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RN RNSG 2260 MATERNAL NEWBORN MIDTERM EXAM QUIZ 1,2,3 GUIDE 2023, Lecture notes of Nursing

RN RNSG 2260 MATERNAL NEWBORN MIDTERM EXAM QUIZ 1,2,3 GUIDE 2023

Typology: Lecture notes

2022/2023

Available from 06/17/2024

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RN RNSG 2260 MATERNAL NEWBORN MIDTERM EXAM
QUIZ 1,2,3 GUIDE 2023
Quiz 1
1. A labor and delivery unit gets a call; the client is stating she has not had any leaking of fluid from
the vagina, contractions that are becoming stronger, She has some blood when she wipes and
after voiding, based on the report which one of the clinical findings should the nurse recognize
the client is experiencing?*** True contractions (becomes stronger, consistent and cervical
change), bloody show
2. A nurse in labor and delivery unit is completing an admission assessment for a client who is 39
weeks gestation, the client reports she has been leaking fluid for two days. Which of the
following would you be concerned with?*** Infection(barrier broken)
3. A nurse is caring for a client experiencing contractions every 8 minutes lasting 30-40 seconds,
cervix is 2cm , 50% effaced, fetus -2, FHR 140. Which of the following stages and phases is the
client experiencing? ***1st stage Latent stage
4. A nurse is caring for a client 40 weeks gestation reporting a large gush of fluid as she is walking
back from the bathroom. Which of the following actions should the nurse take first?*** Check
fhr for distress (because water breaking can cause vacuum and cord prolapse)
5. The nurse is caring for a client in active labor she becomes nauseous and vomits, she becomes
irritable, feels the urge to have a bowel movement, saying she has had enough. What stage and
phase is she in?*** 1st stage transitioning
6. A nurse is explaining to a group of nursing students what occurs during active labor as the uterus
contracts, what statement explains maternal-fetal exchange of oxygen and waste products?
***The exchange diminishes as the spiral artery are compressed (The best exchange happens
during uterine relaxation between contractions)
7. Clients ask a nurse how she can tell if a labor is real what should the give as an answer?
***Cervix dilates (any cervical change), resemble menstrual cramps during early labor,
Contraction increase with frequency, duration and intensity with walking
8. Pregnant clients can tolerate the normal blood loss associated with childbirth because? ***They
have an increased blood volume by 40%-50%
9. A nurse in a prenantal clinic is providing education to a client who is 8 weeks gestation she says I
do not like milk, which of the following foods should the nurse recommend for calcium? ***Dark
green leafy vegetables
10. A nurse is caring for 4 clients which of the following clients weight gain should the nurse report
to the provider?*** 8lb 1st trimester
11. A nurse in the clinic is teaching a client about the importance of folic acid and the defects it can
cause if not taken? ***Neural tube defects
12. A nurse is reviewing a new prescription for iron supplements which of the following beverages
should the nurse instruct the client to take with the supplements?*** Orange juice
13. A nurse is caring for a client 13 weeks gestation and reviewing manifestations of complications
the client should promptly report to the provider, which of the following? ***Vaginal bleeding
(not expected at 13 weeks)
14. A client is 7 weeks gestation and experiencing nausea and vomiting in the morning, which of the
following should the nurse include ? ***Eating crackers or toast before getting out of bed (any
dry carbohydrate)
15. A nurse is teaching a client about common discomforts of pregnancies which of the following
findings should the nurse include? ***Breast tenderness (hormone changes), Urinary frequency
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RN RNSG 2260 MATERNAL NEWBORN MIDTERM EXAM

QUIZ 1,2,3 GUIDE 2023

Quiz 1

  1. A labor and delivery unit gets a call; the client is stating she has not had any leaking of fluid from the vagina, contractions that are becoming stronger, She has some blood when she wipes and after voiding, based on the report which one of the clinical findings should the nurse recognize the client is experiencing?*** True contractions (becomes stronger, consistent and cervical change), bloody show
  2. A nurse in labor and delivery unit is completing an admission assessment for a client who is 39 weeks gestation, the client reports she has been leaking fluid for two days. Which of the following would you be concerned with?*** Infection(barrier broken)
  3. A nurse is caring for a client experiencing contractions every 8 minutes lasting 30 - 40 seconds, cervix is 2cm , 50% effaced, fetus - 2, FHR 140. Which of the following stages and phases is the client experiencing? ***1st stage Latent stage
  4. A nurse is caring for a client 40 weeks gestation reporting a large gush of fluid as she is walking back from the bathroom. Which of the following actions should the nurse take first?*** Check fhr for distress (because water breaking can cause vacuum and cord prolapse)
  5. The nurse is caring for a client in active labor she becomes nauseous and vomits, she becomes irritable, feels the urge to have a bowel movement, saying she has had enough. What stage and phase is she in?*** 1 st^ stage transitioning
  6. A nurse is explaining to a group of nursing students what occurs during active labor as the uterus contracts, what statement explains maternal-fetal exchange of oxygen and waste products? ***The exchange diminishes as the spiral artery are compressed (The best exchange happens during uterine relaxation between contractions)
  7. Clients ask a nurse how she can tell if a labor is real what should the give as an answer? ***Cervix dilates (any cervical change), resemble menstrual cramps during early labor, Contraction increase with frequency, duration and intensity with walking
  8. Pregnant clients can tolerate the normal blood loss associated with childbirth because? ***They have an increased blood volume by 40%-50%
  9. A nurse in a prenantal clinic is providing education to a client who is 8 weeks gestation she says I do not like milk, which of the following foods should the nurse recommend for calcium? ***Dark green leafy vegetables
  10. A nurse is caring for 4 clients which of the following clients weight gain should the nurse report to the provider?*** 8lb 1 st^ trimester
  11. A nurse in the clinic is teaching a client about the importance of folic acid and the defects it can cause if not taken? ***Neural tube defects
  12. A nurse is reviewing a new prescription for iron supplements which of the following beverages should the nurse instruct the client to take with the supplements?*** Orange juice
  13. A nurse is caring for a client 13 weeks gestation and reviewing manifestations of complications the client should promptly report to the provider, which of the following? ***Vaginal bleeding (not expected at 13 weeks)
  14. A client is 7 weeks gestation and experiencing nausea and vomiting in the morning, which of the following should the nurse include? ***Eating crackers or toast before getting out of bed (any dry carbohydrate)
  15. A nurse is teaching a client about common discomforts of pregnancies which of the following findings should the nurse include? ***Breast tenderness (hormone changes), Urinary frequency

(change in ureters lengthen, fluid shift), epistaxis (vaso congestion and should stop by end of 1 st trimester), teeth and gums

  1. A womans obstetric history indicates she is pregnant for the 4th^ time all of her children from the previous pregnancies are living, 1 was born at 39 weeks gestation, twins were born at 34 weeks, another child at 35 weeks, What is her Gravida parity using the GTPAL (G=how many times confirmed pregnancy include current pregnancy, T= term pregnancy regardless of out come ( weeks or greater), P= preterm regardless of outcome 20-36 week 6 days), A= abortion anything less than 20 weeks, L= living children today)** G- 4 T- 1 P- 2 A- 0 L- 4
  2. A nurse is reviewing a health record for a client who is pregnant, the provider indicates the client exhibits probable signs, which of the following findings should the nurse expect? ***Goodell sign (soft cervix), Ballottement (examiner feels fetus move), pregnancy test is positive
  3. A pregnant woman biophysical profile is 8 she ask the nurse to explain the results, the nurses best response is? ***The results are within normal limits (sonogram done to see if fetus is health and growing)
  4. A client has a NST, the report notes 2 or more fetal hart rate accelerations of 15 beats per minute occur with fetal movement in a 20 minute period. ***This is a reactive NST
  5. A client is 8 weeks pregnant, I am not sure if I am happy about the pregnancy? What is the best response. ***It is normal to have these feelings during the 1 st^ few months of pregnancy Quiz 2
  6. What is the difference between caput and cephalohematoma (can Increase risk of jaundice caused by blood breakdown)? ***Cephalohematoma several hours and days after birth, while caput is noted shortly before or after birth, edema that crosses suture lines is observed with caput, Cephalohematoma is bleeding between the periosteum and skull (vacuum extraction, forceps)
  7. Which are early signs of hypoglycemia in a newborn for which the nurse should assess? ***Jitteriness (shiver or tremor), poor feeder, respiratory difficulty
  8. A nurse is performing a gestational age assessment on a newborn, which characteristics shows the greatest gestational maturity?*** peeling and cracking of skin (vernix gone), amniotic fluid decreases from 37 weeks on (Ballard score)
  9. Which newborn reflex is elicited by stroking the lateral sole of the foot from the heel to the ball? ***Babinski
  10. A nurse is caring for a newborn 38 weeks gestation weighs 3200 grams in the 60% based on weight and age neonate should be classified as:*** AGA (SGA = <10%, LGA =>90% both extremes at higher risk for hypoglycemia)
  11. Which assessment finding of a newborn requires prompt response by the nurse ?*** a pause in breathing more than 20 seconds (newborn pause shouldn’t be more than 10 seconds)
  12. A 38 week gestation fetus delived by c-section transported to the newborn nursery in an isolate the apgar score was 8 and 9 at 1 & 5 minutes. What is the priority nursing diagnosis?*** Ineffective airway clearance due to delivery and use of anesthetics. (due to c-section not providing the squeezing prior to deliver that helps clear lungs, also the medication given to mom for the procedure crosses to fetus)
  13. What should the nurse explain when responding to the question, what should the nurse explain when responding to the question will I produce enough milk for my baby when she grows and
  1. A nurse is caring for a client following the administration of epidural block she is prep IV fluid bolus why? ***Counter acts hypotension (regional blocks cause vaso dilation shunts blood flow to moms major organs away from placenta)
  2. A nurse is caring for a client who is 40 weeks and has noticed the fetal heart rate baseline has risen to 165 for the last hour. What can cause this?*** Maternal fever, maternal dehydration, admin of terbutaline (breathin) (uterine relax med)
  3. The nurse recognizes that late decelerations can result from which of the following? ***Maternal hypotension, excessive uterine activity (tachysytole more than 5 in 10 minutes), maternal hypertension, gestation 42 weeks
  4. The nurse is caring for a client in the 2 nd^ stage of labor (pushing 15min-3hr) she is expected to deliver in 20 minutes and provider is prep to administer lidocaine for pain and perform an episiotomy. The nurse should now what the dr is performing. ***Pudendal block ) ring of fire area
  5. A nurse educator is reviewing the use of a chemical agent to promote cervical ripening, indicates understanding? ***Inserted vaginally (bishop score for induction)
  6. A the following clients are in labor requesting pain medication which of the following should the nurse administer opiod 1 st. ***gravida 2 para 1 6cm 100% effaced rocking back and forth.
  7. A laboring woman just had an amniotomy to augment labor, whar vital sign do you take every 2 hours? ***Temperature baceuse the barrier is risk for infection
  8. Which of the following is used to assist with cervical ripening process prior to induction? ***Prostaglandins (cervidil), midosprostol (Cytotec), laminaria tents
  9. Which Bishop score signifies best chance of induction? ***Primagravida Bishop score of 9
  10. A nurse recognizes the the most common and harmful complication of edpidural is ***Maternal hypotension
  11. A nurse caring for a client who is Rh negative will undergo external version (turning fetus to cephalic position) which of the following medication should the nurse prepare to administer regardless of the successs?*** Rh immunoglobulin
  12. The postpartum woman who had a long labor induced is at high risk for what complications? ***hemmorrhage
  13. A nurse is caring for a client who is using pattern breathing the client reports numbness and tingling of fingers what should the nurse assist client to do. ***Breath into cupped hands or paper bag
  14. A client in labor is transported to the delivery room for a c-section,a client is transfert to table in: ***supine with wedge under one hip
  15. FHR tracing look for normal base line (normal 110-160, brady, tachy), variability (absent, minimal, moderate), Accelerations, decelerations, contraction minutes, duration, category 1,2 or 3
  16. Which of the following would be an indication for cesarean birth?*** Cephalicpelvic disproportion, active herpes, consistent non reassuring fhr