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IED ANSWERS LATEST 2024-
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KarengHESIgExamgVersiong2
,Thegnursegisgcaringgforgagclientgwhogdeliveredg6ghoursgago.gAssessmentgfindingsgrevealgagboggyguterusgth
atgisgdisplacedgabovegandgtogthegrightgofgthegumbilicus.gWhichgactiongshouldgthegnursegtake?
Encouragegvoiding
Whichgtypegofganesthesia,gusedgwithgagclientginglabor,gproducesgaglossgofgsensationgonlygtogthegvaginagandgperi
neum?
Pudendalgblock
Whengperforminggthegdailyghead-to-toegassessmentgofgag1-day-
oldgnewborn,gthegnursegobservesgagyellowgtintgtogthegskingongthegforehead,gsternumgandgabdomen.gWhich
gactiongshouldgthegnursegtake?
Measuregbilirubinglevelsgusinggtranscutaneousgbilirubinometry
Agwomangatg36-
weeks'ggestationgwhogisgRhgnegativegisgadmittedgtoglaborgandgdeliverygreportinggabdominalgcramp.gShegisg
placedgongagstrictgbedrestgandgthegfetalgheartgrategandgcontractiongpatterngaregmonitoredgwithgangextern
algfetalgmonitor.gTwoghoursgaftergadmission,gthegnursegnotesgaglargegamountgofgbrightgredgvaginalgbleedin
g.gWhichgnursingginterventionghasgtheghighestgpriority?
Assessgthegfetalgheartgrateg&gclient'sgcontractiongpattern
Assessmentgfindingsgofgag4-hour-
oldgnewbornginclude:gaxillarygtemperaturegofg96.8°gFg(35.8°gC),gheartgrategofg150gbeats/minutegwithgagsoftg
murmur,girregulargrespiratorygrategatg64gbreaths/minute,gjitteriness,ghypotonic,gandgweakgcry.gBasedgongt
hesegfindings,gwhichgactiongshouldgthegnursegimplement?
Swaddlegtheginfantgingagwarmgblanket
KarengHESIgExamgVersiong2
,Agmultiparousgclientgisginvoluntarilygpushinggwhilegbeinggwheeledgintogtheglaborgtriagegarea.gThegnursego
bservesgthegfetalgheadgpresentinggatgthegperineum.gWhichgactiongshouldgthegnursegtake?
Applygsuprapubicgpressure
Aftergtwogmiscarriages,gagclientgisgInstructedgtogincreaseghergdailygintakegofgfoodsgthatgincludesgfolicgacid.g
Thegclientgdoesgnotglikeggreengleafygvegetablesgandgstatesgshegisgallergicgtogsoy.gWhichgfoodgshouldgthegnu
rsegsuggestgthatgthegclientgeatgtogobtaingfolicgacid
Strawberries
Whilegassessinggag40-
weekggestationgprimigravidagingactiveglabor,gthegclient'sgmembranesgrupturegspontaneouslygandgt
hegnursegnotesgthatgthegamnioticgfluidgisgmeconiumgstained.gWhichgadditionalgfindinggisgmostgimpo
rtantgforgthegnursegtogreportgtogtheghealthcaregprovider?
Fetalgheartgrategofg100gtog110gbeats/minute
Agclientgatg35gweeksggestationgcomplainsgofgag"paingwhenevergthegbabygmoves."gOngassessment,gthegnur
segnotesgthegclient'sgtemperaturegtogbeg101.20gFg(38.4°gC),gwithgseveregabdominalgorguterinegtenderness
gongpalpation.gThegnursegknowsgthatgthesegfindingsgaregindicativegofgwhichgcondition?
Chorioamnionitis
Thegnursegisgcaringgforgagclientgwhogisg10-
weeks'ggestationgandgpalpatesgthegfundsgatg2gfingerbreadthsgabovegthegpubicgsymphysis.gThegclientgreport
sgnausea,gvomiting,gandgscantgdarkgbrowngvaginalgdischarge.gWhichgactiongshouldgthegnursegtake?
ObtaingHCGglevels
KarengHESIgExamgVersiong2
, Aggravidag3gparag3gwhogisgRh-negativegdeliversgagfull-
termginfantgatghomegwithgthegassistancegofgagnursegmidwife.gTwogdaysglater,gthegclientgcallsgthegclinicgtog
askgifgitgisgnecessarygtogseegtheghealthcaregprovidergsincegtheginfantgisghealthy,gandgshegisgnotghavingganyg
complications.gThegwoman'sghistorygindicatesgthatgbothgpreviouslygbornginfantsgweregRh-
negative.gWhichgresponsegshouldgthegnursegprovide?
Thegnewborn'sgbloodgtypegshouldgbegtestedgtogdeterminegthegneedgforgrhogam
Agisgnecessarygtogseegtheghealthcaregprovidergsincegtheginfantgisghealthy,gandgshegisgnotghavingganygcomplicati
ons.gThegwoman'sghistorygindicatesgthatgbothgpreviouslygbornginfantsgweregRh-
negative.gWhichgresponsegshouldgthegnursegprovide?
Thegnewborn'sgbloodgtypegshouldgbegtestedgtogdeterminegthegneedgforgrhogam
Thegnursegisgcaringgforgagclientgwhogisg24-
weeksggestationgandgreportsgincreasedgthirstgandgurination.gWhichgdiagnosticgtestgresultgshouldgthegnur
segreportgtogtheghealthcaregprovider?
Oralgglucosegchallengegtest
Atgagprenatalgvisit,gagprimigravidagclientgconfidesgtogthegnursegthatghergpartnergisgabusive.gWhichginforma
tiongshouldgthegnursegprovide?
Safetygplangtogkeepgingagpursegatgallgtimes
Atg0600gwhilegadmittinggagwomangforgagscheduledgrepeatgcesareangsectiong(C-
section),gthegclientgtellsgthegnursegthatgshegdrankgagcupgofgcoffeegatg0400gbecausegshegwantedgtogavoidgget
KarengHESIgExamgVersiong2