Exam 1: NUR2513/ NUR 2513 (Latest 2023/ 2024) Maternal-Child Nursing Exam| Grade A | Questions and Verified Answers (75 Q&A) -Rasmussen
QUESTION
A
... [Show More] client with hypertension who is receiving intravenous magnesium sulfate therapy has
requested an epidural anesthetic. The perinatal nurse should first review the client's complete
blood count (CBC) results for which of the following?
A. Decreased platelet count
B. Elevated glucose
C. Decreased protein level
D. Absence of sodium
Answer:
A. Decreased platelet count
QUESTION
The perinatal nurse prepares the laboring woman for an epidural anesthesia insertion. The
nurse knows that which of the following is done to prevent maternal hypotension?
A. Assessing the woman to lie down in a supine position.
B. Administering rapid intravenous infusion of 500 mL of lactated Ringer's solution.
C. Assessing blood pressure and pulse every 5 minutes, three times, before the epidural
insertion.
D. Encouraging frequent cleansing breaths after the patient has been placed in the correct
positions for the anesthesia administration.
Answer:
B. Administering rapid intravenous infusion of 500 mL of lactated Ringer's solution.
QUESTION
A nurse on the labor and delivery floor admits a client who is 38 weeks gestation and reports
heavy, red vaginal bleeding. The bleeding started spontaneously in the morning and is not
accompanied by contractions. The client is not in distress and she states that she can "feel the
baby moving." An ultrasound is scheduled stat. The nurse explain to the client that the purpose
of the ultrasound is to determine which of the following?
A. Placenta placement
B. Gestational age
C. Fetal lung maturity
D. Fetal measurement for dating
Answer:
A. Placenta placement
QUESTION
A nurse is caring for a client who is in labor and observes the tracing pictured below. (Picture
of EKG)
A. Maternal bradycardia
B. Umbilical cord compression
C. Uteroplacental insufficiency
D. Fetal head compression
Answer:
B. Umbilical cord compression
QUESTION
Assassin the fetus surfactant level is a primary estimation of fetal maturity. Which statement
by the nurse indicates understanding of the action of surfactant on the fetus?
A. Prevents alveoli from collapsing on expiration.
B. Increases lung resistance on inspiration
C. Encourages immunological competence of lung tissue.
D. Promotes the maturation of lung alveoli.
Answer:
A. Prevents alveoli from collapsing on expiration.
QUESTION
A pregnant client's blood type is O-negative. Following the birth of her baby, the cord blood
was tested and found to B-positive. The nurse administers her RHo(D) immune globulin. What is
the purpose of administering Rho(D) immune globulin?
A. Promotes maternal D antibody formation.
B. Prevent maternal D antibody formation.
C. Stimulate maternal D immune antigens.
D. Prevent fetal Rh blood formation.
Answer:
B. Prevent maternal D antibody formation.
QUESTION
The nurse is planning to instruct a client who is 12 weeks pregnant on interventions to stop
smoking. What should the nurse include in these instructions? (SATA)
A. Purchase nicotine chewing gum.
B. Follow a smoking cessation plan.
C. Utilizing a support system while attempting smoking cessation.
D. Apply a nicotine patch when the cravings become severe.
E. Have the client switch to using an e-cigarette.
Answer:
B. Follow a smoking cessation plan.
C. Utilizing a support system while attempting smoking cessation.
QUESTION
After assessing a client, the nurse determines a combination oral contraceptive would be
contraindicated based on the client's history. What finding by the nurse would indicate this
method would not be contraindicated for the client?
A. Smoking
B. Hypertension
C. Abnormal uterine shape
D. Thromboembolic disease
Answer:
C. Abnormal uterine shape
QUESTION
The 22-year-old G2P0 at 33 weeks gestation is admitted for preterm labor and magnesium
sulfate is initiated via IV infusion. Which of the following will the nurse include in her care of [Show Less]