3/21/25, 2:42 NCLEX-RN Flashcards |
PM
NCLEX-RN EXAM QUESTIONS AND ANSWERS WITH
COMPLETE SOLUTIONS VERIFIED
Terms in this set (23)
When an infant resumes taking oral Sucking provides the infant with a sense of security and comfort. It also is an outlet
feedings after surgery to correct for releasing tension. The infant should not be discouraged from sucking on the
intussusception, the parents comment that pacifier. Fussiness after feeding may indicate that the infant's appetite is not satisfied.
the child seems to suck on the pacifier Sucking is not manipulative in the sense of seeking parental attention.
more since the surgery. The nurse explains
that sucking on a pacifier:
provides an outlet for emotional tension.
indicates readiness to take solid foods.
indicates intestinal motility.
is an attempt to get attention from the
parents.
A 19-year-old primigravid client at 38 Pushing during the first stage of labor, when the urge is felt but the cervix is not
weeks' gestation is 7 cm dilated, and the completely dilated, may produce cervical swelling, making labor more difficult. The
presenting part is at +1 station. The client client should be encouraged to use a pant-blow (or blow-blow) pattern of breathing
tells the nurse, "I need to push!" What to help overcome the urge to push. The McDonald procedure is used for
should the nurse do next? cervical
Use the McDonald procedure to widen cerclage for an incompetent cervix and is inappropriate here. Increasing the rate of
the pelvic opening. oxygen and intravenous fluids will not alleviate the pressure that the client is feeling.
Increase the rate of oxygen and The client should not push even if she feels the urge to do so because this may result
intravenous fluids. in cervical edema at 7-cm dilation.
Instruct the client to use a pant-blow
pattern of breathing.
Tell the client to push only when
absolutely necessary.
1/
8
, 3/21/25, 2:42 NCLEX-RN Flashcards |
PM
During the second day postpartum, the The taking-in phase is the period after birth characterized by the women's
nurse notices that a client is initiating dependency and passivity with others. Maternal needs are dominant and talking
breastfeeding with her infant and changing about the birth is an important task. The new mother follows suggestions, is hesitant
her infant's diapers with a little assistance about making decisions, and is still preoccupied with her needs. The taking-hold
from her partner. According to Reva Rubin's phase is the period after birth characterized by a woman becoming more
"phases of bonding," which of the following independent and most interested in learning how to care for her infant. Learning
is the appropriate phase the woman is how to be a competent parent is an important task. The letting-go phase is an
experiencing? interdependent phase after birth in which the mother and family move forward as a
the taking-in phase family system, interacting together.
the taking-hold phase
the binding-in phase
the letting-go phase
A nurse is obtaining a prenatal history TORCH refers to Toxoplasmosis, Other Rubella virus, Cytomegalovirus, and Herpes
from a client who's 8 weeks pregnant. simplex virus — agents that may infect the fetus or neonate, causing numerous ill
To help effects. Toxoplasmosis is transmitted to humans through contact with the feces of
determine whether the client is at risk for a infected cats (which may occur when emptying a litter box), through ingesting raw
TORCH infection, the nurse should ask meat, or through contact with raw meat followed by improper hand washing.
which question? Osteomyelitis, a serious bone infection; histoplasmosis, which can be transmitted
"Have you ever had by birds; and rubeola aren't TORCH infections.
osteomyelitis?" "Do you have any
cats at home?" "Do you have
any birds at home?"
"Have you recently had a rubeola
vaccination?"
A primiparous client planning to breastfeed If the client begins breastfeeding early and often after birth, the breasts begin to
her term neonate born vaginally asks, fill with milk within 48 to 96 hours, or 2 to 4 days. The breasts secrete colostrum for
"When will my 'real' milk come in?" The the first 24 to 48 hours, which is beneficial to the neonate because of the
nurse explains to the client that after birth, immunoglobulins contained in colostrum.
breasts begin to produce milk within what
time period?
12 hours
24 hours
2 to 4 days
7 days
The parent of a toddler hospitalized for The child is demonstrating behavior associated with temper tantrums, which are
episodes of diarrhea reports that when the relatively frequent normal occurrences during toddlerhood as the child attempts to
2/
8
PM
NCLEX-RN EXAM QUESTIONS AND ANSWERS WITH
COMPLETE SOLUTIONS VERIFIED
Terms in this set (23)
When an infant resumes taking oral Sucking provides the infant with a sense of security and comfort. It also is an outlet
feedings after surgery to correct for releasing tension. The infant should not be discouraged from sucking on the
intussusception, the parents comment that pacifier. Fussiness after feeding may indicate that the infant's appetite is not satisfied.
the child seems to suck on the pacifier Sucking is not manipulative in the sense of seeking parental attention.
more since the surgery. The nurse explains
that sucking on a pacifier:
provides an outlet for emotional tension.
indicates readiness to take solid foods.
indicates intestinal motility.
is an attempt to get attention from the
parents.
A 19-year-old primigravid client at 38 Pushing during the first stage of labor, when the urge is felt but the cervix is not
weeks' gestation is 7 cm dilated, and the completely dilated, may produce cervical swelling, making labor more difficult. The
presenting part is at +1 station. The client client should be encouraged to use a pant-blow (or blow-blow) pattern of breathing
tells the nurse, "I need to push!" What to help overcome the urge to push. The McDonald procedure is used for
should the nurse do next? cervical
Use the McDonald procedure to widen cerclage for an incompetent cervix and is inappropriate here. Increasing the rate of
the pelvic opening. oxygen and intravenous fluids will not alleviate the pressure that the client is feeling.
Increase the rate of oxygen and The client should not push even if she feels the urge to do so because this may result
intravenous fluids. in cervical edema at 7-cm dilation.
Instruct the client to use a pant-blow
pattern of breathing.
Tell the client to push only when
absolutely necessary.
1/
8
, 3/21/25, 2:42 NCLEX-RN Flashcards |
PM
During the second day postpartum, the The taking-in phase is the period after birth characterized by the women's
nurse notices that a client is initiating dependency and passivity with others. Maternal needs are dominant and talking
breastfeeding with her infant and changing about the birth is an important task. The new mother follows suggestions, is hesitant
her infant's diapers with a little assistance about making decisions, and is still preoccupied with her needs. The taking-hold
from her partner. According to Reva Rubin's phase is the period after birth characterized by a woman becoming more
"phases of bonding," which of the following independent and most interested in learning how to care for her infant. Learning
is the appropriate phase the woman is how to be a competent parent is an important task. The letting-go phase is an
experiencing? interdependent phase after birth in which the mother and family move forward as a
the taking-in phase family system, interacting together.
the taking-hold phase
the binding-in phase
the letting-go phase
A nurse is obtaining a prenatal history TORCH refers to Toxoplasmosis, Other Rubella virus, Cytomegalovirus, and Herpes
from a client who's 8 weeks pregnant. simplex virus — agents that may infect the fetus or neonate, causing numerous ill
To help effects. Toxoplasmosis is transmitted to humans through contact with the feces of
determine whether the client is at risk for a infected cats (which may occur when emptying a litter box), through ingesting raw
TORCH infection, the nurse should ask meat, or through contact with raw meat followed by improper hand washing.
which question? Osteomyelitis, a serious bone infection; histoplasmosis, which can be transmitted
"Have you ever had by birds; and rubeola aren't TORCH infections.
osteomyelitis?" "Do you have any
cats at home?" "Do you have
any birds at home?"
"Have you recently had a rubeola
vaccination?"
A primiparous client planning to breastfeed If the client begins breastfeeding early and often after birth, the breasts begin to
her term neonate born vaginally asks, fill with milk within 48 to 96 hours, or 2 to 4 days. The breasts secrete colostrum for
"When will my 'real' milk come in?" The the first 24 to 48 hours, which is beneficial to the neonate because of the
nurse explains to the client that after birth, immunoglobulins contained in colostrum.
breasts begin to produce milk within what
time period?
12 hours
24 hours
2 to 4 days
7 days
The parent of a toddler hospitalized for The child is demonstrating behavior associated with temper tantrums, which are
episodes of diarrhea reports that when the relatively frequent normal occurrences during toddlerhood as the child attempts to
2/
8
