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Exam 2026-2027) Correct Detailed & Verified ANSWERS
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A nurse is caring for a postpartum client 8hrs after delivery. What factors place the client
at risk for uterine atony? select all
a. oxytocin infusion
b. prolonged labor
c. mag sulfate infusion
d. small for gestational age newborn
e. distended bladder - ANSWERS-b. prolonged labor
c. mag sulfate infusion
e. distended bladder
A nurse is assessing a newborn for congenital hip dysplasia. What finding should the
nurse expect?
a. temp of one leg differing from that of the other
b. symmetrical gluteal folds
c. limited abduction of one hip
d. legs that are shorter than the arms - ANSWERS-c. limited abduction of one hip
A nurse is testing the reflexes of a newborn to assess neurologic maturity. What
reflexes is the nurse assessing when she quickly and gently turns the newborn's head
to one side?
a. moro
b. babinski
c. rooting
d. tonic neck - ANSWERS-d. tonic neck
, A nurse is assessing a newborn who was born at 39 wks gestation. What finding should
the nurse expect?
a. symmetric rib cage
b. lanugo abundant on the back
c. dry, wrinkled skin
d. vernix over the entire body - ANSWERS-a. symmetric rib cage
A nurse is assessing a 2 day old newborn and notes an egg-shaped, edematous, bluish
discoloration that does not cross the suture line. What pieces of info should the nurse
provide to the mother when she inquires about the finding?
a. this will resolve within 3-6 wks without treatment
b. this will resolve on its own within 3-4 days
c. this is expected at birth so you don't need to worry about it
d. the provider might drain this area with a syringe - ANSWERS-a. this will resolve
within 3-6 wks without treatment
A nurse is assessing a client who is postpartum following a vacuum-assisted birth. For
what finding should the nurse monitor to identify a cervical laceration?
a. a gush of rubra lochia when the nurse massages the uterus
b. continuous lochia flow and flaccid uterus
c. slow trickle of bright vaginal bleeding and a firm fundus
d. report of increasing pain and pressure in the perineal area - ANSWERS-c. slow
trickle of bright vaginal bleeding and a firm fundus
A nurse is planning care for a client who is postpartum and has cardiac disease. For
what script should the nurse seek clarification?
a. initiate bedrest with HOB elevated
b. initiate high-fiber diet for client
c. monitor clients wt wkly
d. monitor client's I&O - ANSWERS-c. monitor clients wt wkly