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MN Exam 4
Chapters 9, 10, 12, 13, 14
| Question | Answer |
|---|---|
| A client who is 2 weeks postpartum reports no energy and symptoms of depression. What action should the provider take? | Use a postpartum depression screening tool |
| A client who is 2 days postpartum is overwhelmed and fatigued. What is the priority nursing intervention? | Encourage the client to get as much rest/sleep as possible |
| A newborn of a diabetic mother is lethargic and has poor feeding. What condition should the nurse expect? | Hypoglycemia |
| What are risk factors for neonatal hypoglycemia? | Prematurity, Maternal diabetes, Low birth weight, Multiple gestation (twins) |
| A nurse is caring for a Hispanic client in labor who plans to breastfeed. What should the nurse anticipate? | The client might prefer to delay breastfeeding for several days |
| What teaching should the nurse provide to a breastfeeding mother regarding fluids? | Increase fluid intake with decaffeinated fluids (water, juice) |
| Which newborn reflex initiates sucking? | Rooting reflex |
| A newborn weighs 7.5lbs at birth and 7.3lbs on day 2. How should the nurse respond? | This is normal; newborns can lose up to 6% of birth weight |
| Why is it important teaching for newborn care begin? | After birth once the newborn is stable |
| Which statement by a parent indicates a need for further teaching about car seat safety? | "My baby will be comfortable watching me while I drive" |
| A client delivers within 2 hours and experiences postpartum hemorrhage. What is this called? | Precipitous labor |
| A postpartum client reports heavy lochia with clots. What is the nurse's first action? | Assess the fundus |
| A client says "can you feed my baby?" What is the best nurse response? | "Feeding can feel intimidating at first; I'll stay and help you" |
| Which statement indicates impaired parental attachment? | "I wish my baby had more hair" |
| A client hypovolemia from bleeding is expected after birth? | Thready pulse |
| When assessing for a hematoma after birth, What should the nurse look for? | Swelling and discoloration of the perineum |
| A postpartum client has uterine subinvolution and heavy bleeding. What medications should the nurse administer? (select all that apply) | Oxytocin, Methylergonovine |
| A client has excessive bleeding postpartum. What lab values should the nurse monitor? | Hemoglobin and Hematocrit (H&H) |
| What is the leading cause of death from puerperal infection? | Sepsis (septicemia) |
| What is the first action after delivery of a newborn? | Dry the newborn |
| A 30 week newborn requires oxygen. What type should be administered> | Warm, humidified oxygen |
| A newborn has myelomeningocele. What is the priority action? | Maintain integrity of the sac (sterile moist dressing) |
| What are characteristics of a post-term newborn? (select all that apply) | Dry, cracked skin; peeling |
| Which findings are associated with Down Syndrome? (select all that apply) | Protruding tongue, Transverse palmer crease |
| A newborn weighing 11lb 6oz born to a diabetic mother requires what intervention? | Monitor blood glucose frequently (every 2 hours) |
| Which newborn should the nurse assess first? | 12 hour old with axillary temp of 100.4F |
| What is the best way to care for a preterm newborn to conserve energy? | Cluster care |
| A newborn is jaundiced after a C-section. What should the nurse assess? | Maternal-newborn blood group incompatibility |
| Which statement indicates need for further teaching about PKU? | "My baby will be placed under special lights if the test is elevated" |
| What are signs of respiratory distress syndrome in a newborn? (select all that apply) | Nasal flaring, Grunting, Retractions |
| What is a complication of a VP shunt parents should monitor? | Infection |
| Which statement indicates need for further teaching about feeding teaching about feeding a baby with cleft palate? | "I will feed my baby with laying flat" |
| What is another name for clubfoot? | Talipes |
| Which statement indicates need for further teaching about Pavlik harness use? | "I can remove the harness whenever I want" |
| What is an early sign of sepsis in a preterm newborn? | Decreased temperature (hypothermia) |
| A newborn with neonatal abstinence syndrome will show which symptoms? (select all that apply) | Irritability, Poor sleep, Retractions, Mottling |
| What is the priority nursing action for neonatal abstinence syndrome? (select all that apply) | Monitor intake and output, Monitor for dehydration, Reduce environmental stimuli |
| A parent is concerned about a newborn reflex. What is the best response? | "It is normal and will disappear as your baby grows" |
| What is a key sign of neonatal jaundice? | Yellow discoloration of skin and eyes |
| What are signs of hydrocephalus in newborn? (select all that apply) | Enlarged head, Bulging fontanels |
| What is the priority after cleft palate repair? | Maintain airway patency |
| What is maple syrup urine disease? | Inability to breakdown certain amino acids |
| What is a common manifestation of maple syrup urine disease? | Developmental delay |
Created by:
efilchner