NUR2513 MATERNAL VEST 2 ACTUAL TEST
PAPER 300 VERIFIED QUESTIONS AND
ANSWERS COMPLETE ANSWER GUIDE
⩥ 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.
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.
Answer: D. Placing one hand at the base of the uterus , one on the
fundus
⩥ 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.
Answer: B. Observe lower extremities for symmetry
D. Observe respiratory rate and effort
E. Auscultate lung sounds
⩥ 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.
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.
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.
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.
Answer: A. the color of the flow is red
PAPER 300 VERIFIED QUESTIONS AND
ANSWERS COMPLETE ANSWER GUIDE
⩥ 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.
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.
Answer: D. Placing one hand at the base of the uterus , one on the
fundus
⩥ 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.
Answer: B. Observe lower extremities for symmetry
D. Observe respiratory rate and effort
E. Auscultate lung sounds
⩥ 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.
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.
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.
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.
Answer: A. the color of the flow is red
