NU 270 Safety & Security Preparedness PrepU Week 8 Practice Questions and Correct Answers
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Course
NUR 270
Institution
NUR 270
The physician suspects tracheoesophageal fistula in a 1-day-old neonate. Which nursing intervention is most appropriate for this child? elevating the neonate's head and giving nothing by mouth elevating the neonate's head for 1 hour after feedings avoiding suctioning unless cyanosis occurs giving t...
NU 270 Safety & Security Preparedness
PrepU Week 8 Practice Questions and
Correct Answers
The physician suspects tracheoesophageal fistula in a 1-day-old neonate. Which
nursing intervention is most appropriate for this child?
elevating the neonate's head and giving nothing by mouth
elevating the neonate's head for 1 hour after feedings
avoiding suctioning unless cyanosis occurs
giving the neonate only glucose water for the first 24 hours ✅elevating the neonate's
head and giving nothing by mouth
Explanation:
Because of the risk of aspiration, a neonate with a known or suspected
tracheoesophageal fistula should be kept with the head elevated at all times and should
receive nothing by mouth (NPO). The nurse should suction the neonate regularly to
maintain a patent airway and prevent pooling of secretions. Elevating the neonate's
head after feedings or giving glucose water are inappropriate because the neonate must
remain on NPO status.
A nurse is assisting in developing a teaching plan for a client who is about to enter the
third trimester of pregnancy. The teaching plan should note that which symptom should
be reported immediately?
dyspnea on exertion
increased vaginal mucus
hemorrhoids
blurred vision ✅blurred vision
Explanation:
During pregnancy, blurred vision may be a danger sign of preeclampsia or eclampsia,
complications that require immediate attention because they can cause severe maternal
and fetal consequences. Although hemorrhoids may occur during pregnancy, they do
not require immediate attention. Dyspnea on exertion and increased vaginal mucus are
common discomforts caused by the physiologic changes of pregnancy.
A client in the first stage of labor is being monitored using an external fetal monitor.
After the nurse reviews the monitoring strip from the client's chart (shown above), into
which position would the nurse assist the client? ✅left lateral
Explanation:
The fetal heart rate monitoring strip shows late decelerations, which indicate
uteroplacental circulatory insufficiency and can lead to fetal hypoxia and acidosis if the
underlying cause is not corrected. The client would be turned onto her left side to
increase placental perfusion and decrease contraction frequency. In addition, the
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