Exam (elaborations)
RN Maternal Newborn Online Practice 2024 B
- Course
- Medicine
- Institution
- Albany Medical College
RN Maternal Newborn Online Practice 2024 B
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RN MATERNAL NEWBORNONLINE PRACTICE 2023 B
, Maternal Newborn Practice B Assessment
1. A nurse is teaching a client who has a new prescription for combined oral contraceptives
about potential adverse effects of the medication. For which of the following findings
should the nurse instruct the client to notify the provider?
a. Answer: Shortness of breath
b. Why?: Shortness of breath and cheat pain can indicate a pulmonary embolus or
myocardial infarction.
c. Additional adverse effects to notify the HCP that can indicate potential
complications include abdominal pain, sudden or persistent headaches, blurred
vision, and severe leg pain.
d. Breakthrough bleeding outside of the menstrual period, nausea and vomiting,
and breast tenderness is a common adverse effect of combined oral
contraceptives.
2. A nurse is caring for a client following an amniocentesis at 18 weeks of gestation. Which
of the following findings should the nurse report to the provider as a potential
complication?
a. Answer: Leakage of fluid from the vagina
b. Why?: Could indicate premature leakage of amniotic fluid and should be
reported to the HCP
c. Decreased fetal movement is a potential complication that should be reported to
the HCP
d. Upper abdominal discomfort and urinary frequency is not a potential
complication associated with an amniocentesis
3. A nurse is calculating a client’s expected date of birth using Nagele’s rule. The client tells
the nurse that her last menstrual cycle started on November 27th. Which of the following
dates is the client’s expected date of birth?
a. Answer: September 3rd
b. Why?: Subtract 3 months from the first days of the client’s last menstrual cycle
and then add 7 days.
4. A nurse is caring for a client who is at 41 weeks of gestation and has a positive
contraction stress test. For which of the following diagnostic tests should the nurse
prepare the client?
a. Answer: Biophysical profile (BPP)
b. Why?: BPP is performed to further assess fetal well-being. BPP uses a real time
ultrasound to visualize physical and physiological characteristics of the fetus and
observe for fetal biophysical responses to stimuli.
c. Percutaneous umbilical blood sampling is the most common method used for
fetal blood sampling and transfusion.
d. Amnioinfusion of normal saline or lactated ringer’s is instilled into the amniotic
cavity through a transcervical catheter introduced into the uterus to supplement
the amount of amniotic fluid. Reduced the severity of variable decelerations
caused by cord compression who clients in labor.
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