Maternal newborn 2 Exam Questions And Answers Verified 100% Correct

Maternal newborn 2 Exam Questions And Answers Verified 100% Correct a nurse is testing the reflexes of a NB to assess neurological maturity. Which of the following reflexes is the nurse assessing when she quickly and gently turns the NB head to one side? 1. rooting 2.MOro neck ski To elicit the tonic neck reflex, the nurse should quickly and gently turn the newborn's head to one side when he is sleeping or falling asleep. The newborn's arm and leg should extend outward to the same side that the nurse turned his head while the opposite arm and leg flex. This reflex persists for about 3 to 4 months. a nurse is caring for a clinet who is receiving mag sulfate PIV. Which of the following medications should the nurse have available at the bedside? 1. naloxone 2.. calcium gluconate 3. Protamine sulfate 4. atropine The nurse should have calcium gluconate available to give to a client who is receiving magnesium sulfate by continuous IV infusion in case of magnesium sulfate toxicity. The nurse should monitor the client for a respiratory rate less than or equal to 12/min, muscle weakness, and depressed deep-tendon reflexes. A nurse is assessing a 12 hour NB and notes the respiratory rate is 44/min with shallow respirations and periods of apnea lasting up to 10 seconds. Which of the following actions should the nurse take? 1. Perform chest percussion. 2.Place the newborn in a prone position. 3. Continue routine monitoring. 4.Request a prescription for supplemental oxygen. The nurse should continue routine monitoring because the newborn's assessments findings indicate he is adapting to extrauterine life. A nurse is caring for a client who has a soft uterus and increased lochial flow. Which of the following medications should the nurse plan to administer to promote uterine contractions 1. Terbutaline 2 Nifedipine 3.Magnesium sulfate 4.Methylergonovine The nurse should administer methylergonovine, an ergot alkaloid, which promotes uterine contractions. A nurse is planning care for a NB who is receiving phototherapy for an elevated bilirubin level. Which of the following actions should the nurse take? 1. Offer the newborn glucose water between feedings. 2. Keep the newborn's eye patches on during feedings. 3. Apply barrier ointment to the newborn's perianal region. 4. Use a photometer to monitor the lamp's energy. The nurse should monitor the lamp's energy throughout the therapy to ensure the newborn is receiving the appropriate amount to be effective. a nurse is preparing to admin morphine 0.04mg/kg to a NB who weighs 2.5kg. The amount available is morphine oral solution 0.4mg/ml. how many mLS. should the nurse administer? (2.5x.04)/.4=.25 x 1 a nurse is providing teaching to the parents os a NB about bottle feeding which of the following instructions should the nurse include in the teaching? 1.Dilute ready-to-feed formula if the newborn is gaining weight too quickly. 2. Prop the bottle with a blanket for the last feeding of the day. 3.Discard unused refrigerated formula after 72 hr. 4. Boil water for powdered formula for 1 to 2 min. The parents should run tap water for 2 min and then boil it for 1 to 2 min before mixing it with the formula to decrease the risk of contamination. A nurse is assisting a client who is 4hr PP to get out of bed for the first time. The client becomes frightened when she has a gush of dark red blood from her vagina. Which the following statements should the nurse make? 1. "You might have retained placental fragments in your uterus." 2."Blood pools in the vagina when you are lying in bed." 3. "You might have a damaged blood vessel." 4. "The amount of blood flow will increase during the first few days after giving birth." In the early postpartum period, lochia will pool in the vagina when the client is lying in bed and will flow out of the vagina when the client stands up. After the initial gush, the bleeding will slow down to a trickle of bright red lochia. A nurse is caring for a PP clinet 8hr after delivery. Which of the following factors places the client at risk for uterine atony? SATA -Magnesium sulfate infusion -distended bladder -oxytocin infusion -prolonged labor -small for gestational age NB Magnesium sulfate infusion is correct. Magnesium sulfate is a smooth muscle relaxant and can prevent adequate contraction of the uterus.Distended bladder is correct. After birth, clients can experience a decreased urge to void due to birth-induced trauma, increased bladder capacity, and anesthetics, which can result in a distended bladder. The distended bladder displaces the uterus and can prevent adequate contraction of the uterus.Oxytocin infusion is incorrect. Oxytocin promotes uterine contractions.Prolonged labor is correct. Prolonged labor can stretch out the musculature of the uterus and cause fatigue, which prevents the uterus from contracting.Small for gestational age newborn is incorrect. A large fetus and multifetal gestation can lead to over-stretching of the uterus and prevent uterine contractions.