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Maternal Newborn RNC Exam Questions And Answers With Verified Solutions 100% Correct!!!
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Maternal Newborn RNC Exam QuestionsAnd Answers With Verified Solutions
100% Correct!!!
A postpartum woman complains of excruciating and pressure in the perineal area.
She is restless, her pulse is 120, and respirations are 26 per min. Her fundus is firm
at the umbilicus with small to moderate rubra lochia. The nurse should suspect -
ANSWER✔✔Hematoma
Which neonate is at greatest risk for jaundice? - ANSWER✔✔Late Preterm
On admission to the postpartum unit, a 20 year old gravida 1, complains of a
headache. Her vital signs are: BP 140/88, HR 110, RR 18. She is has pitting edema
in her legs with a 4+ patellar reflexes and 2 beats of clonus. A dipstick for protein
is 3+. These findings are indicative of the need for - ANSWER✔✔Magnesium
sulfate bolus per physician order
Which of the following drugs is used to treat postpartum women who are
experiencing heroine withdraw? - ANSWER✔✔Methadone
A high risk factor for chorioamnionitis is - ANSWER✔✔Preterm labor
Metabolic acidemia umbilical blood gases - ANSWER✔✔
The major postpartum maternal risk factor from shoulder dystocia is -
ANSWER✔✔hemorrhage
,A newborn should be evaluated if a newborn has not voided by - ANSWER✔✔48
hours
The most common cause of sore nipples in immediate postpartum period is -
ANSWER✔✔Improper latch-on and positioning
A vit-K injection is necessary because of which of the following physiological
states present in the first few days of life - ANSWER✔✔Absence of normal flora
in the gut
Magnesium sulfate is mainly excreted through the - ANSWER✔✔Kidneys
A patient is examined and found to have a tender, red area in one breast that feels
small and hard, similar to a pea just under the skin.
The expected management for this patient is - ANSWER✔✔Gentle massage to
relieve the lump
When comparing the same volume of mature human milk and premature human
milk, the mature milk has - ANSWER✔✔Protein
On physical examination, a nurse notes that there are white patches on the neonates
mouth that bleed when an attempt is made to remove them. The nurse should -
ANSWER✔✔review maternal hx for vaginal or yeast infection
To avoid a precipitous drop in intra-abdominal pressure, during catheterization of a
postpartum patients bladder, what is the maximum amount of urine that should be
removed at one time? - ANSWER✔✔800mL
,The decreased ability of the preterm neonate to produce heat to maintain normal
body temperature is most related to - ANSWER✔✔Limited subcutaneous tissue
and brown fat stores
A mother is concerned that her newborn does not have tears when crying. The
nurse should tell her that - ANSWER✔✔Emotional tears are not present until
approx. 3 months of age
A newborn whose mother was a poorly controlled diabetic during the 3rd trimester
is a risk for - ANSWER✔✔polycythemia
A postpartum mother that delivered at 38 weeks was on Bactrim for a urinary tract
infection. What should this newborn be monitored for? -
ANSWER✔✔Hyperbilirubinemia
Pro-coagulation factors II, VII, IX, X are activated by - ANSWER✔✔Vitamin K
Twin to twin transfusion occurs in multiple gestations when which factor is
involved - ANSWER✔✔Unequal placenta sharing
At the one hour post-op circumcision check, the nurse notes bright red oozing of
blood from the surgical site. The nurse recognizes this is - ANSWER✔✔Abnormal
and requires application of gentle pressure
Upon the admission physical exam of a male infant, the nurse notes that the meatus
is located on the ventral surface of the penis. This abnormality is known as -
ANSWER✔✔Hypospadias
, A predisposing factor for onset engorgement 24-48 hours later than average -
ANSWER✔✔Cesarean
congenital varicella syndrome - ANSWER✔✔Characterized by early death
A maternal contradiction to breastfeeding - ANSWER✔✔HTLV-1 (human T-cell
leukemia virus, type 1)
Apgar score at one minute after birth, a newborn demonstrates the following:
Heart rate 110
Good cry, Active motion, Cough or sneeze
Body pink and extremities blue - ANSWER✔✔9
The en face position takes place win what phase of initial attachment -
ANSWER✔✔acquaintance
A formula-feeding mother asks if she can use well water to mix formula. What is
the appropriate response? - ANSWER✔✔Needs to be tested to make sure it is safe
to use
The nurse would advise the breastfeeding patient that a tight fitting bra -
ANSWER✔✔Can cause duct obstruction leading to mastitis
The parents of a 2-day-old infant ask when their baby's cord will come off. The
nurse answers that the average cord separation time is - ANSWER✔✔10-14 days
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