CMS Maternal Newborn Practice 2020 A Questions and Correct Answers | Latest Update
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Course
CMS
Institution
CMS
A nurse is collecting data from a client who is at 36 weeks of gestation during a prenatal
examination. Which of the following findings should the nurse report to the provider?
-:- Blurred vision - indication of preeclampsia
Expected findings: non pitting ankle edema, 10 fetal movements in 2 ...
CMS Maternal Newborn Practice 2020 A
Questions and Correct Answers | Latest
Update
A nurse is collecting data from a client who is at 36 weeks of gestation during a prenatal
examination. Which of the following findings should the nurse report to the provider?
✓ -:- Blurred vision - indication of preeclampsia
✓ Expected findings: non pitting ankle edema, 10 fetal movements in 2 hr,
leg cramps
A nurse is caring or a newborn who is receiving phototherapy. Which of the following
actions should the nurse take?
✓ -:- Place an opaque mask over the newborn's eyes - to prevent damage
to the retinas
- Should remove mask for feedings
DO NOT apply a thin layer of lotion to the newborn's skin
A nurse is caring for a client who is at 11 weeks of gestation and reports frequent vomiting.
Which of the following findings should the nurse identify as an indication that the client has
- Apneic episode of 20 seconds or less - normal; newborns respirations are normally
shallow and irregular
- Positive moro reflex present from birth up to 8 weeks
- Vernix in the skin folds - normal
A nurse is caring for a client 6 hr after a vaginal birth who is going to breastfeed her
newborn. The client reports perineal pain of 6 on a scale from 0 to 10. The nurse also notes
mild perineal edema and ecchymosis, with a fundus that is 2 cm above the umbilicus with
deviation to the right. Which of the following actions is the nurse's priority?
a. administer analgesics
b. apply an ice pack to the perineum
c. assist the client with breastfeeding
d. help the client ambulate to the toilet
✓ -:- d. help the client ambulate to the toilet
The greatest risk for this client is postpartum hemorrhage from uterine atony. Therefore,
the priority intervention by the nurse is to assist the client to urinate and completely empty
the bladder, which will allow the uterus to contract.
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