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NSG 211 Final| 142 Questions| With
Complete Solutions
Breastfeeding is effective durinf the first 30 minutes after birth because this is the? correct answer: First period of reactivity A full term newborns breathing pattern is? correct answer: Abdominal with synchronous chest movements The average expected apical pulse range of a full term, quiet, alert newborn is? correct answer: 120-160 bpm The average applicable pulse of a full term newborn while sleeping is? correct answer: 85-100 bpm Maintaining the newborns body temperature is important in preventing? correct answer: Cold Stress Spots found on the bottom of the newborn's buttocks correct answer: Mongolian spots Used to detect the presence of hip dysplasia correct answer: Ortolani maneuver Appearance of slightly cyanosis hands and feet correct answer: Acrocyanosis Most critical adjustment of the newborn? correct answer: Initiation of respirations
Newborn rash that resembles flea bites. Pink, popular rash with vesicles superimposed on the thorax, abdomen, and back. correct answer: Erythema toxicum Black, sticky stool. Occurs in the first day of life, usually within 12 hours. correct answer: Meconium Reflex elicited by stroking the lateral sole of the infant's foot from the heel to the ball of the foot correct answer: Babinski reflex What are modes of heat loss in the newborn? correct answer: Convection, Radiation, Conduction Period between intrauterine and extrauterine life. Lasts from birth to 28 days. correct answer: Transition period Breast feeding is associated with an increased risk of? correct answer: Jaundice Cheeselike, whitish substance that fuses with the epidermis and serves as a protective coating is called? correct answer: Vernix Sensory system least mature at the time of birth? correct answer: Vision Peak between the 2nd and 4th day of life. correct answer: Bilirubin
A breastfeeding woman develops engorged breasts at 3 days postpartum. What action would help this woman achieve her goal of reducing the engorgement? The woman: correct answer: Breastfeeds the infant every 2 hours A fluid volume Les than 300 mL is associated with what kind of fetal anomalies? correct answer: Renal When do babies start responding to sound? correct answer: 24 weeks gestation Along with gas exchange and nutrient transfer, the placenta produces many hormones necessary for normal pregnancy. These include which of the following? correct answer: HcG, Estrogen, Progesterone At approximately ___ weeks of gestation, lecithin is forming on the alveolar surfaces, the eyelids open, and the fetus measures approximately 27cm crown to rump and weighs approximately 1110 g correct answer: 28 Nurse is providing genetic counseling for an expectant couple who already have a child with trisomy 18. The nurse should: correct answer: Discuss options with the couple, including amniocentesis to determine whether the fetus is affected Leading cause of postpartum hemorrhage correct answer: Uterine atony What to do for postpartum hemorrhage? correct answer: Perform fundal massage
Late postpartum hemorrhage is cause by correct answer: Subinvolution of the placental site Poses major risk for PPH correct answer: Mag sulfate When a nurse observes profuse postpartum bleeding correct answer: Palpate uterus and massage if it's boggy Considered medical emergencies that require immediate treatment correct answer: Inversion of the uterus and hypovolemic shock Treatment of choice for mothers with von Willebrand disease who experience PPH correct answer: Desmopressin Protrusions of the bladder downward into the vagina correct answer: Cystocles Easily postpartum hemorrhage is defined as a blood loss greater than: correct answer: 500 mL in the first 24 hours after vaginal delivery Lacerations will: correct answer: Slowly and continuously Medications used to manage PPH is: correct answer: Pitocin, Hemabate, and Methergine Must avoid pregnancy for 1 year after receiving: correct answer: Rubella Vaccine
Cesarean blood loss values should be correct answer: 500- mL Beta 2 adrenergic agonist that affects the cardiopulmonary and metabolic systems of the mother. Symptoms may include chest discomfort and palpitations correct answer: Terbutaline Normal Magnesium level correct answer: 8- Stimulates surfactant productions correct answer: Betamethasone Not likely seen with breech presentation correct answer: Post- term gestation How many fetal movements should a mother feel in an hour? correct answer: 4 per hour Positioning for umbilical cord prolapse correct answer: Knee- chest position Administered to ripen the cervix in preparation for labor induction correct answer: Prepidil (prostaglandin gel) Least common cause of dystopia is correct answer: Disproportion of the pelvis Only used during vaginal birth to manipulate the second twin into presentation that allows for it to be born vaginally correct answer: Internal version
Increases for the patient who has had multiple cesarean births and no vaginal births correct answer: Uterine rupture Relaxes the uterus before and during version correct answer: Tocolytics Primary nursing care of oxytocin is correct answer: Monitoring uterine response Which test used to diagnose the basis of infertility is done during the luteal or secretory phase of the menstrual cycle? correct answer: Endometrial biopsy The absence of a temperature decrease is most likely the result of lack of correct answer: Ovulation Dilation and evacuation is used in which trimester? correct answer: 13-16 weeks. 2nd trimester Which congenital malformations result from multifactorial inheritance? correct answer: Cleft lip, congenital heart disease, anencephaly, and pyloric stenosis A woman at 10 weeks of gestation who is seen in the prenatal clinic with presumptive signs and symptoms of pregnancy likely will have: correct answer: Amenorrhea Blue-violet coloring of the cervix caused by increased vascularity correct answer: Chadwick's sign
The multiple marker test is used to assess the fetus for which condition? correct answer: Down syndrome Vaccines that can be administered during pregnancy inclue correct answer: Tetanus, Diphtheria, and Hepatitis B Inadequate weight gain warrants this condition correct answer: Intrauterine growth restriction These contractions will continue and get stronger even if I relax and take a shower correct answer: True labor Expected characteristic of amniotic fluid correct answer: Pale, straw color with small white particles When a pregnant woman has ROM, her risk of ______ increases correct answer: Infection May occur when membranes rupture correct answer: Umbilical cord prolapse The nurse knows that the second stage of labor, the descent phase, has begun when: correct answer: The woman experiences a strong urge to bear down Dilation of 0-3 cm correct answer: Latent pahse Dilation of 4-7 cm correct answer: Active phase Dilation of 8-10 cm correct answer: Transition phase
Indicated by a firmly contracting uterus, a change in the uterus to a globular ovoid shape, and sudden gush of dark red blood correct answer: Placental separation Help indentify the number of fetuses, the fetal lie and attitude, and the degree of descent of the presenting part into the pelvis correct answer: Leopold maneuvers The primary difference between the labor or nullipara and that of a multiparty is the: correct answer: Total duration of labor Fetal Bradycardia is most common during correct answer: Prolonged umbilical cord compression Early decelerations are caused by correct answer: Altered fetal cerebral blood flow Variable fetal heart rate decelerations are caused by correct answer: Umbilical cord compression Late fetal heart rate decelerations are a result of correct answer: Uteroplacental insufficiency Amnioinfusion is used to treat correct answer: Variable decelerations What three measures should the nurse implement to provide intrauterine resuscitation? correct answer: Reposition to mother, increase IV fluids, and provide oxygen via face mask
Used in patients who are hypertensive and have severe preeclampsia correct answer: Hydralazine Most common clinical manifestation of abruptio placentae correct answer: Intense abdominal pain Which maternal condition always necessitates delivery by c section? correct answer: Total placental previa Spontaneous termination of pregnancy is conserved to be an abortion if? correct answer: Pregnancy is less than 20 weeks Fetus dies but is retained in the uterus correct answer: Missed abortion Most common cause of spontaneous abortion correct answer: Chromosomal abnormalities Vomiting correct answer: Hypermedia gravidum Signs of ectopic pregnancy correct answer: Pelvic pain, abdominal pain, vaginal spotting or light bleeding, missed period Insulin dosages are ____ during the first trimester with diabetes correct answer: Decreased Diabetic mothers have a greater risk for a baby that is correct answer: Macrosomic
Maternal PKU is an important health concern during pregnancy because correct answer: The fetus may develop neurologic problems Thyroid disorder in which breastfeeding is strongly discouraged correct answer: PKU Signs and symptoms of cardiac decompensation include correct answer: Dyspnea, crackles, and weak, irregular pulse This drug used to treat bleeding because it may exacerbate asthma correct answer: Hemabate Heart condition that is not a contraindication for pregnancy correct answer: Heart transplant Edema, crackles at king bases, and pulse irregularity are all signs and symptoms of correct answer: Cardiac decompensation Most common medical disorder of pregnancy correct answer: Anemia Which neonatal complication is carefully monitored after the birth of the infant of a diabetic mother? correct answer: Hypoglycemia Factor known to increase the risk of gestational disbetes correct answer: Previous birth of large infant Performed to assess fetal lung maturity in the event of a preterm birth correct answer: Amniocentesis
