NUR2513-EXAM 1 MATERNAL-VEST 2 LATEST VERSIONS (300 QUESTIONS AND CORRECT ASWERS ANSWERS) |AGRADE RASMUSSEN COLLEGE
Which technique is used to palpate the fundal height on a postpartum client? - ANSWER place hand at the base of the uterus, one on the fundus
Which assessment finding indicates to the nurse that a newborn has hip subluxation? - ANSWER Inability of the right hip to abduct
The nurse is providing discharge teaching to the post-partum client regarding mood changes to report. In differentiating between post partum depression and baby blues what should be included in the instructions? - ANSWER Baby blues may present in
the first few days after birth and resolve prior to the second postpartum week.
Hypoglycemia in a mature infant is defined as a blood glucose level below which amount? - ANSWER 40-100
The nurse assesses a postpartum client's discharge as being moderate in amount and red in color. How should the nurse document the appearance - ANSWER Lochia rubra
By the time children reach their tenth birthday, they should have learned to trust others and should have developed a sense of what? - ANSWER industry
The parents of a newborn are concerned that something is wrong with their newborns eyesight. What should the nurse instruct the parents as being - ANSWER
follows a light to the midline
A nurse is caring for a four year old female. Which of the following is expected of a preschool-aged child? - ANSWER relaxing fears to magical thinking
In providing care to the postpartum client the nurse recognizes that women are hypercoagulable during the 3rd trimester of pregnancy and that assessment of this client should include evaluation for the development of venous thromoembolism. Which of the following should be included in this evaluation? - ANSWER - observe the lower extremities
- Observation of respiratory rate and effort
The nurse has instructed on the importance of providing a toddler with a balanced diet. Which observation during a home visit indicates that instruction has been effective? - ANSWER The mother prepares a scrambled egg for the toddler's breakfast. The nurse is caring for a postpartum woman 18 hours after primary cesarean section
for preeclampsia. The client is noted to have a boggy and a moderate to large amount of vaginal bleeding. The nurse notifies the physician of these findings and expects an order for which of the following medications? - ANSWER Carboprost
A nurse is caring for a nine month old with influenza. Which of the following might be a toy that could be used to interact, play, or distract them from the discomfort? - ANSWER large plastic stacking blocks
A nurse is caring for an infant with myelomeningocele. Which of the following actions
should the nurse include in the preoperative plan of care? - ANSWER apply a sterile, moist dressing on the sac
The nurse is called to the room of a client who delivered a macrosomic infant 20 hours ago. Upon assessment, the fundus is noted to be boggy and displacement is noted. What is the priority nursing action? - ANSWER empty the bladder
The nurse is assessing the breast of a woman who is 1 month postpartum. The woman reports a painful, inflamed area on one breast. Upon admission, the breast is
red and warm to the touch. The client's temperature is 101.8F. What should the nurse consider at the potential diagnosis? - ANSWER Mastitis
The nurse is evaluating a new mother's ability to effectively breastfeed her infant. Which criteria indicates that the mother should be able to breastfeed independently? - ANSWER - nipples are inverted
- breasts are soft and non-tender
- the mother holds the infant close to her breast in a football hold.
- infant swallows spontaneously and frequently
During a home visit, a new mother is concerned that after three meconium stools, her newborn as yellow seedy stools. - ANSWER This is a normal finding
A nurse at a well-baby clinic is collecting data about a nine-month infant. The nurse understands which of the following occurs at this stage of development. - ANSWER
fears strangers
During a home visit, a postpartum client is complaining of a sore area on one breast. The nurse notes a local on the left breast to be lumpy, red, and warm to the touch and palpates a small lump. - ANSWER plugged milk duct
A new mother asks the nurse how soon she can try to breastfeed after delivery. Which of the following would be the nurses best response? - ANSWER "immediately after birth"
The nurse is concerned that a new mother is not showing interest in the newborn and does not participate in newborn care. What action should the nurse take to help both the mother and newborn at this time? - ANSWER consult a case manager to complete a post partum assessment
Which technique is used to palpate the fundal height on a postpartum client? - ANSWER place hand at the base of the uterus, one on the fundus
Which assessment finding indicates to the nurse that a newborn has hip subluxation? - ANSWER Inability of the right hip to abduct
The nurse is providing discharge teaching to the post-partum client regarding mood changes to report. In differentiating between post partum depression and baby blues what should be included in the instructions? - ANSWER Baby blues may present in
the first few days after birth and resolve prior to the second postpartum week.
Hypoglycemia in a mature infant is defined as a blood glucose level below which amount? - ANSWER 40-100
The nurse assesses a postpartum client's discharge as being moderate in amount and red in color. How should the nurse document the appearance - ANSWER Lochia rubra
By the time children reach their tenth birthday, they should have learned to trust others and should have developed a sense of what? - ANSWER industry
The parents of a newborn are concerned that something is wrong with their newborns eyesight. What should the nurse instruct the parents as being - ANSWER
follows a light to the midline
A nurse is caring for a four year old female. Which of the following is expected of a preschool-aged child? - ANSWER relaxing fears to magical thinking
In providing care to the postpartum client the nurse recognizes that women are hypercoagulable during the 3rd trimester of pregnancy and that assessment of this client should include evaluation for the development of venous thromoembolism. Which of the following should be included in this evaluation? - ANSWER - observe the lower extremities
- Observation of respiratory rate and effort
The nurse has instructed on the importance of providing a toddler with a balanced diet. Which observation during a home visit indicates that instruction has been effective? - ANSWER The mother prepares a scrambled egg for the toddler's breakfast. The nurse is caring for a postpartum woman 18 hours after primary cesarean section
for preeclampsia. The client is noted to have a boggy and a moderate to large amount of vaginal bleeding. The nurse notifies the physician of these findings and expects an order for which of the following medications? - ANSWER Carboprost
A nurse is caring for a nine month old with influenza. Which of the following might be a toy that could be used to interact, play, or distract them from the discomfort? - ANSWER large plastic stacking blocks
A nurse is caring for an infant with myelomeningocele. Which of the following actions
should the nurse include in the preoperative plan of care? - ANSWER apply a sterile, moist dressing on the sac
The nurse is called to the room of a client who delivered a macrosomic infant 20 hours ago. Upon assessment, the fundus is noted to be boggy and displacement is noted. What is the priority nursing action? - ANSWER empty the bladder
The nurse is assessing the breast of a woman who is 1 month postpartum. The woman reports a painful, inflamed area on one breast. Upon admission, the breast is
red and warm to the touch. The client's temperature is 101.8F. What should the nurse consider at the potential diagnosis? - ANSWER Mastitis
The nurse is evaluating a new mother's ability to effectively breastfeed her infant. Which criteria indicates that the mother should be able to breastfeed independently? - ANSWER - nipples are inverted
- breasts are soft and non-tender
- the mother holds the infant close to her breast in a football hold.
- infant swallows spontaneously and frequently
During a home visit, a new mother is concerned that after three meconium stools, her newborn as yellow seedy stools. - ANSWER This is a normal finding
A nurse at a well-baby clinic is collecting data about a nine-month infant. The nurse understands which of the following occurs at this stage of development. - ANSWER
fears strangers
During a home visit, a postpartum client is complaining of a sore area on one breast. The nurse notes a local on the left breast to be lumpy, red, and warm to the touch and palpates a small lump. - ANSWER plugged milk duct
A new mother asks the nurse how soon she can try to breastfeed after delivery. Which of the following would be the nurses best response? - ANSWER "immediately after birth"
The nurse is concerned that a new mother is not showing interest in the newborn and does not participate in newborn care. What action should the nurse take to help both the mother and newborn at this time? - ANSWER consult a case manager to complete a post partum assessment
