100% satisfaction guarantee Immediately available after payment Both online and in PDF No strings attached
logo-home
NURS 3610 Quiz 2 with correct answers |100% pass $12.49   Add to cart

Exam (elaborations)

NURS 3610 Quiz 2 with correct answers |100% pass

 4 views  0 purchase
  • Course
  • 2024/2025
  • Institution
  • 2024/2025

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...

[Show more]

Preview 4 out of 33  pages

  • October 6, 2024
  • 33
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers
  • 2024/2025
  • 2024/2025
avatar-seller
EmillyCharlotte
EMILLYCHARLOTTE 2024/2025 ACADEMIC YAER ©2024 EMILLYCHARLOTTE. ALL RIGHTS RESERVED
FIRST PUBLISH SEPTEMBER 2024




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

Page 1/33

,EMILLYCHARLOTTE 2024/2025 ACADEMIC YAER ©2024 EMILLYCHARLOTTE. ALL RIGHTS RESERVED
FIRST PUBLISH SEPTEMBER 2024


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.




Page 2/33

,EMILLYCHARLOTTE 2024/2025 ACADEMIC YAER ©2024 EMILLYCHARLOTTE. ALL RIGHTS RESERVED
FIRST PUBLISH SEPTEMBER 2024


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.




Page 3/33

, EMILLYCHARLOTTE 2024/2025 ACADEMIC YAER ©2024 EMILLYCHARLOTTE. ALL RIGHTS RESERVED
FIRST PUBLISH SEPTEMBER 2024


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."


Page 4/33

The benefits of buying summaries with Stuvia:

Guaranteed quality through customer reviews

Guaranteed quality through customer reviews

Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.

Quick and easy check-out

Quick and easy check-out

You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.

Focus on what matters

Focus on what matters

Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!

Frequently asked questions

What do I get when I buy this document?

You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.

Satisfaction guarantee: how does it work?

Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.

Who am I buying these notes from?

Stuvia is a marketplace, so you are not buying this document from us, but from seller EmillyCharlotte. Stuvia facilitates payment to the seller.

Will I be stuck with a subscription?

No, you only buy these notes for $12.49. You're not tied to anything after your purchase.

Can Stuvia be trusted?

4.6 stars on Google & Trustpilot (+1000 reviews)

79223 documents were sold in the last 30 days

Founded in 2010, the go-to place to buy study notes for 14 years now

Start selling
$12.49
  • (0)
  Add to cart