RN Maternal Newborn Online Practice 2019 A with NGN

A nurse in a clinic is caring for a 16 year old adolescent. (SATA)

- Abdominal assessment - Vaginal discharge -Temperature -Dyspareunia - Condom usage

A nurse is performing a physical assessment of a newborn upon admission to the nursery. Which of the following manifestations should the nurse expect? Select all that apply.

- Acrocyanosis - Positive Babinski reflex - Two umbilical arteries visible

A nurse is caring for a client who is pregnant.

- Administer a bolus of IV fluids -Reposition the client to their side -Apply oxygen at 10-12 L/min by nonrebreather mask -Elevate the client's legs

A nurse is caring for a newborn who is 72 hr old. (SATA)

- Administer scheduled oral morphine -Maintain a low stimulus environment -Initiate neonatal abstinence syndrome (NAS) scoring

The nurse is reviewing laboratory results in the adolescent's medical record. (drag and drop)

- Doxycycline - Ceftriaxone

The nurse is reviewing laboratory results in the adolescent's medical record. (drop down)

- Pelvic inflammatory disease - C reactive protein

The nurse is reviewing laboratory results in the adolescent's medical record. (drop down)

- Providing education on medication -ceftriaxone

A nurse is caring for a client who is pregnant in an antepartum clinic.

- Uterine contractions - Gestational age - Vaginal examination

How to bathe their newborn.

- Wipe the NB eyes from the inner canthus outward -Wash the NB neck by lifting the NB chin -Cleanse the skin around the NB umbilical cord stump - Wash the NB legs and feet - Clean the NB diaper area

A nurse is preparing to administer magnesium sulfate 2g/hr IV to a client who is in preterm labor. Available is 20g magnesium sulfate in 500mL of dextrose 5% in water (D5W). The nurse should set the IV infusion pump to administer how many mL/hr?

50 mL/hr

A nurse in a prenatal is assessing a group of clients. Which of the following clients should the nurse see first?

A client who is at 11 weeks of gestation and reports abdominal cramping

A nurse is assessing four newborns. Which of the following findings should the nurse report to the provider ?

A newborn who is 18 hr old and has axillary temp of 37.7 C (99.9 F)

A nurse is caring for a client who is anemic at 32 weeks gestation and is in preterm labor. The provider prescribed betamethasone 12 mg IM . Which of the following outcomes should the nurse expect?

A reduction in respiratory distress in the newborn

A nurse in a clinic is caring for a 16 year old adolescent. (Matrix)

Abdominal pain - gonorrhea Greenish discharge - trichomoniasis and gonorrhea Diabetes - candidiasis Pain on urination - trichomoniasis , gonorrhea and candidiasis Absence of condom - trichomoniasis and gonorrhea

A nurse is admitting a client who is in labor. The client admits to recent cocaine use. For which of the following complications should the nurse assess?

Abruptio placenta

A nurse is caring for a client who is 3 days postpartum.

Action to take 1 - Plan to administer IV antibiotics Action to take 2 - Obtain a culture of vaginal fluid using a sterile swab Potential Complication - Endometritis Parameter to monitor 1 - Temperature Parameter to monitor 2 - Lochia amount and odor

A nurse is caring for a client who is at 26 weeks of gestation and has epilepsy. The nurse enters the room and observes the client having a seizure. After turning the clients head to one side, which of the following actions should the nurse take immediately after the seizure?

Administer oxygen via a nonrebreather mask

A nurse is caring for a client who has hyperemesis gravidarum and is receiving IV fluid replacement. Which of the following findings should the nurse report to the provider?

BUN 25 mg/dL

A nurse is admitting a client to the labor and delivery unit when the client states, "My water just broke." Which of the following interventions is the nurse's priority?

Begin FHR monitoring

A nurse is caring for a client who is 36 weeks of gestation and has a positive contraction stress test. The nurse should plan to prepare the client for which of the following diagnostic tests?

Biophysical profile

A nurse is caring for a client who is experience preeclampsia and has a new prescription for IV magnesium sulfate. Which of the following medications should the nurse anticipate administering if the client develops magnesium toxicity?

Calcium gluconate

A nurse is caring for a newborn who is 70 hr old.

Central nervous system findings Gastrointestinal findings

A nurse is providing teaching about nonpharmacological pain management to client who is breastfeeding and has engorgement. The nurse should recommend the application of which of the following items?

Cold cabbage leaves

A nurse is providing teaching for a client who has a new prescription for combined oral contraceptives. Which of the following findings should the nurse include as an adverse effect of this medication?

Depression

A nurse is teaching a newly licensed nurse about collecting a specimen for the universal newborn screening. Which of the following statements should the nurse include in the teaching?

Ensure that the newborn has been receiving feedings for 24 hours prior to obtaining the specimen.

A nurse is performing a routine assessment on a client who is at 18 weeks of gestation. Which of the following findings should the nurse expect?

FHR 152

A nurse in an antepartum clinic is providing care for a client who is at 26 weeks of gestation. Upon reviewing the client's medical record, which of the following findings the nurse report to the provider?

Fundal height measurement

A nurse is reviewing the prenatal laboratory results for a client who is at 12 weeks of gestation following an initial prenatal visit. Which of the following laboratory findings should the nurse to the provider?

Hemoglobin 10g/dL

A nurse is assessing a client who received carboprost for postpartum hemorrhage. Which of the following findings is an adverse effect of this medication?

Hypertension

A nurse is providing teaching to a client who is at 40 weeks of gestation and has a new prescription for misoprostol. Which of the following instructions should the nurse include in the teaching?

I can administer oxytocin 4 hours after the insertion of the medication.

A nurse is teaching a client who is at 10 weeks of gestation about nutrition during pregnancy. Which of the following statements by the client indicates an understanding of the teaching?

I should take 600 micrograms of folic acid each day

A nurse is providing teaching to a client about the physiological changes that occur during the pregnancy. The client is at 10 weeks of gestation and has a BMI within the expected reference range. Which of the following client statements indicates an understanding of the teaching?

I will likely need to use alternative positions for sexual intercourse.

A nurse is caring for a newborn. (Matrix)

Indicated: - ROM on affected arm after 1 week - Assess grasp reflex - Immobilize the arm Contraindicated: - Limit physical handling for 2 weeks

The nurse is reviewing laboratory results in the adolescent's medical record. (Matrix)

Indicates understanding: "continue taking meds even with no symptoms" "Continue to get this type of infection can affect the ability to have kids in the future" "More likely to get sunburns while taking these medications" Requires further education: "go to the ER if urine is dark" "as long as i keep the IUD, I done need condoms"

A nurse is performing a vaginal examination on a client who is in a labor and observes the umbilical cord protruding from the vagina. After calling for assistance, which of the following actions should the nurse take?

Insert two gloved fingers into the vagina and apply upward pressure to the presenting part.

A nurse is assessing a newborn 12 hr after birth. Which of the following manifestations should the nurse report to the provider?

Jaundice

A nurse is caring for a client who is at 24 weeks of gestation and has a suspected placental abruption.Which of the following laboratory tests should the nurse expect the provider to prescribe?

Kleihauer-Betke test

A nurse is caring for a client who is to receive oxytocin to augment her labor. Which of the following findings contraindicates the initiation of the oxytocin infusion and should be reported to the provider?

Late decelerations

A nurse is observing a new parent caring for their crying newborn who is bottle feeding. Which of the following actions by the parent should the nurse recognize as a positive parenting behavior?

Lays the newborn across their lap and gently sways

A nurse is assessing a newborn who was born 26 weeks of gestation using the New Ballard Score. Which of the following findings should the nurse expect?

Minimal arm recoil

A nurse is caring for a client who is at 15 weeks of gestation, is Rh-negative and just had an amniocentesis. Which of the following interventions is the nurse's priority following the procedure?

Monitor the FHR

A nurse is assessing a client who is receiving morphine IV bolus for pain following a cesarean birth. The nurse notes a respiratory rate of 8/min. Which of the following medications should the nurse administer?

Naloxone

A charge nurse on a labor and delivery unit is teaching a newly licensed nburse how to perform Leopold Maneuvers. Which of the following images indicates the first step of Leopold Maneuvers?

Nurse palpates the clients abdomen with the palms to determine which fetal part is in the uterine fundus.

A nurse is providing education about family bonding to parents who recently adopted a newborn. The nurse should make which of the following suggestions to aid the family's 7 year old child in accepting the new family member?

Obtain a gift from the newborn to present to the sibling.

A nurse is caring for a client who is at 38 weeks of gestation. Which of the following actions should the nurse take prior to applying an external transducer for fetal monitoring?

Perform Leopold manevuers

A nurse is assessing a newborn who was delivered vaginally and experienced a tight nuchal cord. Which of the following findings should the nurse expect?

Petechiae over the head

A nurse is preparing to collect a blood specimen from a newborn via a heel stick. Which of the following techniques should the nurse use to help minimize the pain of the procedure for the newborn?

Place the newborn skin to skin on the mother's chest

A nurse in a provider's office is reviewing the medical record of a client who is in the first trimester of pregnancy. Which of the following findings should the nurse identify as a risk factor for the development of preeclampsia?

Pregestational diabetes mellitus

A nurse is creating a plan of care for a client who is postpartum and adheres to traditional Hispanic cultural beliefs. Which of the following cultural practices should the nurse include in the plan of care?

Protect the client's head and feet from cold air.

A nurse is developing a plan of care for a newborn who is to undergo phototherapy for hyperbilirubinemia. Which of the following actions should the nurse include in the plan?

Remove all clothing from the newborn expert the diaper

A nurse is assessing a client who has gestational diabetes mellitus and is experiencing hyperglycemia. Which of the following findings should he nurse expect?

Reports increased urinary output

A nurse is assessing a late preterm newborn. Which of the following manifestation is an indication of hypoglycemia?

Respiration distress

A nurse is caring for a client who is at 30 weeks of gestation and has a prescription for magnesium sulfate IV to treat preterm labor. The nurse should notify the provider of which of the following adverse effects?

Respiratory rate 10/min

A nurse is caring for a prenatal client who has parvovirus B19 (fifth disease). Which of the following actions should the nurse take?

Schedule an ultrasound

A nurse is providing teaching for a client who gave birth 2 hr ago about the facility policy for newborn safety. Which of the following client statements indicates an understanding of the teaching?

The person who comes to take my baby's pictures will be wearing a photo identification badge.

A nurse is caring for a client who is at 36 weeks gestation and has a prescription for an amniocentesis. For which of the following reasons should the nurse prepare the client for the ultrasound?

To locate a pocket of fluid

A nurse is assessing a client who is 1 day postpartum and has vaginal hematoma. Which of the following manifestations should the nurse expect?

Vaginal pressure

A nurse is transporting a newborn back to the parent's room following a procedure. Which of the following actions should the nurse take?

Verify that the parent's identification band matches the newborn's identification band.

A nurse is assessing a client who is at 38 weeks of gestation during a weekly prenatal visit. Which of the following findings should the nurse report to the provider?

Weight gain of 2.2kg (4.8 lb)

A nurse is providing discharge teaching to a client who had a cesarean birth 3 days ago. Which of the following instructions should the nurse include?

You can still become pregnant if you are breastfeeding.