Exam (elaborations)
maternity exam 2 2023
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maternity exam 2 2023
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By: annejay3 • 1 week ago
By: scottwilliam54 • 1 week ago
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maternity exam 2 20231. A nurse is assisting with the care of a newborn Hepatitis B immunization
immediately following birth. Which of the Antibiotic ointment to both eye
following medications should the nurse anticipate Vitamin K Injection#$%&^%*&&
(
administering? SATA
2. A nurse is caring for a client who had a vaginal document fundal height
delivery 2 hour ago. Which of the following administer methylergonovine
actions should the nurse anticipate in the care of maleate if uterus is boggy
this client? SATA observe the lochia during pal-
pation of fundus
determine whether the fundus
is midline
3. A nurse is assessing a newborn the day after deliv- cephalhematoma
ery. The nurse notes a raised bruised area
on the left side of the scalp that does not cross
suture lines. How should the nurse document this
finding?
4. A nurse is caring for a newborn and auscultates an document this as an expected
apical heart rate of 130/min. Which of the finding
following actions should the nurse take?
5. A nurse is assessing a newborn immediately fol- respiratory distress
lowing a scheduled cesarean delivery. Which
of the following assessments is the nurse's primary
concern?
6. A nurse is caring for a client who is 1 hr postpartum Document the findings and con-
and observes a large amount of lochia tinue to monitor the client
rubra and several small clots on the client's per-
ineal pad. The fundus is midline and firm at the
1/8
, maternity exam 2 2023
umbilicus. Which of the following actions should
the nurse take?
7. A nurse is completing discharge instructions for a your baby should wet#$%&^%*&&
( 6 to 8 di-
new mother and her 2-day-old newborn. apers per day
The mother asks "now will I know if my baby gets
enough breast milk?" Which of the following re-
sponses should the nurse make?
8. A nurse is providing discharge teaching to a client i should no have unrelieved pain
who is 3 days postoperative following a in my abdomen
cesarean birth. Which of the following client state- i will resume taking my prenatal
ments should indicate to the nurse the teaching is vitamins
effective? SATA i will call my provider if i have
discharge from my incision
9. A nurse is admitting a client who experienced a Methylergonovine
vaginal birth 2 hr ago. The client is receiving (Methergine) 0.2 mg IM now
an IV of LR with 25 units of oxytocin infusing
and has large Rubra lochia. Vital signs include BP
146/95, pulse 80, RR 18. The nurse reviews the pre-
scriptions from the provider. Which of the following
prescriptions requires clarification?
10. A nurse is caring for a client who delivered a The primary consideration is
healthy term newborn via cesarean birth. The what type of incision was per-
client asks the nurse, " Is there a chance that I could formed on the uterus this time
deliver my next baby without having a cesarean
section?" Which of the following responses should
the nurse provide?
11. A nurse is caring for a client who is 4 hr postpartum massage the client's fundus
following a vaginal birth. The client has
2/8
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