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Exam (elaborations) Nclex rn ngn RN Maternal Newborn Nursing Edition 10. 0
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MATERNAL NEWBORN ATIPROCTORED EXAM
Practice questions and answers
A nurse is developing a plan of care for a newborn who is to undergo phototherapy for
hyperbillirubinemia. Which of the following actions should the nurse include in the plan? -
Remove all clothing form the newborn except the diaper
A nurse is caring for a client who is at 15 weeks gestation, is Rh-negative, and has just had an
amniocentesis. Which of the following interventions is the nurse's priority following the
procedure? - Monitor the FHR
A nurse in an antepartum clinic is assessing a client who is at 32 weeks of gestation. Which of
the following findings should the nurse report to the provider? - Reports of decreased fetal
movement
A nurse is admitting a client to the labor and delivery unit when the client states, "My water just
broke". Which of the following interventions is the nurse's priority? - Begin FHR monitoring
A nurse is caring for a client who is at 36 weeks of gestation and has a positive contraction
stress test. The nurse should plan to prepare the client for which of the following diagnostic
test? - Biophysicial profile
A nurse is preparing to administer magnesium sulfate 2g/hr IV to a client who is in preterm
labor. Available is 20 g magnesium sulfate in 500 mL of dextrose 5% in water (D5W). The nurse
should set the IV infusion pump to administer how many mL/hr? - 50 ml/hr
A nurse is caring for a client who has hyperemesis gravidarum and is receiving IV fluid
replacement. Which of the following findings should the nurse report to the provider? - BUN 25
mg/dL
A nurse is assessing a late preterm newborn. Which of the following manifestations is an
indication of hypoglycemia? - Respiratory distress
A nurse in a provider's office is reviewing the medical record of a client who is in the first
trimester of pregnancy. Which of the following should the nurse identify as a risk factor for the
development of preeclampsia - Pregestational Diabetes Mellitus
, A nurse in an antepartum clinic is providing care for a client who is at 26 weeks of gestation.
Upon reviewing the client's medical record, which of the following findings should the nurse
report to the provider? - Fundal Height Measurement
A nurse is assessing a newborn who is 16 hr old. Which of the following findings should the
nurse report to the provider? - Substernal Retractions
A nurse is caring for a client who is at 26 weeks of gestation and has epilepsy. The nurse enters
the room and observes the client having a seizure. After turning the client head to the side,
which of the following actions should the nurse take immediately after the seizure? - Administer
oxygen via a nonrebreather mask
A nurse is providing teaching about nonpharmological pain management to a client who is
breastfeeding and has engorgement. The nurse should recommend the application of which of
the following items? - Cold cabbage leaves
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? - Vaginal pressure
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? - Minimal arm recoil
A nurse is providing teaching for a client who have birth 2 hr ago about the facility policy for
newborn safety. Which of the following client statements indicates an understanding of the
teaching? - the person who comes to take my baby's pictures will be wearing a photo
identification badge
A nurse is assessing a client who is at 36 weeks of gestation. Which of the following findings
should the nurse report to the provider? - Report of visual disturbances
A nurse is providing teaching to a client about the physiological changes that occur during
pregnancy. The client is at 10 weeks of gestation and has a BMI within the expected reference
range. Which of the following client statements indicates an understanding of the teaching? - "I
will likely need to use alternative positions for sexual intercourse".
A nurse is caring for a client who is anemic at 32 weeks of gestation and is in preterm labor. The
provider prescribed bethamethasone 12 mg IM. Which of the following outcomes should the
nurse expect? - A reduction in respiratory distress in the newborn
A nurse is caring for a client who is experiencing preeclampsia and has a new prescription for IV
magnesium sulfate. Which of the following medications should the nurse anticipate
administering if the client develops magnesium toxicity? - Calcium Gluconate
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