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Exam (elaborations) Nclex rn ngn Maternal Newborn
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MATERNAL NEWBORN PROCTOREDWITH NGN
Exam questions and answers
client who is 16 weeks of gestation asks the nurse how to prepare her father to a younger
sibling. Statements should the nurse make?
a. You should hold your newborn in your arms when you introduce him to your toddler
b. you should move your toddler out of her crib 2 weeks prior to your due date c.
c. you should give your toddler a gift from the baby when she visit you in the facility
d. You should place your toddler in timeout if she exhibits regressive Behavior after the baby is
born - c. you should give your toddler a gift from the baby when she visit you in the facility
nurse is observing an adolescent client who is offering her newborn a bottle while he is laying in
the bassinet. When the nurse offers to pick the newborn up and place them in the client's arms,
the mother States " No, the baby is too tired to be held". Which of the following actions should
the nurse take?
a. Insist that the mother pick up the newborn to feed him
b. demonstrate how to hold a newborn and allow the client to practice
c. persuade the client to breastfeed the newborn to promote bonding
d. offer to take the newborn to the nursery to finish his feeding - b. demonstrate how to hold a
newborn and allow the client to practice
A nurse is assessing a client who is in preterm labor and has a new prescription or terbutaline
0.25 mg subcutaneous. For which of the following findings should the nurse Withhold the
medication and Report to the provider?
a. fasting blood glucose 75 mg / DL
b. blood pressure 88/58 mmhg
c. urinary output 40 ml /hr
, d. FHR 120/min - b. blood pressure 88/58 mmhg
4. A nurse is providing teaching to the parents of a newborn about the plastibell circumcision
technique. Which of the following? - p170-171 - postprocedure bottom of 170 and goes into top
of 171.
a. the plastibell will be removed 4 hours after the procedure
b. notify the provider is the end of your penis appears dark red
c. make sure the newborn's diaper is snug
d. yellow exudate will form at the surgical site in 24 hours - d. yellow exudate will form at the
surgical site in 24 hours
A nurse is planning care immediately following birth for a newborn who has Myelomeningocele
that is cerebrospinal fluid. Which of the following actions should the nurse include in the plan of
care?
a. Administer broad-spectrum antibiotics
b. cleanse the site with Povidone iodine
c. monitor the rectal temperature every 4 hours
d. prepare for surgical closure after 72 hours - a. Administer broad-spectrum antibiotics
A nurse is caring for a newborn Boys 6 hours old and has a bedside glucose meter reading of
65 mg / DL. The New Orleans mother has Type 2 diabetes mellitus. Which of the following
actions should the nurse take?
a. Administer 50 mL of dextrose solution IV
b. obtain a blood sample of serum glucose level
c. reassess the blood glucose level prior to the next feeding
d. Feed the newborn immediately - c. reassess the blood glucose level prior to the next feeding
A nurse is caring for four enter-partum clients. Which of the following clients should the nurse
assess first?
a. A client who is at 7 weeks of gestation and reports urinary frequency
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