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20 A newborn assessment reveals spina bifida occulta. Which maternity factors should nurse identify as having the greatest impact on the development of this newborn complication. A Short interval pregnancy B Folic acid deficiency C Preeclampsia D Tobacco use 21 A primigravida client in labor is receiving oxytocin 4 mu/minute to help promote an effective contraction pattern. The available solution is lactated ringer's 1,000 ml with oxytocin 20 units. The nurse should program the machine to deliver how many ML per hour. Answer: 12 ml per hour will give 4 mu per minute. Dose/Available stock xQuantity (4mu/20,000 mu)x1000 ml=0.2 ml x 60 min = 12 ml A client who delivered a healthy newborn an hour ago asked the nurse when can she go home. Which information is most important for the nurse to provide the client. A After the baby no longer demonstrates acrocyanosis. B After the vitamin K injection is given to the baby. C When ambulating to avoid does not cause dizziness. D When there is no significant vaginal bleeding. 22 A 17 year old client gave birth 12 hours ago she states that she doesn't know how to care for her baby. To promote parent infant attachment behaviors which intervention should the nurse implement. A Ask if she has help to care for the baby at home. B Provide a video on newborn safety and care. C Explored the basis of fears with the client. D Encourage rooming in while in the hospital. 23 A pregnant client mentions in a history that she changes cats litter box daily. Which test should the nurse anticipate the health care provider to prescribe. A Biophysical profile. B Fern test. C Amniocentesis. D Torch screening.