Exam (elaborations) VATI RN MATERNAL NEWBORN EXAM 2019
1. A nurse is assessing a client who is at 33 weeks of gestation. Which of the following findings should the nurse report to the
provider?
Epigastric pain
2. A nurse is assessing a newborn following a circumcision 48 hr ago. The nurse ...
VATI RN MATERNAL
NEWBORN EXAM 2019
GRADED A 1. A nurse is assessing a client who is at 33 weeks of gestation. Which of the following findings should the nurse report to the provider?
Epigastric pain
2. A nurse is assessing a newborn following a circumcision 48 hr ago. The nurse should identify that yellow exudate covering the newborn's glans penis indicates which of the following?
Healing
3. A nurse is developing a plan of care for a client who is in the latent phase of labor. Which of the following interventions should the nurse include in the plan to manage the client's pain?
Encourage the client to listen to music 4. A nurse is reviewing the laboratory results for a postpartum client who is receiving warfarin for deep-vein thrombosis. Which of the following laboratory tests should the nurse monitor?
International normalized ratio (INR)
5. A nurse is reviewing the medical record of a client who has preeclampsia prior to administering labetalol. For which of the following findings should the nurse withhold the medication?
Heart rate 54/min 6. A nurse is assessing a client who is in labor. Which of the following findings should the nurse expect?
Decrease in blood glucose level 7. A nurse is caring for a newborn immediately following birth who has meconium-stained amniotic fluid and exhibits good muscle tone and respiratory efforts. Which of the following actions should the nurse take first?
Begin suctioning of mouth and nose
8. A nurse is assessing a client who is at 8 weeks of gestation and has hyperemesis gravidarum. Which of the following are findings of this condition? (Select all that apply.)
Tachycardia Dry mucous membranes Poor skin turgor
9. A nurse is caring for a newborn who was delivered by cesarean birth 1 min ago and displays some flexion of the extremities, is
not crying, has irregular respiratory effort, and has a heart rate of 92/min. The nurse notes grimacing but no crying when rubbing the soles of the newborn's feet. The newborn's skin color is pink with blue extremities. What is the correct Apgar score?
5
10. A nurse is planning to obtain a blood specimen from a newborn via a heel stick. Which of the following actions should the nurse take?
Cleanse the puncture site with alcohol gauze prior to the procedure 11. A nurse is teaching a class to clients who are pregnant. Which of the following topics should the nurse include in the discussion about cesarean birth? (Select all that apply.)
a.Management of postpartum pain
b.Advantage of early ambulation post-surgical c.The need for an indwelling urinary catheter during delivery 12. A nurse is assessing a 1 HOUR-old newborn. Which of the following findings should the nurse report to the provider?This study source was downloaded by 100000833420338 from CourseHero.com on 10-27-2021 02:17:12 GMT -05:00
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