(NGN)ATI RN MATERNAL NEWBORN WITH NGN PROCTORED 2023 /2024 TEST BANK ACTUAL EXAM QUESTIONS AND CORRECT DETAILED ANSWERS A nurse is caring for a client who has uterine atony and is experiencing postpartum hemorrhage. Which of the following actions is the nurse's priority? - ANSWER -Massage the clients fundus. A nurse is caring for a client who is to receive oxytocin to augment her labor. Which of the following findings contraindicates the initiation of the oxytocin infusion and should be reported to the provider? - ANSWER -Late decelarations A nurse is assessing a client who has severe preeclamps ia. Which of the following manifestations should the nurse expect? - ANSWER -Blurred vision A nurse is assessing a client who is 1 day postpartum and has a vaginal hematoma. Which of the following manifestations should the nurse expect? - ANSWER -Vaginal Pre ssure A nurse is caring for a client who is at 36 weeks of gestation and has a positive contraction stress test. The nurse should plain to prepare the client for which of the following diagnostic tests? - ANSWER -Biophysical profile A nurse is providing tea ching 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 this medication? - ANSWER -Depression 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? - ANSWER -Maintain the client on bed rest. A nurse is providing teaching to a client is at 40 weeks of gestation and has a new prescription for misoprostol. Which of the following instructions should the nurse include in the teaching? - ANSWER -"I can administer oxytocin 4 hours after the insertion of the medication." A nurse is assessing four newborns. Which of the following find ings should the nurse report to the provider? - ANSWER -A newborn who is 18 hr old and has an axillary temperature of 37.7 C (99.9 F) A nurse is caring for a client is at 30 weeks of gestation and has a prescription for magnesium sulfate IV to treat preterm labor. The nurse should notify the provider of which of the following adverse effects? - ANSWER -Respiratory rate 10/min 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? - ANSWER -"I should take 600 micrograms of folic acid each day" A nurse is assessing a late preterm newborn. Which of the following manifestation is an indication of hypoglycemia? – ANSWER -Respiratory dist ress A nurse is a prenatal clinic is assessing a group of clients. Which of the following client should the nurse see first? - ANSWER -A client who is 11 weeks of gestation and reports abdominal cramping A nurse is demonstrating to a client how to bathe the ir newborn. In which order should the nurse preform the following actions? - ANSWER -1. Wipe the newborns eyes from inner cants outward. 2. Wash the newborns neck by lifting the newborns chin 3. Cleanse the skin around the newborns umbilical stump 4. Wash t he newborns legs and feet 5. Clean the newborns diaper area A nurse is teaching a newly licensed nurse about collecting a specimen for the universal newborn screening. Which of the following should the nurse include in the teaching? - ANSWER -"Ensure that t he. newborn has been receiving feedings for 24 hours prior to obtaining the specimen" A nurse is creating a plan of care for a client who is postpartum and adheres to traditional Hispanic culture beliefs. Which of the following culture practices should the nurse include in the plan of care? - ANSWER -Protect the clients head and feet from the cold air A nurse is assessing a newborn who was born at 26 weeks of gestation using the New Ballard Score. Which of the following findings should the nurse expect? - ANSWER -Minimal arm recoil 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 nurses priority following the procedure? - ANSWER -Monitor the FHR A nurse is assessing a newborn who is 16 hr old. Which of the following findings should the nurse report to the provider? - ANSWER -Substernal retractions
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