Nursing Care of Children/Maternal
Newborn Capstone OE COMPLETE
QUESTIONS AND ANSWERS (VERIFIED)
A nurse in a provider's office is planning to administer immunizations to an 11-year-old
child who is up to date with current recommendations.
Which of the following immunizations should the nurse plan to administer?
1. Hepatitis B (Hep B)
2. Measles, mumps, rubella (MMR)
3. Tetanus, diphtheria, and pertussis (Tdap)
4. Pneumococcal (PCV) - correct answer3
A nurse in an antepartum clinic is reinforcing teaching with a pregnant client about
breastfeeding. Which of the following statements by the client
indicates an understanding of the teaching?
1. "I should start trying to breastfeed within an hour of having my baby
2. "I should give my baby formula between feedings if he loses 5 percent of his birth
weight."
3. "I should let my baby nurse for 10 minutes from each breast when he is hungry."
4. "I should offer my baby a pacifier after breastfeeding him if he is fussy." - correct
answer1
A nurse in an urgent care clinic is contributing to the plan of care for a child who has
suspected epiglottitis. Which of the following interventions
should the nurse plan to include?
1. Initiate contact precautions
2. Monitor pulse oximetry.
3. Obtain a throat culture.
4. Administer epinephrine IM. - correct answer2
A nurse is assisting in the admission of a client who had recently given birth and is
presenting to the emergency department with acute opioid
toxicity. Which of the following findings should the nurse expect?
1. Hypothermia
2. Hypertension
3. Diaphoresis
4. Mydriasis - correct answer1.
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. - correct answer2. Stop the IV infusion.
A nurse is assisting with initial newborn data collection immediately following delivery.
The nurse should identify that which of the following
findings requires further evaluation?
1. Substernal retractions
2. Mongolian spots
3. Positive Babinski reflex
4. Erythema toxicum - correct answer1
A nurse is assisting with the care of a client who is at 36 weeks of gestation and
experienced premature rupture of membranes. Which of the
following actions should the nurse take?
1. Administer glucocorticoids
2. Monitor the client's temperature.
3. Give calcium gluconate.
4. Prepare the client for an amniocentesis. - correct answer2
A nurse is assisting with the care of a client who is experiencing a postpartum
hemorrhage. Which of the following actions should the nurse take?
(Select all that apply.)
1. Firmly massage the fundus.
2. Administer oxygen via a nonrebreather face mask.
3. Ensure the client has IV access.
4. Prepare the client for an amnioinfusion.
5. Give the client Rh(D) immune globulin. - correct answer1,2,3
A nurse is assisting with the care of a client who is receiving epidural anesthesia for
pain management during labor. Which of the following actions
should the nurse take?
1. Remind the client to void every 4 hr.
2. )Encourage the client to alternate from side to side every 2 hr.
3. Raise the four side rails on the client's bed.
4. Monitor the client's blood pressure. - correct answer4
A nurse is assisting with the care of an adolescent who has a partial-thickness burn.
When observing the site of the burn, which of the following
clinical manifestations should the nurse expect?
1. Brown in color
2. Leathery appearance
3. Visible ligaments
4. Blister formation - correct answer4. Blister formation
A nurse is caring for a 9-year-old client who is immediately postoperative. The client is
nonverbal and has both cognitive and developmental
Newborn Capstone OE COMPLETE
QUESTIONS AND ANSWERS (VERIFIED)
A nurse in a provider's office is planning to administer immunizations to an 11-year-old
child who is up to date with current recommendations.
Which of the following immunizations should the nurse plan to administer?
1. Hepatitis B (Hep B)
2. Measles, mumps, rubella (MMR)
3. Tetanus, diphtheria, and pertussis (Tdap)
4. Pneumococcal (PCV) - correct answer3
A nurse in an antepartum clinic is reinforcing teaching with a pregnant client about
breastfeeding. Which of the following statements by the client
indicates an understanding of the teaching?
1. "I should start trying to breastfeed within an hour of having my baby
2. "I should give my baby formula between feedings if he loses 5 percent of his birth
weight."
3. "I should let my baby nurse for 10 minutes from each breast when he is hungry."
4. "I should offer my baby a pacifier after breastfeeding him if he is fussy." - correct
answer1
A nurse in an urgent care clinic is contributing to the plan of care for a child who has
suspected epiglottitis. Which of the following interventions
should the nurse plan to include?
1. Initiate contact precautions
2. Monitor pulse oximetry.
3. Obtain a throat culture.
4. Administer epinephrine IM. - correct answer2
A nurse is assisting in the admission of a client who had recently given birth and is
presenting to the emergency department with acute opioid
toxicity. Which of the following findings should the nurse expect?
1. Hypothermia
2. Hypertension
3. Diaphoresis
4. Mydriasis - correct answer1.
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. - correct answer2. Stop the IV infusion.
A nurse is assisting with initial newborn data collection immediately following delivery.
The nurse should identify that which of the following
findings requires further evaluation?
1. Substernal retractions
2. Mongolian spots
3. Positive Babinski reflex
4. Erythema toxicum - correct answer1
A nurse is assisting with the care of a client who is at 36 weeks of gestation and
experienced premature rupture of membranes. Which of the
following actions should the nurse take?
1. Administer glucocorticoids
2. Monitor the client's temperature.
3. Give calcium gluconate.
4. Prepare the client for an amniocentesis. - correct answer2
A nurse is assisting with the care of a client who is experiencing a postpartum
hemorrhage. Which of the following actions should the nurse take?
(Select all that apply.)
1. Firmly massage the fundus.
2. Administer oxygen via a nonrebreather face mask.
3. Ensure the client has IV access.
4. Prepare the client for an amnioinfusion.
5. Give the client Rh(D) immune globulin. - correct answer1,2,3
A nurse is assisting with the care of a client who is receiving epidural anesthesia for
pain management during labor. Which of the following actions
should the nurse take?
1. Remind the client to void every 4 hr.
2. )Encourage the client to alternate from side to side every 2 hr.
3. Raise the four side rails on the client's bed.
4. Monitor the client's blood pressure. - correct answer4
A nurse is assisting with the care of an adolescent who has a partial-thickness burn.
When observing the site of the burn, which of the following
clinical manifestations should the nurse expect?
1. Brown in color
2. Leathery appearance
3. Visible ligaments
4. Blister formation - correct answer4. Blister formation
A nurse is caring for a 9-year-old client who is immediately postoperative. The client is
nonverbal and has both cognitive and developmental
