NUR 198 Maternity exam 3 final Questions and Answers
100%Correct/Verified Latest Update 2022/2023
1. The nurse knows that a contraindication to a client receiving Methylergonovine is:
A. lncreased vaginal bleeding
B. BP 140/90
C. Respirations 10
D. Oral temperature 100.6 F
2. The nurse is required to administer 8,000 units of Heparin sodium subcutaneously (SQ) every 8 hours
to a mother with a DVT. The pharmacy sends Heparin sodium 20,000 in a 1 ml vial. How many mLs
will you administer for one dose?
,NUR 198 Maternity exam 3 final Questions and Answers
100%Correct/Verified Latest Update 2022/2023
Answer: [(8,000 units * 1 mL)/20,000 units] = 0.4 mL
3. A nurse who is caring for a newborn observes signs of diaphoresis, jitteriness, and lethargy. Which
of the following is the appropriate nursing action?
A. Obtain a glucose heel stick
B. lnitiate phototherapy per HCP order
C. Assess newborns blood pressure
D. Place newborn in a radiant warmer
4. A nurse is preparing a list of self-care. lnstructions for a post-partum client who was diagnosed with
mastitis. Select all instructions that would be included on the list. (Select all that apply)
A. Take the prescribed antibiotics until the soreness subsides
B. Rest during the acute phase
C. Continue to breastfeed if the breasts are not too sore
D. Do not express your breastmilk either by breastfeeding or with a breast
pump
E. Wear a supportive bra
F. Take the prescribed analgesics as needed
5. Enoxaparin 1.8 mg/kg is prescribed as the therapeutic dose for 36 week preemie that weighs 3000
grams. How many ml will the newborn receive if
the dose on hand is 10 mg/ml
Step 1: 3000g*1000g/ 1kg= 3.0kg Step 2:
3.0 kg*1.8mg/1kg= 5.4 mg Step 3: 5.4 mg
* 1mL /10mg = 0.54 mL
,NUR 198 Maternity exam 3 final Questions and Answers
100%Correct/Verified Latest Update 2022/2023
6. A nurse is caring for a client who is beginning to breastfeed her newborn after delivery. The new
mother states, “l do not want to take anything for pain because l am breastfeeding”. Which of the
following is an appropriate response by the nurse?
A. You must take pain medications so that you are more comfortable
B. We can time your pain medication so that you have an hour or two
before the next feeding
C. All medications found in breast milk are harmful to the baby
D. You have the option of not taking any pain medication if you are concerned
, NUR 198 Maternity exam 3 final Questions and Answers
100%Correct/Verified Latest Update 2022/2023
7. The nurse evaluates that the newborns Moro reflex is within normal limits. Which response by the
newborn prompted the nurse's conclusion?
A. Raises arms in a C formation in response to a loud noise
B. Holds onto object when placed in hand
C. Turns head toward the right side when the right cheek is touched
D. Attempts to walk when the sole of foot touches hard surface
8. The nurse assesses a third day postpartum client who has not had bowel movement since delivery.
Beside ambulation, which of the following discharge instructions would be appropriate as a non-
pharmacological intervention?
A. lnstruct client to administer a fleet's enema
B. lnstruct client to use non-pharmacological pain management
C. lnstruct client to increase rest periods throughout the day
D. Instruct client to ambulate and increase fluid intake
Arescpoimramtoorny sdyismtrpetsosmstyhnadtrwomoueldisalert you that a preterm infant is developing
a) inspiratory "crowing."
b) inspiratory stridor.
c) expiratory grunting.
)heexepziirnagt.oreyxpiratory
grunting.
Aplannunrisnegisthceariinngfafnotr'sancairnef,anwthbatornintweritvhenatnioneslevwaitlledasbsiilsirtubininrel
edvuecli.nWg htehne bilirubin level? Select all that apply.
a) Offer early feedings
b) Stop breastfeeding until jaundice resolves
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