ACTUAL EXAM COMPREHENSIVE
QUESTIONS AND VERIFIED ANSWERS
GRADED A+ | 100% CORRECT | 2024
UPDATE!!
A gravida 3 para 3 who is Rh negative delivers a full infant at home with
assistance of a nurse midwife. Two days later, the client calls the clinic
to ask if it is necessary to see the health care provider since the infant is
healthy, and she is not having any complications. The woman's history
indicates that both previously born infants were Rh-negative.
A The newborn's blood type should be tested to determine the need
for RhoGAM
B. It is likely that the husband is Rh-negative, and if so RhoGam
C. RhoGam injections must be administered within 24 hours after
delivery - ✔✔✔ Correct Answer > The newborn's blood type should
be tested to determine the need for RhoGAM
A 3-hour old male infants hands and feet as cyanotic, and has an
axillary temperature of 96.5 degrees Fahrenheit 35.8 degrees
centigrade a respiratory rate of 40 breaths per minute and a heart rate
of 165 beats per minute what nursing action should nurse implement.
A Administer oxygen by mouth at 2L/min
,B Gradually warm the infant under a radiant heat source.
C Notify the pediatrician of the infant's vital signs
D Perform a heel-stick to maintain blood glucose level - ✔✔✔ Correct
Answer > Gradually warm the infant under a radiant heat source
A new born nursery protocol includes a prescription for ophthalmic
erythromycin 5% ointment to both eyes upon a new born admission.
What action should the nurse take to ensure adequate installation of
the client.
A Instill a thin ribbon into each lower conjunctival sac
B Occlude the inner canthus after retracting the eyelids
C Mummy wrap the infant before instilling the ointment
D Stabilize the instilling hand on the neonate's head - ✔✔✔ Correct
Answer > Instill a thin ribbon into each lower conjunctival sac
A newborn's head circumference is 12inches and his chest
measurement is 13 inches. The nurse notes that this infant has no
molding, and was a breech presentation delivered by Cesarean section.
What action should the nurse take based on these data?
A. No action need be taken. It is normal for an infant born by Cesarean
section to have a small head circumference.
B. Notify the pediatrician immediately. These findings support the
possibility of hydrocephalus.
C. Call these findings to the attention of the pediatrician. The
head/chest ratio is abnormal.
,D. Record the findings on the chart. They are within normal limits. -
✔✔✔ Correct Answer > Call these findings to the attention of the
pediatrician. The head/chest ratio is abnormal
A 17 year old client gave birth 12 hours ago she states that she doesn't
know how to care for her baby. To promote parent infant attachment
behaviors which intervention should the nurse implement.
A. Ask if she has help to care for the baby at home.
B. Provide a video on newborn safety and care.
C. Explored the basis of fears with the client.
D. Encourage rooming in while in the hospital. - ✔✔✔ Correct
Answer > Encourage rooming in while in the hospital
A woman in her third trimester of pregnancy has been in active labor
for the past 8 hours and has dilated 3cm. The nurse's assessment
findings and electronic fetal monitoring(EFM) are consistent with
hypotonic dystocia, and the healthcare provider prescribed and
oxytocin drip. Which data is most important for the nurse to monitor?
A. Preparation for emergency cesarean birth.
B. Client's hourly blood pressure.
C. Checking the perineum for bulging.
D. Intensity, interval, and length of contractions. - ✔✔✔ Correct
Answer > Intensity, interval, and length of contractions.
, The nurse is preparing a young couple and their 24-hour-old infant for
discharge from the hospital. In conducting discharge teaching, which
intervention is most important for the nurse to implement?
A. Ensure that they have the pediatric clinic's phone number.
B. Provide the results of the infant's hearing test to the parents.
C. Request a return demonstration of a diaper change.
D. Evaluate infant feeding technique prior to discharge. - ✔✔✔
Correct Answer > Evaluate infant feeding technique prior to discharge
The healthcare provider prescribes zidovudine 100mg po 5x daily for a
pregnant woman who is HIV positive. The drug is available in a 240mL
bottle labeled, "50mg/5mL." How many mL should the nurse
administer?
A. 8.5
B. 8
C. 10.5
D. 10 - ✔✔✔ Correct Answer > 10
Using the Ballard Gestational Age Assessment Tool, the nurse
determines that a 15-minute old infant has a gestational age of 42-
weeks. Based on this finding, which intervention is most important for
the nurse to implement?
A. Provide blow-by oxygen
B. Draw arterial blood gases