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NACE Care of the childbearing family

Total Questions : 95

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Question 1:

A nurse is explaining physiological jaundice to a nursing student.Which of the following should the nurse include when discussing risk factors for neonatal physiological jaundice?

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Question 2:

A baby boy is circumcised on the day of discharge.

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Question 3:

A patient who is 38 weeks pregnant is admitted to the hospital in active labor.
On admission, the patient says, “For the past ten hours, I have been leaking small amounts of urine.” Which action should the nurse take initially?

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Question 4:

A nurse is caring for a female client who suspects she is pregnant.
Which question, if asked by the nurse, is consistent with signs of early pregnancy?

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Question 5:

A nurse is caring for a newborn with a gestational age of 42 weeks.

Which finding would the nurse expect during the assessment of this newborn?

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Question 6:

A patient who is 37 weeks pregnant and has gestational diabetes is admitted to the labor and delivery unit for induction.
The patient is placed on an external fetal monitor and receives an epidural anesthesia.Which action should the nurse take to identify a potential side effect of the epidural?

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Question 7:

A patient is receiving magnesium sulfate.Which side effect should the nurse monitor for with this patient?

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Question 8:

A nurse is caring for a patient who is in labor and is placed on a monitor.How should the nurse determine the duration of contractions?

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Question 9:

A nurse is caring for a patient being evaluated for sexually transmitted infection (STI).A negative rapid plasma reagin (RPR) indicates that a patient is probably not infected with which STI?

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Question 10:

Question 10.

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Question 11:

A nurse is caring for a newborn of a diabetic mother (IDM).
What should the nurse monitor for during care of the newborn?

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Question 12:

A nurse is assessing a newborn.
Which finding may indicate a problem?

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Question 13:

The nurse suspects drug abuse in a patient admitted with no prenatal care and a diagnosis of abruptio placentae.Which question would elicit the most information from the patient concerning the suspected drug use?

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Question 14:

A patient with no prenatal care is admitted to the labor and delivery unit.She is placed on an external fetal monitor, and an intravenous infusion is begun.
A tentative diagnosis of abruptio placentae is made.Which finding would support this diagnosis?

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Question 15:

A nurse caring for a patient in labor is evaluating the fetal heart monitor.Which finding would indicate fetal distress?

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Question 16:

A client is at the antepartal clinic for a pregnancy test.Which finding, if present, would be considered a positive sign of pregnancy?

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Question 17:

A nurse is caring for a patient who is receiving oxytocin injection intravenously for labor induction.The nurse should monitor this patient for which adverse effect of oxytocin?

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Question 18:

A nurse is caring for a patient who is receiving oxytocin injection intravenously for labor induction.The nurse should monitor this patient for which adverse effect of oxytocin?

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Question 19:

When assessing a newborn, which is the best method for the nurse to use to elicit the Moro reflex?

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Question 20:

The mother visits her infant in the nursery.
The nurse shows the mother how to place her finger in the palm of the baby’s hand so that the baby will squeeze her finger.This behavior on the nurse’s part reflects an understanding of which principle?

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Question 21:

A client in preterm labor tells the nurse, “It’s okay that I am in labor.I’m not worried.
My sister’s baby was born this early, and he is doing great.” How should the nurse interpret this statement by the client? The client is:.

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Question 22:

The mother of a 4-hour-old newborn reports to a nurse, “My son is producing breast milk.” The nurse’s response should be based on which understanding about newborn physiology? This is:.

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Question 23:

A nurse is observing the internal fetal monitor readings of a laboring client.The fetal heart rate is between 130 and 138 beats per minute, with moderate beat-to-beat variability.
How should the nurse interpret this finding?

Answer and Explanation

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Question 24:

A nurse is caring for a newborn who is placed in a neutral thermal environment.What is the desired outcome of this measure?

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Question 25:

On her first visit, a patient had a baseline hemoglobin of 13.0 gm and a hematocrit of 42.9%.She has been taking ferrous sulfate tablets and eating an iron-rich diet.She returned to the clinic at 30 weeks gestation and has a hemoglobin of 11.0 gm and a hematocrit of 36.3%.She is concerned and confused about why these lab values have gone down.
In responding, which physiological change during pregnancy should the nurse describe to the patient?

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