NUR4467 Exam 1 Questions With Complete Solutions
A client arrives at the clinic for the first prenatal assessment. She
tells the nurse that the first day of her last normal menstrual
period was Oct 19th. Using Nagele's rule, which expected date
of delivery should the nurse document in the client's chart?
Correct Answers July 26th
Subtract 3 months -- then add 7 days to LMP -- add one year
A client who delivered an infant an hour ago tells the nurse that
she feels wet underneath her buttock. The nurse notes that both
perineal pad are completely saturated and the client is lying in a
6-inch diameter pool of blood.
Which action is the priority for the nurse to implement next?
Correct Answers Palpate the firmness of the fundus.
A client who delivered an infant an hour ago tells the nurse that
she feels wet underneath her buttock. The nurse notes that both
perineal pad are completely saturated and the client is lying in a
6-inch diameter pool of blood.
Which action is the priority for the nurse to implement next?
Correct Answers Palpate the firmness of the fundus.
Cleansing, obtaining VS, and inspecting for lacerations can be
implemented after the fundus is massaged until firm.
A mother expresses concern to the nurse about the behavior of
her 15-year-old adolescent who is frequently finding fault and
criticizing her. What information should the nurse provide?
, Correct Answers Teens create psychological distance from
parents in order to separate from them
A new breastfeeding mother asks the nurse how to prevent
nipple soreness. The nurse tells this woman that the key or most
important action she can take to prevent sore nipples would be
which of the following? Correct Answers Using correct latch or
breastfeeding technique
A proper latch includes:
. infant mouth over nipple, most or all of areola, and may
include some breast
. mother initiates latch by expressing some colostrum/milk onto
her nipple
. infant rooting reflex is elicited with their mouth open wide
With proper latch, mothers should: 1) report a firm tugging, 2)
see that newborn cheeks are rounded (not dimpled), 3) see
smooth newborn jaw movement, and 4) hear swallowing (it is
audible!)
A woman has determined that bottle-feeding is the best feeding
method for her. Instructions the woman should receive regarding
this feeding method should include which of the following?
Correct Answers Sterilize water by boiling, then cool and mix
with formula powder or concentrate
A woman's amniotic membranes have potentially ruptured. The
nurse assesses the fluid to determine its characteristics and
confirm membrane rupture. What assessment finding would the
A client arrives at the clinic for the first prenatal assessment. She
tells the nurse that the first day of her last normal menstrual
period was Oct 19th. Using Nagele's rule, which expected date
of delivery should the nurse document in the client's chart?
Correct Answers July 26th
Subtract 3 months -- then add 7 days to LMP -- add one year
A client who delivered an infant an hour ago tells the nurse that
she feels wet underneath her buttock. The nurse notes that both
perineal pad are completely saturated and the client is lying in a
6-inch diameter pool of blood.
Which action is the priority for the nurse to implement next?
Correct Answers Palpate the firmness of the fundus.
A client who delivered an infant an hour ago tells the nurse that
she feels wet underneath her buttock. The nurse notes that both
perineal pad are completely saturated and the client is lying in a
6-inch diameter pool of blood.
Which action is the priority for the nurse to implement next?
Correct Answers Palpate the firmness of the fundus.
Cleansing, obtaining VS, and inspecting for lacerations can be
implemented after the fundus is massaged until firm.
A mother expresses concern to the nurse about the behavior of
her 15-year-old adolescent who is frequently finding fault and
criticizing her. What information should the nurse provide?
, Correct Answers Teens create psychological distance from
parents in order to separate from them
A new breastfeeding mother asks the nurse how to prevent
nipple soreness. The nurse tells this woman that the key or most
important action she can take to prevent sore nipples would be
which of the following? Correct Answers Using correct latch or
breastfeeding technique
A proper latch includes:
. infant mouth over nipple, most or all of areola, and may
include some breast
. mother initiates latch by expressing some colostrum/milk onto
her nipple
. infant rooting reflex is elicited with their mouth open wide
With proper latch, mothers should: 1) report a firm tugging, 2)
see that newborn cheeks are rounded (not dimpled), 3) see
smooth newborn jaw movement, and 4) hear swallowing (it is
audible!)
A woman has determined that bottle-feeding is the best feeding
method for her. Instructions the woman should receive regarding
this feeding method should include which of the following?
Correct Answers Sterilize water by boiling, then cool and mix
with formula powder or concentrate
A woman's amniotic membranes have potentially ruptured. The
nurse assesses the fluid to determine its characteristics and
confirm membrane rupture. What assessment finding would the
