NUR 353 - EXAM 2 QUESTIONS AND ANSWERS WITH COMPLETE SOLUTIONS VERIFIED GRADED A+ 2025/2026

NUR 353 - EXAM 2 QUESTIONS AND ANSWERS WITH COMPLETE SOLUTIONS VERIFIED GRADED A+ 2025/2026 Terms in this set (147) A nurse is caring for a client who is at 34 weeks of gestation and has preeclampsia. A nurse is reviewing the client's electronic medical record. For each potential provider's prescription, click to specify if the potential prescription is anticipated, nonessential, or contraindicated for the client. Monitor blood pressure and respiratory status every 15 min. Administer magnesium sulfate 4 g IV bolus. Encourage the client to lay in a supine position. Collect a urine specimen of culture and sensitivity. Restrict hourly fluid intake to 125 mL/hr. Keep lights dim. the nurse should recognize that a prescription to encourage the client to lay in a supine position is contraindicated. The nurse should encourage the client to lay in a side-lying position. The nurse should anticipate the provider to prescribe dim lighting to decrease environmental stimuli. The nurse should anticipate the provider to prescribe a loading dose of magnesium sulfate 4 g IV bolus, following by 2 g/hr maintenance dose. The nurse should anticipate the provide to prescribe monitoring the client's blood pressure every 15 to 30 min. The nurse should determine that collecting a urine specimen for culture and sensitivity is non-essential for a client who has preeclampsia. The nurse should collect a urine specimen for culture and sensitivity if the client presents with manifestations of a UTI. The nurse should anticipate the provider restricting hourly fluid intake to 125 mL/hr. A nurse is caring for a client who is in the second stage of labor. The nurse observes retraction of the fetal head against the maternal perineum as the head is birthed. Complete the diagram by dragging from the choices below to specify what condition the client is most likely experiencing, 2 actions the nurse should take to address that condition, and 2 parameters the nurse should monitor to assess the client's progress. The nurse should flex the client's legs against the abdomen and apply suprapubic pressure because the client is most likely experiencing shoulder dystocia. Flexing the clients legs against the abdomen straightens the maternal pelvis, helping to free the trapped anterior shoulder of the fetus. Applying suprapubic pressure also helps free the anterior shoulder, allowing for birth of the newborn's body. The nurse should monitor the movement of the newborn's upper extremities because newborns who experience a shoulder dystocia are at a greater risk for brachial plexus injuries. The nurse should also monitor the maternal perineum because mothers who experience shoulder dystocia are at a greater risk for trauma to the vagina, perineum, and rectum. A nurse at an antepartum clinic is admitting a client who is at 30 weeks of gestation. Which of the following actions should the nurse take after administering the prescribed medications? Select all that apply. keep calcium gluconate readily available check urinary output every 3 hours check deep tendon reflexes every 1 hour provide intermittent fetal monitoring report respiratory rate of less than 12 breaths/min to the provider Keep calcium gluconate available is correct. The nurse should have calcium gluconate readily available because it is the antidote for magnesium toxicity. Monitor urinary output every 2 hr is incorrect. The nurse should maintain strict hourly intake and output. Check deep tendon reflexes every 1 hr is correct. The nurse should assess deep tendon reflexes every hour during continuous infusion of magnesium sulfate. The nurse should report to the provider absence or loss of deep tendon reflexes. Provide continuous fetal monitoring is incorrect. The nurse should provide continuous fetal monitoring of the fetal heart rate and uterine contractions to assess for findings of placental abruption and fetal well-being. Report respiratory rate of less than 12 breaths/min to the provider is correct. The nurse should report a respiratory rate less than 12/min to the provider because magnesium sulfate can cause respiratory depression. A nurse is caring for a client who is two days postpartum, is breast-feeding, and reports nipple soreness. Which of the following measures should the nurse suggest to reduce discomfort during breast-feeding? Change the infant position on the nipples Apply breast milk to the nipples before each feeding Massage the breasts and nipples before feeding Play breast pads inside the Nursing bra Start breast-feeding with the nipple that is less sore Change the infant position on the nipples Apply breast milk to the nipples before each feeding Start breast-feeding with the nipple that is less sore