Instructions: Locate and access The Guide to the National Quality…

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QuestionAnswered step-by-stepInstructions: Locate and access The Guide to the National Quality…Instructions: Locate and access The Guide to the National Quality Framework 2018 (updated January 2020). Refer to section 3: National Quality Standard and Assessment and Rating, in the document to answer the following questions relating to the two categories:InclusionSupporting children’s cooperative behaviour, including their dignity and rights.Using the table provided, for each category above:Identify the Standards and Elements under the Quality Area headings provided in the table Identify the laws and regulations that apply to the relevant Standard and Element.Provide one workplace practice you would implement in an education and care service to support the relevant Quality Area   Inclusion  Quality Area 1 – Educational program and practicea) Standard    Element    b) National Law and Regulations  a) Element    b) National Law and Regulations  c) One workplace practice     Quality Area 3 – Physical environmenta) Standard    Element    b) National Law and Regulations  a) Standard    Element    b) National Law and Regulations  c) One workplace practice.      Quality Area 5 – Relationships with childrena) Standard    Element    b) National Law and Regulations  c) One workplace practice     Quality Area 6 – Collaborative partnerships with families and communitiesa) Standard    Element    Standard    Element    b) One workplace practice     Supporting children’s cooperative behaviour, including their dignity and rights:  Quality Area 5 – Relationships with childrena) Standard    Element    b) National Law and Regulations  a) Standard    Element    Element    b) National Law and Regulations  c) One workplace practice   Arts & HumanitiesWritingDIPLOMA CHC50113Share Question

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Question Answered step-by-step 1. A charge nurse is teaching a group of staff nurses about fetal monitoring during labor. Which of thefollowing findings should the charge nurse instruct the staff nurses to report to the provider?A. Contraction durations of 95 to 100 secondsB. Fetal heart rate is 140/minC. Absent early deceleration of fetal heart rateD. Contraction frequency of 2 to 2 min apart2. A nurse is assisting the provider to administer a dinoprostone insert to induce labor for a client. Whichof the following actions should the nurse take?a. Instruct the client to avoid urinary elimination until after administrationb. Verify that informed consent is obtained prior to administrationc. Allow the medication to reach room temperature prior to administrationd. Place the client in a semi-fowler 's position for 1hr after administration3. A nurse is planning to reach a group of clients' who are pregnant about breastfeeding after returningto work. Which of the following information should the nurse include in the teaching?a. "Breast milk can be stored at room temperature for up to 12 hours"b. "Breast milk can be stored in a deep freezer for 12 months"c. "Thawed breast milk can be refrigerated for up to 72 hours"d. "Thawed breast milk that is unused can be refrozen"5. A nurse is providing teaching about terbutaline to a client who is experiencing preterm labor. Whichof the following statement by the client indicates an understanding of the teaching?a. "This medication could cause me to experience ringing in my ears"b. "This medication could cause me to experience frequent urination"c. "This medication could cause me to experience heart palpitations"d. "This medication could cause me to experience blurred vision"6. A nurse is caring for a newborn who is 6 hr old and has a bedside glucometer reading of 65 mg/d L.The newborn's mother has type 2 diabetes mellitus. Which of the following actions should the nursetake?a. Reassess the blood glucose level prior to the next feedingb. Administer 50 mL of dextrose solution IVc. Feed the newborn immediatelyd. Obtain a blood sample for a serum glucose level7. A nurse is teaching a prenatal class regarding false labor. Which of the following information shouldthe nurse include?a. "You will have dilation and effacement of the cervix"b. "You will have bloody show"c. "Your contractions will become temporary regular"d. "Your contractions will become more intense when walking"8. A nurse is assessing a client who is at 37 weeks of gestation. Which of the following statements by theclient requires immediate intervention by the nurse?a. "I have been seeing spots this morning"b. "I didn't have lunch today but I had breakfast this morning"c. "My feet are really swollen today"d. "I burns when I urinate"SATA: A,D9. A nurse is providing teaching about expected changes during pregnancy in a client who is at 24 weeksof gestation. Which of the following information should the nurse include?a. "Your nipples will become lighter in color"b. "Your stomach will empty rapidly"c. "You should anticipate nasal stuffiness"d. "You should expect your uterus to double in size"10. A nurse is assessing a preterm newborn who is at 32 weeks of gestation. Which of the followingfinding should the nurse expect?a. Sparse lanugob. Creases over the entire solec. Minimal arm recoild. Popliteal angle of less than 90 degree11. A nurse is reviewing the electronic medical record of a postpartum client. The nurse should identifythat which of the following factors places the client at risk for an infection?a. Meconium-stained fluidb. Placenta previac. Gestational hypertensiond. Midline episiotomy *12. A nurse in a provider's office is assessing a client at her first antepartum visit. The client states thatthe first day of her last menstrual period was March 8. Use Nagele's rule to calculate the estimated dateof delivery. (Use the MMDD format with four numerals and no spaces or punctuation) 12/15/xx13. A nurse is planning care for a full-term newborn who is receiving phototherapy. Which of thefollowing actions should the nurse include in the plan of care?a. Keep the newborn supine throughout treatmentb. Measure the newborn's temperature every 8 hr.c. Avoid using lotion or ointment on the newborn's skind. Dress the newborn in lightweight clothing.14. A nurse is caring for a client who is experiencing preterm labor and has a prescription for 4 doses ofdexamethasone 6mg IM every 12 hr. Available is dexamethasone 10mg/ m L. How many m L ofdexamethasone should the nurse administer per dose? (Round the answer t the nearest tenth. Use aleading zero if it applies. Do not use a trailing zero) 0.6ml15. A nurse is caring for a client who is in labor and requests nonpharmacological pain management.Which of the following nursing actions promotes client comfort?a. Applying fundal pressure during contractionsb. Having the client lie in supine positionc. Encouraging the client to void every 6 hr.d. Assisting the client into a squatting position16. A nurse is performing an initial assessment of a newborn who was delivered with a nuchal cord.Which of the following clinical findings should the nurse expect?a. Facial petechiaeb. Telangiectatic nevic. Erythema toxicumd. Periauricular papillomas17. A nurse is caring for a client who is receiving prenatal care and is at her 24-week appointment.Which of the following laboratory tests should the nurse plan to conduct?a. Group B strep cultureb. Blood type and Rhc. Rubella titerd. 1-hr glucose tolerance test18. A nurse is assessing a newborn upon admission to the nursery. Which of the following findingsshould the nurse expect?a. Nasal flaringb. Chest circumference 2 cm (0.8 in) smaller than the head circumferencec. Length from the head to heel of 40 cm (15.7 in)d. Bulging fontanels19. A nurse is reviewing laboratory results for a client who is pregnant. The nurse should expect which ofthe following laboratory values to increase?a. BUNb. Fasting blood glucosec. Bilirubind. RBC count20. A nurse is teaching about clomiphene citrate to a client who is experiencing infertility. Which of thefollowing adverse effects should the nurse include?a. Urinary frequencyb. Breast tendernessc. Tinnitusd. Chills- multi pregnancy , visual problems , hot flash, headache21. A nurse in a provider's office is caring for a 20-year-old client who is at 12 weeks of gestation andrequests an amniocentesis to determine the sex of the fetus. Which of the responses should the nursemake?a. "We can schedule the procedure for later today if you'd like"b. "You cannot have an amniocentesis until you are at least 35 years of age"c. "Your provider will schedule a chorionic villus sampling to determine the sex of your baby"d. "This procedure determines if your baby has genetic or congenital disorders"22. A nurse in a woman's health clinic is obtaining a health history from a client. Which of the followingfindings should the nurse identify as increasing the client's risk for developing pelvic inflammatorydisease (PID)?a. Recurrent cystitisb. Frequent alcohol usec. Chlamydial infectiond. Use of oral contraceptives23. A nurse is assessing a client who is 6 hr. postpartum and has endometritis. Which of the followingfindings should the nurse expect?a. WBC count 9,000/mm3b. Temperature 37.4 degree (99.3degreeF)c. Scant lochiad. Uterine tenderness- place women in fowlers position , pain control , vitals q2 with fever, warm blanket, cool compress,foods high in vit c, protein, fluids-high temp 100.4 +, chills, malaise, anorexia, abdominal pain and cramping, uterinetenderness, and purulent, foul-smelling lochia.24. A nurse is assessing a newborn who was born post term. Which of the following findings should thenurse expect?a. Thin covering of fine hair on shoulders and backb. Nails extending over tips of fingerc. Large deposits of subcutaneous fatd. Pale, translucent skin25. A nurse is caring for a client following an amniocentesis. The nurse should observe the client forwhich of the following complications?a. Proteinuriab. Hyperemesisc. Hemorrhaged. Hypoxia26. A nurse is assessing a newborn following a forceps-assisted birth. Which of the following clinicalmanifestations should the nurse identify as a complication of this birth method?a. Bronchopulmonary dysplasiab. Polycythemiac. Hypoglycemiad. Facial palsy27. A nurse is planning care for a client who is pregnant and has HIV. Which of the following actionsshould the nurse include in the plan of care?a. Administer a pneumococcal immunization to the newborn within 4 hr. following birthb. Instruct the client to stop taking the antiretroviral medications at 32 weeks of gestationc. Use a fetal scalp electrode during labor and deliveryd. Bathe the newborn before initiating skin-to-skin contact28. A nurse on the labor and delivery unit is assessing four clients. Which of the following clients is acandidate for an induction of labor with misoprostol?a. A client who has previous uterine incisionb. A client who has active genital herpesc. A client who has placenta previad. A client who has gestational diabetes mellitus29. A nurse is providing discharge teaching to a client following tubal ligation. Which of the followingstatements by the client indicates an understanding of the teaching?a. "Premenstrual tension will no longer be present"b. "Hormone replacements will be needed following this procedure"c. "My monthly menstrual period will be shorter"d. "Ovulation will remain the same"30. A nurse is assessing a newborn immediately following a vaginal birth. For which of the followingfindings should the nurse intervene?a. Moldingb. Vernix caseosac. Acrocyanosisd. Sternal retractions31. A nurse manager on the labor and delivery unit is teaching a group of newly licensed nurses aboutmaternal cytomegalovirus. Which of the following information should the nurse manager include in theteaching?a. "This infection requires that airborne precautions be initiated for the newborn"b. "Transmission can occur via the saliva and urine of the newborn"c. "Mothers will receive prophylactic treatment with acyclovir prior to delivery"d. "Lesions are visible on the mother's genitalia"32. A nurse is caring for a client who has active genital herpes simplex virus type 2. Which of thefollowing medications should the nurse plan to administer?a. Metronidazoleb. Penicillinc. Acyclovird. Gentamicin33. A nurse on the postpartum unit is caring for the four clients. Which of the following client's shouldreceive Rh (D) immune globulin to prevent Rh-isoimmunization?a. An Rh-positive mother who has an Rh-negative infantb. An Rh-negative mother who has an Rh-negative infantc. An Rh-negative mother who has an Rh-positive infantd. An Rh-positive mother who has an Rh-positive infant34. A nurse admitting a client to birthing unit who reports her contractions started 1 hr. ago. The nursedetermines the client is 80% effaced and 8 cm dilated. The nurse realizes that the client is at risk forwhich of the following conditions.?a. Ectopic pregnancyb. Postpartum hemorrhagec. Incompetent cervixd. Hyperemesis gravidarum35. A nurse is providing teaching about increasing dietary fiber to an antepartum client who reportsconstipation. Which of the following food selections has the highest fiber content per cup?a. Cabbageb. Lentilsc. Oatmeald. Asparagus36. A nurse is planning care for a newborn who is scheduled to start phototherapy using a lamp. Whichof the following actions should the nurse include in the plan?a. Dress the newborn in a thin layer of clothing during therapyb. Ensure the newborn's eyes are closed beneath the shieldc. Give the newborn 1 oz of glucose water every 4 hr.d. Apply a thin layer of cotton to the newborn's skin every 8 hr.37. A nurse on a labor and delivery unit is reviewing infection control standards with a newly licensednurse. The nurse should instruct the newly licensed nurse to don gloves for which of the followingprocedures?a. Performing a newborn's initial bathb. Performing umbilical cord carec. Assisting a mother with breastfeedingd. Administering the measles, mumps, rubella vaccine38. A nurse is providing teaching to a client who has mild preeclampsia and will be caring for herself athome during the last 2 months of pregnancy. Which of the following statements by the clients indicatesan understanding of teaching?a. "I will consume 50 grams of protein daily"b. "I will count my baby's kicks every other day"c. "I will check my urine for protein daily"d. "I will alternate the arm I use to check my blood pressure"- fetal kicks should be counted daily, BP on same arm,39. A nurse is monitoring a client who has preeclampsia and is receiving magnesium sulfate bycontinuous IV infusion. Which of the following findings should the nurse report to the provider?a. Respiratory rate 14/minb. Blood pressure 148/94 mm Hgc. 2+ deep tendon reflexesd. Urinary output 20 m L/ hr.40. A nurse is caring for newborn who is 1 hr. old and has a respiratory rate of 50/min a heart rate of130/min and an axillary temperature of 36.1 degree C (97-degree F). Which of the following actionsshould the nurse take?a. Obtain an oxygen saturation levelb. Apply a cap to the newborn's headc. Reposition the newbornd. Give the newborn a warm bath41. A nurse is caring for a client who is experiencing sore nipples from breastfeeding. Which of thefollowing actions should the nurse take?a. Instruct the client to begin the feeding with the nipple that is most tenderb. Ensure the newborn's mouth is wide open before latching to the breastc. Place a snug dressing on the client's nipples when not breastfeedingd. Encourage the client to limit the newborn's feedings to 10 min on each breast.42. A nurse is caring for a client who is in active labor. Following epidural placement, the nurse notes amaternal blood pressure of 98/58 mm Hg and minimal FHR variability on the fetal monitor. Which of thefollowing images indicates the action the nurse should take?a. Imageb. Imagec. Imaged. Image- give IV bolus, sitting or sidelying position, moniot bp + pulse, resp, spo2, FHR43. A nurse is planning care for a newborn who has neonatal abstinence syndrome. Which of thefollowing interventions should the nurse include in the plan of care?a. Discourage parental interaction until after a social service evaluationb. Swaddle the newborn in a flexed positionc. Increase the newborn's visual stimulationd. Weigh the newborn every other day44. A nurse is caring for a client who has maternal hypotension following the placement of an epidural.Which of the following actions should the nurse take?a. Position the client in a knee-chest positionb. Administer a bolus infusion of lactated Ringersc. Apply oxygen via nonrebreather face mask at 2 L/ mind. Give terbutaline subcutaneously45. A nurse is caring for four newborns. Which of the following newborns should the nurse assess first?a. A newborn who has overlapping suture linesb. A newborn who has subconjunctival hemorrhage of the left eyec. A newborn who has nasal flaringd. A newborn who has rust stained urine (uric acid)46. A nurse is preparing to administer methylergonovine 0.2 mg orally to a client who is 2 hr.postpartum and has a boggy uterus. For which of the following assessment findings should the nursewithhold the medication?a. Respiratory rate 14/mmb. Blood pressure 142/92 mm Hg (don't give to HTN patients)c. Pulse 58/ mind. Urine output 100 m L in 3 hr.47. A nurse is providing prenatal teaching to a client who practices a vegan diet and is trying to increaseintake of vitamin B12. Which of the following foods should the nurse recommend?a. Brown riceb. Fresh citrus fruitsc. Raw carrotsd. Fortified soy milk48. A nurse on the postpartum unit is caring for four clients. For which of the following clients should thenurse notify the provider?a. A client who reports lochia rubra requiring changing perineal pads every 3hr.b. A client who has a urinary output of 300 mL in 8 hr.c. A client who reports abdominal cramping during breastfeedingd. A client who is receiving magnesium sulfate and has absent deep tendon reflexes49. A nurse is caring for a client following a vaginal delivery of a term fetal demise. Which of thefollowing statements should the nurse make?a. "You should name the baby so she can have an identify"b. "You can bathe and dress your baby if you'd like to"c. "I'm sure you will be able to have another baby when you're ready"d. "If you don't hold the baby, it will make letting go much harder"50. A nurse on a labor and delivery unit is providing teaching to a client who plans to use hypnosis tocontrol labor pain. Which of the following information should the nurse include?a. "Focusing on controlling body functions will be helpful during hypnosis"b. "Hypnosis can be beneficial if you practiced it during the prenatal period"c. "Hypnosis does not work for controlling pain associated with labor"d. "Synchronized breathing will be required during hypnosis"51. A nurse on an antepartum unit is reviewing the medical records for four clients. Which of thefollowing clients should the nurse assess first?a. A client who has preeclampsia and a creatinine level of 1.1 mg/ d Lb. A client who has diabetes mellitus and an HbA1c of 5.8%c. A client who has hyperemesis gravidarum and a sodium level of 110 mEq/Ld. A client who has placenta previa and a hematocrit of 36%- If spotting option is there select it 52. A nurse is caring for newborn who is 24 hr. old. Which of the following laboratory findings should thenurse report to the provider?a. Hgb 20 g/ d Lb. WCB count 32, 000/ mm3c. Platelets 200,000/mm3d. Bilirubin 2 mg / d L53. A nurse is caring for an infant who has signs of neonatal abstinence syndrome. Which of thefollowing actions should the nurse take?a. Place the infant on his back with legs extendedb. Initiate seizure precautionsc. Provide a stimulating environmentd. Monitor blood glucose level every hr.54. A nurse is caring for a newborn immediately following birth and notes a large amount of mucus inthe newborn's mouth and nose. Identify the sequence the nurse should follow when performing suctionwith a bulb syringe. (Move the steps into the box n the right. Placing them in the selected order ofperformance. Use all the steps.)1. Place the bulb syringe in the newborn's mouth2. Assess the newborn for reflex bradycardia3. Compress the bulb syringe4. Use the bulb syringe to suction the newborn's nose2,3,1,455. A nurse is teaching a client who is at 41 weeks of gestation about a nonstress test. Which of thefollowing information should the nurse include in the teaching?a. "This test will determine adequacy of placental perfusion"b. "This test will detect fetal infection"c. "This test will confirm fetal lung maturity"d. "This test will predict maternal readiness for labor"56. A nurse is planning care for a client who is receiving oxytocin by continuous IV infusion for laborinduction. Which of the following interventions should the nurse include in the plan?a. Titrate the infusion rate by 4 milliunits/mhb. Increase the infusion rate every 30 to 60 minc. Maintain the client in a supine positiond. Limit IV intake to 4 L per 24 hr.57. A nurse is caring for a client who is receiving oxytocin for induction of labor and notes latedecelerations of the fetal heart rate on the monitor tracing. Which of the following actions should thenurse take?a. Administer misoprostol 25 mcg vaginallyb. Place the client in a lateral positionc. Administer oxygen via face mask at 2 L/mind. Decrease maintenance IV solution infusion rate58. A nurse is caring for a client who is in the second stage of labor. Which of the followingmanifestations should the nurse expect?a. The client delivers the newbornb. The client expels the placentac. The client begins having regular contractiond. The client experiences gradual dilation of the cervix.59. A nurse is caring for a client who is receiving an epidural block with an opioid analgesic. The nurseshould monitor for which of the following findings as an adverse effect of the medications?a. Hyperglycemiab. Hypotensionc. Polyuriad. Bilateral crackles60. A nurse is providing discharge instructions to a client who is breastfeeding her newborn. Which ofthe following instructions should the nurse include?a. Feed the newborn 5 to 10 min per breastb. Expect two to four wet diapers every 24 hr.c. Offer the newborn 30 mL (1 oz) of water between feedingsd. Allow the baby to feed at least every 3hr.61. A nurse is assessing a full-term newborn upon admission to the nursery. Which of the followingclinical findings should the nurse report to the provider?a. Transient circumoral cyanosisb. Rust-stained urinec. Single palmar creasesd. Subconjunctival hemorrhage  Health Science Science Nursing MATERNITY NR 327 Share QuestionEmailCopy link Comments (0)
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