PN Maternal Newborn Online Practice A Questions and Complete Solutions Graded A+

PN Maternal Newborn Online Practice A Questions and Complete Solutions Graded A+ a nurse is reinforcing teaching with a client who is at 8 weeks of gestation. which of the following responses by the client indicates an understanding of the teaching? - Answer: i should expect to have white vaginal discharge during pregnancy a nurse is reinforcing teaching about newborn home safety precautions with a group of parents. which of the following instructions should the nurse include? - Answer: you should ensure that crib slats are no more than 2.25 inches apart a nurse is reinforcing teaching about breastfeeding with a client who has a 12-hr-old newborn. which of the following statements should the nurse identify as an indication that the client understands the instructions? - Answer: i should wake up my baby to feed during the night a nurse is reinforcing family planning options with a client who is requesting information about contraceptives. which of the following client statements indicates an understanding of the teaching? - Answer: i can use water-soluble lubricant when my partner wears a latex condom a nurse is assisting in the care of a newborn who is large for gestational age and is jittery. which of the following actions should the nurse take first? - Answer: check the newborn's blood glucose level a nurse in a prenatal clinic is assisting in the care of a client who is at 16 weeks of gestation and has a positive hepatitis B test result. which of the following actions should the nurse take? - Answer: explain to the client that they will receive the hepatitis B immune globulin immediately a nurse is reinforcing teaching about car seat safety with the guardian of a newborn. which of the following client statements indicates an understanding of the teaching? - Answer: if my baby rides in a car with no back seat, the passenger air bag must be turned off a nurse is assisting in the care of a client following a cesarean birth. which of the following actions should the nurse take to decrease the client's risk of developing thrombophlebitis? - Answer: have the client ambulate several times each day a nurse is planning to perform a blood collection via stick on a newborn. after performing hand hygiene and donning gloves, which of the following actions should the nurse plan to take next? - Answer: wrap the newborn's heel with a cloth moistened with warm water a nurse is reinforcing teaching about newborn umbilical cord care with a client who is postpartum. which of the following statements should the nurse identify as an indication that the client understands the instructions? - Answer: i will report any drainage from my baby's umbilical cord a nurse in a prenatal clinic is assisting in the care of a group of clients. which of the following clients should the nurse recommend the provider see first? - Answer: a client who is at 37 weeks of gestation and reports a persistent headache 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? - Answer: i will apply cold cabbage leaves to my breasts throughout the day a nurse on a postpartum unit is assisting with the care of a client who has a hypotonic uterus and excessive vaginal bleeding. which of the following actions should the nurse take first? - Answer: provide fundal massage for the client a nurse is reviewing the laboratory results of a 4-hr-old newborn. which of the following laboratory findings should the nurse identify as a finding associated with neonatal sepsis and report to the provider? - Answer: WBC count a nurse is assisting in the care of a newborn who has a high-pitched cry and does not respond to consoling efforts. which of the following neonatal data collection tools should the nurse expect to complete? - Answer: neonatal abstinence scoring system a nurse in an antepartum clinic is reinforcing teaching about how to prevent supine hypotension with a client who is at 16 weeks of gestation. which of the following responses by the client indicates an understanding of the teaching? - Answer: i will lie on my left side with my head elevated on a pillow a nurse is assisting with planning care for a client who is breastfeeding and has mastitis. which of the following recommendations should the nurse include? - Answer: instruct the client to apply warm compresses to the affected breast a nurse is observing a client bathe their 1-day-old newborn. which of the following actions should the nurse identify as an indication that the client understands how to bathe the newborn? - Answer: the client washes the newborn's hair before unwrapping them a nurse is contributing to the plan of care for a client who is at 18 weeks gestation and has just learned that the fetus has trisomy 21. which of the following resources should the nurse recommend for the client? - Answer: genetic counseling a nurse on a postpartum unit is contributing to the discharge teaching plan for a client. which of the following instructions should the nurse suggest for the plan? - Answer: use a firm mattress in the newborn's crib a nurse is assisting with the care of a client who is at 39 weeks of gestation. which of the following statements should alert the nurse as a sign of a potential complication? - Answer: i have pain my upper right abdomen a nurse is caring for a client who is at 32 weeks gestation and has a prescription for nifedipine. which of the following outcomes should the nurse expect from this medication? - Answer: cessation of uterine contractions a nurse in a provider's office is assisting in the care of an adolescent. which of the following findings should the nurse identify as requiring further evaluation? - Answer: - pain in abdomen - last menstrual period - temperature - sexual activity - vulvar edema - vaginal discharge a nurse in a provider's office is assisting in the care of an adolescent. the nurse is reviewing the assessment findings. the nurse determines the adolescent's findings are consistent with which of the following conditions? for each finding, click to specify if the findings are consistent with gonorrhea or candidiasis. each finding may support more than one disease process. - Answer: GONORRHEA - pain lower abdomen - color of vaginal discharge - vulvar edema CANDIDIASIS - urinary manifestations - vulvar edema the nurse is continuing to assist in the care of the adolescent. the nurse is continuing to care for the adolescent. which of the following actions should the nurse take? complete the following sentence by using the list of options. - Answer: the nurse should -administer ceftriaxone into the adolescent's ventrogluteal muscle and - reinforce education to the adolescent about safe sex practices the nurse is continuing to assist in the care of the adolescent. the nurse suspects the adolescent is experiencing pelvic inflammatory disease and is contributing to the plan of care. - Answer: the nurse should anticipate a provider's prescription for target 1: - ceftriaxone target 2: - doxycycline the nurse is reviewing the adolescent's electronic medical record. the nurse is reviewing the provider's prescription in the adolescent's medical chart. complete the following sentence by using the list of options. - Answer: the nurse should first implement - reinforcing education on medications - administering ceftriaxone the nurse is reviewing the adolescent's electronic medical record. the nurse has reinforced teaching with the adolescent. select the "4" adolescent statements that indicate an understanding of the teaching. - Answer: - i should get extra rest and eat healthy foods - i will be sure to start prenatal care within the next month - i should be retested in a couple of weeks to be sure the infection is gone - i will take all of the medication even if i feel better a nurse is preparing to administer phytonadione to a new newborn. the nurse should plan to administer this medication by which of the following routes? - Answer: intramuscular a nurse is assisting in the care of a client during the active phase of labor. which of the following actions should the nurse take to promote the client's comfort? - Answer: have the client perform relaxing breathing techniques a nurse in a maternal-newborn unit is assisting in the care of a newborn in the nursery. the newborn's grandparent asks if they may take the newborn to their daughter's room. which of the following responses should the nurse make? - Answer: let me wash my hands and then i'll take the baby to their mother 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? - Answer: insert an indwelling urinary catheter a nurse is monitoring a 1-hr-old newborn for hypoglycemia. for which of the following findings should the nurse monitor? (select all that apply.) - Answer: - twitching - hypothermia - tachypnea a nurse is reinforcing teaching about food sources that are high in folate with a group of clients who are pregnant. which of the following foods should the nurse recommend to this group as the best source of folate? - Answer: 1/2 cup dried peas a nurse is assisting in the care of a client who is in preterm labor and is receiving betamethasone. which of the following actions should the nurse take? - Answer: inject the medication into the client's vastus lateralis muscle a nurse is assisting in the care of 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 the folic acid supplement is to do which of the following? - Answer: prevent certain kinds of birth defects a nurse on a postpartum unit is organizing care for a group of clients after receiving change-of-shift report. which of the following clients should the nurse plan to see first? - Answer: a client who is receiving methylergonovine and has a blood pressure of 148/96 mm Hg a nurse is collecting data from a client who is a primigravida and has hyperthyroidism. which of the following findings should the nurse expect? - Answer: diaphoresis a nurse is planning to administer terbutaline to a client who is experiencing preterm labor. which of the following routes of administration should the nurse plan to use? - Answer: subcutaneous a nurse is collecting data from a newborn whose mother had gestational diabetes mellitus. which of the following should the nurse report to the provider? - Answer: hypoglycemia a nurse is contributing to the plan of care for a client who has hyperemesis gravidarum. which of the following interventions should the nurse recommend? - Answer: monitor intake and output a nurse is assisting with collecting data from a newborn who was born 2 hr ago and has respiratory distress. which of the following findings should the nurse repot to the provider? (select all that apply.) - Answer: - nasal flaring - expiratory grunting - retractions - tachypnea a nurse is assisting with the of a client who is postpartum and is receiving lactated Ringer's 1,500 mL IV to infuse over 10 hr. the nurse should verify that the IV pump's settings will deliver how many mL/hr? (round the answer to the nearest whole number. use a leading zero if it applies. do not use a trailing zero.) - Answer: 150 mL/hr a nurse is contributing to the plan of care for a client who is pregnant and has intermittent constipation. which of the following interventions should the nurse recommend in the plan? - Answer: drink 2 L of water per day a nurse is collecting data from a client who is receiving magnesium sulfate IV for preeclampsia. the nurse should identify which of the following findings as an indication of toxicity to report to the provider? - Answer: respiratory rate 10/min a nurse is planning to reinforce discharge teaching about formula feeding with the parent of a newborn. which of the following instructions should the plan to include? - Answer: provide the newborn with six to eight feedings during a 24-hr period a nurse is assisting in the care of a newborn. the nurse is reviewing the data collection findings and determines the findings are consistent with which of the following birth complications? for each data collection finding, click to specify if the finding is consistent with a clavicle fracture or erb-duchenne paralysis. each finding may support more than one condition. - Answer: clavicle fracture: - crepitus - birth history - palmar grasp reflex erb-duchenne paralysis: - arm movement - birth history a nurse is assisting in the care of a client who is in labor. the client's assessment and documentation are performed by the RN. base on the assessment findings, which of the following actions should the nurse take? select all that apply. - Answer: - place the client in trendelenburg position - provide oxygen at 8 to 10 L/min vis nonrebreather mask - wrap the cord in warm, sterile, saline compresses a nurse is assisting in the care of a newborn. which of the following actions should the nurse plan to implement? for each potential nursing actions, client to specify if the intervention is indicated, nonessential, or contraindicated for the newborn. - Answer: indicated: - remind the parents to begin range-of-motion (ROM) exercises on the affected arm after 1 week - immobilize the arm cross the abdomen by pinning the newborn's sleeve to their shirt nonessential: - secure padding in the newborn's fist on the affected side - monitor extremity for edema contraindicated: - reinforce to parents to limit physical handling for 2 weeks a nurse on an antepartum unit is assisting in the care for a client. which of the following actions should the nurse plan to take? for each potential nursing actions, client to specify if the intervention is indicated, nonessential, or contraindicated for the client. - Answer: indicated: - insert a large-bore intravenous catheter - weigh perineal pads nonessential: - obtain blood specimen for an hCG level contraindicated: - request a prescription for methotrexate - position client for assessment of cervical dilation by RN