VATI RN MATERNAL NEWBORN PROCTORED EXAM 2019 60 QUESTIONS WITH ANSWERS PLUS EXPLANATIONS BEST REVISION GUIDE

Document Content and Description Below

VATI RN MATERNAL NEWBORN PROCTORED EXAM 2019 60 QUESTIONS WITH ANSWERS PLUS EXPLANATIONS BEST REVISION GUIDE 1.A nurse is reviewing the medical record of a client who has preeclampysia prior to adm... inistering labetalol. For which of the following findings should the nurse withhold the medication? ANSWER: Heart rate 54/min. EXPLANATION: The nurse should identify that a heart rate of 54/min below the expected reference range of 60 to 100 min. During pregnancy, the heart rate increases 10 to 15/min due to increased volume and increased tissue demands for oxygen. Bradycardia is a contraindication for the administration of labetalol, an antihypertensive medication. Therefore, the nurse should withhold the medication and notify the provider. 2.A nurse is providing teaching to a postpartum client about strategies to reduce the risk of newborn abduction from the facility. Which of the following instructions should the nurse include in the teaching? ANSWER: Bring your newborn in the bassinet into the bathroom with you. EXPLANATION: The client should wheel the newborn in the bassinet into the bathroom with her rather than leave the newborn unattended. The nurse should instruct the client never to leave the newborn unattended. 3.A nurse is monitoring a client who is receiving oxytocin to augment labor and observes a pattern of late decelerations on the fetal monitor tracing. Which of the following actions is the nurse’s priority? ANSWER: Position the client laterally. EXPLANATION: Late decelerations occur because of uteroplacental insufficiency. According to evidence-based practice, the priority action the nurse should take is to first position the client in a lateral position to improve oxygenation to the fetus. 4.A nurse is caring for a postpartum client who is breastfeeding her newborn and reports that her nipples have become sore and cracked. Which of the following statements should the nurse make? ANSWER: Apply colostrum to the nipples after feeding to help them heal. EXPLANATION: Colostrum and breast milk have healing properties and can reduce soreness. [Show More]

Last updated: 1 year ago

Preview 1 out of 18 pages