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Maternal newborn practice B QUESTIONS AND ANSWERS|GRADED A

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Maternal newborn practice B QUESTIONS AND ANSWERS|GRADED A A charge nurse on the postpartum unit is observing a newly licensed nurse who is preparing o administer pain medication to a client. The charge nurse should intervene when the newly licensed nurse uses which of the following secondary id...

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  • September 19, 2022
  • 11
  • 2022/2023
  • Exam (elaborations)
  • Questions & answers
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Maternal newborn practice B QUESTIONS
AND ANSWERS|GRADED A

A charge nurse on the postpartum unit is observing a newly licensed nurse who is
preparing o administer pain medication to a client. The charge nurse should
intervene when the newly licensed nurse uses which of the following secondary id
to identify the client? Correct Answer: The client's room number
R: is not acceptable identifier and places the client at risk for a med error

A nurse is providing discharge teaching to a patient whose newborn has just had a
circumcision. Which of the following instructions should the nurse include?
Correct Answer: Apply slight pressure with a sterile gauze pad for mild bleeding
R: Nurse should instruct client to attempt to stop mild bleeding by applying
pressure with sterile gauze. If bleeding continues the client should notify the
provider.

A nurse is teaching about effective breastfeeding to a client who is 3 days
postpartum. Which of the following information should the nurse include? Correct
Answer: Your newborn should appear content after feeding
R: If the baby is not content after feeding signs of hunger are rooting, sucking on
the hands or crying because they might not be emptying the breasts during feeding
completely

A nurse planning care for a client who is in labor and is requesting epidural
anesthesia for pain control. Which of the following actions should the nurse
include in the plan of care? Correct Answer: Monitor the clients B/P every 5 min
following the first dose of anesthetic solution
B: The nurse should plan to obtain a baseline blood pressure prior to the initiation
of anesthetic solution. The nurse should then continue to monitor the client's blood
pressure every 5 to 10 min to assess for maternal hypotension caused by the
anesthetic solution

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 cry sounds clear
R: nurse should instruct client to stop suctioning when cry no longer sounds like it
is coming through a bubble of fluid or mucus

, A nurse is assessing a client who is 12hr postpartum. The client's fundus is two
finger breadths above the umbilicus deviated to the right of the midline, and less
firm than previously noted. Which of the following actions should the nurse take?
Correct Answer: Assist the client to the bathroom to void
R: a dissented bladder can cause the uterus from contracting and can cause uterine
atony. Therefore, the nurse should assist the client to void.

A nurse is reviewing the medical record at 1800 for a client who is at 34wks
gestation. Based in the chart findings and documentation the nursing plan of care
should include which of the following actions? Correct Answer: Administer
terbutaline
R: administer terbutaline to stop contractions because the lab results indicate that
the fetus's lungs are not mature enough for delivery

A nurse is assessing a full-term newborn 15min after birth. Which of the following
findings requires intervention by the nurse? Correct Answer: Respiratory rate of
18/min
R: first 30 min's of a newborns life the rest rate can range from 20-100/min. A
resp. rate this low at the time requires further evaluation and intervention by the
nurse

A nurse us assessing a client who is at 26wks gestation. Which of the following
clinical manifestations should the nurse report to the provider? Correct Answer:
Decreased urine output
R: increased B/P, proteinuria and decreased fetal activity can be indication of
preeclampsia and should be notified to the provider

A nurse is providing teaching to a client about the physiological changes that occur
during preg. The client is at 10 wks of gestation and has a BMI w/in the expected
reference range. Which of the following client statements indicate an
understanding of the teaching? Correct Answer: "I will likely need to use
alternative positions for sexual intercourse"
R: The weight of the preg will change positions of sexual intercourse therefore
understanding physiological changes during preg

A nurse in a woman health clinic is providing teaching about nutritional intake to a
client who is at 8wks of gestation. The nurse should instruct the client to increase
her daily intake of which of the following nutrients? Correct Answer: Iron

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