And answers (New 2024)
A nurse is caring for a full-term newborn immediately following birth. Which
of the following actions should the nurse take first?
~assign Apgar scores to the newborn
~weigh the newborn
~place identification bracelets on the newborn
~dry the newborn Correct ans - dry the newborn
A nurse is demonstrating to a client how to bathe her newborn. In which
order should the nurse perform the following actions?
~clean the newborn's diaper area
~wash the newborn's neck by lifting the newborn's chin
~wipe the newborn's eyes from the inner canthus outward
~wash the newborns legs and feet
~cleanse the skin around the newborn's umbilical cord stump Correct
ans - ~wipe the newborn's eyes from the inner canthis outward
~wash the newborn's neck by lifting the newborn''s chin
~cleanse the skin around the newborn's umbilical cord stump
~wash the newborn's legs and feet
~clean the newborn's diaper area
A nurse in a prenatal clinic is assessing a group of clients. Which of the
following clients should the nurse request the provider see first?
~a client who is at 11 weeks gestation and reports abdominal cramping
~a client who is at 15 weeks of gestation and reports tingling and numbness
in her right hand
~a client who is at 20 weeks of gestation and reports constipation for the
past four days
~a client who is at 8 weeks of gestation and reports having three bloody
noses in the past week Correct ans - a client who is at 11 weeks
gestation and reports abdominal cramping
A nurse is caring for a client who is at 36 weeks of gestation and has a
positive contraction stress test. The nurse should plan to prepare the client
for which of the following diagnostic tests?
~biophysical profile
~amniocentesis
~cordocentesis
~Klelhauer-Betke test Correct ans - Biophysical profile
, A nurse is assessing a client who is at 30 weeks of gestation during a routine
prenatal visit. Which of the following findings should the nurse report to the
provider?
~swelling of the face
~varicose veins in the calves
~nonpitting 1+ ankle edema
~hyperpigmentation of the cheeks Correct ans - Swelling of the face
A nurse is observing a new mother caring for her crying newborn who is
bottle feeding. Which of the following actions by the mother nurse recognize
as a positive parenting behavior?
~lays the newborn across her lap and gently sways
~places the newborn in the crib in a prone position
~offers the newborn a pacifier dipped in formula
~prepares a bottle of formula mixed with rice cereal Correct ans -
Lays the newborn across her lap and gently sways
A nurse is assessing a newborn 12 hr after birth. Which of the following
manifestations should the nurse report to the provider?
~acrocyanosis
~transient strabismus
~jaundice
~caput seccdeaneum Correct ans - Jaundice
A nurse is teaching a client who is at 8 weeks of gestation about exercise.
Which of the following instructions should the nurse include in the teaching?
~"You should increase the weight-bearing exercises as your pregnancy
progresses."
~"You should lie on your back to rest for 5 minutes after exercising."
~"You should take your pulse every 20 minutes while you are exercising."
~"You should exercise for 30 minutes each day." Correct ans - "You
should exercise for 30 minutes each day."
A nurse is assessing a newborn following a circumcision. Which of the
following findings should the nurse identify as an indication that the newborn
is experiencing pain?
~decreased heart rate
~chin quivering
~pinpoint pupils
~slowed respirations Correct ans - Decreased heart rate