Capstone Nursing Care of Children/Maternal Newborn Assessment Test Questions and Correct Answers

A nurse is reinforcing teaching with a client who is postpartum and plans to breastfeed their newborn. Which of the following statements by the client indicates an understanding of the teaching? 1. "I should add 500 calories per day to my diet." 2. "I will use antibacterial soap and warm water to wash my breasts." 3. "Breastfeeding is a reliable method of birth control." 4. "If my nipples become cracked and red, I will apply hydrocortisone cream." "I should add 500 calories per day to my diet." A nurse is collecting data from an infant who has Hirschsprung's disease. Which of the following manifestations should the nurse expect? 1. Abdominal distention 2. Steatorrhea 3. Blood-tinged emesis 4. Dysphagia Abdominal distention A nurse is collecting data from a client who is 6 weeks postpartum. The client tells the nurse, "I am not a good mother. My baby doesn't like me." Which of the following actions should the nurse take? 1. Advise the client that most new mothers experience these feelings 2. Ask the client if they have had thoughts about harming their infant. 3. Explain to the client they are experiencing the "baby blues." 4. Take the client to the emergency department. Ask the client if they have had thoughts about harming their infant. A nurse is reinforcing teaching with an adolescent client who uses inhalers for the treatment of asthma. Which of the following statements by the client indicates an understanding of the teaching? 1. "I will wait 15 seconds between puffs when using my levalbuterol inhaler. 2. "I need to use my fluticasone inhaler when I start to wheeze during exercise." 3. "I need to use my levalbuterol inhaler before I exercise. 4. "I will stop using my fluticasone inhaler if I experience restlessness." "I need to use my levalbuterol inhaler before I exercise. A nurse is reinforcing teaching with a parent of an infant who has diaper dermatitis and a new prescription for zinc oxide ointment. Which of the following statements by the parent indicates an understanding of the teaching? 1. "I will wash off the ointment with each diaper change." 2. "I should shake talcum powder onto the reddened areas." 3. "I should dry the diaper area with a hair dryer on the lowest setting." 4. "I will use moist disposable wipes that are detergent free." "I will use moist disposable wipes that are detergent free." A nurse is reinforcing teaching with a parent of a school-age child who has tonic-clonic seizures. Which of the following statements should the nurse make regarding care during a seizure? 1. "You should offer your child sips of clear liquids." 2. "You should gently restrain your child using both of your arms." 3. "You should place your child's head on a pillow." 4. "You should give rectal diazepam to your child at the onset of the seizure." "You should place your child's head on a pillow." A nurse is reviewing laboratory reports for four antepartum clients. Which of the following laboratory results should the nurse report to the provider? 1. 2-hr postprandial glucose 105 mg/dL 2. Negative group B streptococcus -hemolytic 3. Hgb 13 g/dL 4. 2+ proteinuria 2+ proteinuria A nurse is assisting in the care of a child who is receiving IV cefuroxime when the child begins to have difficulty breathing. Which of the following actions should the nurse take first? 1. Obtain vital signs. 2.Stop the IV infusion. 3. Administer epinephrine IM. 4. Monitor intake and output. Stop the IV infusion