NURSING 421 MATERNAL NEWBORN QUESTIONS WITH RATIONALE AND ANSWERS LATEST 2023

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NURSING 421 MATERNAL NEWBORN QUESTIONS WITH RATIONALE AND ANSWERS LATEST 2023 A nurse is caring for a client who is at 36 weeks of gestation and who has a suspected placenta previa. Which of the fo... llowing findings support this diagnosis? Painless red vaginal bleeding Answer Rationale: Placenta previa is a condition of pregnancy when the placenta implants in the lower part of the uterus, partly or completely obstructing the cervical os (outlet to the vagina). Bright red, painless vaginal bleeding occurs in the second and third trimester. A nurse is caring for a client who is 1 hr postpartum and observes a large amount of lochia rubra and several small clots on the client's perineal pad. The fundus is midline and firm at the umbilicus. Which of the following actions should the nurse take? Document the findings and continue to monitor the client. Answer Rationale: These are expected findings. At 1 hr postpartum, lochia rubra should be intermittent and associated with uterine contractions. The volume of lochia resembles that of a heavy menstrual period. Small clots are common. The nurse should document the findings and continue to monitor the client. A nurse is caring for a newborn immediately following birth. After assuring a patent airway, what is the priority nursing action? Dry the skin. Answer Rationale: The newborn should be thoroughly dried, covered with a warm blanket, placed on the mother’s abdomen, and a cap applied to the newborn’s head to prevent cold stress. The newborn responds to the cooler environment by increasing his respiratory rate, which can lead to respiratory distress. Based on Maslow’s hierarchy of needs, this is the most important nursing action after securing the airway. A nurse in a prenatal clinic is caring for a client who is at 7 weeks of gestation. The client reports urinary frequency and asks if this will continue until delivery. Which of the following responses should the nurse make? [Show More]

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