MCN FINAL ELABORATION EXAM QUESTION with Correct ANSWERS Graded A+ (LATEST)

MCN FINAL ELABORATION EXAM QUESTION with Correct ANSWERS  Graded A+ (LATEST)
The nurse understands that the endometrium is prepped for egg implantation by
the corpus luteum, which secretes:
A. Progesterone
B. Estrogen
C. Luteinizing hormone
D. Prolactin - ANSWER A. Progesterone
The nurse observes a gush of blood and a rise of the fundus in abdomen. The
patient is most likely experiencing:
A. A postpartum hemorrhage
B. Delivery of the placenta
C. A cervical laceration
D. Uterine atony - ANSWER B. Delivery of the placenta: Cord length elongates,
perineum will bulge
Priority interventions for Cassie's healthy LGA baby include:
A. Initial feeding within first hour of life
B. Early bath
C. Skin to skin
D. Oxygen 8L by mask - ANSWER A. Initial feeding within first hour of life: at risk
for hypoglycemia due to LGA
C. Skin to skin
Baby King experienced a shoulder dystocia requiring an emergency C/S. As a
consequence of the delivery, the nurse would be most concerned to assess:
A. Erythema toxicum
B. Unilateral undescended testes
C. Unilateral arm movement
Clavicle fracture
D. Unequal gluteal creases
E. A Mongolian blue spot - ANSWER C. Unilateral arm movement: Clavicle fracture
A. is like baby acne
B. is not a concern, just need followup
D. would be present in hip dystocia
E. birth mark
During the assessment of Barney who is 15 hours old, the nurse evaluates the
infant for jaundice by:
A. Removing the diaper and assessing the color of the genitalia
B. Applying pressure on the forehead for a few seconds and evaluating the skin
color
C. Assessing the color of the palms of the hands and comparing the color to the
soles of the feet
D. Assessing the color of the infant's tongue and palate - ANSWER B. Applying
pressure on the forehead for a few seconds and evaluating the skin color: Comes
down in a head down fashion (cephalocaudal pattern)
A yellow color is noted when Barney's forehead is blanched. This represents :
A. normal finding
B. Physiologic jaundice
C. Breastfeeding jaundice
D. Pathological jaundice - ANSWER D. Pathological jaundice: Before 24hr: due to
ABO incompatibility and possible bruising due to vacuum assisted delivery
B would be present after 24hr
The direct Coombs test is done to detect which of the following?
A. Degree of anemia in the neonate
B. Electrolyte imbalances in the neonate
C. Antibodies coating the neonate's red blood cells
Going to patient himself, so go to babies blood
D. Antibodies in the maternal blood. - ANSWER C. Antibodies coating the
neonate's red blood cells: Going to patient himself, so go to babies blood
D. would be an indirect coombs test
A nurse is caring for an infant born with a high bilirubin level. When planning the
infant's care, what interventions will assist in reducing the bilirubin level? Select
all that apply.
A. Hydration
B. Increase water intake
C. Early feedings
D. Administer vitamin supplements
E. Phototherapy - ANSWER A. Hydration
C. Early feedings: promote maturity of systems
E. Phototherapy

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