Exam (elaborations)
Maternal Newborn 2017 A – Questions & Answers
Maternal Newborn 2017 A – Questions & Answers
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Maternal Newborn 2017 A – Questions & AnswersPt. has hyperemesis gravidarum and is receiving IV fluid replacement. Which
of the following findings should the nurse report to the provider? ✔️Ans -
BUN 25 mg/dL
Rationale: The nurse should report elevated BUN to the provider.
Family planning for a pt. with a new prescription for a diaphragm. Which of
the following statements should be included? ✔️Ans - "You should leave
the diaphragm in place for at least 6 hrs after intercourse."
Rationale: The client should keep the diaphragm in place for at least 6 hours
after intercourse to provide protection against pregnancy.
Reviewing the medical records of a pt. who is postpartum and has
preeclampsia. Which lab results should be reported to the MD? ✔️Ans -
Platelets 50,000/mm3
Rationale: A platelet count of 50.000/mm^3 is below the expected range,
which can indicate disseminated intravascular coagulation. The nurse should
report this result to the provider.
A nurse is teaching a pt. about Rho(D) immune globulin. Which statement by
the pt. indicates understanding? ✔️Ans - "I will need this medication if I
have an amniocentesis"
Rationale: Rhogam is recommended following an amniocentesis because of
the potential of fetal RBC's entering the maternal circulation
A nurse is assessing a pt. who is at 30 wks of gestation during a routine
prenatal visit. Which of the following findings should the nurse report to the
provider? ✔️Ans - Swelling of the face
Rationale: Swelling of the face, sacral area and hands can indicate gestation
hypertension or preeclampsia. Reduction in renal perfusion leads to sodium
and water retention. Fluid moves out of the intravascular compartment into
the tissues causing edema
, Teaching a pt. who is pregnant about managing N/V. Which of the following
instructions should the nurse include in the teaching? ✔️Ans - "Eat high-
carbohydrate foods."
Rationale: The nurse should instruct the client to eat high-carbohydrate foods
(for example, toast, potatoes, and rice) to decrease nausea and vomiting. The
nurse should also instruct the client to avoid spicy, fatty, fired foods.
Developing a plan of care for a newborn who is to undergo phototherapy for
hyperbilirubinemia. Which of the following actions should the nurse include
in the plan? ✔️Ans - Remove all clothing from the newborn except the
diaper.
Rationale: The nurse should remove all the newborn'c clothing except the
diaper while under photo-therapy. Maximum skin exposure to the ultraviolet
light is needed to break down the excess bilirubin.
Caring for a pt. and her partner who have experienced a fetal death. Which
action should be taken? ✔️Ans - Take photos of the newborn to give to the
parents.
Rationale: The nurse should create a memory box that include mementos of
the newborn (for example, photos, the newborn's ID bands, the newborn's hat
and newborn's blanket.
Pt is 35 wks of gestation and is undergoing a nonstress test that reveals a
variable deceleration in the FHR. Appropriate action to take? ✔️Ans - Have
the client change positions.
Rationale: Having the client change position is an appropriate intervention for
a variable deceleration to relieve umbilical cord compression.
Assessing a pt. who gave birth vaginally 12 hrs ago and palpates her uterus to
the right above the umbilicus. Which of the following interventions should the
nurse perform? ✔️Ans - Assist the client to empty her bladder.
Rationale: The nurse should assist the client to empty her bladder because the
assessment findings indicate that the client bladder is distended. This can
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