NSG 432 Exam 3 | Verified with 100% Correct Answers

NSG 432 Exam 3 | Verified with 100% Correct Answers What is good for iron absorption? -Vitamin C Baby is in a room, gets startled, then goes back to sleep? -report as normal finding Baby sprawled out with hands and f ...

NSG 432 Exam 3 | Verified with 100% Correct Answers What is good for iron absorption? -Vitamin C Baby is in a room, gets startled, then goes back to sleep? -report as normal finding Baby sprawled out with hands and feet extended when you see it? -moro reflex The newborn baby has a rash. What do you tell parents? -everything is okay, it will resolve on its own. SATA Hep B: 2/5 25g ⅝ inch needle, given vastus lateral IM, SATA Post Partum Hemorrhage Assessment: 3/5 assess vs, assess uterine atony, assess bleeding SATA Post Partum Hemorrhage Prevention: 3/5 massage fundus, teach pt to massage fundus, and NO NSAIDS SATA Education? 2/5 answers about the mom leaving the hospital and education Childbirth may result in injuries to the vagina and uterus. Pelvic floor exercises also known as Kegel exercises will help. Pt understands teaching when she says I pretend that I am trying to stop the flow of urine midstream On examining a woman who gave birth 5 hours ago, the nurse finds that the woman has completely saturated a perineal pad within 15 minutes. The nurses first action is to? massage the fundus Excessive blood loss after childbirth can have several causes. what is the most common? failure of the uterine muscle to contract firmly During a phone follow-up convo with a woman who is 4 days postpartum, the woman tells the nurse, "I do not know what is wrong, I love my son but I feel so down. I seem to cry for no reason." This is due to what? postpartum blues To provide adequate after birth care, the nurse should be aware that postpartum depression (PPD) without psychotic features: distinguished by irritability, severe anxiety, and panic attacks To provide adequate after birth care, the nurse should be aware that postpartum depression (PDD) with psychotic features: may include bipolar disorder (formerly called manic depression) While evaluating the reflexes of a newborn, the nurse notes that with a loud noise the newborn symmetrically abducts and extends his arms, his fingers fan out and form a C with the thumb and forefinger, he has a slight tremor. The nurse would document this finding as positive: Moro reflex In administering vitamin K to the infant shortly after birth, the nurse understands that vitamin K is not initially synthesized because of a sterile bowel at birth A new father wants to know what medication was put into his infants eyes and why it is needed. The nurse explains that erythromycin ointment is used to prevent transmission of sexually transmitted bacteria (prevent blindness) Highest priority for PPH preeclampsia and mag sulfate Highest risk for infections early ruptured and prolonged labor According to the recommendations of the American Academy of Pediatrics on infant nutrition? What do they say about breast milk? if weaned off breastmilk before 12 months, use formula. Preventing infection of an episiotomy wash hands when changing the pads baby is cold at 36 Celsius. What is the best intervention? put a hat on the baby Why did the baby get a 6 on their APGAR? baby is having difficulty transitioning to extrauterine life/ need further assessment Baby has low APGAR continue to monitor how do you suction a baby? mouth first then nose Mom is crying on day 18 postpartum. What is she going through? postpartum depression Who is at most risk for postpartum depression without psychosis? history of anxiety Baby is under phototherapy. What does nurse do? monitor their skin temp What drug is contraindicated for patient with asthma? Carboprost Discharge teaching, to mom about car seat? back rear facing What is the priority action for uterine atony? Assess for bleeding Breast milk teaching, what indicated mom DOES NOT understand? I will eat fatty foods, the milk will have fat, or will need to feed more during growth spurts The infant is yellow. What is the priority? how many hours ago was the baby born? Neonate has a HR of 160, RR 30-40, and cyanosis of palms and feet. What is the best nursing action? these are normal findings for 7 to 10 days, continue assessment What substance provides protection to the umbilical cord in utero? Wharton's Jelly Mom is suspected of having a DVT. What would be expected findings: tenderness and sore calf The mom says my breasts are sore, I’m not breastfeeding. Wear a supportive bra Another question about what to do if breasts are sore wear a supportive bra When is meconium produced? 16 weeks When can the fetus see in utero? 28 weeks What is involution of the uterus? process of reduction in size of uterus and return to pre-pregnancy state Postpartum psychosis. What do you ask mom? Do you have any thoughts of harming your baby? Patient is suspected of having postpartum depression. What is the most concerning symptom? flat affect A patient with anemia is more at risk for? postpartum hemorrhage What are the signs the baby is in pain? irritability and crying Mom is AB- and baby is B+ what is wrong? what is the treatment for it? Rh incompatibility treatment; Rhogam An infant was born 2 hours ago at 37 weeks of gestation and weighs 4.1 kg. The infant appears chubby with a flushed complexion and is very tremulous. The tremors are most likely the result of: Hypoglycemia Signs and symptoms of baby being hypoglycemic jitteriness, lethargy, poor feeding, abnormal cry, hypothermia, hypotonia, respiratory distress, apnea, and seizures Signs and symptoms of Respiratory distress: nose flaring, intercostal retractions, grunting For clinical purposes, preterm and postterm infants are defined as: a. preterm before 34 weeks if appropriate for gestational age (AGA) and before 37 weeks if small for gestational age (SGA). b. postterm after 40 weeks if large for gestational age (LGA) and beyond 42 weeks if AGA. c. preterm before 37 weeks, and postterm beyond 42 weeks, no matter the size for gestational age at birth. d. preterm, SGA before 38 to 40 weeks, and postterm, LGA beyond 40 to 42 weeks. In the assessment of a preterm infant, the nurse notices continued respiratory distress even though oxygen and ventilation have been provided. The nurse should suspect? Hypovolemia and/or shock A pregnant woman at 37 weeks of gestation has had ruptured membranes for 26 hours. A c-section is performed for failure to progress. The FHR before birth is 180 beats/min with limited variability. At birth the newborn has apgar score of 6 and 7 at 1 and 5 mins and is noted to be pale and tachypneic. On the basis of the maternal history, the cause of this newborn's distress is most likely to be? Sepsis What drug cannot be given to a patient with hypertension? Methergine Patient is experiencing uterine atony. What should the nurse do to prevent postpartum hemorrhaging? Palpate & massage the fundus Baby apgar score is at 8 at 1 min. What should nurse do? Recheck again in 5 minutes What is the most common cause of postpartum hemorrhage? Uterine atony (when uterus is unable to stay contracted) What is important to consider when educating the mom about breastmilk? Has immunoglobulin antibody components (important for immune system) What should be included in the teaching regarding the umbilical cord? It will dry out & fall off in 14 days What is the normal RR for a baby? 30-60 with periods of apnea for 20 secs What is a normal finding for a premature 28-week-old baby? Pale/pink skin & able to see veins What lochia is normal at day 7? A. Rubra B. Serosa C. Alba The patient's family is important to the maternity nurse because? - The family culture & structure will influence nursing care decisions Which statement about benefits or limitations of breast milk is warrants further teaching? Breastfeeding increases the risk of obesity Mother with diabetes has signs of infection with a temp of 100.4 & foul smelling lochia. The doctor provides following orders. What should the nurse do first? Swab check/obtain culture of lochia (before antibiotics) Primiparous women need's rubella vaccine. What should the nurse do? Should not give med (must also avoid pregnancy for 1 month after vax) As part of their teaching function at discharge, nurses should educate parents regarding safe sleep. Which statement is incorrect? Place the infant on his or her abdomen to sleep A nurse understands which of the following represent the greatest risk to a client with ruptured membranes? Intrauterine infection A nurse is preparing a client in labor for an epidural block, preparation includes intravenous fluids. What is the best reason for administration of IV fluids or increase for the client? To prevent hypotension A client comes to the prenatal clinic for fetal monitoring, once placed on the monitor the nurse notes fetal tachycardia. The nurse is aware of possible causes, which of the following would be possible cause of fetal tachycardia? Maternal hyperthermia The nurse is assessing a fetal monitor strip of a laboring client the nurse identifies changes in the fetal heart rate. The fetal heart tones are decreasing after the peak of contraction and returning to the baseline after the contraction is over. The nurse interprets the tracing below as which periodic change in physiological cause? Late decelerations uteroplacental insufficiency When monitoring a pregnant client, the nurse notes fluctuations in the fetal heart rate. What causes fetal heart rate decelerations occurring at the peak of contraction and lasts until the end of contraction? Uteroplacental insufficiency The nurse is caring for a client in labor who just received an epidural. The nurse is aware that the most important nursing interventions currently is which of the following? Monitor BP for hypotension (empty bladder b/f epidural) Using Naegele's rule, calculate the EDD (estimated delivery date) for a women who's LMP (last menstrual period) was October 7th? July 14th A primagravida admitted to the labor and delivery unit is 2 centimeters dilated with contractions every 7 to 9 minutes. She is groaning and perspiring excessively, she