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    U World Practice Questions

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    Savanna Chambers
    This document contains 10 practice questions related to nursing care of laboring and postpartum clients and newborns. The questions cover topics like oxytocin administration, fetal heart rate monitoring during labor, newborn assessments, infant safety teaching, postpartum complications, neonatal resuscitation, and pain management in labor.

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    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd

    U World Practice Questions

    Uploaded by

    Savanna Chambers
    385 views3 pages
    This document contains 10 practice questions related to nursing care of laboring and postpartum clients and newborns. The questions cover topics like oxytocin administration, fetal heart rate monitoring during labor, newborn assessments, infant safety teaching, postpartum complications, neonatal resuscitation, and pain management in labor.

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    This document contains 10 practice questions related to nursing care of laboring and postpartum clients and newborns. The questions cover topics like oxytocin administration, fetal heart rate monitoring during labor, newborn assessments, infant safety teaching, postpartum complications, neonatal resuscitation, and pain management in labor.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    385 views3 pages

    U World Practice Questions

    Uploaded by

    Savanna Chambers
    This document contains 10 practice questions related to nursing care of laboring and postpartum clients and newborns. The questions cover topics like oxytocin administration, fetal heart rate monitoring during labor, newborn assessments, infant safety teaching, postpartum complications, neonatal resuscitation, and pain management in labor.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
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    U WORLD: PRACTICE QUESTIONS

    1. A nurse is preparing to administer oxytocin to induce labour. The nurse knows oxytocin
    infusion can lead to what?
    -unnecessary c section: oxytocin (labour inducer) can lead to contractions becoming too strong
    and lead to reduced placental blood flow. This can lead to non-reassuring fetal heart rate patterns
    such as late decelerations, fetal bradycardia, tachycardia or minimal variability which could
    necessitate C-section.
    2. The nurse is monitoring a client who is in active labour with a cervical dilation of 6cm. Which
    uterine assessment finding requires an intervention by the nurse?
    -contraction duration of 95 seconds

    3. The nurse is performing an assessment on a 39-week neonate an hour after spontaneous


    delivery. What are common expected newborn findings?
    -plantar creases up the entire sole
    - toes fan upward when the lateral sole is stroked (Babinski reflex)
    -white pearl like cysts on gum margins (Epstein’s pearls)
    -skin on the nose blanches to a yellowish hue (jaundice)
    -one artery and one vein in the umbilical cord (should have 2 arteries 1 vein)
    4. The registered nurse is teaching a class of expectant parents about infant safety. Which
    statement by a parent indicates need for further teaching?
    -I will tie bumper pads to the sides of the cribs (not been shown effective in preventing injury
    and likely increase the risk of SIDS)
    -Firm mattress in the crib
    -Put baby to bed with a pacifier when placing infant to sleep
    U WORLD: PRACTICE QUESTIONS

    -I will use sleeping sack or thin tucked blanket (if blanket is used it should be thin and tucked
    around the sides and bottom of mattress)
    5. A nurse is caring for a client following a forceps assisted vaginal birth. The client reports
    severe vaginal pain and fullness. On assessment, the nurse notices a firm, midline uterine fundus.
    Lochia rubra is light. Which diagnosis should the nurse anticipate?
    -vaginal hematoma
    6. A woman who had C-section 5 hours ago now appears anxious and reports SOB. The nurse
    should assess for which priority problem before contacting HCP?
    -calf warmth and redness (SOB and anxiety are signs of pulmonary embolism from a DVT,
    pregnancy increased coagulability to avoid hemorrhaging)
    -elevated temp
    -elevated WBC count
    -incisional discomfort
    7. The nurse performing an initial newborn assessment after birth observes a bluish discoloration
    of the hands and feet. The trunk has a pink colour. What is the nurses initial action?
    -Place infant in skin-to-skin with mother (peripheral cyanosis is considered normal during the
    first 7-10 days of life if the infant becomes cold)
    8. The nurse is checking the chart of a post-partum client who delivered at 12am. Which of the
    following contributing factors may indicate that the client has a high risk of early post-partum
    hemorrhage?
    -grand multiparity
    -infant birth weight of 9lbs, 2 ounces
    -third stage of labour lasting 1 hour
    9. A neonate on ventilator support is diagnosed with trisomy 18 (Edwards syndrome). What
    would be an appropriate action by nurse?
    -request a meeting with the palliative care team and the parents to discuss end of life care (life
    expectancy of this disease is a few weeks)
    10. Four clients in labour are requesting pain medication from the nurse. Which client can safely
    receive an opioid antagonist analgesic IV push at this time?
    -Gravida 2, 5cm dilated, 100% effaced, contractions 3-4 minutes apart, moaning and shaking
    (systemic analgesia may only be administer during active stage of labour)
    U WORLD: PRACTICE QUESTIONS

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