OB Exam 2
Magnesium Sulfate 40 grams in 1000 mL NSS. Give 5 gms over 30 minutes. Calculate the flow rate in ml/hr
250 ml/hr
) When teaching umbilical cord care to a new mother, the nurse would include which information? 1. Apply alcohol to the cord with each diaper change 2. Cover the cord with petroleum jelly after bathing 3. Keep the cord dry and open to air 4. Wash the cord with soap and water each day during a tub bath
3
Ordered: Mag Sulfate 40 grams in 1000 mL NSS. Maintain at a 2 gram/hour rate over the next 8 hours. Calculate the flow rate in ml/hr.
50 ml/hr
A baby is born precipitously in the ER. The nurses initial action should be to: A. Suction the newborns airway using a bulb syringe B. Dry and stimulate the baby C. Place the baby under the radiant warmer D. Place the baby to mother's breast to feed
A
A nurse has brought a 2-hour old infant to their mother from the nursery. The nurse is going to assist the mother with the first breastfeeding experience. Which of the following actions should the nurse perform FIRST? A. Compare the mother's and baby's identification bracelets B. Help the mother in to a comfortable position C. Teach the mother about proper breast latch D. Tickle the baby's lips with the mother's nipple
A
A nurse is caring for a patient with complete placenta previa. Which of the following statements should the nurse say to the patient? A. you will need a c-section to deliver your baby B. when you are 10 cm dilated you can start to push C. we will need to assess your cervix to see how far dilated you are D. during active labor you should use slow deep breathing
A
If an embryo or fetus dies in utero but isn't expelled and is then discovered by the health care provider when no fetal heart rate is present it would be labeled which of the following type of miscarriage (abortion)? A. missed B. incomplete C. inevitable D. threatened
A
The nurse is teaching parents of a female baby how to change the baby's diaper. Which of the following should be included in the teaching? A. Always wipe the perineum from front to back B. Remove excess vernix caseosa from labial folds C. Put powder on buttocks every time the baby stools D. Weight every diaper to assess for proper hydration.
A
When administering magnesium sulfate to a client with preeclampsia, the nurse understands that this drug is given to.. A. prevent seizures b. reduce blood pressure C. slow the process of labor d. increase diuresis
A
When caring for a client with premature rupture of membranes, the nurse observes an increase in the client's pulse. What should the nurse do next? A. Assess the client's temperature B. Monitor the client for preterm labor C. Assess for cord compression D. Monitor the fetus for respiratory distress
A
A nurse is advising new parents before discharge regarding when they should call the pediatrician. Which of the following responses show that the teaching was effective. Select all that apply. A. If the baby repeatedly refuses to feed B. If the baby's breathing is irregular C. If the baby has no tears when he cries D. If the baby is repeatedly difficult to awake E. IF the baby's temperature is above 100.4F
A, D, E
At 1 minute of age, the infant is alert and active, he grimaces when the bulb syringe is used and is breathing irregularly. He has a heart rate of 135. The infant's arms and legs are flexed, the color of his body is pink, and the color of both feet is blue. The nurse continues a physical assessment of the infant looking for normal to abnormal findings. Which APGAR score should the nurse assign? A. 8 B. 9 C. 7 D. 10
A. 8
A woman who has a diagnosis of preeclampsia is in active labor and is receiving an IV infusion of mag sulfate. When planning care for this woman, which of these are a priority for the healthcare provider to monitor? Multiple response. A. Respiratory rate B. BUN and creatinine C. Blood glucose levels D. Deep tendon reflexes E. Blood pressure
ADE
A 39 year old at 37 weeks gestation is admitted to the hospital with complaints of vaginal bleeding following the use of cocaine 1 hour earlier. Which complication is most likely causing the client's complaint of vaginal bleeding? A. abruption placentae B. placenta previa C. ectopic pregnancy D. spontaneous abortion
B
A neonate born to a mother with diabetes is MOST at risk for what complication? A. anemia B. hypoglycemia C. hypothermia D. poor latch when breastfeeding
B
A neonate has an elevated bilirubin and is slightly jaundiced on day 3 of life. What is the probable reason for these changes? A. Hemolysis of neonatal red blood cells by the maternal antibodies B. Physiological destruction of fetal red blood cells during the extrauterine period C. Pathological liver function resulting from hypoxemia during the birth process D. Delayed meconium excretion resulting in the production of direct bilirubin.
B
A nurse in a delivery room is assisting with the delivery of a newborn infant. After the delivery, the nurse prepares to prevent heat loss in the newborn resulting from evaporation by: A. Placing the infant under the radiant warmer B. Drying off the newborn C. Closing the air vent to prevent air from blowing on the newborn D. Increasing the temperature in the room by turning up the heat
B
A woman is admitted with a diagnosis of ectopic pregnancy. For which procedure should the nurse prepare? A. bed rest for the next 4 weeks b. immediate surgery C. intravenous administration of a tocolytic D. internal uterine monitoring
B
Immediately following delivery, which of the following physiological changes is of highest priority? A. Thermoregulation B. Spontaneous respirations C. Extrauterine circulatory shift D. Successful feeding
B
Upon admission tot he transition care nursery, the baby's axillary temperature is 97.4 F. Which action should the nurse take? A. Continue monitoring and document this finding in the record. B. Place the infant in a radiant warmer and monitor her temperature. C. Remove a blanket from the infant and check the temperature again. D. Notify the healthcare provider immediately about the temperature
B.
When teaching the new mother about breastfeeding, the nurse is correct when providing what instructions? Select all that apply. A. give newborns water to balance nutritional needs B. help the mother initiate breastfeeding within 30 minutes of birth C. encourage breastfeeding of the newborn infant on demand D. provide breastfeeding newborns with pacifiers E. Place baby in uninterrupted skin to skin contact with mother
BCE
A client with preeclampsia is receiving mag sulfate to suppress or control seizures. Which nursing intervention should a nurse perform to determine the effectiveness of therapy? A. Assess the client's mucous membranes B. monitor intake and output C. assess deep tendon reflexes D. assess the client's skin turgor
C
A mother is preparing to breastfeed her baby. Which of the following actions would encourage the baby to open their mouth wide for feeding? A. holding the baby in the en face position B. Pushing down on the baby's lower jaw C. Tickling the baby's lip with the nipple D. Giving the baby a trial bottle of formula
C
A postpartum nurse is providing education to the mother of a breastfed newborn with hyperbilirubinemia. Which are the most appropriate instructions regarding breastfeeding? A. Stop breastfeeding your baby immediately B. Your baby will need formula supplementation C. Provide your infant with frequent feedings, every 2-4 hours D. You will need to feed your newborn less frequently
C
The nurse is caring for a breastfed newborn. Upon assessment the newborn appears jittery. The newborns blood glucose is 40. Which of the following is the BEST action on the part of the nurse? A. Give the infant formula B. Do nothing, this is completely normal C. Educate the mother of the need to breastfeed the newborn now D. Call the provider
C.
When assessing a newborns heart rate on day two after delivery, the nurse would expect the heart rate to be in what range? A. 100-150 B. 120-180 C. 110-160 D. 140-160
C. 110-160
Which of the below findings would increase the suspicion for a placental abruption in a pregnant client who is reporting abdominal pain? Multiple response. A. a history of c-section B. BP of 160/100 C. reports recent cocaine use D. presents to labor and delivery after a recent motor vehicle accident E. had a history of dilation and curettage
CD
A 2-day old, exclusively breastfeeding baby is to be discharged home. Under what conditions should the nurse teach the parents to call the pediatrician? A. If the baby feeds 8-12 times per day B. If the baby urinate 6-10 times per day C. If the baby has stools that are seedy and yellow D. If the baby has eyes and skin that are tinged yellow
D
A client with eclampsia begins to experience a seizure. Which of the following would the nurse in charge do first? A. pad the side rails B. place a pillow under left buttock C. insert a padded tongue blade into the mouth D. maintain a patent airway
D
A mucousy baby is being left with the parents for the first time after delivery. Which of the following should the nurse teach the parents regarding the use of the bulb syringe? A. Suction nostrils before suctioning mouth B. Make sure to suction the back of the throat C. Insert syringe before compressing the bulb D. Place syringe towards the inside of the cheek and release suction.
D
The nurse tests the newborn's Babinksi reflex by: A. Touching the corner of the newborns mouth or cheek B. Changing the newborn's equilibrium C. Placing a finger in the palm of the newborns hand D. Stroking the lateral aspect of the sole from the heel upward and across the ball of the foot.
D
Which of the following is the antagonist for magnesium sulfate and should be readily available to any client receiving IV magnesium in the event they develop magnesium toxicity? A. Vitamin K B. Narcan C. Hydralizine D. Calcium gluconate
D
At 1 min of age, the infant is crying and has a heart rate of 160 and a respiratory rate of 58. Both of the infant's arms and legs are flexed, and her hands and feet are cyanotic. What is her APGAR score? a. 10 b. 9 c. 8 d. 7
d. 7
