Nurse Moose
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    Exam Review

    1. The nurse is teaching the patient about breastfeeding.The nurse knows the following: 1. The hormone responsible for the let-down reflex is:
      A)Oxytocin.
      B)Progesterone.
      C)Hindmilk.
      D)Foremilk.
    2. The hormone responsible for the production of breast milk is:
      A)Prolactin.
      B)Progesterone.
      C)Hindmilk.
      D)Foremilk.
    3. The breast milk with more calories released later in the feeding is:
      A)Oxytocin.
      B)Prolactin.
      C)Foremilk.
      D)Hindmilk.
    4. The RN has received a hand-off report.Which client does the RN need to see first?
      A)The client having trouble breastfeeding.
      B)The client who had a postpartum hemorrhage 3 hours ago.
      C)The client complaining of pain of 5 out of 10 and requesting pain medication.
      D)The client with a history of pre-eclampsia and now has a BP of 130/90.
    Page 1 of 5

    Exam Review

    1. A client calls the clinic to report some concerns.She had an IUD inserted a few weeks ago and her present menstrual flow is heavy.You advise her to:
      A)Come to the clinic as soon as possible.
      B)Take her temperature every 4 hours.
      C)Consider this normal.
      D)Change her method of birth control.
    2. The nurse recognizes that a symptom of respiratory distress syndrome (RDS) in an infant is:
      A)Respiratory wheezing.
      B)Hyperglycemia.
      C)Tremors.
      D)Intercostal retractions.
    3. The client has a physician's order for Methylergonovine (Methergine) 0.2 mg by mouth every 6 hours for 24 hours. The RN knows the reason for this order is to assist in controlling postpartum bleeding. What is the total amount the patient will receive in mg in a 24-hour period?
    4. A nurse is caring for a newborn whose blood glucose level is 40. Which of the following interventions has priority in the nurse's plan of care?
      A)Evaluate glucose levels again in 4 hours.
      B)Assess for hypothermia.
      C)Notify MD on call.
      D)Evaluate blood serum glucose.
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    Exam Review

    1. A newly admitted postpartum client who delivered vaginally has saturated 6 perineal pads with bright red blood and many small clots during a one-hour period.The nurse suspects a post-partum hemorrhage.The nurse knows that a risk factor for post-partum hemorrhage is:
      A)A macrosomic baby.
      B)Uterine involution.
      C)A first degree laceration.
      D)Endometriosis.
    2. A nurse is caring for a newborn who is 56 hours old.Vital signs at 0700: Heart rate 168/min, Respiratory rate 70/min, Temperature 36.1°C (97.0°F), Oxygen saturation 97%. The nurse reviews the assessment findings and determines the findings are consistent with which of the following complications?
      A)Stools.
      B)Temperature.
      C)Feeding.
      D)Extremities.
      E)Hypoglycemia.
      F)Neonatal Abstinence Syndrome.
    3. The parents of a 24-week preemie who is in the neonatal intensive care unit (NICU) are visiting their baby.The newborn is intubated, receiving mechanical ventilation, TPN, intravenous fluids and medications, and is being monitored electronically by various devices.What action by the nurse would be the most appropriate at this time?
      A)Reassure the parents that the newborn is doing well.
      B)Provide discharge teaching on SIDS prevention.
      C)Discuss topics such as diapering, skin, and umbilical cord care.
      D)Emphasize the importance of pumping breast milk for when the infant begins enteral feedings.
    4. A nurse is caring for a newborn who is 56 hours old.Vital signs at 0700: Heart rate 168/min, Respiratory rate 70/min, Temperature 36.1°C (97.0°F), Oxygen saturation 97%. The nurse reviews the assessment findings and determines the findings are consistent with which of the following complications?
      A)Stools.
      B)Temperature.
      C)Feeding.
      D)Extremities.
      E)Hypoglycemia.
      F)Neonatal Abstinence Syndrome.
    Page 3 of 5

    Exam Review

    1. The nurse is providing discharge teaching about the possibility of mastitis to a mother who is breastfeeding.Which statement by the client indicates a need for MORE teaching?
      A)I will take antibiotics for 2-3 days until the soreness subsides.
      B)I can continue breastfeeding while the mastitis resolves.
      C)I will take analgesics to relieve some of the discomfort.
      D)I need to wear a supportive bra.
    2. The nurse evaluates a 10-hour-old newborn who is B-negative blood type and whose mother is O+. The nurse assesses the newborn to have noticeable yellow discoloration of the skin.The nurse reports this as pathologic jaundice and understands that which finding is most helpful in reducing jaundice in the infant?
      A)Frequent bowel movements.
      B)A stable temperature of 98.0°F axillary.
      C)6-8 voids in a 24-hour period.
      D)A heel stick of 60.
    3. The infant should have six wet diapers daily.
      A)The infant will burp after every feeding.
      B)The infant will have frequent loose yellow stools each day.
      C)The infant should gain weight at a steady rate.
      D)The infant should sleep through the night.
      E)None
      F)None
    4. A nurse is caring for a client who just delivered a newborn.Following the delivery, which nursing action should the nurse take first?
      A)Dry the infant off and cover the head.
      B)Stimulate the infant to cry.
      C)Clear the respiratory tract.
      D)Assess the umbilical cord.
    Page 4 of 5

    Exam Review

    1. A neonatologist prescribes gentamicin for a 2-day-old, septic preterm infant who weighs 4300 grams. The dosage of gentamicin for babies less than 1 week of age is 2 mg/kg q 12 hours. The dose on hand is 20 mg per 1 ml. The nurse calculates the safe dose of this medication to be. ml. in 12 hours.
    2. You are required to administer 3,800 units of Heparin sodium dose subcutaneously (SQ) to a mother. The pharmacy sends a 10,000 units in a 5ml vial. How many mls will the nurse administer?
    3. Zidovudine oral solution 24 mg/kg PO BID has been ordered for a newborn at risk for HIV. On hand is 3000 grams. Calculate the amount to be administered in ml per dose.
    4. A nurse is caring for a client who is postpartum.When should the nurse instruct the client that the breast milk will "come in"?
      A)In 3 to 5 days.
      B)Within 2 days.
      C)In about 10 days.
      D)In 6 to 8 days.
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