Ecchymotic caput succedaneum- Hyperbilirubemia Lethargy- Hypoglycemia, Sepsis Poor feeding- Hypoglycemia, Hyperbilirubinemia, Sepsis Based on the most recent data collection findings, the nurse should assist the RN in taking which of the following actions? - Answer: Applying oxygen at 10 L/min via nonbreather mask Discontinue the magnesium infusion Administer calcium gluconate A nurse is assisting in the care of a client who is 18 hr postpartum and has a fourth-degree perineal laceration. The client reports a pain rating of 4 on a scale from 0 to 10. Which of the following actions should the nurse take? - Answer: Promote the use of witch hazel pads Give the client ice packs Have the client take a water sit bath Encourage the client to practice relaxation techniques A nurse is assisting in the care of a client who is at 30 weeks of gestation. Which of the following findings should the nurse report to the provider? - Answer: 2+ urinary protein (negative) A nurse is assisting in the care of a client who has deep-vein thrombosis (DVT). Which of the following actions should the nurse take? - Answer: Elevate the client's affected limb A nurse assisting in the care of a client who is pregnant in an antepartum clinic. Which of the following findings should the nurse report to the provider? Select the the 3 findings that should be reported. - Answer: Uterine contractions Gestational age Vaginal examination A nurse is assisting in the care of a newborn who is 24 hr old. Complete the following sentence by using the list of options - Answer: The newborn is at greatest risk for developing HYPOGLYCEMIA as evidence by the newborn's TEMPERATURE A nurse is reviewing the prenatal record of a client who is at 34 weeks of gestation. Which of the following results should the nurse identify as a desirable outcome? - Answer: Reactive nonstress test A nurse is contributing to the plan of care for a client who has eclampsia. Which of the following interventions should the nurse plan to include as the priority immediately following a seizure? - Answer: Administer oxygen via facemask at 10 L/min A nurse is collecting data from a client who is in the second trimester of pregnancy. Which of the following findings should the nurse report to the provider? - Answer: Frequent uterine contractions A nurse is reinforcing teaching about car seat safety with the guardian of a newborn. Which of the following statements by the guardian indicates an understanding of the teaching? - Answer: "I will position the retainer clip at the level of the baby's armpit" A nurse is reinforcing teaching to a client who is breastfeeding their 6-day-old newborn. Which of the following client statements indicates an understanding of the teaching? - Answer: "My baby should have at least 6 wet diapers per day" A client requests information about the use of a diaphragm for birth control. Which of the following statements should the nurse make? - Answer: "you will need to replace your diaphragm every 2 years." A nurse is assisting in the care of a client who is experiencing a postpartum hemorrhage. Which of the following medications should the nurse expect the provider to prescribe? - Answer: Methylergonovine After receiving change-of-shift report, a nurse on a postpartum unit is assisting with planning for a group of clients. The nurse should recommend which of the following clients be seen first? - Answer: A client who has preeclampsia and reports a sudden severe headache A nurse is assisting in the care of a newborn who is receiving phototherapy. Which of the following actions should the nurse take? - Answer: Place an opaque mask over the newborn's eyes A nurse is reinforcing teaching with a new parent about the prevention of newborn abduction. Which of the following statements by the parent indicates an understanding of the teaching? - Answer: "I will ask the nurse to take my baby back to the nursery if I need to leave my room" A nurse is reinforcing teaching with a client who is trying to become pregnant. Which of the following foods should the nurse recommend as the best source of folate? - Answer: 1 cup cooked spinach A nurse is preparing to reinforce teaching for a client who is pregnant and has opioid use disorder. Which of the following medications should the nurse plan to include? - Answer: Methadone A nurse is assisting in the care of a newborn immediately following birth. Which of the following images should the nurse identify as an indication that the newborn has a myelomeningocele? - Answer: A nurse is collecting data from a 28-year-old client who is requesting a prescription for an oral contraceptive. Which of the following information in the client's history should the nurse identify as a contraindication for the use of oral contraceptive? - Answer: Frequent headaches with visual changes A nurse is collecting data about the client. Which of the following findings should the nurse report to the provider? - Answer: Blood pressure Edema Reported pain concern Reported GI concern Based on the nurse's findings, which of the following conditions is the client at the greatest risk for developing? - Answer: Preeclampsia Blood Pressure A nurse is assisting in the care of a postpartum client. Complete the following sentence by using the lists of options - Answer: The priority intervention the nurse should perform is to CHECK THE CLIENT'S DEEP TENDON REFLEXES (DTRs) followed by CHECKING THE CLIENT FOR VISUAL DISTURBANCES For each potential provider's prescription, click to specify if the potential prescription is anticipated or contraindicated for the client - Answer: Urinalysis- ANTICIPATED Monitor intake and output- ANTICIPATED Magnesium sulfate- ANTICIPATED Place the client on seizure precautions- ANTICIPATED Labetalol- CONTRAINDICATED Draw creatinine and BUN- ANTICIPATED The nurse is reviewing the client's electronic medical record. Which of the following actions should the nurse take? - Answer: 1. Monitor level of consciousness, deep tendon reflexes, and visual disturbance hourly. 2. Check for worsening headache and epigastric pain hourly and PRN 3. Obtain creatinine, platelet, BUN, and liver enzymes as prescribed 4. Assist with administration of magnesium sulfate IV bolus as prescribed 5. Place the client on seizure precautions The nurse has reviewed the nurses' notes and diagnostic results. Click to highlight the findings that indicate the client's condition is not improving - Answer: Clonus positive. Deep tendon reflexes 4+ reports headache as a 4 on 0 to 10 pain scale Platelets 95,000/mm3 (150,000 to 400,000/mm3) Asparate aminotransferase (AST) 60 units/L (0 to 35 unitsL) Alanine aminotransferase (ALT) 50 units/L (0 to 36 units/L) A nurse in a provider's office is reinforcing teaching with a client. Which of the following statements should the nurse include? - Answer: "You might experience a metallic taste in your mouth while taking your medication" A nurse is assisting in the care of a client who is in the second trimester of pregnancy. Which of the following statements by the client indicates effective adaptation to their new role as an expectant parent? - Answer: "I like it when my baby moves around in my stomach" A nurse in a postpartum unit is assisting in the care of a client who has endometritis and is 48 hr postpartum following a cesarean birth. Which of the following findings should the nurse anticipate? - Answer: Heart rate 110/min A nurse is assisting with the care of a client who is postpartum and is receiving magnesium sulfate IV by continuous infusion to treat preeclampsia. Which of the following findings should the nurse identify as manifestations of magnesium toxicity? (select all that apply) - Answer: Double vision Decreased level of consciousness Decreased respiratory rate A nurse is reinforcing teaching about formula feeding a newborn with a group of new guardians. Which of the following instructions should the nurse include? - Answer: Positions the bottle at a 45° angle during feedings A nurse is reinforcing home care safety with the guardian of a newborn prior to discharge. Which of the following statements by the guardian indicates an understanding of the teaching? - Answer: "I should place my baby's crib away from windows" A nurse is caring for a client who is at 20 weeks of gestation and is in the clinic for a routine prenatal visit. Which of the following findings in the data from the clients medical record should the nurse report to the provider? - Answer: Fundal height A nurse is collecting data from a client who is 33 weeks of gestation. Which of the following findings should the nurse identify as an indication of a potential complication of pregnancy? - Answer: Epigastric pain A nurse is collecting data from a client who is at 36 weeks of gestation during a prenatal examination. Which of the following findings should the nurse report to the provider? - Answer: Blurred vision A nurse is reinforcing teaching with a client who is at 20 weeks of gestation and has gestational diabetes mellitus. Which of the following information should the nurse include in the teaching? - Answer: Consume at least 2,000 cal/day A nurse is assisting in the care of a client who has received methylergonovine. Which of the following should the nurse identify and document as an adverse effect of the medication? - Answer: Hypertension 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? - Answer: Apical heart rate of 90/min while crying A nurse is assisting with monitoring a client after an amniocentesis. Which of the following findings should the nurse expect? - Answer: FHR 120/min A nurse is reinforcing teaching with a client who has a new prescription for medroxyprogesterone acetate injection for contraception. Which of the following statements by the client indicates understanding of the teaching? - Answer: "I am likely to gain weight while taking this medication." A nurse is reinforcing teaching with a client who has preeclampsia and is receiving magnesium sulfate via continuous IV infusion. Which of the following statements should the nurse include in the teaching? - Answer: "Your fluid intake will be limited to no more than 125 milliliters per hours." A nurse is collecting data from a client who is 32 hr postpartum. Which of the following findings should the nurse expect? - Answer: Urine output of 3,000 mL in 24 hr A nurse is assisting in planning discharge teaching for a newborn. Which of the following information should the nurse plan to include? - Answer: Swaddle the newborn with legs slightly flexed A nurse is reviewing the laboratory results of a 32-year-old female client who is at 32 weeks of gestation. Which of the following laboratory findings should the nurse report to the provider as an indication of anemia? - Answer: Hematocrit 30% (37 to 47%) A nurse is assisting in the care of 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 agravidarum? - Answer: Ketonuria A nurse is assisting in the care of 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 from 0 to 10. The nurse also notes mild perineal edema and ecchymosis, with a fundus that is 2 cm above the umbilicus with deviation the right. Which of the following actions is the nurse's priority? - Answer: Help the client ambulate to the toilet A nurse is reinforcing teaching with a client who has asked about continuing routine exercise during pregnancy. Which of the following responses should the nurse make? - Answer: "Drink plenty of water after exercising." A nurse is reinforcing teaching with a client who is at 9 weeks of gestation and reports frequent episodes of nausea and vomiting. Which of the following instructions should the nurse includes? - Answer: Consume small meals frequently each day A nurse is reinforcing teaching about risk factors for respiratory distress (RDS) in newborns with a group of clients who are pregnant. Which of the following risk factors should the nurse include? - Answer: Prematurity