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Maternal Newborn Practice Test B (with rationale) - 60 Q & A Correct Solution

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Maternal Newborn Practice Test B (with rationale) A nurse on an antepartum unit is caring for 4 pts. Which of the following pts. should the nurse identify as the priority? - A client who is at 3 ... 4 weeks of gestation and reports epigastric pain. When using the urgent vs nonurgent approach to client care, the nurse should assess the client who reports epigastric pain. Epigastric pain is a manifestation of preeclampsia and indicates hepatic involvement, which is an urgent finding. Therefore, the nurse should identify this client as the priority. A nurse is calculating a client's expected d.o.b using Nagele's rule. The client tells the nurse that her last menstrual cycle started on Nov. 27th. Which of the following dates is the client's expected d.o.b.? - September 3rd When using Nägele's rule to calculate the estimated date of birth for a client, the nurse should subtract 3 months from the first day of the client's last menstrual cycle and then add 7 days. November 27th minus 3 months equals August 27th. August 27th plus 7 days equals September 3rd. A nurse in a women's 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? - Iron The recommendation for iron intake during pregnancy is higher than that for women who are not pregnant. For women who are pregnant, it is 27 mg/day. For women who are not pregnant, it is 15 mg/day for women younger than 19 years old and 18 mg/day for women between the ages of 19 and 50 years old. A nurse is assessing a client who is postpartum and has idiopathic thromocytopenia purpua (ITP). Which of the following findings should the nurse expect? - Decreased platelet count A client who has ITP has an autoimmune response that results in a decreased platelet count. A nurse is reviewing the lab results for a client who is 10 weeks. Which of the following lab findings should the nurse report to the provider? - Hemoglobin 10g/dl A hemoglobin level of 10 g/dL is below the expected reference range of greater than 11 g/dL for a client who is pregnant. The nurse should report this laboratory finding to the provider. [Show More]

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