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RN Maternal Newborn Online Practice 2024 A questions and answers graded A+
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RN Maternal Newborn Online Practice2024 A
A nurse is caring for a patron who's pregnant in an antepartum health facility. Which of the
subsequent findings must the nurse file to the company? - ANS- Uterine contractions.
The patron is experiencing everyday uterine contractions and cervical change, which might
be signs of preterm labor; consequently, the nurse need to notify the provider about this
finding.
- Gestational age.
The patron is at 32 weeks of gestation and is experiencing everyday uterine contractions
and cervical dilation, which suggests that the purchaser is in preterm exertions; therefore,
the nurse need to notify the provider about this finding.
- Vaginal exam.
The client's cervix is dilated to two cm and is 50% effaced, which suggest the customer is in
preterm hard work; consequently, the nurse need to notify the company approximately this
locating.
The customer's blood strain is within the predicted reference range . Blood strain one
hundred thirty/70 mm Hg? What's ordinary.
A nurse is caring for a customer who is at 22 weeks of gestation and is HIV tremendous.
Which of the subsequent moves have to the nurse take? - ANSReport the patron's condition
to the neighborhood health department.
Rationale:
The nurse have to record the situation to the local health branch. HIV is one of the conditions
at the listing of Nationally Notifiable Infectious Conditions that is required to be pronounced.
Other considerations:
The nurse ought to tell the customer that remedy for HIV might be at some point of the
prenatal and perinatal intervals. Treatment with antiretroviral prophylaxis inclusive of
zidovudine, triple-drug antiretroviral therapy (ART), or fantastically lively antiretroviral remedy
(HAART) in the course of being pregnant have been suggested to decrease the transmission
of the virus to the newborn.
A nurse is assessing a purchaser who is postpartum and has idiopathic thrombocytopenia
purpura (ITP). Which of the following findings ought to the nurse count on? - ANSDecreased
platelet matter
Rationale:
A patron who has ITP has an autoimmune response that results in a reduced platelet count
number.
Other issues:
,- An expanded ESR is a sign of chronic renal failure.
- An expanded WBC is a sign of infection.
A nurse inside the antepartum clinic is assessing a consumer's version to being pregnant.
The patron states that they are "glad one minute and crying the next." The nurse need to
interpret the purchaser's declaration as a demonstration of which of the subsequent? -
ANSEmotional lability
Rationale:
The nurse must apprehend and interpret the customer's declaration as an illustration of
emotional lability. Many customers experience fast and unpredictable adjustments in temper
at some point of being pregnant. Intense hormonal adjustments can be answerable for mood
changes that occur for the duration of being pregnant. Tears and anger trade with feelings of
joy or cheerfulness for very little reason.
A nurse is assessing the new child of a purchaser who took a selective serotonin reuptake
inhibitor (SSRI) for the duration of being pregnant. Which of the subsequent manifestations
must the nurse perceive as a demonstration of withdrawal from an SSRI? - ANSVomiting
Rationale:
Expected manifestations related to fetal exposure to SSRIs include irritability, agitation,
tremors, diarrhea, and vomiting. These manifestations usually remaining 2 days.
Manifestations of fetal publicity to SSRIs. Consist of: Low beginning weight, Hypoglycemia,
Tachypnea.
A nurse is assessing four newborns. Which of the subsequent findings ought to the nurse file
to the provider? - ANSA newborn who's 18 hr vintage and has an axillary temperature of
37.7° C (99.9° F)
Rationale
An axillary temperature greater than 37.5° C (99.5° F) is above the predicted reference
variety of 36.5 - 37.5 ° C for a newborn and may be an indication of sepsis. Therefore, the
nurse ought to document this finding to the company.
Different concerns:
- A new child need to bypass the first meconium stool inside the first 24 to 48 hr following
start. Failure to skip a meconium stool can suggest a bowel obstruction or congenital
disease.
- Pink-tinged urine is an indication of uric acid crystals and is an expected locating for a
newborn for the duration of the primary week following beginning.
- Erythema toxicum is a temporary rash that can appear anywhere on a newborn's frame for
the duration of the first 24 to 72 hr following delivery and might last as long as 3 weeks. This
finding requires no treatment.
A nurse is appearing a recurring assessment on a consumer who is at 18 weeks of
gestation. Which of the subsequent findings ought to the nurse anticipate? - ANSFHR
152/min
, Rationale:
The anticipated range for the FHR is 110/min to a hundred and sixty/min. The FHR is higher
earlier in gestation with a median of approximately one hundred sixty/min at 20 weeks of
gestation.
Other concerns:
-The nurse should count on the customer's DTR to be 2+
- From gestational weeks 18 to 32, the peak of the fundus is about equal to the quantity of
weeks of gestation plus or minus 2 cm. Therefore, the nurse should expect the fundal peak
for this purchaser to be 16 to 20 cm.
- An multiplied blood strain more or same to 140/ninety, can be an illustration of
preeclampsia.
A nurse is gazing a new mum or dad worrying for their crying new child who is bottle feeding.
Which of the subsequent moves via the parent have to the nurse understand as a fantastic
parenting behavior? - ANSLays the newborn throughout their lap and lightly sways
Rationale:
This is a correct approach for quieting a newborn. This tactile stimulation promotes a
experience of safety for the new child.
Other issues:
- The mum or dad should area the toddler inside the supine role, now not a susceptible
position, inside the bassinet or crib because of the risk of sudden infant demise syndrome.
- Rice cereal have to not be delivered to the bottle of a newborn because solids must now
not be added until 4 to six months of age.
- Pacifiers can be used for a new child who desires extra sucking for self-soothing. However,
components need to not be located at the tip of the pacifier because the new child might
come to be accustomed to it and refuse to take the pacifier within the destiny with out added
supplement.
A nurse is caring for a new child who became transferred to the nursery 30 min after start
due to mild respiratory misery. Which of the subsequent actions must the nurse take first? -
ANSVerify the newborn's identification.
Rationale:
When the use of the safety/threat reduction approach to customer care, the primary motion
the nurse must take is to confirm the newborn's identification upon arrival to the nursery.
Other concerns:
- The Apgar score is a physiological evaluation that occurs 1 min following beginning and
once more at five min. The nurse have to verify the score while the newborn arrives within
the nursery.
- The nurse should administer IM diet K to the newborn soon after start to growth clotting
factors and prevent bleeding. However, the injection may be delayed until after preliminary
bonding time and the primary breastfeeding if important.
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