NUR 2407 CERTIFICATION EVALUATION
EXAMS SOLVED QUESTIONS STUDY GUIDE
GUARANTEED TO PASS
◉ The nurse enters the room and prepares to take Khloe's vital, Khloe
says, "the other nurse just took my vital signs in labor and delivery.
How often are you going to take my vital signs?" What is the nurse's
best response?
a. "for the first 12 hours, we will assess your vital signs every 4 hours
b. "for the first 12 hours, we will assess your vital signs every 2 hours
c. "for the first 24 hours, we will assess your vital signs every 8 hours
d. "for the first 24 hours, we will assess your vital signs every 4 hours.
Answer: d. "for the first 24 hours, we will assess your vital signs
every 4 hours
Rationale: Q15 min for the first hour, Q30 for the next hour, once
stable/transferred to maternal/newborn, Q4 for 24 hours, then Q8 until
discharge
◉ Khloe's vital signs are T-99.2F (37.3C), P-76, RR-16, BP-110/68.
After taking the vital signs, the nurse performs a fundal assessment.
The nurse assists Khloe to which position prior to palpating her
fundus?
a. on her left side with knees drawn
b. on the bed in semi-folwers
c. on her back with the bed flat
, d. on her back with the head of the bed elevated. Answer: c. on her
back with the bed flat
Rationale: Not accurate in semi- fowlers, laying on side with knees
drawn is the best position for inspecting the perinum
◉ Khloe is approximately 3 hours post birth. The nurse palpates
Khloe's fundus. What is the expected finding in this patient?
a. fundus firm at the level of the umbilicus
b. fundus tender at the level of the umbilicus
c. fundus soft 2 fingerbreadths above the umbilicus
d. fundus palpable after a uterine massage. Answer: a. fundus firm at
the level of the umbilicus
Rationale: tender is a sign of infection, above the umbilicus indicates
a full bladder, if uterine massage is needed to feel the fundus this is
not a normal finding and indicates uterine atony
◉ Next, the nurse assesses Khloe's lochia. Which finding would
require further action on the part of the nurse?
a. more than one pad per hour is saturated
b. a constant trickle of lochia is visible
c. a dark red color
d. it has a non-offensive odor
e. clots the size of golf balls are present. Answer: a. more than one
pad per hour is saturated
b. a constant trickle of lochia is visible
e. clots the size of golf balls are present
EXAMS SOLVED QUESTIONS STUDY GUIDE
GUARANTEED TO PASS
◉ The nurse enters the room and prepares to take Khloe's vital, Khloe
says, "the other nurse just took my vital signs in labor and delivery.
How often are you going to take my vital signs?" What is the nurse's
best response?
a. "for the first 12 hours, we will assess your vital signs every 4 hours
b. "for the first 12 hours, we will assess your vital signs every 2 hours
c. "for the first 24 hours, we will assess your vital signs every 8 hours
d. "for the first 24 hours, we will assess your vital signs every 4 hours.
Answer: d. "for the first 24 hours, we will assess your vital signs
every 4 hours
Rationale: Q15 min for the first hour, Q30 for the next hour, once
stable/transferred to maternal/newborn, Q4 for 24 hours, then Q8 until
discharge
◉ Khloe's vital signs are T-99.2F (37.3C), P-76, RR-16, BP-110/68.
After taking the vital signs, the nurse performs a fundal assessment.
The nurse assists Khloe to which position prior to palpating her
fundus?
a. on her left side with knees drawn
b. on the bed in semi-folwers
c. on her back with the bed flat
, d. on her back with the head of the bed elevated. Answer: c. on her
back with the bed flat
Rationale: Not accurate in semi- fowlers, laying on side with knees
drawn is the best position for inspecting the perinum
◉ Khloe is approximately 3 hours post birth. The nurse palpates
Khloe's fundus. What is the expected finding in this patient?
a. fundus firm at the level of the umbilicus
b. fundus tender at the level of the umbilicus
c. fundus soft 2 fingerbreadths above the umbilicus
d. fundus palpable after a uterine massage. Answer: a. fundus firm at
the level of the umbilicus
Rationale: tender is a sign of infection, above the umbilicus indicates
a full bladder, if uterine massage is needed to feel the fundus this is
not a normal finding and indicates uterine atony
◉ Next, the nurse assesses Khloe's lochia. Which finding would
require further action on the part of the nurse?
a. more than one pad per hour is saturated
b. a constant trickle of lochia is visible
c. a dark red color
d. it has a non-offensive odor
e. clots the size of golf balls are present. Answer: a. more than one
pad per hour is saturated
b. a constant trickle of lochia is visible
e. clots the size of golf balls are present
