RN MATERNAL NEWBORN 2019-STUDY GUIDE

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RN MATERNAL NEWBORN 2019-STUDY GUIDE QUESTIONS,ANSWERS AND RATIONALES FOR BEST REVISION GUIDE TO THE BEST SCORES A nurse is assessing a client who has gestational diabetes mellitus and is experien... cing hyperglycemia. Which of the following findings should the nurse expect? 2. A nurse is caring for a client who is at 22 weeks of gestation and is HIV positive. Which of the following actions should the nurse take? 3. A nurse is providing teaching for a client who has a new prescription for combined oral contraceptives. Which of the following findings should the nurse include as an adverse effect of the medication? 4. A nurse is providing teaching to a client who is at 40 weeks of gestation and has a new prescription for misoprostol. Which of the following instruction should the nurse include in the teaching? 5. A nurse is caring for a prenatal client who has parvovirus B19 (fifth disease). Which of the following actions should the nurse take? 6. A nurse is preparing to collect a blood specimen from a newborn via a heel stick. Which of the following techniques should the nurse use to help minimize the pain of the procedure for the newborn? 7. A nurse is performing a vaginal examination on a client who is in labor and observes the umbilical cord protruding from the vagina. After calling for assistance, which of the following actions should the nurse take? 8. A nurse is caring for a client who is at 24 weeks of gestation and has a suspected placental abruption. Which of the following laboratory tests should the nurse expect the provider to prescribe? 9. A nurse is admitting a client who is in labor. The client admits to recent cocaine use. For which of the following complications should the nurse assess? 10. A nurse is assessing a client who has severe preeclampsia. Which of the following manifestations should the nurse expect? 11. A nurse is providing education about family bonding to parents who recently adopted a newborn. The nurse should make which of the following suggestions to aid the family’s 7-year-old child in accepting the new family member? 12. A nurse is assessing a client who is receiving morphine via IV bolus for pain following a cesarean birth. The nurse notes a respiratory rate of 8/min. which of the following medication should the nurse administer? 13. A nurse is teaching a client who is at 10 weeks of gestation about nutrition during pregnancy. Which of the following statements by the client indicates an understanding of the teaching? 14. A nurse is assessing a newborn 12 hr after birth. Which of the following manifestations should the nurse report to the provider? 15. A nurse is observing a new parent caring for her crying newborn who is bottle feeding. Which of the following actions by the parent should the nurse recognize as positive parenting behavior? 16. A nurse is teaching a newly licensed nurse about collecting a specimen for the universal newborn screening. Which of the following statement should the nurse include in the teaching? 17. A nurse is caring for client who has uterine atony and is experiencing postpartum hemorrhage. which of the following actions is the nurse’s priority? 18. A nurse is performing a physical assessment of a newborn upon admission to the nursery. Which of the following manifestations should the nurse expect? 19. A nurse is demonstrating to a client how to bathe their newborn. In which order should the nurse perform the following actions? 20. A nurse is assessing a client who received carboprost(Oxytocic) for postpartum hemorrhage. Which of the following findings is an adverse effect of the medication? 21. A nurse is caring for a client who is at 35 weeks of gestation and is undergoing a nonstress test that reveals a variable deceleration in the FHR. Which of the following actions should the nurse take? 22. A nurse is caring for a client who is at 38 weeks of gestation. Which of the following actions should the nurse take prior to applying an external transducer for fetal monitoring? 23. A nurse in a prenatal clinic is assessing a group of clients. Which of the clients should the nurse see first? 24. A nurse is caring for a client who is at 32 weeks of gestation and has gonorrhea. The nurse should identify that the client is at an increased risk for which of the following complications? 25. A nurse is assessing four newborns. Which of the following findings should the nurse report to the provider? 26. A nurse is caring for a postpartum client who is receiving heparin via a continuous IV infusion for thrombophlebitis in her left calf. Which of the following actions should the nurse take? 27. A nurse is providing discharge teaching to a client who had a cesarean birth 3 days ago. Which of the following instructions should the nurse include? 28. A nurse is performing a physical assessment of a newborn. Which of the following clinical findings should the nurse expect? 29. A nurse is performing a routine assessment on a client who is at 18 weeks of gestation. Which of the following findings should the nurse expect? 30. A nurse is reviewing the prenatal laboratory results for a client who is at 12 weeks of gestation following an initial prenatal visit. Which of the following laboratory findings should the nurse report to the provider? 31. A nurse is developing a plan of care for a newborn who is to undergo phototherapy for hyperbilirubinemia. Which of the following actions should the nurse include in the plan? 32. A nurse is caring for a client who is at 15 weeks of gestation, is Rh-negative, and has just had an amniocentesis. Which of the following interventions is the nurse’s priority following the procedure? 33. A nurse in an antepartum clinic is assessing a client who is at 32 weeks of gestation. Which of the following findings should the nurse report to the provider? 34. A nurse is admitting a client to the labor and delivery unit when the client states, “my water just broke”. Which of the following interventions is the nurse’s priority? 35. A nurse is caring for a client who is at 36 weeks of gestation and has a positive contraction stress test. The nurse should plan to prepare the client for which of the following diagnostic tests? 36. A nurse is preparing to administer magnesium sulfate 2g/hr IV to a client who is in preterm labor. Available is 20 g magnesium sulfate in 500 ml D5W. the nurse should set the IV infusion pump to administer how many ml/hr? 37. A nurse is caring for a client who has hyperemesis gravidarum and is receiving IV fluid replacement. Which of the following findings should the nurse report to the provider? 38. A nurse is assessing a later preterm newborn. Which of the following manifestations is an indication of hypoglycemia? 39. A nurse in a provider’s office is reviewing the medical record of a client who is in the first trimester of pregnancy. Which of the following findings should the nurse identify as a risk factor for the development of preeclampsia? 40. A nurse in an antepartum clinic is providing care for a client who is at 26 weeks of gestation. Upon reviewing the client’s medical record, which of the following findings should the nurse report to the provider? [Show More]

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