A neonate born at 34 weeks' gestation and weighing 6lbs, 10oz (2750g) is admitted to the nursery, The vital signs are: apical heart rate 130; respiration 58, BP- 60/20. Temp. 98 degrees F; Apgar score of 4 and 8. The nurse should designate the highest priority health outcomes to be:

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Maternal and Newborn Nursing Questions

Question 1 of 5

A neonate born at 34 weeks' gestation and weighing 6lbs, 10oz (2750g) is admitted to the nursery, The vital signs are: apical heart rate 130; respiration 58, BP- 60/20. Temp. 98 degrees F; Apgar score of 4 and 8. The nurse should designate the highest priority health outcomes to be:

Correct Answer: A

Rationale: Oxygenation is critical for pre-term infants.

Question 2 of 5

What response should the nurse make first to a young woman who showered after a sexual assault?

Correct Answer: A

Rationale: Preserving evidence is critical for legal proceedings.

Question 3 of 5

What complication is high risk for women on hormone replacement therapy (HRT) for an extended period?

Correct Answer: A

Rationale: Long-term HRT increases endometrial cancer risk.

Question 4 of 5

How would the nurse best analyze the results from a patient sonogram that shows the fetal shoulder is the presenting part? What position?

Correct Answer: A

Rationale: When the sonogram shows the fetal shoulder as the presenting part, it indicates a bridge transverse position. This position means that the baby is lying sideways in the uterus, with one shoulder presenting first. It is essential for the nurse to recognize this position as it may impact the mode of delivery and require additional monitoring to ensure the safe delivery of the baby. Through proper analysis and understanding of the sonogram results, healthcare providers can make informed decisions and provide appropriate care for both the mother and the baby.

Question 5 of 5

The nurse is assessing a postpartum client who delivered 2 hours ago. What finding requires immediate action?

Correct Answer: C

Rationale: A boggy fundus indicates uterine atony, increasing the risk of hemorrhage.

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