Questions and Correct Answers (Graded A+) |
New 2026/27 Update - Rasmussen
Postpartum Care & Assessments
Q: Providing care to the postpartum client, the nurse recognizes that women are
hypercoagulable during the third trimester of pregnancy. Assessment of this client
should include evaluation for the development of venous thromboembolism. Which of
the following should be included in this eval? (SATA)
• A. Observe distal upper extremities for swelling/edema
• B. Observe lower extremities for symmetry
• C. Assess for uterine cramping
• D. Observe respiratory rate and effort
• E. Auscultate lung sounds
ANSWERS: B, D, E
Q: Which technique is used to palpate the fundal height on a postpartum client?
• A. Placing one hand on the fundus, one on the perineum
• B. Resting both hands on the fundus
• C. Palpating the fundus with only fingertip pressure
• D. Placing one hand at the base of the uterus, one on the fundus
ANSWER: D
Newborn Care
Q: A newborn is prescribed to receive Vitamin K 0.5 mg intramuscularly. How should
the nurse administer the medication to the newborn?
• A. Provide medication immediately before breastfeeding
• B. Administer medication into the vastus lateralis
• C. Notify physician for swelling and irritation at the injection site
• D. Administer the medication in the deltoid muscle
ANSWER: B
Q: A new mother asks the nurse how soon she can try to breastfeed after delivery.
Which of the following would be the nurse's best response?
• A. Once the infant has his first feeding of formula
, • B. Immediately after birth
• C. In 24 hours after her infant is given water
• D. After the infant is allowed to rest
ANSWER: B
Q: Which assessment finding indicated to the nurse that a newborn has hip
subluxation?
• A. Crying on straightening of the right leg
• B. Inward rotation of the right foot
• C. Inability of the right hip to abduct
• D. Drawing of the legs underneath while prone
ANSWER: C
Pediatric Development
Q: A nurse is caring for a 4 yr old female. Which of the following is expected of a
preschool-aged child?
• A. Describing manifestations of illness
• B. Understanding cause of illness
• C. Relating fears to magical thinking
• D. Awareness of body function
ANSWER: C
Postpartum & Newborn Care
Q: A nurse is helping her postpartum client up to the bathroom for the first time after
delivery. Which finding indicates her lochia is within normal limits?
• A. the color of the flow is red
• B. Lochia contains large clots
• C. The flow is over 500 mL
• D. Her uterus is boggy and soft
ANSWER: A
Q: The nurse instructs the parents of a newborn on actions to prevent sudden infant
death syndrome (SIDS). Which observation indicates the teaching has been effective?
• A. The baby is an every 2-hr formula feeding schedule
• B. Newborn is placed on the back to sleep
• C. Parents signed a waiver refusing routing immunizations after birth
• D. Mother removes a pacifier from the babys mouth
ANSWER: B
, Newborn Assessments & Procedures
Q: A nurse is caring for an infant with myelomeningocele. Which of the following
actions should the nurse include in the preoperative plan of care?
• A. Place the infant in a supine position
• B. Assess the infants temp rectally
• C. Apply a sterile, moist dressing on the sac
• D. Assist the caregiver with cuddling the infant
ANSWER: C
Q: The nurse is inspecting a male newborn's genitalia. Which action should the nurse
avoid when conducting this assessment?
• A. Palpating if testes are descended into the scrotal sac
• B. Retracting the foreskin over the glans to assess for secretions
• C. Inspecting if the urethral opening appears circular
• D. Inspecting the genital area for irritated skin
ANSWER: B
Q: A neonatal nurse is assessing a 2-hr old male newborn. She notes that the urethra
meatus is not midline but is displaced on the dorsal surface (top side) of the penis.
What is the medical term for this?
• A. Undescended testicle
• B. Varicocele
• C. Hypospadias
• D. Epispadias
ANSWER: D
[Image comparing hypospadias and epispadias]
Pediatric Development
Q: During a home visit, the nurse determines that a toddler has a difficult
temperament. What did the nurse observe in this toddler? (SATA)
• A. Rhythmic
• B. Minimal adaptability
• C. Withdrawing
• D. Intense mood
ANSWERS: B, C, D
The nurse is assessing a client at her 8 week postpartum appt. The client states
she fees tired all the time, ha trouble falling and staying asleep. She feels