TEST QUESTIONS AND ANSWERS
WITH RATIONALES
A nurse is preparing to administer phytonadione to a newborn. The nurse
should plan to administer this medication by which of the following
routes? - ANSWER- Answer: intramuscular
The nurse should administer phytonadione intramusculary to the
new born to prevent hemorrhage until the newborn gastrointestinal
system can produce its own vitamin K
A nurse is contributing to the plan of care for a client who is pregnant
and has intermittent constipation. Which of the following interventions
should the nurse recommend in the plan? - ANSWER- Drink 2 litters of
water per day.
, Client should drink 2l of water per day to decrease reabsorption
of fluid and prevent drying of stool, which causes constipation.
A nurse is contributing to the plan of care for a newborn following
a vaginal birth. Which of the following information should the
nurse
include when helping to develop the newborn's plan of care? (Select all
that apply.) - ANSWER- 1. Maternal group B streptococcus GBS
status maternal GBS status is revelent information from the prenatal
record
that the nurse should include in the newborn's plan of care. If the
mothers is GBS positive and has not received antibiotic therapy, the
newborn is at risk for neonatal morbidity and mortality.
2. Apgar Score:
the nurse or birth attendant documents an Apgad Score at 1 and
5 min following birth to determine how the newborn has adjusted
to extrauterine life and whether intervention is necessary.
3. The type birth:
of labor and birth is revelent information to include in the
newborn's plan of care for planning assential data collection and
intervention.
The nurse is planning to perform a blood collection via heel stick on a
newborn. After performing hand hygiene and donning gloves, which of
the following actions should the nurse plan to take next? - ANSWER-
A:Wrap the newborns heel with a clotb moistened worh warm water.