A nurse is caring for a client who is at 36 weeks of gestation.

Exhibits

For each day 2 finding, click to specify whether the finding indicates that the client's condition has improved, has not changed, or has declined.

Liver function tests

Edema

Fetal heart rate and variability

Headache

Epigastric discomfort

Urine dipstick

Answer and Explanation

The Correct Answer is {"A":{"answers":"A"},"B":{"answers":"B"},"C":{"answers":"C"},"D":{"answers":"A"},"E":{"answers":"A"},"F":{"answers":"B"}}

Liver Function Tests: Improved
The significant decrease in AST, ALT, ALP, and bilirubin levels indicates improved liver function.
Edema: Improved
The reduction from +3 to +2 edema in the lower extremities shows a decrease in swelling, indicating improvement.
Fetal Heart Rate and Variability: Declined
The decrease in FHR with minimal variability and no accelerations suggests a decline in fetal status.
Headache: Improved
The reduction in headache pain from a score of 8 to 2 indicates improvement.
Epigastric Discomfort: Improved
The absence of epigastric pain on Day 2 suggests improvement.
Urine Dipstick: Not Changed
The protein levels in the urine remained at 2+ on both days, indicating no change in kidney function.

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Correct Answer is D

Explanation

A. This choice is partially correct because it addresses the parent's concern by offering to

involve the supervisor. However, it does not provide the parent with the specific reason why the incident was reported.
B. This response defers the explanation to another time and person, which may increase the parent's frustration or anxiety.
C. This choice explains the action taken but does not clarify the nurse's legal obligation to report the incident, which is the central issue.
D. This is the most appropriate response as it clearly communicates the nurse's legal responsibility to report any suspected cases of child abuse, providing transparency and understanding of the actions taken.

A. Administer oral morphine. B. Swaddle the newborn. C. Administer naloxone for NAS scores greater than 24. D. Encourage the birthing parent to breastfeed. E. Continue NAS scoring as prescribed

Correct Answer is ["A","B","E"]

Explanation

A. Administering oral morphine is anticipated because it is used to manage withdrawal symptoms in newborns with Neonatal Abstinence Syndrome (NAS..
B. Swaddling is a non-pharmacological intervention that can provide comfort and reduce overstimulation.
C. Administering naloxone is not typically the first line of treatment for NAS and is used in cases of acute opioid overdose, which is not indicated by the information provided.
D. Encouraging the birthing parent to breastfeed may not be appropriate due to the presence of heroin in the system, which can be transmitted to the newborn through breast milk.
E. Continuing NAS scoring is essential to monitor the newborn's condition and response to treatment.

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A nurse is caring for a client who is at 36 weeks of gestation. Exhibits For each day 2 finding, click to specify whether the finding indicates that the client's condition has improved, has not changed, or has declined.

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse reports an incident of suspected child abuse. One of the parents of the child becomes upset and demands to know the reason for the nurse's action. Which of the following responses by the nurse is appropriate?

Correct Answer is D

Explanation

Correct Answer is ["A","B","E"]

Explanation

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A nurse is caring for a client who is at 36 weeks of gestation.

Exhibits

For each day 2 finding, click to specify whether the finding indicates that the client's condition has improved, has not changed, or has declined.