BRAINSCAPE1
NUR2513 Maternal-Child Exam 2 with
complete solutions latest version
Providing care to the postpartum client, the nurse recognizes that women are
hypercoagulable during the third trimester of pregnancy. Assessment of this client
should include evaluation for the development of venous thromboembolism. Which of
the follow should be included in this eval? SATA
A. Observe distal upper extremities for swelling/edema
B. Observe lower extremities for symmetry
C. Asses for uterine cramping
D. Observe respiratory rate and effort
E. Auscultate lung sounds - CORRECT ANSWER-B. Observe lower extremities for
symmetry
D. Observe respiratory rate and effort
E. Auscultate lung sounds
A newborn is prescribed to receive Vitamin K 0.5 mg intramuscularly. How should the
nurse administer the medication to the newborn?
A. Provide medication immediately before breastfeeding
B. Administer medication into the vastus lateralis
C. Notify physician for swelling and irritation at the injection site
D. Administer the medication in the deltoid muscle - CORRECT ANSWER-B. Administer
medication into the vastus lateralis
Which technique is used to palpate the fundal heigh on postpartum client?
A. Placing one hand on the fundus, one on the perineum
B. Resting both hands on the fundus
C. Palpating the fundus with only fingertip pressure
D. Placing one hand at the base of the uterus , one on the fundus - CORRECT
ANSWER-D. Placing one hand at the base of the uterus , one on the fundus
A nurse is caring for a 4 yr old female. Which of the following is expected of a
preschool-aged child
A. Describing manifestations of illness
B. Understanding cause of illness
C. Relating fears to magical thinking
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D. Awareness of body function - CORRECT ANSWER-
A new mother asks the nurse how soon she can try to breastfeed after deliery. Which of
the following would be the nurses best response?
A. Once the infant has his first feeding of formula
B. Immediately after birth
C. In 24 hours after her infant is given water
D. After the infant is allowed to rest - CORRECT ANSWER-B. Immediately after birth
Which assessment finding indicated to the nurse that a newborn has hip sublaxtion?
A. Crying on straightening of the right leg
B. Inward rotation of the right foot
C. Inability of the right hip to abduct
D. Drawing of the legs underneath while prone - CORRECT ANSWER-C. Inability of the
right hip to abduct
A nurse is helping her postpartum client up to the bathroom for the first time after
delivery. Which finding indicates her lochia is within normal imites?
A. the color of the flow is red
B. Lochia contains large clots
C. The flow is over 500 mL
D. Her uterus is boggy and soft - CORRECT ANSWER-A. the color of the flow is red
A nurse is caring for an infant with myelomeningocele. Which of the following actions
should the nurse include in the preoperative plan of care.
A. Place the infant in a supine position
B. Assess the infants temp rectally
C. Apply a sterile, moist dressing on the sac
D. Assist the caregiver with cuddling the infant - CORRECT ANSWER-C. Apply a
sterile, moist dressing on the sac
The nurse is inspecting a males newborns genitalia. Which action should the nurse
avoid when conducting this assessment?
A. Palpating if testes are descended into the scrotal sac
B. Retracting the foreskin over the glans to assess for secretions
C. Inspecting if the urethral opening appears circular
D. Inspecting the genital area for irritated skin - CORRECT ANSWER-B. Retracting the
foreskin over the glans to assess for secretions
During a home visit, the nurse determines that a toddler has a difficult temperament.
What did the nurse observe in this toddler? SATA
A. Rhythmic
B. Minimal adaptability
C. Withdrawing
D. Intense mood - CORRECT ANSWER-B. Minimal adaptability
C. Withdrawing
D. Intense mood
BRAINSCAPE1
NUR2513 Maternal-Child Exam 2 with
complete solutions latest version
Providing care to the postpartum client, the nurse recognizes that women are
hypercoagulable during the third trimester of pregnancy. Assessment of this client
should include evaluation for the development of venous thromboembolism. Which of
the follow should be included in this eval? SATA
A. Observe distal upper extremities for swelling/edema
B. Observe lower extremities for symmetry
C. Asses for uterine cramping
D. Observe respiratory rate and effort
E. Auscultate lung sounds - CORRECT ANSWER-B. Observe lower extremities for
symmetry
D. Observe respiratory rate and effort
E. Auscultate lung sounds
A newborn is prescribed to receive Vitamin K 0.5 mg intramuscularly. How should the
nurse administer the medication to the newborn?
A. Provide medication immediately before breastfeeding
B. Administer medication into the vastus lateralis
C. Notify physician for swelling and irritation at the injection site
D. Administer the medication in the deltoid muscle - CORRECT ANSWER-B. Administer
medication into the vastus lateralis
Which technique is used to palpate the fundal heigh on postpartum client?
A. Placing one hand on the fundus, one on the perineum
B. Resting both hands on the fundus
C. Palpating the fundus with only fingertip pressure
D. Placing one hand at the base of the uterus , one on the fundus - CORRECT
ANSWER-D. Placing one hand at the base of the uterus , one on the fundus
A nurse is caring for a 4 yr old female. Which of the following is expected of a
preschool-aged child
A. Describing manifestations of illness
B. Understanding cause of illness
C. Relating fears to magical thinking
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, BRAINSCAPE1
D. Awareness of body function - CORRECT ANSWER-
A new mother asks the nurse how soon she can try to breastfeed after deliery. Which of
the following would be the nurses best response?
A. Once the infant has his first feeding of formula
B. Immediately after birth
C. In 24 hours after her infant is given water
D. After the infant is allowed to rest - CORRECT ANSWER-B. Immediately after birth
Which assessment finding indicated to the nurse that a newborn has hip sublaxtion?
A. Crying on straightening of the right leg
B. Inward rotation of the right foot
C. Inability of the right hip to abduct
D. Drawing of the legs underneath while prone - CORRECT ANSWER-C. Inability of the
right hip to abduct
A nurse is helping her postpartum client up to the bathroom for the first time after
delivery. Which finding indicates her lochia is within normal imites?
A. the color of the flow is red
B. Lochia contains large clots
C. The flow is over 500 mL
D. Her uterus is boggy and soft - CORRECT ANSWER-A. the color of the flow is red
A nurse is caring for an infant with myelomeningocele. Which of the following actions
should the nurse include in the preoperative plan of care.
A. Place the infant in a supine position
B. Assess the infants temp rectally
C. Apply a sterile, moist dressing on the sac
D. Assist the caregiver with cuddling the infant - CORRECT ANSWER-C. Apply a
sterile, moist dressing on the sac
The nurse is inspecting a males newborns genitalia. Which action should the nurse
avoid when conducting this assessment?
A. Palpating if testes are descended into the scrotal sac
B. Retracting the foreskin over the glans to assess for secretions
C. Inspecting if the urethral opening appears circular
D. Inspecting the genital area for irritated skin - CORRECT ANSWER-B. Retracting the
foreskin over the glans to assess for secretions
During a home visit, the nurse determines that a toddler has a difficult temperament.
What did the nurse observe in this toddler? SATA
A. Rhythmic
B. Minimal adaptability
C. Withdrawing
D. Intense mood - CORRECT ANSWER-B. Minimal adaptability
C. Withdrawing
D. Intense mood
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