CONCEPTS OF FAMILY CENTERED NURSING FOR THE PRACTICAL NURSE 165 UPDATED
ACTUAL EXAM QUESTIONS CORRECT ANSWERS GRADED A PLUS
Question:
Where do you palpate the uterus the day of birth?
Answer:
Midline at the umbilicus
Question:
Where should the fundus be 2 days after birth?
Answer:
2 finger breaths (widths) below the umbilicus
Question:
If the uterus isn't contracted, is 1 finger breath above the umbilicus and to the side
Answer:
This means patient has a full bladder- have them empty their bladder and recheck
Question:
How would you instruct postpartum peri care?
Answer:
Use a warm bottle of water every time they void.
Question:
You have a postpartum patient who is bottle feeding. When should she expect her period again?
,Answer:
5 weeks if bottle feeding, 8 weeks if breast feeding
Question:
When doing a newborn assessment, how many vessels should at the umbilicus?
Answer:
3 (2 arteries and 1 vein)
Question:
You have a postpartum patient who has shortness of breath and an O2 of 84%, how do you position
them?
Answer:
High fowlers
Question:
You are caring for a one day postpartum patient. In the last 4 hours she has had bright red lochia.
What do you do?
Answer:
Assess the fundus to see if it is boggy.
Question:
A patient is at home and 5 days postpartum has pink lochia with an odor. What should she do?
Answer:
Call and get an appointment with her doctor today.
Question:
When does a mother not get a Rhogam shot?
,Answer:
No Rhogam shot if mom's blood type and baby's blood type are both negative.
Question:
If a baby is stillborn and parents still want to hold it, what do you do?
Answer:
Swaddle him/her, keep them warm and give him/her to the parents for as long as they want
Question:
What do we need to teach the patient about constipation?
Answer:
A lot of fluids; high fiber diet; increased activity; and using a stool softener as a last resort
Question:
When discharging a postpartum patient, what education should we give?
Answer:
watch for: Swelling in the calves; fever over 101; & foul smelling discharge
Question:
What do you give a toddler who likes finger foods and is a vegetarian?
Answer:
Give supplements
Question:
You are caring for postpartum patient who has a bright red saturated pad. What do you do?
Answer:
, Assess the fundus
Question:
How do you know when a toddler is ready to be toilet trained?
Answer:
When they stay dry overnight and are able to communicate that they need to go to the bathroom.
Question:
Why do toddlers throw temper tantrums?
Answer:
when they are frustrated
Question:
What is the leading cause of death in infants?
Answer:
Accidents because they are so low to the ground and they are curious
Question:
Parallel play
Answer:
Playing side-by-side, but not interactively
Question:
Late pre-k/schoolage
Answer:
Grow mostly in legs and double their 1 year weight by age 5
ACTUAL EXAM QUESTIONS CORRECT ANSWERS GRADED A PLUS
Question:
Where do you palpate the uterus the day of birth?
Answer:
Midline at the umbilicus
Question:
Where should the fundus be 2 days after birth?
Answer:
2 finger breaths (widths) below the umbilicus
Question:
If the uterus isn't contracted, is 1 finger breath above the umbilicus and to the side
Answer:
This means patient has a full bladder- have them empty their bladder and recheck
Question:
How would you instruct postpartum peri care?
Answer:
Use a warm bottle of water every time they void.
Question:
You have a postpartum patient who is bottle feeding. When should she expect her period again?
,Answer:
5 weeks if bottle feeding, 8 weeks if breast feeding
Question:
When doing a newborn assessment, how many vessels should at the umbilicus?
Answer:
3 (2 arteries and 1 vein)
Question:
You have a postpartum patient who has shortness of breath and an O2 of 84%, how do you position
them?
Answer:
High fowlers
Question:
You are caring for a one day postpartum patient. In the last 4 hours she has had bright red lochia.
What do you do?
Answer:
Assess the fundus to see if it is boggy.
Question:
A patient is at home and 5 days postpartum has pink lochia with an odor. What should she do?
Answer:
Call and get an appointment with her doctor today.
Question:
When does a mother not get a Rhogam shot?
,Answer:
No Rhogam shot if mom's blood type and baby's blood type are both negative.
Question:
If a baby is stillborn and parents still want to hold it, what do you do?
Answer:
Swaddle him/her, keep them warm and give him/her to the parents for as long as they want
Question:
What do we need to teach the patient about constipation?
Answer:
A lot of fluids; high fiber diet; increased activity; and using a stool softener as a last resort
Question:
When discharging a postpartum patient, what education should we give?
Answer:
watch for: Swelling in the calves; fever over 101; & foul smelling discharge
Question:
What do you give a toddler who likes finger foods and is a vegetarian?
Answer:
Give supplements
Question:
You are caring for postpartum patient who has a bright red saturated pad. What do you do?
Answer:
, Assess the fundus
Question:
How do you know when a toddler is ready to be toilet trained?
Answer:
When they stay dry overnight and are able to communicate that they need to go to the bathroom.
Question:
Why do toddlers throw temper tantrums?
Answer:
when they are frustrated
Question:
What is the leading cause of death in infants?
Answer:
Accidents because they are so low to the ground and they are curious
Question:
Parallel play
Answer:
Playing side-by-side, but not interactively
Question:
Late pre-k/schoolage
Answer:
Grow mostly in legs and double their 1 year weight by age 5
