Exam 2: NR 327 / NR327 Maternal-Child Nursing Exam | Questions and Verified Answers| Graded A (Latest 2023/ 2024)- -Chamberlain
QUESTION
A nurse is
... [Show More] caring for a client who is to receive a continuous IV infusion of oxytocin following a vaginal birth. Which of the following assessment findings should the nurse monitor to evaluate the effectiveness of the medication?
a. Urinary output b. BP
c. Fundal consistency d. Pulse rate
Answer:
C
Oxytocin is a smooth muscle relaxant that causes contraction of the uterus. The nurse should palpate the uterine fundus to determine consistency or tone to deter- mine if the med is effective.
Water intoxication, hypertension, and cardiac dysrhythmias are adverse effects of oxytocin.
QUESTION
A nurse is assessing a 2-day-old newborn and notes an egg-shaped, edematous, bluish discoloration that does not cross the suture line. Which
of the following pieces of information should the nurse provide to the mother when she inquires about the finding?
a. "This will resolve within 3-6 weeks without treatment" b. "This will resolve on its own within 3-4 days"
c. "The provider might drain this area with a syringe'
d. "This is expected at birth so you don't need to worry about it"
Answer:
A This is a cephalohematoma and will resolve within 2-6 weeks. A caput succedaneum is present at birth and extends across suture lines - this will resolve within 3-4 days.
QUESTION
A nurse is planning care for a newborn who is receiving phototherapy for an elevated bilirubin level. Which of the following actions should the nurse take?
a. Offer the newborn glucose water between feedings b. Keep the newborn's eye patches on during feedings
c. Apply barrier ointment to the newborn's perineal region
d. Use a photometer to monitor the lamp's energy
Answer:
D
This ensures that the newborn is receiving the appropriate amount to be effective.
QUESTION
A nurse is caring for a client who reports intestinal gas pain following a cesarean section. Which of the following actions should the nurse take?
a. Assist the client to ambulate in the hallway
b. Instruct the client to splint the incision with a pillow c. Have the client drink fluids through a straw
d. Encourage the client to drink carbonated beverages
Answer:
A Walking can help stimulate peristalsis.
QUESTION
With the basal body temp method, which is true regarding temp monitor- ing?
a. Monitor at bedtime
b. Monitor first thing in the morning c. Take a vaginal temperature
d. During a temperature plateau is when fertility is most likely
Answer:
B
QUESTION
Which is true regarding cervical mucus ovulation monitoring?
a. When the mucus is thin and can be stretched, ovulation is most likely b. When mucus is thick and sticky, ovulation is most likely
c. The woman retrieves a sample from her cervix
d. Douching does not affect this procedure
Answer:
A
QUESTION
Which is true regarding diaphragm use?
a. The diaphragm can be purchased at any local drugstore b. Replace every 2 years and with 20% weight fluctuation c. The diaphragm must stay in place 24 hours
d. Only use water soluble lubricant applied to this device
Answer:
B
QUESTION
What should a woman know about the contraceptive sponge?
a. These are fitted by the provider
b. Should be removed immediately after intercourse c. These protect against STIs
d. To use it must be moistened with water before insertion
Answer:
D [Show Less]