Maternity Rationale 20- A primigravida asks the nurse in the clinic when she will be able to begin to feel the fetus move. The nurse responds by telling the mother that fetal movements will be noted ... between which weeks of gestation? Incorrect answer: 8 and 10 Correct answer: 18 and 20 25- The nurse is monitoring a newborn born to a client who abuses alcohol. Which findings should the nurse expect to note when assessing this newborn? (Select all that apply.) Incorrect answer: irritability Correct answer: minimal response to stimuli 31- A woman infected with the human immunodeficiency virus (HIV) has given birth to an infant who appears normal, and the nurse provides instructions about newborn infant care. Which statement by the mother indicates an understanding of the instructions? Select all that apply. Incorrect answer: "I am going to need to bottle-feed my baby.", "I need to wash my hands before and after bathroom use.", "I can transmit the infection to my baby when I breast-feed.", "I am going to contact some support groups to help me cope and learn ways to deal with things when I get home." Correct answer: "I am going to need to bottle-feed my baby.", "I need to wash my hands before and after bathroom use.", "I can transmit the infection to my baby when I breast-feed." 42- Which are considered normal findings in a newborn less than 12 hours old? Select all that apply. Incorrect answer: Presence of vernix caseosa, Anterior fontanelle measuring 5.0 cm, Bluish discoloration of hands and feet Correct answer: Grunting respirations, Heart rate of 190 beats/minute, Yellow discoloration of the sclera and body 43- The nurse has a routine prescription to instill erythromycin ointment into the eyes of a newborn. Which statement, if made by the mother, demonstrates understanding of why this medication is used? Incorrect answer: "The medication will guard my baby's eyes from any infection that occurred during pregnancy." Correct answer: "The medication will help protect my baby's eyes from certain infections transmitted during the labor and delivery process." 46- The nurse is caring for a client in labor and notes that minimal variability is present on a fetal heart rate (FHR) monitor strip. Which conditions are most likely associated with minimal variability? Select all that apply. Incorrect answer: tachycardia, fetal hypoxia, congenital anomalies Correct answer: tachycardia, fetal hypoxia, metabolic academia, congenital anomalies [Show More]
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