Learning System RN 3.0: Maternal Newborn Final Exam with 100% Verified Answers
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Learning System RN 3.0
Institution
Learning System RN 3.0
Learning System RN 3.0: Maternal Newborn Final Exam with 100%
Verified Answers
1. A nurse administers betamethasone to a
client who is 33 wks of gestation to stimulate
fetal lung maturity. When planning care for
the newborn, which of the following condi-
tions should the nurse identify as an ...
Learning System RN 3.0: Maternal Newborn Final Exam with 100%
Verified Answers
1. A nurse administers betamethasone to a b. Decreased Blood Glucose
client who is 33 wks of gestation to stimulate Betamethasone causes hy-
fetal lung maturity. When planning care for perglycemia in the client,
the newborn, which of the following condi- which predisposes the new-
tions should the nurse identify as an adverse bown to hypoglycemia in the
effect of this medication? first hours after delivery. It
is important to assess the
a. Hypothermia newborn's blood glucose lev-
b. Decreased Blood Glucose el within the first hour fol-
c. Rapid Pulse Rate lowing birth and frequently
d. Irritability thereafter until the blood glu-
cose levels are stable.
2. A nurse is preparing to administer nalox- a. IV narcotics administered
one to a newborn. Which of the following to the mother during labor
conditions can require administration of this - this would be to reverse res-
medication? piratory depression due to
a. IV narotics administered to the mother acute narcotic toxicity, which
during labor can happen with IV narcotics
b. Maternal drug use administrated during labor
c. Hyaline membrane disease
d. Meconium aspiration - administering naloxone to a
child that has been exposed
to narcotics during pregnan-
cy could result in immediate
withdrawal symptoms
3. A nurse is teaching a client about a non- c. "I should press the but-
stress test. Which of the following state- ton on the handheld marker
ments by the client indicates an understand- when my baby moves."
ing of the teaching? -purpose of the test is to as-
a. "I know not to eat anything after mid- sess fetal well-being
night." -encouraged to eat prior so
b. "I will have medication given to me to baby is more active
cause contractions." -if baby is asleep, offer mom
c. "I should press the button on the handheld OJ to stimulate the fetus
marker when my baby moves."
d. "I will have a stimulate my breast to cause - When having a nonstress
contractions." test, medication is not given.
, Learning System RN 3.0: Maternal Newborn Final Exam with 100%
Verified Answers
for a oxytocin challenge test,
oxytocin would be adminis-
tered to induce contractions
-nipple stimulation would be
used to stimulate contrac-
tions for a contraction stress
test
4. A nurse is planning care for a newborn who c. Ensure the newborn's
requires phototherapy for hyperbilirubine- eyes are closed before ap-
mia. Which of the following actions should plying the eye shield
the nurse include in the plan of care? -overexposure to the lights
a. Swaddle the newborn in a receiving blan- can cause corneal damage
ket during the treatment for the newborn
b. Maintain NPO status until the newborn's -as much skin as possible
bilirubin is within the expected reference should be exposed w/ the
range eyes and diaper area cov-
c. Ensure the newborn's eyes are closed be- ered
fore applying the eye shield -Encourage feedings
d. Apply lotion to the newborn's skin twice throughout treatment to pre-
per day vent dehydration and help
excrete the excess bili via
stool
-lotion=increase risk of burn
under the lights
5. A nurse is caring for a client whose mem- a. Turn the client onto her left
branes have ruptured and is in active labor. side
The fetal monitor tracing reveals late decels. -Late decels = Uteroplacen-
Which of the following actions should the tal Insufficiency
nurse take first?
a. Turn the client onto her left side Following turning the patient
b. Palpate the client's uterus onto her side you would then
c. Administer O2 to the client do the other tasks.
d. Increase the client's IV fluids -O2 @ 8-10L/min by Non-
Rebreather FaceMask = in-
crease placental perfusion
-palpate uterus to assess for
tachysystole
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