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NURS 3610 Quiz 2 with correct answers |100% pass

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NURS 3610 Quiz 2 with correct answers |100% pass A nurse is observing the electronic fetal heart rate monitor tracing for a client who is at 40 weeks of gestation and is in labor. The nurse should suspect a problem with the umbilical cord when she observes which of the following patterns? A. E...

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  • October 6, 2024
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NURS 3610 Quiz 2 with correct answers
|100% pass

A nurse is observing the electronic fetal heart rate monitor tracing for a client who is at 40 weeks of

gestation and is in labor. The nurse should suspect a problem with the umbilical cord when she observes

which of the following patterns?


A. Early decelerations


B. Accelerations


C. Late decelerations


D. Variable decelerations - Answer✔✔-D. Variable decelerations




Variable decelerations occur when the umbilical cord becomes compressed and disrupts the flow of

oxygen to the fetus.


* Think VEALCHOP


A nurse in the newborn nursery is caring for a group of newborns. Which of the following newborns

requires immediate intervention?


A. A newborn who is 24 hr post-delivery and has not voided.


B. A newborn who is 18 hr post-delivery and has acrocyanosis


C. A newborn who is 24 hr post-delivery and has not passed meconium

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D. A newborn who is 12 hr post-delivery and has a temperature of 37.5C (99.5F) - Answer✔✔-D. A

newborn who is 12 hr post-delivery and has a temperature of 37.5C (99.5F)




Hyperthermia in the newborn requires immediately intervention. Hyperthermia is typically caused by

increased heat production related to sepsis or decreased heat loss.


A nurse is assessing a client who is 12hr postpartum and received spinal anesthesia for a cesarean birth.

Which of the following findings requires immediate intervention by the nurse?


A. Blood pressure 100/70 mmHg


B. Headache pain rated 6 on a scale of 0 to 10


C. Respiratory rate 10/min


D. Urinary output 30mL/hr - Answer✔✔-C. Respiratory rate 10/min




A client who has received spinal anesthesia is at risk for respiratory depression and hypotension. A

respiratory rate of 10/min indicates bradypnea and requires immediate intervention.


A nurse is caring for a client who has just delivered her first newborn. The nurse anticipates

hyperbilirubinemmia due to Rh incompatibility. The nurse should understand that hyperbilirubinemia

occurs with Rh incompatibility for which of the following reasons?


A. The client's blood does not contain the Rh factor, she she produces anti-Rh antibodies that cross the

placental barrier and cause hemolysis of red blood cells in newborns.




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B. The client' blood contains the Rh factor and the newborn's does not and antibodies that destroy red

blood cells are formed in the fetus.


C. The client has a history of receiving a transfusion with Rh-negative blood.


D. The client's anti-A and anti-B antibodies cross the placenta and cause the destruction of the fetal red

blood cells. - Answer✔✔-A. The client's blood does not contain the Rh factor, she she produces anti-Rh

antibodies that cross the placental barrier and cause hemolysis of red blood cells in newborns.




If the Rh-negative client has been exposed to Rh-positive fetal blood, she will produce antibodies against

Rh factor. These antibodies can cross the placenta and destroy the red blood cells of the Rh-positive

fetus. This accelerated rate of red blood cell destruction results in the increased release of bilirubin. The

newborn's serum bilirubin level can rise quickly.


A nurse is teaching a newborn's parent to care for the umbilical cord stump. Which of the following

instructions should the nurse include?


A. Wash the cord daily with mild soap and water.


B. Cover the cord with the diaper.


C. Apply petroleum jelly to the cord stump.


D. Give a sponge bath until the cord stump falls off. - Answer✔✔-D. Give a sponge bath until the cord

stump falls off.




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Immersing the umbilical cord stump in water can delay the process of drying, separation, and healing.

Sponge baths are appropriate until the stump falls off.


A nurse is caring for a client who is postpartum. The client tells the nurse that the newborn's maternal

grandmother was born deaf and asks how to tell if her newborn hears well. Which of the following

statements should the nurse make?


A. "There is no need to worry about that. Most forms of hearing loss are not inherited."


B. "Look at how she looks at you when you speak. That's a good sign."


C. "We do routine hearing screenings on newborns. You'll know the results before you leave the

hospital."


D. "The best way to determine if your baby can hear is to clap your hands loudly and see if she startles." -

Answer✔✔-C. "We do routine hearing screenings on newborns. You'll know the results before you leave

the hospital."




Most states mandate hearing screening for all newborns. The two tests in use do not diagnose hearing

loss, but determine whether or not a newborn requires further evaluation.


A nurse is caring for a client who is beginning to breastfeed her newborn after delivery. The new mother

states, "I don't want to take anything for pain because I am breastfeeding." Which of the following

statements should the nurse make?


A. "You need to take pain medications so you are more comfortable."


B. "We can time your pain medication so that you have an hour or two before the next feeding."


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