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Review Test Submission: Exam 3
Instructio ns Question 1 Needs Grading The nurse is administering vitamin K (phytonadione) to a newborn. Ordered is a 1 time dose of 0.5mg of vitamin K intramuscularly. Available is vitamin K is 1mg/0.5ml. How many mililiters does the nurse administer?Selected
Answer:
0.25 ml Correct
Answer:
0.25 ml Question 2 Needs Grading A postpartum patient is receiving 1 unit of pack red blood cells (PRBC) after a hemorrhage. 372ml is infusing at 93ml/hr. The infusion started at 1230. At what time will the infusion be complete.Selected
Answer:
163
Correct
Answer:
163
Question 3
- out of 2 points
A postpartum woman is to receive 15 units of Pitocin for increased bleeding. Available is 20u/ml. How many mililitiers will be administed for one dose?Selected
Answer:
0.75 ml Correct
Answer:
Evaluation MethodCorrect Answer Exact Match0.75 ml Question 4
- out of 2 points
An infant in the NICU is receiving 18ml of breast milk via a feeding tube. The feeding is to infuse over 90 (ninety) minutes. The feeding pump should be set at which rate?Selected
Answer:
12 ml Correct
Answer:
Evaluation MethodCorrect Answer
Exact Match12 ml/hr Question 5 Needs Grading An infant is receiving 135ml of LR via infusion pump over 9 hours. The infusion pump should be set at which rate?Selected
Answer:
15 ml/hr Correct
Answer:
15ml/ hr Question 6
- out of 2 points
The nurse notes that the infant has been feeding poorly over the last 24 hours. She
should immediately assess for other signs of:
Selected
Answer:
necrotizing entercolitis
Answers: hyperglycemia
hemolytic anemia
necrotizing entercolitis decreased bilirubin levels Question 7
- out of 2 points
The nurse should be alert to a blood group incompatibility if:
Selected
Answer:
the mother is B-positive and the infant is O-negative
Answers: both the mother and the infant is O-
negative the mother is B-positive and the infant is O-negative
the mother is O-positive and the infant is B-negative the mother is A-positive and the infantis A-negative Question 8
- out of 2 points
Which nursing measure would be appropriate to prevent thrombophlebitis in the recovery period following a cesarean birth?Selected
Answer:
Assist the client in performing leg exercises every
- hours
Answers: Limit the client's oral fluid intke for the first 24
hours Ambulate the client immediately
Assist the client in performing leg exercises every
- hours
- out of 2 points
Roll a bath blanket and place it firmly behind the client's knees Question 9
Which measure may prevent mastitis in a breastfeeding client?Selected
Answer:
Initiating early and frequent feedings
Answers:
Initiating early and frequent feedings Wearing a tight-fitting bra Applying ice packs prior to feeding Nursing the infant for 5 minutes on each breast Question 10
- out of 2 points
What data in the client's history should the nurse recognize as being pertinent to a possible diagnosis of postpartum depression?Selected
Answer:
History of extreme sadness
Answers:
History of extreme sadness Second pregnancy in a 3-year period Ambivalence during the first trimester Unexpected operative birth Question 11
- out of 2 points
How can nurses prevent evaporative heat loss in the newborn?Selected
Answer:
Drying the baby after birth and wrapping the baby in a dry blanket
Answers:
Drying the baby after birth and wrapping the baby in a dry blanket Placing the baby away from the outside wall and the windows Keeping the baby out of drafts and away from air conditioners Warming the stethocope and the nurse's hands before touching the baby Question 12
- out of 2 points
Which infant has the lowest risk of developing high bilirubin levels?Selected
Answer:
The infant who developed a cephalohemotoma
Answers:
The infant who is breastfeed during the first hour of life The infant who uses brown fat to maintain temperature The infant who was bruised during a difficult birth The infant who developed a cephalohemotoma Question 13
- out of 2 points
The nurse is preparing to administer a vitamin K injection to the infant shortly afte birth.Which is important to understand about vitamin K?Selected
Answer:
It is not initially synthesized because of a sterile bowel at birth
Answers: It is important for the production of red blood cells
It is necessary for the production of platelets It is responsible for the breakdown of bilirbin and the prevention of jaundice
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