San Jacinto College NURSING RNSG2208/ RNSG 2208 Test 3 Final (answered) Fall 2022.
1) Which client should the postpartum nurse assess first after receiving the shift report? A. The client who is complaining of perineal pain when urinating. B. The client who is crying because the baby will not nurse. C. The client who saturated multiple peri-pads during the night. D. The client who is refusing to leave the newborn in the room. 2) Which of the following should the nurse include in the teaching of a client who has had a IUD inserted? A. Douche weekly for 4 weeks to decrease the risk of infection B. Use another method of contraception for 2 weeks after insertion. C. Check for the string after menstrual period D. Have the IUD replaced every 2 years. 3) When RN and unlicensed assistive personnel (UAP) are caring for clients on a postpartum unit. Which task would be most appropriate for the RN to assign to the UAP? A. Complete the client’s discharge instruction. B. Spray anesthetic foam on the client’s episiotomy. C. Escort the client to the car and check for a car seat. D. Perform an in and out catheterization. 4) What important, immediate postoperative care practice should the nurse remember when caring for a woman who has had a mastectomy? a. The blood pressure (BP) cuff should not be applied to the affected arm. b. Venipuncture for blood work should be performed on the affected arm. c. The affected arm should be used for intravenous (IV) therapy. d. The affected arm should be held down close to the woman’s side. 5) When discussing estrogen replacement therapy (ERT) with a perimenopause woman, which of the following diseases would be contraindicated? A. Vaginal and urinary tract atrophy B. Breast Cancer C. Osteoporosis D. Arteriosclerosis 6) A neonate is admitted to the nursery 15 minutes after delivery. The nurse notes the bays feet are blue. She: A. Notifies the doctor B. Documents this in the record C. Stimulates the baby D. Administers vitamin K 7) Which of the following statements might the nurse appropriately include when teaching a client about calcium intake for osteoporosis? Select all that apply A. IT is best to take calcium in one large dose B. You should drink at least 8 ounces of water when you take the calcium pill. C. You should try to increase your protein intake when you are taking calcium D. It’s okay to take calcium if you have had a history of kidney stones. E. You should take calcium with vitamin D because the vitamin D helps your body absorb calcium better. 8) Why would a nurse provide non-nutrive sucking when providing gavage feeding to an infant? A. To promote nipple attachment B. To increase the energy expenditure C. To help the formula go down faster D. To prevent GI reflux This study source was downloaded by from CourseH on :22:54 GMT -06:00 stop and reassess the client before transfer? A. I feel dizzy if I walk. B. My nipples are very sore. C. I feel something gushing D. I have had cramping in my abdomen. 10) The nurse is teaching the client the nutritional benefits of breast feeding. Which response by the mom indicates that teaching was effective? A. At my baby’s two-week checkup, the health care provider will prescribe iron drops for my baby. B. I will give my baby one bottle of iron-fortified formula each day while I am breastfeeding. C. Breastmilk provides all the iron my baby needs D. Once my milk comes in, I will need to take an iron supplement. 11) A newborn has received a circumcision. What is the priority nursing action? A. Apply petroleum jelly to the site with every diaper change for the first 24 hours B. Teach the parents to remove the yellowish exudate that forms over the glans using gauge C. Check the penis for bleeding every 15 minutes for the first 4 hours D. Feed the infant just before the procedure to help him relaxed and quiet 12) The nurse is caring for a client who is experiencing post-partum hemorrhage. The provider orders Hemabate (prostaglandin F@). Which of the following conditions would cause the nurse to question the order? A. Cardiac disease B. Hypotension C. Asthma D. Anemia 13) What nursing actions are most important to prevent further hemorrhage in a client who has already had a post-partum bleed? A. Assess and massage the fundus every 15 minutes B. Assure that the maternal bladder is empty C. Provide lunch with high iron foods D. Assist client in the left internal position E. Monitor vital signs 14) A nurse has received an order to give RhoGam to a client. Indirect Coombs test shows a titer of 1:10. What is the priority nursing action? A. Give ½ of the dose ordered B. Hold the medication and notify the doctor C. Call the doctor and get s stat H &H D. Give the medication as ordered 15) The client who is 24-hour post-partum tells the nurse that she is concerned because she had not had a bowel movement yet. What is the best nursing action? A. Document this in the record. B. Administer an enema C. Administer the prn laxative that has been ordered D. Notify the health care provider immediately 16) The nurse is caring for a baby who is displaying signs of respiratory distress that are relieved when the baby is crying. Which of the following orders would the nurse expect to be ordered for this neonate? A. Placement of an endotracheal tube. B. Securing an oral airway C. Place in supine position D. Use a suction catheter in the nares. This study source was downloaded by from CourseH on :22:54 GMT -06:00 feeding? A. Assist the mother with breast feeding in the first hour of birth. B. Instruct the mother to breast feed for 5 minutes in each side C. Place the baby on the warmer until stable and then bring to mother and assist in breastfeeding D. Place the infant skin to skin with the mother as soon as possible after birth. E. Feed the baby first with water to assess suck and swallow reflexes 18) During the first day after a vaginal birth, the nurse notices that a client is talkative and seems to be hesitant about making decisions regarding the newborn. What would the nurse conclude regarding the clients behavior? A. The client is in the taking-hold phase of Rubin. B. The clients is in the taking-in phase of Rubin. C. The clients is experiencing postpartum blues. D. The client is having trouble bonding with her baby. 19) Which medications can be taken by postmenopausal women to treat and/or prevent osteoporosis? (Select all that apply.) A. Evista B. Calcitonin C. Actonel D. Fosamax E. Calcium 20) An infant’s axillary temperature is 35.9 C (96.6F). What is the priority nursing action? A. Have the mother breastfeed the infant B. Chart the normal axillary temperature C. Place the infant in radiant warmer D. Recheck the infant’s temperature rectally 21) The nurse receives a call from the laboratory reporting a blood sugar of 50 mg/dL for a full-term newborn. What is the priority nursing action? A. Feed the infant formula B. Document the findings C. Feed the infant 10% dextrose water D. Report the findings immediately 22) A nurse is assisting in the delivery of a term newborn. Immediately after delivery of the placenta, the nurse palpates the uterine fundus and finds that it is firm and located under the umbilicus. What is the priority nursing action based on these assessment findings? A. Assess for bladder distension B. Document the findings C. Monitor the clients closely for increased vaginal bleeding D. Immediately begin to massage the uterus 23) The client who is 24-hour post-partum tells the nurse that she is concerned because she has not had a bowel movement yet. What is the best nursing action? A. Document this in the record B. Administer an enema C. Administer the prn laxative that has been ordered D. Notify the health care provider immediately 24) What does the teaching include for new grandparent? - Pg. 525 25) She gave us 4 different temperatures, which was would lead you to suspect postpartum infection? This study source was downloaded by from CourseH on :22:54 GMT -06:00 26) Immediately after a baby is circumcised what is the nursing priority? - Assess the bleeding pg588 27) A new mom wants to know how she can tell if breastfeeding is effective?? - 6-8 wet diapers a day 28) A new dad calls the clinic and is worried that his sons hands and feet are still blue after 2 weeks, what do you tell him? - You tell him its normal 29) The question stated that labs were drawn and all looked good except rubella titer 1:8..what do you anticipate treatment to be? - Give Rubella vaccine 30) The postpartum client has a wbc of 20,000 after f days what do you do? - Document pg483 31) A patient has a uterine inversion and the nurse repositions the uterus, what does she do immediately after? - Give Pitocin 32) What is the priority comfort measure for a baby going into drug withdrawal? - Swaddle the baby 33) Where do you place the newborn whom is suspected of alcohol dependence? - Dark corner of nursery 34) The newborn delivered in a Cab to a mom who has active herpes lesion, what to do? - You place him on isolation 35) Baby comes out of birth canal and his left arm has little or no flexion and crepitus over the shoulder? - It’s a clavicle fracture 36) An infant born after 43 weeks gestation and weighing over 9lbs delivered vaginally, what does the nurse check for? - Erbs palsy, Bells palsy, tachycardia, pg843 37) A preterm baby, with a high pitch cry and jitters, what is your priority assessment? - Hypoglycemia 38) What medicine will a baby with patent ductus arteriosis receive? - Indomethacin 39) What is a contraindication for a baby who is about to go on ECMO? - Intracerebral hemorrhage 40) What is the biggest reward for the new dad? - The baby’s smile 41) Mom is walking to bathroom for the 1st time after delivery and you notice some trickling what do you do? I said its normal and got it right on her test but on the HESI, it was not and that’s because on the hesi it says continuous red blood trickling 42) A new mom is about to be transported to Post partum unit, what would stop the nurse from taking her? - The mom says she feels a sudden Gushing of blood This study source was downloaded by from CourseH on :22:54 GMT -06:00 - The options were Kegels or apply ice. I said ICE 44) What is Vitamin K used for? Bacteria or baby doesn’t have enough Vitamin K? - Pg. 573 it was the answer that had the sterile bowel in it 45) The erythromycin is used to treat what sort of infection? - Gonorrhea 46) The mom is streptococcus positive and has chills and fever, what med do you anticipate being given and what other kind of care? - Pg. 835 Clindamycin, Pericare, Hydration I believe 47) The baby under phototherapy what does the care include? - Increase fluids to prevent dehydration 48) There was a question about hip displacement in the baby, I’m not sure what it said exactly - 49) What were the criteria for early discharge? - It was a select all that apply included hmg less than 10, baby good vitals for 12hrs, no circumcision bleeding for past 2 hours, baby term 50) The infant is suspected of having NEC, what signs and symptoms do you see? - Distended ABDOMEN, gross bloody stools 51) The surfactant question again! - This one was worded like you tell the parents that the baby’s lungs could collapse with every breath 52) There was a question about pain in the lower leg, redness, swelling and hard mass (poss DVT) what was the nursing priority? - I was stuck between elastic stockings and heparin 53) Immediately after birth the fundus is 2cm below the umbilicus and firm, what is the next nursing action? - Document 54) The contraceptive that you would discourage with a breastfeeding mom is what? - The oral one with double hormones 55) How do you prevent mastitis? Proper feeding technique? - 56) Why does the NICU nurse encourage baby to do non-nutritive sucking during gavage feeding? - 57) Your initial assessment of the baby after birth?? - Pg. 467
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- NURSING RNSG 2208Test 3 Final. (RNSG2208)
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nursing rnsg 2208 test 3 final
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which client should the postpartum nurse assess first after receiving the shift report
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which of the following should the nurse include in the teaching of a client who
