Maternal Newborn Practice B Assessment Nursing Exam with Answers, Exams of Nursing

Download Maternal Newborn Practice B Assessment Nursing Exam with Answers and more Exams Nursing in PDF only on Docsity! Maternal Newborn Practice B with NGN Assessment Nursing Exam with Answers A nurse is planning care for a client who is in labor and is to have an anatomy. Which of the following assessments should the nurse identify as the priority? - Correct answer Temperature A nurse in a prenatal clinical is caring for a client who reports that her menstrual period is 2 weeks late. The client appears anxious and asks the nurse if she is pregnant. Which of the following responses should the nurse make? - Correct answer "You can miss your period for several other reasons. Describe your typical menstrual cycle." A nurse is calculating a client's expected date of birth using Angele’s rule. The client tells the nurse that her last menstrual cycle started on November 27th. Which of the following dates is the client's expected date of birth? - Correct answer September 3rd A nurse is assessing fetal heart tones for a client who is pregnant. The nurse has determined the fetal position as left occipital anterior. To which of the following areas of the client's abdomen should the nurse apply the ultrasound transducer to assess the point of maximum intensity of the fetal heart? - Correct answer Left lower quadrant A nurse is reviewing the medical record of a client who is postpartum and has preeclampsia. Which of the following lab results should the nurse report to the provider? - Correct answer Platelets 50,000/mm A nurse is caring for a client who is at 41 weeks of gestation and has a positive contraction stress test. For which of the following diagnostic tests should the nurse prepare the client? - Correct answer Biophysical profile (BPP) A nurse is teaching a client who is Rh negative about Rh0(D) immune globulin. Which of the following statements by the client indicates an understanding of the teaching? - Correct answer "I will need this medication if I have an amniocentesis" A nurse is a family planning clinic is caring for a client who requests an oral contraceptive. Which of the following findings in the client's history should the nurse recognize as a contraindication to oral contraceptives? Select all that apply - Correct answer Cholecystitis Hypertension Migraine Headaches A nurse is assessing the newborn of a client who took a selective serotonin reuptake inhibitor (SSRI) during pregnancy. Which of the following manifestations should the nurse identify as an indication of withdrawal from SSRI? - Correct answer Vomiting A nurse is teaching a postpartum client about steps the nurses will take to promote the security and safety of the client's newborn. Which of the following statements should the nurse make? - Correct answer "Staff members who take care of your baby will be wearing a photo identification badge." A school nurse is providing teaching to an adolescent about levonorgestrel contraception. Which of the following information should the nurse include in her teaching? - Correct answer "You should take the medication within 72 hours following unprotected sexual intercourse." A nurse is caring for a newborn that was transferred to the nursery 30 min after birth because of mild respiratory distress. Which of the following actions should the nurse take first? - Correct answer Verify the newborn's identification A nurse is caring for a client who is in labor and whose fetus is in the right occiput posterior position. The client is dilated to 8 cm and reports back pain. Which of the following actions should the nurse take? - Correct answer Apply sacral counter pressure A nurse is teaching a client who is in preterm labor about terbutaline. Which of the following statements by the client indicates an understanding of the teaching? - Correct answer "I will have blood tests because my potassium might decrease." A nurse is assessing a client who gave birth vaginally 12 hr. ago and palpates her uterus to the right above the umbilici. Which of the following interventions should the nurse perform? - Correct answer Assist eh client to empty her bladder A nurse is teaching a client who is presentational type 1 diabetes mellitus about management during pregnancy. Which of the following statements by the client indicates understanding of the teaching? - Correct answer "I will continue taking my insulin if I experience nausea and vomiting." A nurse is reviewing the lab report of a newborn that is 24 hr. old. Which of the following results should the nurse report to the provider? - Correct answer Blood glucose 30 mg/ld. A nurse is providing teaching about family planning to a client who has a new prescription for a diaphragm. Which of the following statements should the nurse include in the teaching? - Correct answer "You should leave the diaphragm in place for at least 6 hours after intercourse." locations to begin assessing for the fetal heart tones? - Correct answer Just above the syphilis pubis A nurse is assessing a client who is postpartum and has idiopathic thrombocytopenia purport (ITP). Which of the following findings should the nurse expect? - Correct answer Decreased platelet count A nurse is teaching a new parent about newborn safety. Which of the following instructions should the nurse include in the teaching? - Correct answer "You can share your room with your baby for the next few weeks" A nurse is caring for a client who is 22 weeks gestation and reports concern about the blotchy hyperpigmentation on her forehead. Which of the following actions should the nurse take? - Correct answer Explain to the client that this is an expected occurrence. A nurse is preparing to perform Leopold maneuvers for a client. Identify the sequence the nurse should follow. - Correct answer Palpate the fundus to identify the fetal part determine the location of the fetal back palpate for the fetal part presenting at the inlet identify the attitude of the head A nurse is caring for a client who is experiencing preterm labor at 29 weeks of gestation and has a prescription for betamethasone. Which of the following statements should the nurse make about the indication for medication administration? - Correct answer "This medication stimulates fetal lung maturity." A nurse in a women's health clinic is providing teaching about nutritional intake to a client who is at 8 weeks of gestation. The nurse should instruct the client to increase her daily intake of which of the following nutrients? - Correct answer Iron A nurse is assessing a newborn that is 12 hr. old. Which of the following manifestations requires intervention by the nurse? - Correct answer Sub sternal chest retractions while sleeping A nurse is planning discharge for a client who is 3 days postpartum. Which of the following no pharmacological interventions should the nurse include in the plan of care for lactation suppression? - Correct answer Apply cabbage leaves to the breasts A nurse is planning care for a client who is to undergo a no stress test. Which of the following actions should the nurse include in the plan of care? - Correct answer Instruct the client to press the provided button each time fetal movement is detected A nurse is teaching a client who has a new prescription for combined oral contraceptives about potential adverse effects of the medication. For which of the following findings should the nurse instruct the client to notify the provider? - Correct answer Shortness of breath A nurse is preparing to administer oxytocin to a client who is postpartum. Which of the following findings is an indication for the administration of the medication? - Correct answer Flaccid uterus Excess vaginal bleeding A nurse is assessing a client who is at 30 weeks of gestation during a routine prenatal visit. Which of the following findings should the nurse report to the provider? - Correct answer Swelling of the face A nurse is caring for a client who becomes unresponsive upon delivery of the placenta. Which of the following actions should the nurse take first? - Correct answer Determine respiratory functions A nurse is reviewing the medical record of a newly admitted client who is at 32 weeks of gestation. Which of the following conditions is an indication for fetal assessment using electronic fetal monitoring? - Correct answer Oligohydramnios A nurse is teaching a new mother how to use a bulb syringe to suction her newborn's secretions. Which of the following instructions should the nurse include? - Correct answer Stop suctioning when the newborn's cry sounds clear A nurse is performing an assessment on the client. Which of the following findings should the nurse report to the provider? - Correct answer Blood pressure 152/105 mm Hg +2 pitting edema Headache Heartburn Based on the nurse's assessment findings, which of the following conditions is the client at greatest risk for developing? - Correct answer preeclampsia Increased blood pressure Complete the following sentence by using the list of options - Correct answer assess the client's deep tendon reflexes assess the client for visual disturbances The nurse is planning care for the postpartum client - Correct answer urinalysis-- anticipated Monitor intake and output--anticipated Magnesium sulfate--anticipated seizure precautions--anticipated labetalol--contraindicated draw keratinize and BUN--anticipated The nurse is reviewing the client's electronic medical record. Which of the following actions should the nurse take? - Correct answer Place the client on seizure precautions Administer magnesium sulfate IV bolus Obtain keratinize, platelet, BUN, and liver enzymes Assess for worsening headache and epigastria pain hourly and PRN Monitor level of consciousness, DTRs, and visual disturbances The nurse has reviewed the recent Nurse's Notes and the Diagnostic results - Correct answer Clonus positive. DTR +4 reports headache as 4 on a 0-10 pain scale platelets AST ALT A nurse is caring for a newborn that is undergoing phototherapy to treat hyperbilirubinemia. Which of the following actions should the nurse take? - Correct answer Cover the newborn's eyes while under the phototherapy light A nurse is in the antepartum clinic is assessing a client's adaptation to pregnancy. The client states that she is, "happy one minute and crying the next." The nurse should interpret the client's statement as an indication of which of the following? - Correct answer Emotional liability A nurse is caring for a client following an amniocentesis at 18 weeks of gestation. Which of the following findings should the nurse report to the provider as a potential complication? - Correct answer Leakage of fluid from the vagina