NR 452 Week 5 Maternal-Newborn Questions Only

A health care provider has prescribed nalbuphine hydrochloride 10 mg First choice: intravenously for a client in ac琀椀ve labor. The pharmacy supplies a vial labeled as 50 mg in a 5-mL vial. How many milliliters should the nurse administer? Record your answer using a whole number. 1. 1 mL 2. 5 mL Answer: 3. 10 mL 4. 25 mL Rationale: A nurse is preparing to perform a fundal assessment on a postpartum client. First choice: The ini琀椀al nursing ac琀椀on in performing this assessment is which of the following? 1. Ask the client to turn on her side. Answer: 2. Ask the client to lie 昀氀at on her back with the knees and legs 昀氀at and straight. 3. Ask the mother to urinate and empty her bladder. 4. Massage the fundus gently before determining the level of the fundus. Rationale: A primigravid client at 36 weeks gesta琀椀on with premature rupture of the First choice: membranes is to be discharged home on bed rest with follow-up by the nurse. A昀琀er instruc琀椀on about care while at home, which client statement indicates e昀昀ec琀椀ve teaching? 1. "It is permissible to douche if the 昀氀uid irritates my vagina." 2. "I can take either a tub bath or a shower when I feel like it." 3. "I should limit my 昀氀uid intake to less than 1 quart daily." Answer: 4. "I should contact the health care provider if my temperature is 100.4°F (38°C) or higher." Rationale: The nurse is providing teaching to an expectant mother about breas琀昀eeding. First choice: What statement made by the mother would require immediate follow-up by the nurse? 1. "I was treated for gonorrhea 2 years ago." 2. "I had di昀케culty becoming pregnant because of endometriosis." Answer: 3. "I have been HIV posi琀椀ve for 4 years." 4. "I was told I had a heart murmur when I was a child." Rationale: The nurse is preparing to administer vitamin K intramuscularly to a term neonate First choice: of a primipara who has just given birth. A昀琀er explaining the purpose of the drug to the birth parent, which statement by the client indicates e昀昀ec琀椀ve teaching? 1. “Vitamin K will help my baby breathe easier.” Answer: 2. “Vitamin K will prevent my baby from becoming jaundiced.” 3. “Vitamin K will help my baby’s blood to clot properly.” 4. “Vitamin K will prevent my baby from developing an infec琀椀on.” Rationale: The nurse is assessing a 2-hour-old newborn. The nurse notes nasal 昀氀aring and First choice: acrocyanosis. Which of the following is the nurse's priority interven琀椀on? 1. Obtain blood pressure measurements on all four of the newborn's extremi琀椀es. 2. Assess the newborn’s oxygen satura琀椀on. Answer: 3. Palpate the newborn’s fontanels. 4. Auscultate the newborn's heart tones. Rationale: A neonate begins to gag and turns a dusky color. What should the nurse do 昀椀rst? First choice: 1. Calm the neonate. 2. No琀椀fy the physician.