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Maternity Nursing NGN Prep | Correct Questions & Verified Answers (A+ Graded)

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Maternity Nursing NGN Prep | Correct Questions & Verified Answers (A+ Graded) A nurse is speaking with an expectant father who says that he feels resentful of the added attention others are giving to his wife since the pregnancy was announced several weeks ago. Which of the following responses ...

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  • January 7, 2025
  • 99
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers
  • Maternity Proctor
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Maternity Nursing NGN Prep | Correct
Questions & Verified Answers (A+
Graded)
A nurse is speaking with an expectant father who says that he feels resentful of the added
attention others are giving to his wife since the pregnancy was announced several weeks ago.
Which of the following responses should the nurse make?
"Has your wife sensed your anger toward her and the baby?"
"These feelings are common to expectant fathers in early pregnancy."
"I'm sure that it's really hard to accept this when it's your baby, too."
"It would be wise for you to speak to a therapist about these feelings." - ANS These feelings are
common to expectant fathers in early pregnancy


A nurse is caring for a client who is receiving oxytocin for induction of labor. Which of the
following actions should the nurse take?
Perform continuous fetal heart rate monitoring.
Measure maternal temperature every hour.
Evaluate maternal contraction pattern every hour.
Check blood pressure every 5 min. - ANS Perform continuous fetal heart rate monitoring


When oxytocin is administered to an antepartum client, the fetal monitor must be used to
continuously monitor the fetal heart rate and maternal contractions.


A nurse is discussing diaphragm use with a client. Which of the following statements by the
client indicates an understanding of the teaching?
"I should clean my diaphragm with alcohol each time I use it."
"I should leave the diaphragm in place 4 hours after intercourse."
"I should replace my diaphragm every 2 years."

,"I should use a vaginal lubricant to insert my diaphragm." - ANS I should replace my diaphragm
every 2 years


The diaphragm is a flexible rubber cup that is filled with spermicide and is inserted over the
cervix prior to intercourse. The diaphragm is a prescribed device fitted by the provider. It should
be replaced every 2 years.


A nurse is caring for a newborn who has irregular respirations of 52/minute with several periods
of apnea lasting approximately 5 seconds. The newborn is pink with acrocyanosis. Which of the
following actions should the nurse take?
Administer oxygen.
Place the newborn in an isolette.
Continue to routinely monitor the newborn.
Assess the newborn's blood glucose. - ANS Continue to routinely monitor the newborn


A nurse is caring for a preterm newborn who is receiving oxygen therapy. Which of the
following findings should the nurse identify as a potential complication from the oxygen
therapy?
Atelectasis
Retinopathy
Interstitial emphysema
Necrotizing enterocolitis - ANS Retinopathy
Oxygen therapy can cause retinopathy of prematurity, especially in preterm newborns. It is a
disorder of retinal blood vessel development in the premature newborn. In newborns who
develop retinopathy of prematurity, the vessels grow abnormally from the retina into the clear gel
that fills the back of the eye. It can reduce vision or result in complete blindness.


A nurse is assessing a client who has gestational diabetes mellitus and is experiencing
hyperglycemia. Which of the following findings should the nurse expect? - ANS Reports
increased urinary output

, A nurse is caring for a client who is at 22 weeks of gestation and is HIV positive. Which of the
following actions should the nurse take? - ANS Report the client's condition to the local health
department


A nurse is providing teaching for a client who has a new prescription for combined oral
contraceptives. Which of the following findings should the nurse include as an adverse effect of
this medication? - ANS Depression


A nurse is providing teaching to a client who is at 40 weeks of gestation and has a new
prescription for misoprostol. Which of the following instructions should the nurse include in the
teaching? - ANS "I can administer oxytocin 4 hours after the insertion of the medication"


A nurse is caring for a prenatal client who has parvovirus B19 (fifth disease). Which of the
following actions should the nurse take? - ANS Schedule an ultrasound examination


A nurse is preparing to collect a blood specimen from a newborn via a heel stick. Which of the
following techniques should the nurse use to help minimize the pain of the procedure for the
newborn - ANS Place the newborn skin to skin on the mothers chest


A nurse is performing a vaginal exam on a client who is in labor and observes the umbilical cord
protruding from the vagina. After calling for assistance, which of the following actions should
the nurse take? - ANS Insert two gloved fingers into the vagina and apply upward pressure to the
presenting part


A nurse is caring for a client who is at 24 weeks of gestation and has a suspected placental
abruption. Which of the following laboratory tests should the nurse expect the provider to
prescribe? - ANS Kleihauer-Betke test


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? - ANS Abruptio placenta


A nurse is assessing a client who has severe preeclampsia. Which of the following
manifestations should the nurse expect? - ANS Blurred Vision

, A nurse is providing education about family bonding to parents who recently adopted a
newborn. The nurse should make which of the following suggestions to aid the family's 7-year-
old in accepting the new family memeber? - ANS Obtain an gift from the newborn to present to
the sibling


A nurse is assessing a client who is receiving morphine via IV bolus for pain following a C-
section. The nurse notes a respiratory rate of 8/min. Which of the following medications should
be administered? - ANS Naloxone


A nurse is teaching a client who is at 10 weeks of gestation about nutrition during pregnancy.
Which of the following statements by the client indicates an understanding of the teaching? -
ANS "I should take 600 micrograms of folic acid every day"


A nurse is assessing a newborn 12 hr after birth. Which of the following manifestations should
the nurse report to the provider? - ANS Jaundice


A nurse is observing a new parent caring for her crying newborn who is bottle feeding. Which of
the following actions by the parent should the nurse recognize as a positive parenting behavior? -
ANS Lays the newborn across her lap and gently sways


A nurse is teaching a newly licensed nurse about collecting a specimen for the universal
newborn screening. Which of the following statements should the nurse include in the teaching?
- ANS "Ensure that the newborn has been receiving feeding for 24 hours prior to obtaining the
specimen"


A nurse is caring for a client who has uterine atony and is experiencing postpartum hemorrhage.
Which of the following actions is the nurse priority? - ANS Massage the client's fundus


A nurse is performing a physical assessment of a newborn upon admission to the nursery. Which
of the following manifestations should the nurse expect? - ANS Acrocyanosis


Positive Babinski reflex

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