(Graded A+)- Excelsior University
This is a timed exam. You have 100 minutes (1 hour and 40 minutes) to complete this exam. Monitor the timer as you progress so you do not run out of time.
You must work independently on the exam. Use of references (textbooks, notes, other individuals, internet sources, etc.) is not allowed.
You must submit your response to each question, by clicking the "Submit" button on the left side below each question.
It is important to note that there is no 'Submit' button for the quiz as a whole. Each response must be submitted individually.
To exit the quiz, click on the "End My Exam" button next to the timer in the top right hand corner of your screen.
1.0 M8E_NUR209
2.0 points possible (graded, results hidden)
A nurse places a note in the patient’s chart. Highlight the four (4) findings that indicate the patient has potential for a postpartum complication.
Nurses' Notes
2/28 @ 1300:
G2P0 patient at 37 weeks’ gestation delivered viable twins vaginally after 8 hours of labor. Patient received augmentation of labor
with Pitocin. Twin B was a vacuum extraction due to positioning. Placentas intact at delivery. Fundus firm, rubra lochia moderate.
Patient has voided 650mLs post-delivery. Transferring to mother-baby unit. Patient will require finger sticks as ordered for
gestational diabetes.
Your answers:
Patient received augmentation of labor with Pitocin., Patient will require finger sticks as ordered for gestational diabetes., Placentas intact at delivery, Twin B was a
vacuum extraction due to positioning.
Submitted You have used 1 of 1 attempt.
2.0 M8E_NUR209
2 points possible (graded, results hidden)
Which fine motor skill would the nurse not expect to see in a 9-month-old infant?
Grasps a rattle
Bangs objects together
Releases objects from one hand to the other
Puts objects in container and takes them out
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3.0 M8E_NUR209
2 points possible (graded, results hidden)
You are caring for a newborn with a myelomeningocele preoperatively, which interventions would you anticipate in the plan for this newborn? Select all that apply.
Oral feedings
Anticonvulsant agent
, Intravenous antibiotics
Positioning and skin assessment
Insertion of ventriculostomy
Insertion of gastrostomy tube
Straight catheterization for urinary retention
Series of enemas
Sterile technique for myelomenigocele sac care
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4.0 M8E_NUR209
2 points possible (graded, results hidden)
You are caring for a newborn at 36 hours of life who has not yet passed a stool. This alerts you to suspect which condition?
Intussusception
Short bowel syndrome
Hirschsprung’s
Intestinal malrotation
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5.0 M8E_NUR209
2 points possible (graded, results hidden)
The nurse assesses the lochia of the postpartum patient. Which findings would require further action by the nurse? Select one answer in each row.
Action Required No Action Required
Assessment Finding
1. A constant trickle of lochia is visualized
2. A dark, red lochia color
3. Clots the size of a golf ball
4. More than one pad per hour is saturated
5. A non-offensive odor is present
6. Moderate amount of lochia is present
Note: Each column must have at least 1 response option selected.
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, 6.0 M8E_NUR209
2 points possible (graded, results hidden)
After educating the patient on the use of a diaphragm for contraception, which statement made by the patient demonstrates understanding of the teaching provided?
“I can leave the diaphragm in for a day or two.”
“Once I am fitted for the diaphragm it will always be the correct size.”
“I need to leave the diaphragm in for six hours after the last act of intercourse.”
“This contraceptive can be used during menstruation.”
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7.0 M8E_NUR209
2 points possible (graded, results hidden)
You are caring for a patient with a congenital heart defect. Your patient requires a staged surgical repair. Which heart defect does your patient have?
Ventricular septal defect
Hypoplastic Left Heart Syndrome
Patent ductus arteriosus
Truncus arteriosus
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8.0 M8E_NUR209
2 points possible (graded, results hidden)
When transitioning a patient from Labor & Delivery to the mother-baby unit, which question is the priority for the postpartum nurse to know?
Has the patient voided since giving birth?
Is a family member accompanying the patient?
What is the patient’s diet?
When is her next dose of penicillin due?
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Answer submitted.
9.0 M8E_NUR209
2 points possible (graded, results hidden)
A patient who has preeclampsia is receiving magnesium sulfate. Which of these responses by the patient indicates an understanding of the purpose of the medication?
“The magnesium sulfate will lower my blood pressure.”
“The magnesium sulfate will prevent me from having a convulsion.”
“The magnesium sulfate is given to correct an electrolyte imbalance.”
“The magnesium sulfate will prevent cardiac irritability.”