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N271 EXAM 1 QUESTIONS AND ACCURATE ANSWERS., Exams of Nursing

N271 EXAM 1 QUESTIONS AND ACCURATE ANSWERS.

Typology: Exams

2024/2025

Available from 07/06/2025

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N271 EXAM 1 QUESTIONS AND ACCURATE
ANSWERS
A primigravida client at 23 weeks gestation reports that they have head a headache for 2
days. The nurse assesses the client's blood pressure and finds that it is 148/96. What will
the nurse do next?
A) Obtain a urine sample and evaluate it for the presence of protein.
B) Reassure the client that its normal for BP to increase during the 2nd trimester
C) Start an IV and administer Labetalol
D) Decrease stimuli and recheck BP in 10min - answer A) Obtain a urine sample and
evaluate it for the presence of protien.
A laboring gestational diabetic (GDM) client at 40 weeks gestation is about to deliver her
first baby. Which nursing action does the nurse anticipate during the second stage of
labor?
A) Administration of an IV fluid bolus
B) Manual compression of the uterus
C) Placing the client in trendelenburg position
D) Performance of Mc Robert's Maneuver - answer D) Performance of Mc Robert's
Maneuver.
**Anticipating possible shoulder distocia r/t LGA. This maneuver can add a couple
centimeters to birthing canal.
The client at 37 weeks gestation has severe pre-eclampsia. She reports a frontal headache
and epigastric pain, both 7/10 on the pain scale. Which medication will the nurse
administer first?
A) Pitocin
B) Fentanyl
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N271 EXAM 1 QUESTIONS AND ACCURATE

ANSWERS

A primigravida client at 23 weeks gestation reports that they have head a headache for 2 days. The nurse assesses the client's blood pressure and finds that it is 148/96. What will the nurse do next? A) Obtain a urine sample and evaluate it for the presence of protein. B) Reassure the client that its normal for BP to increase during the 2nd trimester C) Start an IV and administer Labetalol D) Decrease stimuli and recheck BP in 10min - answer A) Obtain a urine sample and evaluate it for the presence of protien. A laboring gestational diabetic (GDM) client at 40 weeks gestation is about to deliver her first baby. Which nursing action does the nurse anticipate during the second stage of labor? A) Administration of an IV fluid bolus B) Manual compression of the uterus C) Placing the client in trendelenburg position D) Performance of Mc Robert's Maneuver - answer D) Performance of Mc Robert's Maneuver. **Anticipating possible shoulder distocia r/t LGA. This maneuver can add a couple centimeters to birthing canal. The client at 37 weeks gestation has severe pre-eclampsia. She reports a frontal headache and epigastric pain, both 7/10 on the pain scale. Which medication will the nurse administer first? A) Pitocin B) Fentanyl

C) Betamethasone D) Magnesium Sulfate - answer D) Magnesium Sulfate A client who delivered her baby 2 hours ago reports sudden onset chest pain, difficulty breathing, and her continuous O2 saturation drops from 98% to 80%. The nurse performs which priority intervention fist? A) Call for immediate help B) Encourage client to turn, cough, and deep breath C) Administer an IV fluid bolus D) Obtain a full set of vital signs - answer A) Call for immediate help. The pregnant patient at term is experiencing profuse bright red painless vaginal bleeding. What nursing intervention is appropriate based on these findings? A) Massage the uterine fundus B) Elevate the fetal presenting part C) Prepare for emergency delivery D) Assess the cervical dilation - answer C) Prepare for emergency delivery The nurse is caring for a pregnant client who has a positive HIV result on their first trimester labs. The nurse prepares to educate the client on which drug therapy will this patient need during their pregnancy? A) Antiretroviral Therapy B) Betamethasone Therapy C) Penicillin Therapy D) Acyclovir Therapy - answer A) Antiretroviral Therapy When caring for a pregnant client diagnosed with pre-eclampsia, which laboratory findings will the nurse be most concerned about? A) Elevated urine protein and low uric acid B) Elevated liver enzymes and low platelets

The nurse is proving routine care to a neonate who is 24 hours old. The nurse understands that which of the following maternal infections during pregnancy may impact the the result of the neonatal hearing screen? A) Cytomegalovirus B) Group B Strep C) Gonorrhea D) Chlamydia - answer A) Cytomegalovirus While preparing to care for a neonate who will be delivering soon, the nurse learns that the mother has a history of gonorrhea infection during this pregnancy. Based on this information, which of the following is the priority nursing intervention that the nurse will perform once the baby is born? A) Administer one dose of IV penicillin to the newborn within the first 8 hours of life B) Apply nystatin to the newborn's tongue prior to breastfeeding C) Apply erythromycin opthalmic ointment to the newborn's eyes within the first hour of life D) Obtain blood cultures from the newborn within 24 hours of birth - answer C) Apply erythromycin opthalmic ointment to the newborn's eyes within the first hour of life The team providing care to a 1 hour old male neonate who delivered at 35 weeks gestation are discussing his plan of care. His respiratory rate is 70 breaths/min, and his capillary blood gas results show a low serum pH. Which intervention would be the most appropriate nursing recommendation when providing SBAR report to the neonatal provider? A) Initiation of IV antibiotic therapy B) Evaluation of blood glucose C) Implementation of a reduced stimuli environment D) Administration of endotrachial surfactant - answer D) Administration of endotrachial

surfactant The nurse is recieving report on a neonate prior to assuming care. The nursing reports includes the following information: -37 week gestation female neonate -Cesarean section delivery due to known complete placenta previa -Initial newborn measurements show that she is small for gestational (SGA) -Meconium staining of the skin and umilical cord present -The neonate is jittery and has tachycardia. Based on these assessment findings, what additional prenatal history information will the nurse ask about? A) Is there a hx of syphilis exposure during pregnancy? B) Is there a hx of maternal Group B Strep infection during pregnancy? C) Is there a hx of maternal smoking during pregnancy? D) Is there a hx of maternal hypertension during pregnancy? - answer C) Is there a hx of maternal smoking during pregnancy? The neonatal nurse is attending the delivery of a mother who has used opiates chronically before and during her pregnancy. Which medication will the nurse avoid using when caring for the newborn? A) Vitamin K B) Epinephrine C) Surfactant D) Narcan - answer D) Narcan When assessing the risk factors for neonatal resucitation prior to delivery, the nurse

attempts at feeding. Upon assessment of the newborn, which of the following findings is the nurse the most concerned about? A) Blood glucose of 38 mg/dL B) Respiration rate of 58 breaths/min C) Axillary temperature 36.7 C (98 F) D) Jitteriness with movement - answer A) Blood glucose of 38 mg/dL The nurse is creating a care plan for a neonate who was delivered at 34 weeks gestation. Fill in the missing information based on correct identification of developmental alterations of the premature neonate: Ineffective infant feeding pattern related to ______________________: A) Small facial features: mouth and tongue B) Decreased metabolic rate C) Hypersensitive gag reflex D) Poor sucking and swallowing reflexes - answer D) Poor sucking and swallowing reflexes