NSG 3500 - EXAM 3 TESTBANK QUESTIONS WITH
COMPLETE SOLUTIONS | FROM QUESTION TO
PERFECTION| STUDY WITH CONFIDENCE!
Course Code:
Course Title:
Programme:
Academic Year: 2026/2027.
Duration: 2 Hours.
Total Marks: 70%.
Candidate Instructions:
1) Write your Registration Number on every answer booklet used.
2) Answer ALL questions in Section A and ANY TWO (2) questions in Section B.
3) Read each question carefully before answering.
4) Begin each question on a new page.
5) The marks for each question are indicated in brackets.
6) This paper consists of several printed pages, including this page.
7) Ensure your copy is complete before the examination begins.
8) Unauthorized materials and communication with other candidates are not permitted.
Turn Over.
APPHIA – Crafted with Care and Precision for Academic Excellence.
1
,A 3-day-breastfeeding client who is not immune to rubella is to receive the rubella vaccine at
discharge. Which of the following must the nurse include in her discharge teaching regarding
the vaccine?
1. The woman should not become pregnant for at least 4 weeks.
2. The woman should pump and dump her breast milk for 1 week.
3. Surgical masks must be worn by the mother when she holds the baby.
4. Antibodies transported through the breast milk will protect the baby. Answer: 1
1. This statement is correct.
2. The rubella vaccine is a live attenuated vaccine. Severe birth defects can develop if the
woman becomes pregnant within 4 weeks of receiving the injection.
3. This is unnecessary. There is no risk to the baby whether the mother is bottle feeding or
breastfeeding.This statement is incorrect. There is no risk to the baby.
4. This statement is incorrect.
A 3-day-postpartum client questions why she is to receive the rubella vaccine before leaving the
hospital. Which of the following rationales should guide the nurse's response?
1.The client's obstetric status is optimal for receiving the vaccine.
2. The client's immune system is highly responsive during the postpartum period.
3. The client's baby will be high risk for acquiring rubella if the woman does not
receive the vaccine.
4. The client's insurance company will pay for the shot if it is given during the
immediate postpartum period. Answer: 1
1 This statement is correct. Because the vaccine is teratogenic, the best time to administer it is
when the client is not pregnant.
This statement is incorrect. The immune systems of women during their pregnancies and
immediately postpartum are slightly depressed.
This statement is incorrect. The baby will be susceptible to rubella whether or not the woman
receives the vaccine.In general, insurance companies will pay for vaccinations whenever they
are needed.
A patient, G2 P1102, who delivered her baby 8 hours ago, now has a temperature of 100.2°F.
Which of the following is the appropriate nursing intervention at this time?
1. Notify the doctor to get an order for acetaminophen.
APPHIA – Crafted with Care and Precision for Academic Excellence.
2
, 2. Request an infectious disease consult from the doctor.
3. Provide the woman with cool compresses.
4. Encourage intake of water and other fluids. Answer: 4
1. A temperature of 100.2°F is not a febrile temperature. It is unlikely that this client needs
acetaminophen.
2. A temperature of 100.2°F is not a febrile temperature. It is unlikely that this client is infected.
3. A temperature of 100.2°F is not a febrile temperature. It is unlikely that this client needs cool
compresses.
4. It is likely that this client is dehydrated. She should be advised to drink fluids.
To prevent infection, the nurse teaches the postpartum client to perform which of the following
tasks?
1. Apply antibiotic ointment to the perineum daily.
2. Change the peripad at each voiding.
3. Void at least every two hours.
4. Spray the perineum with povidone-iodine after toileting. Answer: 2
1. It is unnecessary to apply antibiotic ointment to the perineum after delivery.
2. Clients should be advised to change their pads at each voiding.
3. The clients should void about every 2 hours, but this action is not an infection control
measure.
4. It is unnecessary to spray the perineum with a povidone-iodine solution. Plain water,
however, should be sprayed on the perineum.
A 3-day-postpartum breastfeeding woman is being assessed. Her breasts are firm and warm to
the touch. When asked when she last fed the baby her reply is, "I fed the baby last evening. I let
the nurses feed him in the nursery last night. I needed to rest." Which of the following actions
should the nurse take at this time?
1. Encourage the woman exclusively to breastfeed her baby.
2. Have the woman massage her breasts hourly.
3. Obtain an order to culture her expressed breast milk.
4. Take the temperature and pulse rate of the woman. Answer: 1
Clients should be strongly encouraged exclusively to breastfeed their babies to prevent
engorgement.Massaging of the breast will stimulate more milk production. That is not the best
action to take.
APPHIA – Crafted with Care and Precision for Academic Excellence.
3
COMPLETE SOLUTIONS | FROM QUESTION TO
PERFECTION| STUDY WITH CONFIDENCE!
Course Code:
Course Title:
Programme:
Academic Year: 2026/2027.
Duration: 2 Hours.
Total Marks: 70%.
Candidate Instructions:
1) Write your Registration Number on every answer booklet used.
2) Answer ALL questions in Section A and ANY TWO (2) questions in Section B.
3) Read each question carefully before answering.
4) Begin each question on a new page.
5) The marks for each question are indicated in brackets.
6) This paper consists of several printed pages, including this page.
7) Ensure your copy is complete before the examination begins.
8) Unauthorized materials and communication with other candidates are not permitted.
Turn Over.
APPHIA – Crafted with Care and Precision for Academic Excellence.
1
,A 3-day-breastfeeding client who is not immune to rubella is to receive the rubella vaccine at
discharge. Which of the following must the nurse include in her discharge teaching regarding
the vaccine?
1. The woman should not become pregnant for at least 4 weeks.
2. The woman should pump and dump her breast milk for 1 week.
3. Surgical masks must be worn by the mother when she holds the baby.
4. Antibodies transported through the breast milk will protect the baby. Answer: 1
1. This statement is correct.
2. The rubella vaccine is a live attenuated vaccine. Severe birth defects can develop if the
woman becomes pregnant within 4 weeks of receiving the injection.
3. This is unnecessary. There is no risk to the baby whether the mother is bottle feeding or
breastfeeding.This statement is incorrect. There is no risk to the baby.
4. This statement is incorrect.
A 3-day-postpartum client questions why she is to receive the rubella vaccine before leaving the
hospital. Which of the following rationales should guide the nurse's response?
1.The client's obstetric status is optimal for receiving the vaccine.
2. The client's immune system is highly responsive during the postpartum period.
3. The client's baby will be high risk for acquiring rubella if the woman does not
receive the vaccine.
4. The client's insurance company will pay for the shot if it is given during the
immediate postpartum period. Answer: 1
1 This statement is correct. Because the vaccine is teratogenic, the best time to administer it is
when the client is not pregnant.
This statement is incorrect. The immune systems of women during their pregnancies and
immediately postpartum are slightly depressed.
This statement is incorrect. The baby will be susceptible to rubella whether or not the woman
receives the vaccine.In general, insurance companies will pay for vaccinations whenever they
are needed.
A patient, G2 P1102, who delivered her baby 8 hours ago, now has a temperature of 100.2°F.
Which of the following is the appropriate nursing intervention at this time?
1. Notify the doctor to get an order for acetaminophen.
APPHIA – Crafted with Care and Precision for Academic Excellence.
2
, 2. Request an infectious disease consult from the doctor.
3. Provide the woman with cool compresses.
4. Encourage intake of water and other fluids. Answer: 4
1. A temperature of 100.2°F is not a febrile temperature. It is unlikely that this client needs
acetaminophen.
2. A temperature of 100.2°F is not a febrile temperature. It is unlikely that this client is infected.
3. A temperature of 100.2°F is not a febrile temperature. It is unlikely that this client needs cool
compresses.
4. It is likely that this client is dehydrated. She should be advised to drink fluids.
To prevent infection, the nurse teaches the postpartum client to perform which of the following
tasks?
1. Apply antibiotic ointment to the perineum daily.
2. Change the peripad at each voiding.
3. Void at least every two hours.
4. Spray the perineum with povidone-iodine after toileting. Answer: 2
1. It is unnecessary to apply antibiotic ointment to the perineum after delivery.
2. Clients should be advised to change their pads at each voiding.
3. The clients should void about every 2 hours, but this action is not an infection control
measure.
4. It is unnecessary to spray the perineum with a povidone-iodine solution. Plain water,
however, should be sprayed on the perineum.
A 3-day-postpartum breastfeeding woman is being assessed. Her breasts are firm and warm to
the touch. When asked when she last fed the baby her reply is, "I fed the baby last evening. I let
the nurses feed him in the nursery last night. I needed to rest." Which of the following actions
should the nurse take at this time?
1. Encourage the woman exclusively to breastfeed her baby.
2. Have the woman massage her breasts hourly.
3. Obtain an order to culture her expressed breast milk.
4. Take the temperature and pulse rate of the woman. Answer: 1
Clients should be strongly encouraged exclusively to breastfeed their babies to prevent
engorgement.Massaging of the breast will stimulate more milk production. That is not the best
action to take.
APPHIA – Crafted with Care and Precision for Academic Excellence.
3
