RN Maternal Newborn Online Practice 2019 A -Nurselytic

Questions 46

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RN Maternal Newborn Online Practice 2019 A Questions

Question 1 of 5

A client at 20 weeks' gestation asks about the purpose of an anatomy ultrasound. What is the nurse's best response?

Correct Answer: B

Rationale: The anatomy ultrasound assesses fetal growth, development, and structural abnormalities.

Question 2 of 5

A patient who was diagnosed prenatally as having epidural for pain management. What should the greater than 2,000 mL of amniotic fluid just deliv- nurse be prepared to do? Select all that apply. ered a 9 lb (4,082 g) baby girl. Her nurse is aware

Correct Answer: A

Rationale: A. Assess maternal vital signs: With the delivery of a baby with macrosomia (greater than 4,000 g), the mother is at risk for postpartum hemorrhage due to uterine atony, retained placental fragments, or lacerations.
Therefore, assessing maternal vital signs is crucial in detecting any signs of hemorrhage promptly.

Question 3 of 5

A client in the third trimester reports severe itching without rash. What condition should the nurse suspect?

Correct Answer: A

Rationale: Severe itching in pregnancy without a rash is commonly associated with cholestasis of pregnancy.

Question 4 of 5

The nurse is monitoring a client who is 34 weeks ges- dividing?

Correct Answer: A

Rationale: In the context of the question, the nurse is monitoring a 34-week gestation client. At 34 weeks, the trophoblast or inner cell mass has already developed into the placenta, which is formed earlier in pregnancy.
Therefore, choice A is the most relevant option in this scenario. Trophoblast is critical for implantation and the formation of the placenta, which plays a vital role in supporting the developing fetus by providing oxygen and nutrients. Understanding the different stages of fetal development can help the nurse provide optimal care and monitor for any potential issues that may arise during pregnancy.

Question 5 of 5

Be- tions before finding one that works.

Correct Answer: C

Rationale: Option C is the most appropriate statement to make to the client because it addresses the reality of sexually transmitted infections (STIs). Many STIs can be transmitted even when the infected individual is not experiencing any symptoms. This is an important point to communicate to prevent the spread of the infection to other sexual partners. It emphasizes the need for practicing safe sex measures and getting tested regularly, regardless of the presence of symptoms. It is important for the client to understand that they can still be a carrier of the infection even if they are not displaying any noticeable symptoms.

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