NR 327/ NR327 MATERNAL EXAM 2. QUESTIONS AND ANSWERS. LATEST 2020.

Question 1. Nurse is performing a newborn assessment, which of the following should the nurse identify as a sign of spina bifida occulta? Question 2. A nurse is assessing a client that is 12-hour post-partum, the client’s fundus is 2 fingerbreadths above the umbilicus, deviated to the right of midline, and less firm than previously noted. Which action should the nurse take? Question 3. A nurse is teaching a client who is 36 weeks gestation and has a prescription for a non-stress test. Which of the following statements should the nurse include in her teaching? Question 4. A nurse is admitting a client to the labor and delivery unit, when the client states, “My water just broke.” What is the nurses first action of priority? Question 5. Nurse is developing an educational program for adolescents about nutrition during the third trimester of pregnancy. Which of the following statements should the nurse include in the program? .Question 6. Nurse is assessing a client that is 38 weeks gestation during a weekly prenatal visit, which of the following findings should the nurse report to the doctor? Question 7. The nurse is providing discharge teaching to the parents of a newborn about using a car seat properly. Which of the following instructions should the nurse include? Question 8. A nurse is preparing to collect a blood specimen from a newborn via heel stick, which of the following techniques should the nurse use to help minimize the pain? Question 9. A nurse is developing a plan for a client who has preeclampsia, and is receiving magnesium sulfate via continuous IV infusion. Which of the following interventions should the nurse include in the plan? Question 10. Nurse is caring for a client in labor who is experiencing increased rectal pressure, She is experiencing contraction that are 2-3 minutes apart, each lasting 80-90 seconds, and a vaginal examination reveals that her cervix is dilated to 9cm, the nurse should identify that the client is in which phase of labor? Question 11. A nurse is performing a vaginal exam on a client that reports severe pressure and pain in the lower back. The nurse notes that the fetal head is in posterior position, the nurse should identify that which of the following is the best non-pharmacological to perform to relieve the client’s discomfort? Question 12. A nurse is caring for a client who is at 24 weeks gestation and reports daily, mild headaches. Which of the following should the nurse include in the instructions for the plan of care? Question 13. A nurse is teaching a new mom how to bulb syringe to suction her newborn’s secretions, Which of the following instructions should the nurse include in her teaching? Question 14. A nurse is assessing a newborn who is 12 hours old, which of the following clinical manifestations requires intervention by the nurse? Question 15. A nurse is teaching a client about effective breast feeding who is 3 days postpartum, which of the following information should the nurse include? Question 16. Nurse is caring for a client that had uterine hypotonicity and is experiencing post-partum hemorrhage, which of the following actions is the nurse’s priority? Question 17. Nurse is teaching a client who is 24 weeks gestation regarding a 1-hour glucose tolerance test, which of the following statements should the nurse include in her teaching? Question 18. Nurse is teaching a client who has pre-gestational type 1 diabetes about management during pregnancy, which of the following statements made by the client, indicates an understanding of the teaching? Question 19. Nurse is assessing late preterm newborn, which of the following manifestation is an indication of hypoglycemia? Question 20. Nurse is teaching a group about newborn safety, which of the following statements by a pair is indicated an understanding of the statement. Question 21. Nurse is assessing a client who is in active labor and notes early deceleration in the FHR on the monitor, the client is at 39 weeks gestation, and is receiving a continuous IV infusion of oxytocin. Which of the following actions should the nurse take? Question 22. Nurse is assessing fetal heart tones on a client who is pregnant. The nurse has noted that the fetal position is left occipital anterior. To which of the following areas of the abdomen should the nurse apply the ultrasound transducer to assess the point of maximum intensity of the fetal heart rate? Question 23. Nurse is assessing a client that received Carboprost for post-partum hemorrhage, which of the following is an adverse effect of this medication? Question 24. Nurse is assessing a client who is postpartum and has ITP (isiopathic thrombocytopenia purpura). Which of the following findings should the nurse expect? Question 25. Nurse is performing a vaginal exam for a client who is in active labor and reports back pain, nurse determines that the client is 8cm dilated, 100% effaced, and -2 station, the fetus is in the occiput posterior position, Which of the following actions should the nurse take? Question 26. Nurse is caring for a client that is at 22 weeks gestation, she reports concern about the blotchy hyperpigmentation on her forehead. Which of the following actions should the nurse take? Question 27. A nurse in a family planning clinic for a client who request oral contraceptives, which of the following findings in the client’s history should the nurse recognize as a contraindication to oral contraceptives? Question 28. Nurse is caring for a client who is at 40 weeks gestation and is in early labor. The client has a platelet count of 75,000/mm^3 and is requesting pain relief. Which of the following treatment modalities should the nurse anticipate? Question 29. Nurse is caring for a client that has recently experience perinatal death, which of the following statements should the nurse make to the client? Question 30. Nurse is assessing a full-term newborn 15 minutes after birth, which of the following findings requires intervention by the nurse? Question 31. Nurse is assessing four newborns, which of the following should the nurse report to the provider? Question 32. Nurse is providing discharge teaching to a client that had cesarean birth 3 days ago, which of the following instructions should the nurse include? Question 33. Nurse is providing discharge teaching to parents whose newborn has just had a circumcision, which of the following instructions should the nurse include? Question 34. Nurse is providing discharge teaching to a client who is postpartum, for which clinical manifestation should the nurse tell the client to monitor and report to the provider? Question 35. Nurse is caring for a newborn that was transferred 30 minutes after delivery. Which of the following actions should the nurse take first? Question 36. Nurse is preparing to administer magnesium sulfate at 2g/hr IV, available 20g in 50mL of D5W, how many mL per hour? Question 37. The nurse is speaking with a client who is trying to make a decision about uterine tube occlusion. The client asks, “what effects will this procedure have on my sex life?” What is the nurse’s best response? Question 38. Nurse is caring for a client who is at 15 weeks of gestation, and is Rh negative, and has just had an amniocentesis, which of the following interventions is the nurse’s priority following the procedure? Question 39. Charge nurse on the unit is observing a newly licensed nurse who is preparing to administer pain medication to her client, the charge nurse knows to intervene when which of the following secondary identifiers is used to identify the client? Question 40. Nurse is assessing a client who is at 26 weeks gestation, which of the following clinical manifestations should the nurse report to the provider? Question 41. Nurse in a woman healthcare clinic is providing teaching about nutritional intake to a client who is 8 weeks gestation. The nurse should instruct the client to increase her daily intake of which of the following supplements? Question 42. Nurse is reviewing medical record at 1800 for a client who is 34 weeks of gestation. Based on the chart findings and documentation, the nursing plan of care should include which of the following? Question 43. A school nurse is providing teaching to an adolescent about Levonorgestrel contraception. Which of the following information should the nurse include in the teaching? Question 44. Nurse is providing dietary teaching to patient with hyperemesis, which of the following statements made by the client indicates an understanding of the teaching? Question 45. Nurse is performing a physical assessment of a newborn upon admission to the nursery, which of the following clinical manifestations should the nurse expect? Question 46. Nurse is discussing the differences between true and false labor with a group of expectant parents. Which of the following characteristics should the nurse include when discussing true labor? Question 47. Nurse in a provider’s office is reviewing the medical record of client who is in her first trimester of pregnancy. Which of the following findings should the nurse identify as a risk factor for the development of preeclampsia? Question 48. Nurse is panning care for a client who is 2 hours post-partum, which of the following interventions should the nurse plan to implement during the taking-hold phase of post- partum behavioral adjustment? Question 49. Nurse is providing teaching to a client that about the physiological changes that occur during pregnancy. The client is at 10 weeks gestation and has a BMI within expected range, which of the following statements indicates a client’s understanding about the teaching? Question 50. A nurse is teaching clients about taking folic acid in a prenatal class, the nurse should instruct the clients to consume an adequate amount of folic acid from various sources to prevent which of the following fetal abnormalities? Neural Tube Defect