Exam 2 Review A

Question 1

When providing intrapartal care for the woman with severe pre-eclampsia, the priority nursing care is to?

Answer 1

Promote placenta blood flow and prevent maternal injury

Question 2

Which nursing action is designed o avoid unnecessary heat loss in the newborn?

Answer 2

Place a blanket over the scale before weighing the infant

Question 3

Increasing the infusion rate of non-additive intravenous fluids can increase fetal oxygenation primarily by?

Answer 3

Expanding maternal blood volume

Question 4

Which of the following vital signs is measured first in infants?

Answer 4

Respirations

Question 5

A 5 minute old infant is exhibiting signs of respiratory distress. Which of the following vital signs would the nurse assess first?

Answer 5

Respirations

Question 6

A neonate born with Myelomeninocele should be maintained in what position pre-operatively?

Answer 6

A Prone

Question 7

Intrapartum Nursing care for a woman who has sickle cell disease focuses on?

Answer 7

Maintaining oxygenation and preventing dehydration

Question 8

What intervention would be included in the plan of care for an infant with the nursing diagnosis of: Excess Fluid Volume related to congestive heart failure?

Answer 8

Weigh the infant every day on the same scale at the same time

Question 9

What sign is indicative of respiratory distress in infants?

Answer 9

Nasal flaring

Question 10

Which action best explains the main role of surfactant in the neonate?

Answer 10

Help the lungs remain expanded after the initiation of breathing

Question 11

The nurse notes that a 24- hour old infant is lethargic and her temperature is below normal, a change from an earlier assessment that was normal. Her mother states that she did not breastfeed well and that the infant spit up the small amount she ingested. The nurse’s next action should be to?

Answer 11

Assess for signs of sepsis and report assessments to the physician

Question 12

The nurse is caring for a neonate whose mother is diabetic. The nurse will expect the neonate to be?

Answer 12

hypoglycemic, and large for gestational age

Question 13

A nurse should consider the possibility of neonatal withdrawal syndrome in a newborn

Answer 13

has a continuous high-pitch cry

Question 14

The primary fetal risk when the mother has any type of anemia is?

Answer 14

reduced oxygen delivery

Question 15

A breastfeeding woman develops mastitis. She tells the nurse that she will just feed her baby formula instead of breastfeeding. The best nursing response is that?

Answer 15

emptying the breast is important to prevent an abscess

Question 16

One hour after a woman gives birth vaginally, the nurse notes that her fundus is firm, 2 finger widths above the umbilicus, and diviated to the right. Lochia rubra is monerate. Her perineum is slightly edematous, with no bruising; an ice pack is in place. The priority nursing action is to?

Answer 16

Have the woman empty her bladder in the bathroom

Question 17

When adminisering magnesium sulfate to a client with preeclampsia, the nurse understands that this drug is given to?

Answer 17

Prevent seizures

Question 18

A client with eclampsia begins to experience a seizure. Which of the following would the nurse in charge do first?

Answer 18

Pad the side rails

Question 19

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?

Answer 19

Abruptio Placenta