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CMS Maternal Newborn Practice 2024 A questions and answers graded A+ 2024/2025
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CMS Maternal Newborn Practice 2024 A questions and answers graded A+ 2024/2025
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CMS Maternal Newborn Practice 2024A
A nurse is collecting facts from a patron who's at 36 weeks of gestation at some stage in a
prenatal exam. Which of the following findings must the nurse file to the company? -
ANSBlurred imaginative and prescient - indication of preeclampsia
Expected findings: non pitting ankle edema, 10 fetal movements in 2 hr, leg cramps
A nurse is worrying or a newborn who's receiving phototherapy. Which of the following
moves need to the nurse take? - ANSPlace an opaque mask over the newborn's eyes - to
prevent harm to the retinas
- Should eliminate masks for feedings
DO NOT practice a thin layer of lotion to the new child's skin
A nurse is being concerned for a client who is at eleven weeks of gestation and reports
common vomiting. Which of the following findings should the nurse pick out as a
demonstration that the client has hyperemesis gravidarum? - ANSKetonuria
Occurs because of the breakdown of fats secondary to malnutrition or hunger
Tachycardia and tachypnea due to dehydration
A nurse is worrying for a new child who has a high-pitched cry and does no longer reply to
consoling efforts. Which of the subsequent neonatal data series tools need to the nurse
anticipate to finish? - ANSNeonatal Abstinence Scoring System: showing opioid withdrawal
Additional manifestations: restlessness, tremors, elevated muscle tone, and an exaggerated
Moro reflex
- Apgar score: coronary heart fee, respiratory rate, muscle tone, reflex irritability and skin
coloration
- Newborn Hearing Screen must be finished earlier than the new child is discharged from the
health center
- Critical Congenital Heart Disease display screen have to be completed 24- 28 hours
following delivery and before the newborn is discharged from the clinic
A nurse is supporting in the care of a new child at once following delivery. Which of the
subsequent pics must the nurse pick out as an indication that the newborn has a
myelomeningocele? - ANSOccurs when the neural tube fails to shut, and the meninges and
spinal twine herniate
Occurs in the lumbar area and may be included by means of a thin membranous sac
- Exstrophy of the bladder; happens from odd development of the belly wall, symphysis
pubis and bladder ; seen within the suprapubic location and calls for surgical intervention
quickly after delivery
, - Omphalocel: takes place while abdominal organs herniate through the umbilical ring at the
bottom of the umbilical wire
- Cephalohematoma; series of blood among the skull bone and its covering, the periosteum.
A cephalohematoma does no longer cross the suture strains of the newborn's skull and
could spontaneously remedy in 2-8 weeks
A nurse is gathering statistics from a new child who's 8hr vintage. Which of the subsequent
findings need to the nurse record to the issuer? - ANSApical coronary heart fee of ninety/min
while crying - regular range one hundred ten - a hundred and sixty for a new child, coronary
heart charge of eighty-a hundred/min whilst asleep and up to one hundred eighty/min whilst
crying
- Apneic episode of 20 seconds or much less - ordinary; newborns respirations are usually
shallow and irregular
- Positive moro reflex present from delivery up to eight weeks
- Vernix within the pores and skin folds - everyday
A nurse is caring for a patron 6 hr after a vaginal delivery who is going to breastfeed her new
child. The consumer reviews perineal ache of 6 on a scale from 0 to ten. The nurse
additionally notes moderate perineal edema and ecchymosis, with a fundus that is 2 cm
above the umbilicus with deviation to the right. Which of the following moves is the nurse's
priority?
A. Administer analgesics
b. Follow an ice % to the perineum
c. Assist the consumer with breastfeeding
d. Help the client ambulate to the rest room - ANSd. Help the consumer ambulate to the
toilet
The best hazard for this client is postpartum hemorrhage from uterine atony. Therefore, the
concern intervention via the nurse is to help the purchaser to urinate and absolutely empty
the bladder, with a view to permit the uterus to contract.
A nurse is reinforcing teaching with a customer who is at 20 wks of gestation and has
gestational diabetes mellitus. Which of the subsequent facts ought to the nurse consist of
within the coaching?
A. Workout before food
b. Eat at least 2,000 cal/day
c. Avoid consuming an night snack
d. Maintain a fasting blood glucose of 110 to 120 mg/dL - ANSb. Devour as a minimum
2,000 cal/day
This will make sure adequate glucose intake and prevent hypoglycemia. Exercise must be
done after food to save you hypoglycemia. Should have an night snack to prevent
hypoglycemia all through the night time. Should hold a fasting blood glucose of less than 95
mg/dL.
A nurse is reinforcing teaching approximately danger factors for breathing distress syndrome
(RDS) in newborns with a group of customers who are pregnant. Which of the subsequent
danger factors ought to the nurse encompass?
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