Exam Review
- Which bone in an infant may be broken during a shoulder dystocia?A)FemurB)HumerusC)ClavicleD)Skull
- Which hormone remains elevated in the immediate postpartum period of the breastfeeding woman?A)Human placental lactogenB)EstrogenC)ProgesteroneD)Prolactin
- A nurse is reinforcing teaching about reducing perineal infection with a client following a vaginal delivery. Which of the following should the nurse include in the teaching? (Select all that apply.)(SATA)A)Clean the perineal area from front to back.B)Blot the perineal area dry after cleansing.C)Apply ice packs to the perineal area several times daily.D)Wash the perineal area using a squeeze bottle of warm water after each voiding.E)Perform hand hygiene before and after voiding.
- During the initial acute distress phase of grieving, parents still must make unexpected and unwanted decisions about funeral arrangements and even naming the baby. What is the nurse's role at this time?A)To ensure that the parents, themselves, approve the final decisionsB)To take over as much as possible to relieve the pressureC)To leave them alone to work things outD)To encourage the grandparents to take over
Exam Review
- A nurse is caring for a client who gave birth 2 hr ago. The nurse notes that the client's blood pressure is 60/50 mm Hg. Which of the following actions should the nurse take first?A)Administer oxytocin infusion.B)Initiate oxygen therapy by nonrebreather mask.C)Evaluate the firmness of the uterus.D)Obtain a type and crossmatch.
- A nurse is caring for a client who has just delivered a newborn. The nurse notes secretions bubbling out of the newborn's nose and mouth. Which of the following actions is the nurse's priority?A)Suction the nose with a bulb syringe.B)Use a suction catheter with low negative pressure.C)Suction the mouth with a bulbs syringe.D)Turn the newborn on his side.
- A nurse is caring for a client who is postpartum who asks the nurse when her breast milk will "come in." Which of the following responses should the nurse make?A)In 3 to 5 daysB)Within 2 daysC)In 6 to 8 daysD)In about 10 days
- Which of the following components are used to calculate the Apgar score for a newborn? (Select All that Apply.)(SATA)A)Respiratory rateB)Body temperatureC)Muscle toneD)ReflexesE)Blood pressureF)Heart rateG)Heart rate
Exam Review
- Parents who have not already done so need to make time for newborn follow-up of the discharge. According to the American Academy of Pediatrics (AAP), when should a breastfeeding infant first need to be seen for a follow-up examination?A)7 to 10 days after childbirthB)2 weeks of ageC)4 to 5 days after hospital dischargeD)48 to 72 hours after hospital discharge
- A woman gave birth to a 7-pound, 6-ounce infant girl 1 hour ago. The birth was vaginal and the estimated blood loss (EBL) was 1500 ml. When evaluating the woman's vital signs, which finding would be of greatest concern to the nurse?A)Temperature 37.9° C, heart rate 120 beats per minute (bpm), respirations 20 breaths per minute, and blood pressure 90/50 mm HgB)Temperature 36.8° C. heart rate 60 bpm, respirations 18 breaths per minute, and blood pressure 140/90 mm HgC)Temperature 38 C. heart rate 80 bpm, respirations 16 breaths per minute, and blood pressure 110/80 mm HgD)Temperature 37.4 C. heart rate 88 bpm, respirations 36 breaths per minute, and blood pressure 126/68 mm Hg
- A nurse is caring for a term macrosomic newborn whose mother has poorly controlled type 2 diabetes. The newborn has respiratory distress syndrome. The nurse should be aware that the most likely cause of the respiratory distress is which of the following?A)Brachial plexus injuryB)Increased deposits of fat in the chest and shoulder areaC)HyperinsulinemiaD)Increased blood viscosity
- A nurse is caring for a newborn and assessing newborn reflexes. To elicit the Moro reflex, the nurse should take which of the following actions?A)Perform a sharp hand clap near the infant.B)Hold the newborn vertically allowing one foot to touch the table surface.C)Place a finger at the base of the newborn's toes.D)Turn the newborn's head quickly to one side.
Exam Review
- A nurse is caring for a newborn who is 30 min old. Exhibits After reviewing the findings . which of the following conditions is the infant at risk ofA)JaundiceB)Meconium ileus*C)HypoglycemiaD)Meconium aspiration syndrome
- Which statement by a newly delivered woman indicates that she knows what to expect regarding her menstrual activity after childbirth?A)"My first menstrual cycle will be lighter than normal and then will get heavier every month thereafter."B)"My first menstrual cycle will be heavier than normal and then will be light for several months after."C)"My first menstrual cycle will be heavier than normal and will return to my pre-pregnant volume within three or four cycles."D)I will not have a menstrual cycle for 6 months after childbirth."
- Which options for saying "good-bye" would the nurse want to discuss with a woman who is diagnosed with having a stillborn girl?A)"Would you like a picture taken of your baby after birth?"B)The nurse should not discuss any options at this time: plenty of time will be available after the baby is born.C)"When your baby is born, would you like to see and hold her?"D)"What funeral home do you want notified after the baby is born?"
- A nurse is caring for a client who is 1 hr postpartum and observes a large amount of lochia rubra and several small clots on the client's perineal pad. The fundus is midline and firm at the umbilicus. Which of the following actions should the nurse take?A)Notify the client's provider.B)Document the findings and continue to monitor the client.C)Encourage the client to empty her bladder.D)Increase the frequency of fundal massage.
Exam Review
- A nurse is assessing a newborn 1 hr after birth. Which of the following respiratory rates is within the expected reference range for a newborn?A)22/minB)110/minC)48/minD)100/min
- On examining a woman who gave birth 5 hours ago, the nurse finds that the woman has completely saturated a perineal pad within 15 minutes. What is the nurse's highest priority?A)Massaging the woman's fundusB)Beginning an intravenous (IV) infusion of Ringer's lactate solutionC)Assessing the woman's vital signsD)Calling the woman's primary health care provider
- A nurse is caring for a client who is 12 hr postpartum following a vaginal delivery. Which of the following findings should the nurse expect?A)Fundus soft, 2 cm above the umbilicusB)Fundus soft, 1 cm to the right of the umbilicusC)Fundus firm, at the level of the umbilicusD)Fundus present, to the left of the umbilicus
- A nurse is teaching about crib safety with the parent of a newborn. Which of the following statements by the client indicates understanding of the teaching?A)"I should pad the mattress in my baby's crib so that he will be more comfortable when he sleeps."B)"I will place my baby on his stomach when he is sleeping."C)"I should remove extra blankets from my baby's crib."D)"I should place my baby's crib next to the heater to keep him warm during the winter."
Exam Review
- A nurse is caring for a newborn who has macrosomia and whose mother has diabetes mellitus. The nurse should recognize which of the following newborn complications as the priority focus of care?A)HypomagnesemiaB)HypocalcemiaC)HypoglycemiaD)Hyperbilirubinemia
- For an infant experiencing symptoms of drug withdrawal, which intervention should be included in the plan of care?A)Feeding every 4 to 6 hours to allow extra rest between feedingsB)Administering chloral hydrate for sedationC)Playing soft music during feedingD)Snugly swaddling the infant and tightly holding the baby
- Which substance, when abused during pregnancy, is the most significant cause of cognitive impairment and dysfunction in the infant?A)HeroinB)MarijuanaC)TobaccoD)Alcohol
- A nurse is caring for a client who just delivered a newborn. Following the delivery, which nursing action should be done first to care for the newborn?A)Dry the infant off and cover the head.B)Clear the respiratory tract.C)Cut the umbilical cord.D)Stimulate the infant to cry.