RN Maternal Newborn Online Practice 2019 A (Retake) With Complete Solution 100% Correct + Rationale |Verified

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RN Maternal Newborn Online Practice 2019 A (Retake) With Complete Solution 100% Correct + Rationale |Verified A nurse is transporting a newborn back to the patients room following a procedure. Whic... h of the following actions should the nurse take? A. Verify that the parent's identification band matches the newborn's identification band. B. Scan the newborn's identification band to verify their identity. C. Check the newborn's security tag number to ensure it matches the newborn's medical record. D. Match the newborn's date and time of birth to the information in the parent's medical record. {{Correct Ans- A. Verify that the parent's identification band matches the newborn's identification band. - The nurse should verify the newborn's identity every time the newborn is returned to the parents. The nurse should match the information on the parent's identification band to the information on the newborn's identification band. Other answers' Rationale: B. Scanning the newborn's identification band to verify their identity does not ensure the newborn is being transferred to the correct parent. C. Comparing the newborn's security tag number to the newborn's medical record does not ensure the newborn is being transferred to the correct parent. D. It is not necessary for the nurse to check the parent's medical record. The nurse should match the information on the parent's identification band to the information on the newborn's identification band. A nurse is caring for a client who is 32 weeks of gestation and has gonorrhea. The nurse should identify that the client is at an increased risk for which of the following complications? A. Excessive bleeding B. Oligohydramnios C. Premature rupture of membranes D. Proteinuria {{Correct Ans- C. Premature rupture of membranes - -The nurse should identify that a client who is pregnant and has gonorrhea is at an increased risk for premature rupture of membranes, chorioamnionitis, preterm birth, neonatal sepsis, and intrauterine growth restriction. Rationale: A. A client who is pregnant and has gonorrhea is not at an increased risk for excessive bleeding. B. A client who is pregnant and has gonorrhea is not at an increased risk for oligohydramnios. Oligohydramnios is a decrease in amniotic fluid and is associated with congenital anomalies such as renal agenesis and intrauterine growth restriction. D. A client who is pregnant and has gonorrhea is not at an increased risk for proteinuria. Proteinuria is associated with preeclampsia. A nurse is reviewing the prenatal laboratory results for a client who it at 12 weeks of gestation following an initial prenatal visit. Which of the following laboratory findings should the nurse report to the provider? A. Hemoglobin 10 g/dL B. WBC count 10,000/mm3 C. Platelets 250,000/mm3 D. Fasting blood glucose 90 mg/dL {{Correct Ans- A. Hemoglobin 10g/dL -- A hemoglobin of 10 g/dL is below the expected reference range of greater than 11 g/dL for a client who is pregnant. The nurse should report this finding to the provider to obtain a prescription for ferrous iron supplementation because of anemia. Rationale: B. This finding is within the expected reference range of 5,000 to 15,000/mm3 and does not require reporting to the provider. C. This finding is within the expected reference range of 150,000 to 400,000/mm3 and does not require reporting to the provider. D. This finding is within the expected reference range of 60 to 105 mg/dL and does not require reporting to the provider. A nurse in an antepartum clinic is assessing a client who is at 32 weeks of gestation. Which of the following findings should the nurse report to the provider? A. Fundal height 34 cm B. Report of decreased fetal movement C. Report of occasional ankle swelling D. BP 110/80 mm Hg {{Correct Ans- B. Report of decreased fetal movement - - The nurse should identify that a client who reports decreased fetal movement could be experiencing a complication related to fetal well-being. A decrease in fetal movement can indicate fetal distress. Rationale: A. A client who is at 32 weeks of gestation should have a fundal height about the same as the number of weeks of gestation, plus or minus 2 cm. C. The nurse should identify that occasional ankle edema is a common discomfort associated with a client who is at 32 weeks of gestation. D. The nurse should identify that during pregnancy the client's blood pressure should remain the same or be slightly decreased. A blood pressure of 110/80 mm Hg is within the expected reference range of less than 120 mm Hg systolic and less than 80 mm Hg diastolic. [Show More]

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