OTHER SOURCES) COMPREHENSIVE
QUESTIONS AND VERIFIED ANSWERS
ALREADY GRADED A+
The nurse is teaching breastfeeding to prospective parents in a childbirth
education class. Which instruction should the nurse include as content in
the class?
A. Begin as soon as your baby is born to establish a four-hour feeding
schedule
B. Resting helps with milk production. Ask that your baby be fed at night in
the nursery
C. Feed your baby every 2 to 3 hours or on demand, whichever comes first.
D. Do not allow your baby to nurse any longer than the prescribed number
of minutes - CorreCt Answers -C. Feed your baby every 2-3 hours or on
demand, whichever comes first
The nurse is assessing the umbilical cord of a newborn. Which finding
constitutes a normal finding?
A. Two vessels: one artery and one vein
B. Two vessels: two arteries and no veins
C. three vessels: two arteries and one vein
D. three vessels: Two veins and one artery - CorreCt Answers -C. three
vessels: two arteries and one vein
A new mother is afraid to touch her baby's head for fear of hurting the
"large soft spot". Which explanation should the nurse give to this anxious
client?
,A. "Some care is required when touching the large soft area on top of your
baby's head until the bones fuse."
B. "That's just an 'old wives' tale,' so don't worry, you can't harm your
baby's head by touching the soft spot.
C. "The soft spot will disappear within 6 weeks and is very unlikely to cause
any problems for your baby."
D. "There's a strong, tough membrane there to protect the baby, so you
need not be afraid to wash or comb his/her hair." - CorreCt Answers -D.
"There's a strong, tough membrane there to protect the baby, so you need
not be afraid to wash or comb his/her hair." The anterior fontanel or "large
soft spot" normally closes at 12-18 months of age.
The nurse caring for a laboring client encourages her to void at least q2h
and records each time the client empties her bladder. What is the primary
reason for implementing this nursing intervention?
A. Emptying the bladder during delivery is difficult because of the position
of the presenting fetal part.
B. An over-distended bladder could be traumatized during labor, as well as
prolong the progress of labor
C. Urine specimens for glucose and protein must be obtained at certain
intervals throughout labor.
D. frequent voiding minimizes the need for catheterization, which increases
the chance of bladder infection - CorreCt Answers -B. An over-distended
bladder could be traumatized during labor, as well as prolong the progress
of labor
A client who is attending antepartum classes asks the nurse why her
healthcare provider has prescribed iron tablets. The nurse's response is
based on what knowledge?
A. Supplementary iron is more efficiently utilized during pregnancy
,B. It is difficult to consume 18 mg of additional iron by diet alone.
C. Iron absorption is decreased in the GI tract during pregnancy
D. iron is needed to prevent megaloblastic anemia in the last trimester -
CorreCt Answers -B. It is difficult to consume 18 mg of additional iron by
diet alone.
A woman who thinks she could be pregnant calls her neighbor, a nurse, to
ask when she could use a home pregnancy test to diagnose pregnancy.
Which response is appropriate?
A. "A home pregnancy test can be used right after your first missed period."
B. "These tests are most accurate after you have missed your second
period."
C. "Home pregnancy tests often give false positives and should not be
trusted."
D. "The test can provide accurate information when used right after
ovulation." - CorreCt Answers -A. "A home pregnancy test can be used right
after your first missed period."
A full-term infant is transferred to the nursery from labor and delivery.
Which information is most important for the nurse to receive when
planning immediate care for the newborn?
A. The length of labor and method of delivery
B. the infant's condition at birth and treatment received
C. the feeding method chosen by the parents
D. the history of drugs given to the mother during labor - CorreCt Answers -
B. the infant's condition at birth and treatment received
, A client in active labor complains of cramps in her leg. What intervention
should the nurse implement?
A. Ask if she takes a daily calcium tablet
B. extend the leg and dorsiflex the foot
C. Lower the leg off the side of the bed
D. elevate the leg above the heart - CorreCt Answers -B. Extend the leg and
dorsiflex the foot. "Toes to the nose"
A client at 30-weeks gestation, complaining of pressure over the pubic area,
is admitted for observation. She is contracting irregularly and demonstrates
underlying uterine irritability. Vaginal examination reveals that her cervix
is closed, thick, and high. Based on this data, which intervention should the
nurse implement first?
A. Provide oral hydration
B. Have a complete blood count (CBC) drawn
C. Obtain a specimen for urine analysis
D. Place the client on strict bed rest - CorreCt Answers -C. Obtain a
specimen for urine analysis. This should be done first because preterm
clients with uterine irritability and contractions often suffer from a UTI,
and this should be ruled out first.
A client in active labor is admitted with preeclampsia. Which assessment
finding is most significant in planning this client's care?
A. patellar reflex 4+
B. blood pressure 158/80
C. four-hour urine output 240 mL