Capstone Nursing Care of Children/Maternal Newborn Assessment ACCURATE QUESTIONS AND DETAILED ANSWERS | GUARANTEED PASS | GRADED A | LATEST UPDATE

A nurse is reinforcing teaching about perception of death with the guardians of an adolescent who has a terminal illness. Which of the following statements should the nurse make? 1. "Adolescents tend to be more concerned with their appearance than the dying process." 2. "Many adolescents imagine death as a type of monster." 3. "Adolescents tend to believe their own actions might have caused their terminal illness." 4. "Many adolescents don't understand that death is permanent." - best ans-"Adolescents tend to be more concerned with their appearance than the dying process." A nurse is contributing to the plan of care for a newborn who has hyperbilirubinemia and requires phototherapy. Which of the following interventions should the nurse include? 1. Apply lotion to the newborn's skin twice per day. 2. Check the newborn's blood glucose every 2 hr. 3. Swaddle the newborn during the treatment. 4. Remove the newborn's eye mask during feedings. - best ans-Remove the newborn's eye mask during feedings. A nurse is assisting with the care of a client who is experiencing a postpartum hemorrhage. Which of the following actions should the nurse take? (Select all that apply.) 1. Firmly massage the fundus. 2. Administer oxygen via a nonrebreather face mask. 3. Ensure the client has IV access. 4. Prepare the client for an amnioinfusion. 5. Give the client Rh(D) immune globulin. - best ans-1. Firmly massage the fundus. 2. Administer oxygen via a nonrebreather face mask. 3. Ensure the client has IV access. A nurse is caring for a client who is postpartum, reports an allergy to aspirin, and states that they are in pain. The nurse should identify which of the following medications as safe to administer to the client? 1. Ibuprofen 2. Acetaminophen 3. Naproxen 4. Celecoxib - best ans-Acetaminophen A nurse is caring for an adolescent who states an intention to self-harm. Which of the following actions should the nurse take first? 1. Maintain continuous observation of the adolescent. 2. Apply wrist restraints to the adolescent. 3. Collect data about the adolescent's mental status. 4. Obtain consent from the adolescent's guardian for the application of restraints. - best ans-Collect data about the adolescent's mental status. A nurse is reinforcing teaching with a newly licensed nurse about the various indications of pregnancy. Which of the following findings should the nurse include in the teaching as a presumptive sign of pregnancy? (Select all that apply.) 1. Breast changes 2. Ballottement 3. Urinary frequency 4. Nausea 5. Positive pregnancy test - best ans-Breast changes Urinary frequency Nausea A nurse is preparing to administer an intermittent enteral feeding to a child who has an NG tube in place. Which of the following actions should the nurse take first? 1. Place the child in an upright position. 2. Verify the position of the NG tube 3. Determine the gastric residual volume. 4. Flush the child's NG tube with sterile water. - best ans-Place the child in an upright position. A nurse is caring for an infant who has pertussis. Which of the following precautions should the nurse implement? 1. Airborne 2. Droplet 3. Standard 4. Neutropenic - best ans-Droplet A nurse is reinforcing teaching with a parent of a child who has a greenstick fracture. Which of the following information should the nurse include in the teaching? 1. The bone bends, causing a microscopic fracture line. 2. The fracture does not cross through the bone. 3. The bone is compressed, causing a raised area at the fracture site. 4. The fracture completely divides the bone. - best ans-The fracture does not cross through the bone. A nurse is reinforcing teaching with a client who is at 38 weeks of gestation and is scheduled for a nonstress test. Which of the following statements should the nurse make? 1. "You will be lying flat on your back for the duration of the test." 2. "At some point during the test, you will need to lightly brush your palms across your nipples for 2 minutes." 3. "Do not eat or drink anything for 4 hours prior to the test." 4. "Press the button you are given when you feel the baby moving during the test." - best ans-"Press the button you are given when you feel the baby moving during the test. A nurse is collecting data from a 6-month-old infant during a well-child visit. Which of the following findings should the nurse expect? (Select all that apply.) 1. Presence of Moro reflex 2. Birth weight has doubled 3.Closed posterior fontanel 4.Able to sit unsupported 5. Able to move from back to front - best ans-Birth weight has doubled Closed posterior fontanel Able to move from back to front A nurse is planning to assist with Leopold maneuvers on a client who is at 37 weeks of gestation. Which of the following actions should the nurse plan to take? 1. Ask the client to empty their bladder. 2. Assist the client into a left-lateral position. 3. Apply an external fetal monitor to the client's abdomen. 4. Instruct the client to perform nipple stimulation. - best ans-Ask the client to empty their bladder. A nurse in a provider's office is planning to administer immunizations to an 11-year-old child who is up to date with current recommendations. Which of the following immunizations should the nurse plan to administer? 1. Hepatitis B (Hep B) 2. Measles, mumps, rubella (MMR) 3. Tetanus, diphtheria, and pertussis (Tdap) 4. Pneumococcal (PCV) - best ans-Tetanus, diphtheria, and pertussis (Tdap) A nurse is reviewing the laboratory report of an adolescent client who has menorrhagia. Which of the following laboratory results should the nurse report to the provider? 1. WBC count 10,000/mm3 2. Hgb 6.8 g/dL 3. Creatinine 0.8 mg/dL 4. Potassium 3.5 mEq/L - best ans-Hgb 6.8 g/dL A nurse is reinforcing teaching to a client who is pregnant regarding a 1-hr glucose tolerance test (GTT). Which of the following statements by the client indicates an understanding of the test? 1. "This test is to check if my baby has diabetes." 2. "If the result is higher than normal, I will need to be on insulin the rest of my life." 3. "If1 forget and eat before the test, then I won't be able to have the test done." 4. "If the results are high, then I need another test to see if I have gestational diabetes." - best ans-"If the results are high, then I need another test to see if I have gestational diabetes." A nurse is contributing to the plan of care for a client who is in the third trimester and reports difficulty sleeping. Which of the following statements should the nurse include? 1. "Drinking warm tea before bed can be helpful." 2. "Doing relaxation exercises before bed can be helpful." 3. "Sleeping on your right side can be helpful." 4. "Soaking in a hot tub for 60 minutes can be helpful." - best ans-"Doing relaxation exercises before bed can be helpful." A nurse is reinforcing teaching with the parent of a school-age child who has ADHD and a new prescription for a methylphenidate transdermal patch. Which of the following statements by the parent indicates an understanding of the teaching? 1. "I should place a heat pack on the patch to improve adhesion for 5 minutes after applying 2. "I should place the patch on the back side of my child's arm." 3. "I will reinforce the patch edges with clear tape if they don't lie flat." 4. "I will leave the patch in place for no more than 9 hours." - best ans-I will leave the patch in place for no more than 9 hours." A nurse is reinforcing teaching with a client who is postpartum and is taking docusate sodium to prevent constipation. Which of the following instructions should the nurse include? 1. "Take this medication every day for regular bowel movements." 2. "Take the medication with mineral oil." 3. "Decrease dietary fiber intake while taking this medication." 4. "Take the medication with a full glass of water." - best ans-Take the medication with a full glass of water." A nurse is reinforcing teaching with an adolescent who has type 1 diabetes mellitus. Which of the following statements by the adolescent indicates an understanding of the teaching? 1. "I will discard insulin bottles 60 days after opening." 2. "Before I exercise, I will need to take an extra 10 units of insulin." 3. "If I feel dizzy, I will drink 4 ounces of orange juice." 4. "A hemoglobin Alc of 9 percent is a good goal." - best ans-"If I feel dizzy, I will drink 4 ounces of orange juice." A nurse is reinforcing teaching about a biophysical profile (BPP) with a client who is at 38 weeks of gestation. Which of the following statements should the nurse include in the teaching? 1. "This test measures amniotic fluid volume." 2. "You will receive Rh, (D) immune globulin prior to this test." 3. "This test is used to assess uterine activity." 4. "Your bladder needs to be full to perform this test." - best ans-This test measures amniotic fluid volume."