Maternal Newborn Assessment WITH ANS LATEST VERSION

Maternal Newborn Assessment WITH ANS LATEST VERSION
1. A nurse is performing a vaginal exam on a client who is in active labor. The nurse notes the
umbilical cord protruding through the cervix. Which of the following actions should the nurse
take?
Administer oxytocin to the client via intravenous infusion.
Apply oxygen at 2 L/min via nasal cannula.
Prepare for insertion of an intrauterine pressure catheter.
Assist the client into the knee-chest position.
2. A nurse is assessing a newborn who is 48 hr old and is experiencing opioid withdrawals. Which
of the following findings should the nurse expect?
Hypotonicity
Moderate tremors of the extremities
Axillary temperature 36.1° C (96.9° F)
Excessive sleeping
3. A nurse is reviewing a client's medical record and notes that the client is taking
tamoxifen. The nurse should identify that tamoxifen is used to treat which of the
following conditions?
Non-Hodgkin's lymphoma
Endometriosis
Breast cancer
Polycystic ovary syndrome
4. A nurse is caring for a client who is receiving oxytocin to augment labor. The client has an
intrauterine pressure catheter and an internal fetal scalp electrode for monitoring. Which of
the following is an indication that the nurse should discontinue the infusion?
Contraction frequency every 3 min
Contraction duration of 100 seconds
Fetal heart rate with moderate variability