NUR2513 MATERNAL-CHILD EXAM 1
2026|QUESTIONS AND ANSWERS|100%
VERIFIED|A+GRADE
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
B. Observe lower extremities for symmetry
D. Observe respiratory rate and effort
E. Auscultate lung sounds
Rationale:
During the postpartum period, women remain hypercoagulable, increasing
their risk for venous thromboembolism (VTE), including deep vein thrombosis
(DVT) and pulmonary embolism (PE). A thorough evaluation for VTE should
include:
B. Observe lower extremities for symmetry
Correct: Asymmetry in the legs (e.g., one leg more swollen, red, or tender than
the other) can indicate DVT, a common form of VTE in postpartum women.
D. Observe respiratory rate and effort
,Correct: Pulmonary embolism can present with increased respiratory rate,
dyspnea, or labored breathing. Monitoring this is essential in postpartum
assessments for VTE.
E. Auscultate lung sounds
Correct: PE can cause abnormal lung sounds, such as crackles or decreased
breath sounds. Auscultation helps detect early signs of PE.
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
B. Administer medication into the vastus lateralis
Rationale:
Newborns are routinely given Vitamin K shortly after birth to prevent Vitamin
K Deficiency Bleeding (VKDB), as they are born with low stores of this
essential clotting factor.
B is correct because:
B. Administer medication into the vastus lateralis
Correct: The vastus lateralis muscle (located on the anterolateral thigh) is the
preferred site for intramuscular (IM) injections in newborns and infants under
1 year of age because it is well-developed and easily accessible.
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
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
C. Relating fears to magical thinking
Explanation:
Preschool-aged children (typically 3–5 years old) are in a developmental stage
where magical thinking is prominent. They often believe that their thoughts or
actions can cause events to happen, including illness or injury. This can lead to
irrational fears or guilt, such as thinking they got sick because they were
"bad."
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
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
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
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.
2026|QUESTIONS AND ANSWERS|100%
VERIFIED|A+GRADE
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
B. Observe lower extremities for symmetry
D. Observe respiratory rate and effort
E. Auscultate lung sounds
Rationale:
During the postpartum period, women remain hypercoagulable, increasing
their risk for venous thromboembolism (VTE), including deep vein thrombosis
(DVT) and pulmonary embolism (PE). A thorough evaluation for VTE should
include:
B. Observe lower extremities for symmetry
Correct: Asymmetry in the legs (e.g., one leg more swollen, red, or tender than
the other) can indicate DVT, a common form of VTE in postpartum women.
D. Observe respiratory rate and effort
,Correct: Pulmonary embolism can present with increased respiratory rate,
dyspnea, or labored breathing. Monitoring this is essential in postpartum
assessments for VTE.
E. Auscultate lung sounds
Correct: PE can cause abnormal lung sounds, such as crackles or decreased
breath sounds. Auscultation helps detect early signs of PE.
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
B. Administer medication into the vastus lateralis
Rationale:
Newborns are routinely given Vitamin K shortly after birth to prevent Vitamin
K Deficiency Bleeding (VKDB), as they are born with low stores of this
essential clotting factor.
B is correct because:
B. Administer medication into the vastus lateralis
Correct: The vastus lateralis muscle (located on the anterolateral thigh) is the
preferred site for intramuscular (IM) injections in newborns and infants under
1 year of age because it is well-developed and easily accessible.
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
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
C. Relating fears to magical thinking
Explanation:
Preschool-aged children (typically 3–5 years old) are in a developmental stage
where magical thinking is prominent. They often believe that their thoughts or
actions can cause events to happen, including illness or injury. This can lead to
irrational fears or guilt, such as thinking they got sick because they were
"bad."
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
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
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
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.
