A nurse is caring for a newborn who has exstrophy of the bladder.
Which of the following actions should the nurse take prior to the beginning of surgical correction?

Restrict the newborn's ﬂuid intake.

Keep the newborn in a side-lying position.

Cover the newborn's bladder with a sterile, non-adherent dressing.

Exert gentle pressure on the newborn's bladder with sterile gauze.

Answer and Explanation

The Correct Answer is C

A nurse caring for a newborn who has exstrophy of the bladder should cover the newborn’s bladder with a sterile, non-adherent dressing prior to the beginning of surgical correction.

Choice A is incorrect because it is not necessary to restrict the newborn’s ﬂuid intake.

Choice B is incorrect because it is not necessary to keep the newborn in a side- lying position.

Choice D is incorrect because it is not appropriate to exert gentle pressure on

the newborn’s bladder with sterile gauze.

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Correct Answer is C

Explanation

This can be a sign of magnesium toxicity and should be reported to the provider.

Choice A is incorrect because magnesium sulfate is used to treat hypertension associated with preeclampsia.

Choice B is incorrect because a respiratory rate of 16/min is within normal range.

Choice D is incorrect because hyperglycemia is not a known adverse reaction to magnesium sulfate.

A. Ectopic pregnancy. B. Postpartum hemorrhage. C. Incompetent cervix. D. Hyperemesis gravidarum.

Correct Answer is B

Explanation

A client who is 80% eﬀaced and 8 cm dilated is in active labor and at risk for postpartum hemorrhage.

Choice A is not an answer because ectopic pregnancy occurs when a fertilized egg implants outside of the uterus and is not a risk for a client who is in active labor.

Choice C is not an answer because an incompetent cervix refers to a cervix that dilates prematurely during pregnancy and is not a risk for a client who is in active labor.

Choice D is not an answer because hyperemesis gravidarum refers to severe nausea and vomiting during pregnancy and is not a risk for a client who is in active labor.

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A nurse is caring for a newborn who has exstrophy of the bladder. Which of the following actions should the nurse take prior to the beginning of surgical correction?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who is at 30 weeks of gestation and is receiving magnesium sulfate for preeclampsia. The nurse should recognize which of the following manifestations as an adverse reaction to the medication?

Correct Answer is C

Explanation

A nurse is admitting a client to the birthing unit who reports her contractions started 1 hour ago. The nurse determines the client is 80% eﬀaced and 8 cm dilated. The nurse realizes that the client is at risk for which of the following conditions?

Correct Answer is B

Explanation

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A nurse is caring for a newborn who has exstrophy of the bladder.
Which of the following actions should the nurse take prior to the beginning of surgical correction?