Reference no: EM133914793
Questions
1. The nurse is teaching discharge instructions to the young parents of a healthy newborn boy, whose vital signs are stable and whose circumcision appears clean and intact. The nurse should encourage the parents to call the health care provider if which situation is Discovered?
A. A yellowish crusty substance on the circumcision site
B. Crying for 2 hours or more each day
C. Moisture at the base of the umbilical cord
D. Stools are loose and yellow
2. The neonatal intensive care nurse is admitting a Large- for -gestational- age infant at 1-hour post birth with nasal flaring, jittering, temp 36 C. What would be the nurse's first action?
A. Obtain a blood glucose level.
B. Continue monitoring hourly
C. Assess the intake and output
D. Call the provider
3. A newborn has a respiratory rate of 80 breaths/min. nasal flaring with sternal retraction, a heart rate of 150 beats/ min, temperature of 36C (98.8F) and oxygen saturation of <87%. The nurse interprets these findings as:
A. cardiac distress
B. respiratory alkalosis
C. pneumonia
D. respiratory distress. I saw this in the quizlet, hint in the next question.
4. A nurse is assessing a newborn. Which findings would alert the nurse to the possibility of respiratory distress in a newborn?
A. Asymmetrical chest movement
B. Periodic apnea
C. Respirations of 50 breaths/minute
D. Sternal retractions
E. Small sound with each exhale
5. After an hour of administering oxytocin IV, the nurse assesses a woman's contractions to be 80 sec in length and occurring with only 30 seconds of a break in between contractions. The nurse's first action would be to:
A. slow the infusion to under 10 gtt per minute.
B. increase the flow rate of the main line infusion.
C. discontinue the oxytocin infusion. Normal is below 70 sec
D. continue to monitor contraction duration every 2 hours.
6.. The nurse is managing a woman receiving an oxytocin infusion for labor induction. 30 minutes have passed. The Pitocin is a 4 milliunits/min and contractions every 6-7 minutes lasting 60 seconds. Uterine resting tone remains at 20mmHg. Which action would be most appropriate?
A. slow the oxytocin infusion to initial rate
B. continue to monitor contractions and fetal heart rate
C. stop the infusion immediately
D. increase the oxytocin infusion by 2 milliunits/minute