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maternal newborn final review
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maternal newborn final review
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maternal newborn final reviewa baby was delivered through meconium stained fluid and is
retracting, unable to maintain oxygen levels, and not responding
to suctioning. the doctor has diagnosed meconium aspiration
syndorme (MAS) what would be the next treatment to consider?
a. intubate
b. insertion of laryngoscope and suction trachea again
c. extracorpeal membrane oxygenation
d. respiratory support with ventilator Correct Answer c.
extracorpeal membrane oxygenation
a macrosomic 9lb 1oz infant was born via urgent cesarean
section due to heart decelerations. after the infant is stabilized
the infant is placed skin to skin. during recovery what priority
action would be most appropriate for nurse to take with this
newborn?
a. perform gestational age assessment
b. take the infant to the nursery
c. monitor blood glucose levels frequently
d. feed the baby formula Correct Answer c. monitor blood
glucose levels frequently
a nurse assessing the laboratory results of a pregnant woman in
her second trimester notes that she has a hemoglobin level of
11gm/dL what will the nurse interpret this finding to most likely
indicate?
a. iron deficiency anemia
b. a multiple gestation pregancy
c. greater than expected weight gain
,d. hemodilution of pregnancy Correct Answer d. hemodilution
of pregnancy
A nurse at a prenatal clinic is caring for a client who is in her
first trimester of pregnancy. The client tells the nurse that she is
upset because, although she and her husband planned this
pregnancy, she has been having many doubts and second
thoughts about the upcoming changes in her life. Which of the
following is an appropriate response by the nurse?
A. "ambivalent feelings are quite common for women early in
pregnancy"
B. "perhaps you should see a counselor to discuss these feelings
further"
C. "have you spoken to your mother about these feelings"
D. "don't worry. You will be fine once the baby is born" Correct
Answer A. "ambivalent feelings are quite common for women
early in pregnancy"
A nurse documents assessment changes that occur in the
integumentary system with pregnancy. Select all the pregnancy
related integumentary changes below: (select all that apply)
a. Diastasis recti
b. Striae gravidarum
c. Linea nigra
d. Lordosis
e. Melasma Correct Answer b. Striae gravidarum
c. Linea nigra
e. Melasma
A nurse in a prenatal clinic is caring for a client who asks what
her estimated date of delivery will be if her last menstrual period
, was May 4, 2015. Which of the following is the appropriate
response by the nurse?
a. February 11, 2016
b. February 27, 2016
c. April 27, 2016
d. April 11, 2016 Correct Answer a. February 11, 2016
a nurse in a prenatal clinic is reviewing the health record of a
client who is at 28 weeks of gestation. the history includes on
pregnany, terminated by elective abortion at 9 weeks; birth of
twins at 36 weeks; and a spontaneous abortion at 15 weeks.
according to the GTPAL system which of the following
describes the clients current status
a. 4-0-1-2-2
b. 3-0-2-0-2
c. 2-0-0-2-0
d. 4-2-0-2-2 Correct Answer a. 4-0-1-2-2
a nurse is admitting a client who is in labor. the client admits to
recent cocaine use. for which of the following complications
should the nurse assess?
a. abruptio placenta
b. placenta previa
c. preelampsia
d. maternal bradycardia Correct Answer a. abruptio placenta
a nurse is assesing an SGA infant with asymmetric intrauterine
growth restriction. what assessment finding correlates with this
condition?
a. one side of the body appears slightly smaller than the other
b. all body parts appear proportionate
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