Module 1 Exam, Practice T2, EAQ #6 Nursing
Process/sexuality, N204 Practice Quizes, Fundamentals
Quiz, Health and Physical Assessment, Leadership EAQ's,
EAQ NCLEX, Maternity Chap 28, Maternity and Women's
Health Nursing - Newborn, Nur 106- Module G2,...
Questions With Complete Solutions
"Infants' feet appear flat because the arch is covered with a fat
pad." Correct Answers While inspecting her newborn a mother
asks the nurse whether her baby has flat feet. How should the
nurse respond?
"Newborns are deficient in vitamin K. This treatment will
protect your baby from bleeding." Correct Answers After the
birth of her daughter, a mother tells the nurse, "I was told that
my baby has to have an injection of vitamin K. She's so small to
be getting a shot. Why does she have to have it?" How should
the nurse respond?
"The swelling and discharge are expected. They're a response to
your hormones." Correct Answers A mother is inspecting her
newborn girl for the first time. The infant's breasts are
edematous, and she has a pink vaginal discharge. How should
the nurse respond when the mother asks what is wrong?
"The test won't be done until your baby has had enough milk for
the results to be accurate." Correct Answers On her first
postpartum day, a client asks the nurse whether her baby has had
a test for phenylketonuria (PKU) yet. How should the nurse
reply?
,"This is the time when the baby is likely to be most responsive
to you." Correct Answers The nurse is caring for a couple after
the birth of their first child. What should the nurse tell the family
to do when their infant is exhibiting the behavior demonstrated
in the picture?
"This often happens as the baby's head moves down the birth
canal—the bones move for easier passage." Correct Answers A
new mother exclaims to the nurse, "My baby looks like a
Conehead!" How should the nurse respond?
"We'll have to have the baby fitted with prosthetic devices
before he'll be able to walk." Correct Answers A nurse reviews
the prescribed treatment with the parents of an infant born with
bilateral clubfeet. Which parental statement indicates to the
nurse that further education is required?
"What is the baby's daily schedule?" Correct Answers Four
weeks after giving birth, a client is agitated and tells the clinic
nurse, "The baby cries all the time, and I don't know what to
do." What question should the nurse ask before planning nursing
care?
2
Tachycardia Correct Answers Heart rate over a 100
3 Correct Answers A newborn of 30 weeks' gestation has a
heart rate of 86 beats/min and slow, irregular respirations. The
infant grimaces in response to suctioning, is cyanotic, and has
flaccid muscle tone. What Apgar score should the nurse assign
to this neonate?
,3 examples of objective data Correct Answers Blood pressure
Heart rate
Respirations
3 examples of subjective data Correct Answers Pain, Dizziness,
Exhaustion
30 to 60 breaths/min Correct Answers A neonate weighing 5 lb
6 oz (2438 g) is born in a cesarean birth and admitted to the
newborn nursery. What range of resting respiratory rate should
the nurse anticipate?
4
Agonal breaths Correct Answers Gasping
5 Correct Answers Five minutes after being born, a newborn is
pale; has irregular, slow respirations; has a heart rate of 120
beats/min; displays minimal flexion of the extremities; and has
minimal reflex responses. What is this newborn's Apgar score?
5 rights of delegation Correct Answers right task, right
circumstances, right person, right direction/communication, and
right supervision/evaluation.
6 months Correct Answers A mother is breastfeeding her
newborn. She asks when she may switch the baby to a cup. The
nurse concludes that the mother understands the teaching about
feeding when she says she will start to introduce a cup after the
baby reaches:
, A 12-year-old child with Down syndrome is admitted to the
hospital for intravenous antibiotics for pneumonia. Which
clinical findings associated with Down syndrome should the
nurse expect when performing a physical assessment? Select all
that apply.
1. Saddle nose
2. Thin fingers
3. Inner epicanthic folds
4. Hypertonic musculature
5. Transverse palmar crease Correct Answers 1.Saddle Nose
2.Inner epicanthic folds
3.Transverse palmar crease
Children with Down syndrome have a broad nose with a
depressed bridge (saddle nose), as well as inner epicanthic folds,
and oblique palpebral fissures; they also have speckling of the
iris (Brushfield spots). Children with Down syndrome have a
transverse palmar crease (simian crease) formed by fusion of the
proximal and distal palmar creases. These children also have
broad, short, stubby hands and feet. Children with Down
syndrome have hypotonic, not hypertonic, musculature.
A 13-year-old child states, "I don't know if I want to go to
college or start working after high school." Which stage of
psychosocial development is indicated by this child's
uncertainty?
1
Intimacy vs. isolation
2
Ego integrity vs. despair
Process/sexuality, N204 Practice Quizes, Fundamentals
Quiz, Health and Physical Assessment, Leadership EAQ's,
EAQ NCLEX, Maternity Chap 28, Maternity and Women's
Health Nursing - Newborn, Nur 106- Module G2,...
Questions With Complete Solutions
"Infants' feet appear flat because the arch is covered with a fat
pad." Correct Answers While inspecting her newborn a mother
asks the nurse whether her baby has flat feet. How should the
nurse respond?
"Newborns are deficient in vitamin K. This treatment will
protect your baby from bleeding." Correct Answers After the
birth of her daughter, a mother tells the nurse, "I was told that
my baby has to have an injection of vitamin K. She's so small to
be getting a shot. Why does she have to have it?" How should
the nurse respond?
"The swelling and discharge are expected. They're a response to
your hormones." Correct Answers A mother is inspecting her
newborn girl for the first time. The infant's breasts are
edematous, and she has a pink vaginal discharge. How should
the nurse respond when the mother asks what is wrong?
"The test won't be done until your baby has had enough milk for
the results to be accurate." Correct Answers On her first
postpartum day, a client asks the nurse whether her baby has had
a test for phenylketonuria (PKU) yet. How should the nurse
reply?
,"This is the time when the baby is likely to be most responsive
to you." Correct Answers The nurse is caring for a couple after
the birth of their first child. What should the nurse tell the family
to do when their infant is exhibiting the behavior demonstrated
in the picture?
"This often happens as the baby's head moves down the birth
canal—the bones move for easier passage." Correct Answers A
new mother exclaims to the nurse, "My baby looks like a
Conehead!" How should the nurse respond?
"We'll have to have the baby fitted with prosthetic devices
before he'll be able to walk." Correct Answers A nurse reviews
the prescribed treatment with the parents of an infant born with
bilateral clubfeet. Which parental statement indicates to the
nurse that further education is required?
"What is the baby's daily schedule?" Correct Answers Four
weeks after giving birth, a client is agitated and tells the clinic
nurse, "The baby cries all the time, and I don't know what to
do." What question should the nurse ask before planning nursing
care?
2
Tachycardia Correct Answers Heart rate over a 100
3 Correct Answers A newborn of 30 weeks' gestation has a
heart rate of 86 beats/min and slow, irregular respirations. The
infant grimaces in response to suctioning, is cyanotic, and has
flaccid muscle tone. What Apgar score should the nurse assign
to this neonate?
,3 examples of objective data Correct Answers Blood pressure
Heart rate
Respirations
3 examples of subjective data Correct Answers Pain, Dizziness,
Exhaustion
30 to 60 breaths/min Correct Answers A neonate weighing 5 lb
6 oz (2438 g) is born in a cesarean birth and admitted to the
newborn nursery. What range of resting respiratory rate should
the nurse anticipate?
4
Agonal breaths Correct Answers Gasping
5 Correct Answers Five minutes after being born, a newborn is
pale; has irregular, slow respirations; has a heart rate of 120
beats/min; displays minimal flexion of the extremities; and has
minimal reflex responses. What is this newborn's Apgar score?
5 rights of delegation Correct Answers right task, right
circumstances, right person, right direction/communication, and
right supervision/evaluation.
6 months Correct Answers A mother is breastfeeding her
newborn. She asks when she may switch the baby to a cup. The
nurse concludes that the mother understands the teaching about
feeding when she says she will start to introduce a cup after the
baby reaches:
, A 12-year-old child with Down syndrome is admitted to the
hospital for intravenous antibiotics for pneumonia. Which
clinical findings associated with Down syndrome should the
nurse expect when performing a physical assessment? Select all
that apply.
1. Saddle nose
2. Thin fingers
3. Inner epicanthic folds
4. Hypertonic musculature
5. Transverse palmar crease Correct Answers 1.Saddle Nose
2.Inner epicanthic folds
3.Transverse palmar crease
Children with Down syndrome have a broad nose with a
depressed bridge (saddle nose), as well as inner epicanthic folds,
and oblique palpebral fissures; they also have speckling of the
iris (Brushfield spots). Children with Down syndrome have a
transverse palmar crease (simian crease) formed by fusion of the
proximal and distal palmar creases. These children also have
broad, short, stubby hands and feet. Children with Down
syndrome have hypotonic, not hypertonic, musculature.
A 13-year-old child states, "I don't know if I want to go to
college or start working after high school." Which stage of
psychosocial development is indicated by this child's
uncertainty?
1
Intimacy vs. isolation
2
Ego integrity vs. despair
