NUR2513 Maternal-Child Exam 2 | Ultimate Exam
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Terms in this set (71)
Providing care to the postpartum B. Observe lower extremities for symmetry
client, the nurse recognizes that D. Observe respiratory rate and effort
women are hypercoagulable during E. Auscultate lung sounds
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
,A newborn is prescribed to receive B. Administer medication into the vastus lateralis
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
Which technique is used to palpate D. Placing one hand at the base of the uterus , one
the fundal heigh on postpartum on the fundus
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
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
D. Awareness of body function
,A new mother asks the nurse how B. Immediately after birth
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
Which assessment finding indicated C. Inability of the right hip to abduct
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
A nurse is helping her postpartum A. the color of the flow is red
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
, A nurse is caring for an infant with C. Apply a sterile, moist dressing on the sac
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
The nurse is inspecting a males B. Retracting the foreskin over the glans to assess
newborns genitalia. Which action for secretions
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
During a home visit, the nurse B. Minimal adaptability
determines that a toddler has a C. Withdrawing
difficult temperament. What did the D. Intense mood
nurse observe in this toddler? SATA
A. Rhythmic
B. Minimal adaptability
C. Withdrawing
D. Intense mood
| Questions and Answers | Verified Solutions |
2026 Edition | Pass Guaranteed
Save
Terms in this set (71)
Providing care to the postpartum B. Observe lower extremities for symmetry
client, the nurse recognizes that D. Observe respiratory rate and effort
women are hypercoagulable during E. Auscultate lung sounds
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
,A newborn is prescribed to receive B. Administer medication into the vastus lateralis
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
Which technique is used to palpate D. Placing one hand at the base of the uterus , one
the fundal heigh on postpartum on the fundus
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
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
D. Awareness of body function
,A new mother asks the nurse how B. Immediately after birth
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
Which assessment finding indicated C. Inability of the right hip to abduct
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
A nurse is helping her postpartum A. the color of the flow is red
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
, A nurse is caring for an infant with C. Apply a sterile, moist dressing on the sac
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
The nurse is inspecting a males B. Retracting the foreskin over the glans to assess
newborns genitalia. Which action for secretions
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
During a home visit, the nurse B. Minimal adaptability
determines that a toddler has a C. Withdrawing
difficult temperament. What did the D. Intense mood
nurse observe in this toddler? SATA
A. Rhythmic
B. Minimal adaptability
C. Withdrawing
D. Intense mood
