NRSG 3302 Test 2 Review Questions and Answers Updated 2023 Graded A+

NRSG 3302 Test 2 Review Questions and Answers Updated 2023 Graded A+. Which of the following is an indication to discontinue administration of magnesium sulfate in a women with preeclampsia? a. Blood pressure of 120/70 b. Nausea and vomiting c. Epigastric pain d. Respiratory rate of 10 9. When a breech presentation is suspected during the intrapartum period, a priority nursing interventions is to diligently observe the client for signs of: a. Hip dysplasia b. Cord prolapse c. A precipitous delivery d. Labor progression 10. A 34 year old with chronic hypertension arrives at the emergency department stating that she is in labor and complaining of constant pain between contractions. The nurse palpates a rigid abdomen with no signs of relaxation and concludes that the: a. fetus birth may be imminent b. patient may have abruptio placentae c. patient may have placenta previa d. fetus may be in the breech presentation 11. A patient is admitted in active labor with her second baby. Her prenatal record indicates she has a history of genital herpes. When performing the admission assessment, the nurse notes herpetic lesions on the genitalia confirmed by the physician, in order to shorten the second stage of labor: a. Done vaginally, with forceps and an episiotomy, to shorten the second stage of labor b. Preceded by 2 doses of antibiotics, to decrease transmission to the baby c. A cesarean birth, to prevent exposure of the baby to herpetic lesions d. A cesarean birth, to decrease maternal stress from the labor and minimize exacerbation of the herpes. 12. A client who is 3 months pregnant comes to the prenatal clinic because she is having some dark brown vaginal bleeding and experiencing severe nausea and vomiting. Her fundal height is larger than expected, there are no fetal heart tones auscultated. Which of the following complications should the nurse suspect? a. Hyperemesis gravidarum b. Threatened abortion c. Placenta previa d. Molar pregnancy 13. A sterile vaginal exam is contraindicated in: a. A patient with placenta previa b. A patient who is GBS+ (Group B Strep) c. A patient with ruptured membranes d. A patient in transition 14. A primigradida with pregesational type 1 diabeted is at her first prenatal visit. When discussing changes in insulin needs during pregnancy and birth, the nurse explains that based on her blood glucose levels she should expect to decrease her insulin dosage between the: a. 8 th and 11 th weeks of gestation b. 18th and 21 st weeks of gestation c. 24th and 28th weeks of gestation- At the end of the second trimester and the beginning of the third trimester, insulin needs increase because of an increase in maternal resistance to insulin. During the earlier part of pregnancy, fetal demands for maternal glucose may cause a tendency toward hypoglycemia. During the last weeks of pregnancy, maternal resistance to insulin decreases and insulin needs decrease accordingly. d. 36th week of gestation and the time of birth 15. A baby is entering the pelvis in the vertex presentation with the posterior frontanel palpable near the mothers sacrum. The nurse determines that which of the following malpositions is consistent with this situation? a. LSP (left sacral posterior) b. ROP (right occiput posterior) c. LMA (left mentum anterior) d. RADA (right acromion dorsal anterior) 16. The nurse is planning care for the newborn. Which of the following nursing interventions would best protect the newborn from the most common form of heat loss? a. Placing the newborn away from air currents b. Pre-warming the examination table c. Drying the newborn thoroughly d. Removing wet linens from the isolate 17. The community nurse is working with poor women, who are formulafeeding their infants. Which statement indicates that the nurse’s education session was effective? a. “I should use only soy-based formula for the first year” b. “I follow the instructions for mixing the powdered formula exactly.” c. “I can reuse one bottle for several feedings” d. “The mixed formula can be left on the counter for a day” 18. Following delivery, the nurse would first assess which 2 newborn body systems that must undergo the most rapid changes to support extrauterine life? a. Gastrointestinal and hepatic b. Neurologic and temperature control c. Respiratory and cardiovascular d. Hematologic and cardiovascular 19. When caring for a newborn, the nurse must be alert for what potential sign of cold stress? a. Decreased activity level – newborns are unable to shiver as a means of heat production, they increase their activity level instead. b. Increased respiratory rate c. Appears to stop breathing for 5-10 sec while asleep d. Hyperglycemia – hypoglycemia would occur with cold stress 20. The student nurse notices that the newborn has the ability to ignore the constant crying of the other newborns in the newborn nursery. The nursing instructor explains that this newborn behavior is known as: a. Self-quieting behavior b. Orientation c. Habituation d. Active-alert state 21. During an assessment of a 12 hour old newborn the nurse notices pale pink spots on eyelids and forhead. The nurse documents this finding as: a. Nevus vasculosus – (strawberry mark) is a capillary hemangioma. b. Nevus flammeus – (port-wine stain) a capillary angioma, located directly below the epidermis c. Telangiectatic nevi – (stork bites) are pale pink or red spots that appear on the eyelids, nose, lower occipital bone, or the nape of the neck. d. A Mongolian spot- black pigmentation on the dorsal area of the buttocks 22. The nurse is making an initial assessment of the newborn. Which of the following data would be considered normal? a. Chest circumference 31.5 cm, head circumference 33.5 cm b. Chest circumference 30 cm, head circumference 29 cm c. Chest circumference 38 cm, head circumference 31.5 cm d. Chest circumference 32.5 cm, head circumference 36 cm 23. One minute after birth a baby girl was assessed to be crying strongly in a flexed position. Her heart rate was 110, and her body was pink with bluish hands and feet, She cried vigorously and turned away when her nares were suctioned. The nurse assigs an Apgar score of: a. 7 b. 8