PN Maternal Newborn Proctored Exam 2020 A

PN Maternal Newborn Proctored Exam 2020 A

A nurse is reinforcing family planning options with a client who is requesting information about contraceptives. Which of the following client statements indicates an understanding of the teaching?

• "The diaphragm should be removed 2 hours after having intercourse."
• "I can use water-soluble lubricant when my partner wears a latex

condom."

• "It is okay for me to remove the birth control sponge within 2 hours after having

intercourse."

• "When I use the birth control patch, it must be changed once a month."

a nurse is assisting with the care of a client who is postpartum and is receiving magnesium sulfate IV by continuous infusion to treat preeclampsia. Which of the following findings should the nurse identify as manifestations of magnesium toxicity?

a) Hyperreflexia

b) Decreased respiratory rate

c) Polyuria

d) Decreased level of consciousness

e) Double vision

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A nurse is caring for a client who is at 30 weeks of gestation. Which of the following findings should the nurse report to the provider?

• 2+ urinary protein

b) Leukorrhea

c) Spider nevi

• 30 cm fundal height

The nurse should identify that 2+ proteinuria is a manifestation of preeclampsia. Therefore, the nurse should report this finding to the provider.

A nurse is assisting with monitoring a newborn who is 3 days old and has received phototherapy. Which of the following laboratory results should the nurse recognize as an indication that the therapy has been effective?

a) Glucose 45 mg/Dl

b) WBC count 10,000/mm3

c) Total bilirubin 5 mg/Dl

d) Hgb 16 g/dL

a nurse is reinforcing teaching with a new parent about the prevention of newborn abduction. Which of the following statements by the parents indicates an understanding of teaching?

• "Some assistive personnel might not have name badges."
• "A nurse will carry my baby back to the nursery in their arms for routine care when it is

needed."

• "I will ask the nurse to take my baby back to the nursery if I need to leave

my room."

• "I can remove my baby's security band before giving her a bath."

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A nurse is collecting data from a newborn whose mother had gestational diabetes mellitus.Which of the following findings should the nurse report to the provider?

a) Calcium 9.2 mg/Dl

b) Heart rate 160/min

c) Blood glucose 28 mg/Dl

d) Axillary temperature 36.5° C (97.7° F)

The nurse should identify that a blood glucose of 28 mg/dL is below the expected reference range of 40 to 45 mg/dL for a newborn. Therefore, the nurse should report this finding to the provider.

a nurse is collecting data from a client who is 32 hr postpartum. Which of the following findings should the nurse expect?

a) Saturation of one perineal pad every 15 min

b) Fundus 2 cm above the umbilicus

c) Temperature of 39° C (102.2° F)

d) Urine output of 3,000 mL in 24 hr

The nurse should expect postpartum diuresis to begin approximately 12 hr after birth.Therefore, a urine output of 3,000 mL in 24 hr is an expected finding for this client.

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