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Which of the following would be an ABNORMAL finding when the nurse midwife assesses a newborn's cardiovascular system?
a.Acrocyanosis of the extremities
b.Heart rate of 154
c. Circumoral cyanosis
d. Irregular heartbeats
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- A pregnant client states that she "waddles" when she walks. The nurse's explanation is based on which of the following as the cause? * A. The large size of the newborn. O B. Pressure on the pelvic muscles. C. Relaxation of the pelvic joints. D. Excessive weight gain.Identify the structures in the illustration by matching the number label (left column) with the term on the right. One of the fetal structures promoting a right to left shunt that is not shown in this illustration is 10. Placenta v 1 A. ductus venosus v 2 B. hepatic portal vein C. external iliac artery v 3 v 4 D. inferior vena cava E. ductus arteriosus F. foramen ovale v 5 v 6 G. umbilicus v 7 H. umbilical artery v 8 I. internal iliac artery J. umbilical vein Buni >The nurse is caring for a client in labor. The external fetal monitor shows a pattern of variable decelerations in fetal heart rate. What should the nurse do first? * A.Change the client's position. B. Prepare for an emergency cesarean section. C. Check for placenta previa. O D.Administer oxygen
- To ensure that the baby will breathe as soon as the head is delivered, the nurse's priority action is to * A. Slap the baby's buttocks to make the baby cry. B.Suction the nose and mouth to remove mucous secretions. C. Clamp the cord about 6 inches from the base. D.Check the baby's color to make sure it is not cyanoticThe nurse records an APGAR score of 4 for a newborn. Whatwould be the priority intervention for this newborn?a. No interventions are necessary; this is a normal score.b. Provide respiratory assistance.c. Perform CPR.d. Wait 5 minutes and repeat the scoring process.Which of these is the preferred position for the baby to be in at the end of pregnancy (before the start of labour)? Select one: O a. Breech O b. Cephalic OC. Oblique O d. Transverse Which 3 of these blood tests are routinely undertaken at a booking visit? Select one or more: a. Rubella Antibodies Ob. Liver Function Tests Oc. Haemoglobin
- The nurse understands that which breast assessment finding is considered normal for the client who gave birth less than 24 hours ago? a. Firm , hard to palpation b. Thin yellow drainage is noted from the nipple . c. Cracks are noted in the nipple d. Red streaks surround the areolaWhich individual is most likely to have the highest hematocrit level? a. a 10-year-old child b. a dehydrated adult male c. a healthy, nonmenstruating adult female d. a healthy, menstruating adult femaleWhich of the following medical assessments is abnormal and would be of concern for the physician? a. Blood pressure is above normal. b. Urinalysis results are abnormal. c. Ashley’s blood glucose levels are above normal. d. All of the medical findings are within normal ranges for a pregnant woman.
- A client at 36 weeks gestation is 1 p scheduled for a routine ultrasound prior to amniocentesis. After teaching the client about the purpose of the ultrasound, which of the following client statements would indicate to the nurse in charge that the client needs further instruction? * A. The ultrasound will help to locate the placenta. B. The ultrasound identifies blood flow through the umbilical cord. C. The test will determine where to insert the needle. D. The ultrasound locates a pool of amniotic fluid.Premature babies are at high risk for: A. Hypertension B. Jaundice C. Osteoporosis D. HyperglycemiaThe nurse is to perform Leopold's Maneuver on a pregnant patient. What instructions does the nurse give the patient just before the assessment? a. Do not eat the night before the procedure b. Take slow , deep breaths to relieve pain c. Urinate just prior to procedure d. Remain on strict bed rest prior to procedure
