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Prep U rationales: Test #2 Questions With Complete Solutions
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Prep U rationales: Test #2 Questions With Complete Solutions
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Prep U rationales: Test #2 Questions With CompleteSolutions
A 32 weeks' gestation newborn is admitted to the neonatal
intensive care unit. The assessment reveals a pale dyspneic
newborn with marked tremors, a bulging anterior fontanel, and a
high-pitched cry. What diagnosis best correlates with the
assessment findings? Correct Answers periventricular-
intraventricular hemorrhage; If periventricular-intraventricular
hemorrhage is suspected, evaluate the newborn for a drop in
hematocrit, pallor, and poor perfusion as evidenced by
respiratory distress and oxygen desaturation. Note seizures,
lethargy, or other changes in level of consciousness, bulging
fontanel, weak sucking, metabolic acidosis, high-pitched cry, or
hypotonia. Palpate the anterior fontanel for tenseness.
A 36-week neonate born weighing 1,800 g has microcephaly
and microophthalmia. Based on these findings, which risk factor
might be expected in the maternal history? Correct Answers
Use of alcohol; The most common sign of the effects of alcohol
on fetal development is retarded growth in weight, length, and
head circumference.
A client appears to be resting comfortably 12 hours after giving
birth to her first child. In contrast, she labored for more than 24
hours, the primary care provider had to use forceps to deliver the
baby, and she had multiple vaginal examinations during labor.
Based on this information what postpartum complication is the
client at risk for developing? Correct Answers Infection.
,A client gave birth 2 days ago and is preparing for discharge.
The nurse assesses respirations to be 26 rpm and labored, and
the client was short of breath ambulating from the bathroom this
morning. Lung sounds are clear. The nurse alerts the primary
care provider and the nurse-midwife to her concern that the
client may be experiencing: Correct Answers pulmonary
embolism.
A client has come to the office for her first postpartum visit. On
evaluating her blood work, the nurse would be concerned if the
hematocrit is noted to have: Correct Answers acutely
decreased; Despite the decrease in blood volume, the hematocrit
remains relatively stable and may even increase, reflecting the
predominant loss of plasma. An acute decrease in hematocrit is
not an expected finding and may indicate hemorrhage.
A client has had a cesarean birth. Which amount of blood loss
would the nurse document as a postpartum hemorrhage in this
client? Correct Answers 1000 mL; Postpartum hemorrhage is
defined as blood loss of 500 mL or more after a vaginal birth
and 1000 ml or more after a cesarean birth.
A client in her sixth week postpartum reports general weakness.
The client has stopped taking iron supplements that were
prescribed to her during pregnancy. The nurse would assess the
client for which condition? Correct Answers hypovolemia; The
nurse should assess the client for hypovolemia as the client must
have had hemorrhage during birth and puerperium. Additionally,
the client also has discontinued iron supplements.
, A client who gave birth vaginally 16 hours ago states she does
not need to void at this time. The nurse reviews the
documentation and finds that the client has not voided for 7
hours. Which response by the nurse is indicated? Correct
Answers "It's not uncommon after birth for you to have a full
bladder even though you can't sense the fullness." After a
vaginal birth, the client should be encouraged to void every 4 to
6 hours. As a result of anesthesia and trauma, the client may be
unable to sense the filling bladder.
A client with group AB blood whose husband has group O
blood has just given birth. Which complication or test result is a
major sign of ABO blood incompatibility that the nurse should
look for when assessing this neonate? Correct Answers
jaundice within the first 24 hours of life.
A new mother tells the nurse at the baby's 3 month check-up,
"When she cries, it seems like I am the only one who can calm
her down." This is an example of which behavior? Correct
Answers attachment; Attachment is the development of strong
affection between an infant and a significant other. It does not
occur overnight. It occurs through mutually satisfying
experiences. Attachment behaviors include seeking, staying
close to, and exchanging gratifying experiences with the infant.
Bonding is the close emotional attraction to a newborn by the
parents that develops in the first 30 to 60 minutes after birth.
A newborn is born diagnosed with an omphalocele. What will
the nurse prioritize in the care plan during the preoperative
period? Correct Answers Nursing management of newborns
with omphalocele must focus on preventing hypothermia,
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