QUESTIONS & VERIFIED ANSWERS GRADED
A+/ NUR 2513 MATERNAL CHILD NURSING
EXAM!!
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 follow should be included in this eval? SATA
A. Observe distal upper extremities for swelling/edema
B. Observe lower extremities for symmetry
C. Asses for uterine cramping
D. Observe respiratory rate and effort
E. Auscultate lung sounds - ANSWER-B. Observe lower extremities for symmetry
D. Observe respiratory rate and effort
E. Auscultate lung sounds
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. Administer
medication into the vastus lateralis
Which technique is used to palpate the fundal heigh on 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.
Placing one hand at the base of the uterus , one on the fundus
A new mother asks the nurse how soon she can try to breastfeed after deliery.
Which of the following would be the nurses 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. Immediately after birth
Which assessment finding indicated to the nurse that a newborn has hip
sublaxtion?
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. Inability of the
right hip to abduct
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 imites?
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. the color of the flow is red
,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. Apply a sterile,
moist dressing on the sac
The nurse is inspecting a males newborns 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. Retracting the
foreskin over the glans to assess for secretions
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 - ANSWER-B. Minimal adaptability
C. Withdrawing
D. Intense mood
The nurse instructs the parents of a newborn on actions of a newborn on actions to
prevent sudden infant death syndrome. 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 is
placed on the back to sleep
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 overwhelmed
and forgetful and "just doesnt feel connected" to her baby. She denies thoughts of
harming herself or her baby. These symptoms may indicate which of the following
to the nurse
A. Baby blues
B. Normal postpartum feelings
C. Postpartum psychosis
D. Postpartum depression - ANSWER-D. Postpartum depression
When collecting data from an infant, which of the following techniques should the
nurse use to elicit the stepping reflex?
A. place an object in the infant palm
B. Strike a flat surface on which the infant is lying
C. Hold the infant upright with his feet touching a flat survive
D. Stroke the outer edge of the sole of the infants foot up toward the toes -
ANSWER-C. Hold the infant upright with his feet touching a flat survive
Hypoglycemia in a mature infant is defined as blood glucose level below which
amount?
A. 100mg/100mL whole blood
B. 80mg/100mL whole blood