Capstone Nursing Care of Children Maternal Newborn Pre Assessment Questions And Answers.docx

  The nurse is reinforcing teaching to a client who has endometriosis. Which of the following statements should the nurse include in the teaching? -Correct Answers: endometriosis may be associated with painful bowel movements A nurse is assisting with the admission of a 9 year old child who has acute rheumatic fever. When obtaining the child's history, it is appropriate for the nurse to ask the parent which of the following questions? -Correct Answers: Has your son had a sore throat recently?" A nurse is reinforcing teaching with parents of a school-age child who has cystic fibrosis. Which of the following statements should the nurse make? -Correct Answers: "Engage the child in daily aerobic exercise." A nurse is assisting in the care of a client who is in active labor. The nurse notes late decelerations on the fetal monitor tracing. Which of the following actions should the nurse do first? -Correct Answers: Position the client on her side. A nurse in a pediatric clinic is caring for a child who has iron deficiency anemia and is to start taking ferrous sulfate syrup. Which of the following instructions should the nurse give the parent? -Correct Answers: offer the medication through a straw A nurse administers subcutaneous NPH insulin at 0700 to a child who has diabetes. At which of the following times should the nurse observe for hypoglycemia caused by the onset of the medication? -Correct Answers: 0900 A nurse in an urgent care center is caring for a child who has a forearm fracture. The parent tells the nurse that the provider said it was a greenstick fracture and asks what that means. Which of the following descriptions should the nurse provide? -Correct Answers: the bone cracked lengthwise but didn't break all the way through A nurse is reinforcing teaching with the parent of a school-age client who has asthma about the use of a peak flow meter. Which of the following statement about the yellow zone should the nurse include in the teaching? -Correct Answers: The child should increase his routine medications The child is having an exacerbation of the asthma A nurse who is reinforcing teaching with a client who is in her second trimester and has a new diagnosis of gestational diabetes, which of the following statements by the client indicates a need of further teaching -Correct Answers: "I will reduces my exercise schedule to 3 days a week" A nurse is caring for a client in the prenatal clinic who has a possible ectopic pregnancy at 8 weeks of gestation. Which of the following findings should the nurse expect? -Correct Answers: Pelvic Pain A nurse is assisting with the discharge of a child who has sickle cell anemia and is recovering from an acute sickle cell crisis. Which of the following instructions should the nurse reinforce with the childs parents? -Correct Answers: encourage the child to increase his fluid intake A nurse is caring for a client who is 1 day postpartum following a cesarean birth. To prevent thrombophlebitis, the nurse should contribute which of the following interventions to the client's plan of care? -Correct Answers: Have the client ambulate frequently in the hallway. A nurse is assisting with the care of a client who is multigravida and in active labor with 7 cm of cervical dilation and 100% effacement. The fetus is at +1 station, and the client's amniotic membranes are intact. The client suddenly states she needs to push. Which of the following is appropriate nursing response? -Correct Answers: Have client pant during the next few contractions. A nurse is collecting data from an infant who has otitis media. The nurse should expect which of the following findings? -Correct Answers: tugging on the affected ear lobe A nurse is reinforcing teaching with a client who is at 23 weeks of gestation and will return to the facility the following week for an amniocentesis. Which of the following instructions should the nurse include? -Correct Answers: Empty her bladder immediately prior to the procedure A nurse is collecting data from a client who is 12 hr postpartum following a spontaneous vaginal delivery. The nurse should expect to find the uterine fundus at which of the following positions on the client's abdomen? -Correct Answers: at the level of the umbilicus A nurse is preparing to begin cardiopulmonary resuscitation on an infant. Which of the following actions should the nurse take? -Correct Answers: Deliver compressions at a depth of 4 cm (1.5 in) A pregnant client reports that she has a 4-year-old child at home who was born at term, had a miscarriage at 9 weeks gestation two years ago, and an abortion when she was 16 years of age. What should the nurse document for the client's prenatal record? -Correct Answers: Gravida 4, para 1 A nurse is monitoring a child who is postoperative following a tonsillectomy for signs of hemorrhage. Which of the following findings is a sign of this postoperative complication? -Correct Answers: frequent swallowing A nurse is planning a menu for a client who has folic acid deficiency anemia and is selecting food high in folic acid. Which of the following should the nurse include? -Correct Answers: asparagus A nurse is assisting a client with breastfeeding her newborn. The nurse should explain that which of the following reflexes will initiate sucking? -Correct Answers: rooting A nurse is reinforcing teaching with a 55-year-old client who is experiencing menopause and is prescribed estrogen/progestin therapy (EPT). The nurse should tell the client that which of the following is a benefit of estrogen/progestin therapy in women who are postmenopausal? -Correct Answers: Estrogen prevents fractures from osteoporosis A nurse is reinforcing teaching with the parents of an adolescent about expected development. Which of the following developmental tasks should the nurse instruct the parents to expect the adolescent to achieve? -Correct Answers: Identity A nurse has accepted a position on a pediatric unit and is learning more about psychosocial development. Identify the order of Erikson's stages of psychosocial development from birth through 18 years of. (Move the steps into the box on the right, placing them in the selected order of performance. Use all the steps.) -Correct Answers: Trust vs. mistrust Autonomy vs. shame and doubt Initiative vs. guilt Industry vs. inferiority Identity vs. role confusion A nurse is preparing to administer the measles, mumps, and rubella (MMR) vaccine to a 15-month-old child. Which of the following findings should the nurse identify as a contraindication for this immunization? -Correct Answers: the child has a congenital immunodeficiency A nurse in a provider's office is reinforcing teaching with a parent of a school-age child who has pediculosis capitis. Which of the following instructions should the nurse include in the teaching? -Correct Answers: Wash all bed linens and dry them in a dryer for at least 20 min. A nurse is reinforcing teaching with the mother of a toddler who has acute nephrotic syndrome. The nurse should emphasize the need to report which of the following manifestations to the provider? -Correct Answers: Yellow nasal discharge A nurse is assisting with the admission of a client who is at 38 weeks of gestation and has severe preeclampsia. When collecting data from the client, the nurse should expect which of the following findings -Correct Answers: headache A nurse is reviewing contraception options for four clients. The nurse should identify which of the following clients as having a contraindication to oral contraceptives? -Correct Answers: a client who has a blood pressure of 140/90 mm Hg A nurse at a pediatric hotline receives a call from a mother who plans to administer aspirin to a toddler for a fever and wants to know the dosage. Which of the following statements by the nurse is an appropriate response? -Correct Answers: "Give her acetaminophen, not aspirin."