MATERNAL CHILD CORE REVIEW ANSWERS AND
QUESTIONS SET A+
✔✔The nurse is evaluating a new mother's ability to effectively breastfeed her infant.
Which criteria indicates that the mother should be able to breastfeed independently?
(select all that apply) - ✔✔nipples are everted
breasts are soft and nontender
the mother holds the infant close to her breast in a football hold
infant swallows spontaneously and frequently
✔✔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 limits? - ✔✔the color of the
flow is red
✔✔Hypoglycemia in a mature infant is defined as a blood glucose level below which
amount? - ✔✔40 mg/100 mL whole blood
✔✔The newborns birthweight is 8 lbs 8 oz. What is the weight in kg? - ✔✔3.9
✔✔The nurse is assisting a new mother to begin breastfeeding her newborn son. Which
action is the most appropriate for the nurse to take? - ✔✔positioning the infant near her
breast and stroking his cheek to encourage him to suck
✔✔Which assessment finding indicates to the nurse that a newborn has hip
subluxation? - ✔✔inability of the right hip to abduct
✔✔The nurse is preparing a seminar on breastfeeding for a group of pregnant clients.
Which information should the nurse include during this seminar? - ✔✔breastfeeding
enhances bonding with the infant
✔✔According to Piaget which basic concept will the child learn during the first year of
life? - ✔✔he is not an extension of their parents
, ✔✔In providing care to the postpartum client the nurse recognizes that women are
hypercoagulable during the 3rd trimester of pregnancy and that assessment of this
client should include evaluation for the development of venous thromoembolism. Which
of the following should be included in this evaluation? - ✔✔
✔✔The nurse assesses a postpartum client's discharge as being moderate in amount
and red in color. How should the nurse document the appearance of the lochia? -
✔✔lochia rubra
✔✔The nurse is assessing the fundus of a client on postpartum day 2. What should the
nurse expect when palpating the fundus? - ✔✔fundus two fingerbreadths below the
umbilicus and firm
✔✔A newborn who was delivered 2 hours ago is being assessed in the nursery. Upon
exam, the nurse notes a flattened nasal bridge, wide set eyes, low set ears, and overall
decrease in tone. Given these exam findings, what diagnostic tests would the nurse
anticipate that the physician will order? - ✔✔chromosomal blood testing
✔✔A neonatal nurse is assessing a 2 hours old male newborn. She notes that the
urethra meatus is not midline but is displaced on the dorsal surface (top side) of the
penis. What is the medical term for this? - ✔✔epispadias
✔✔When caring for a newborn several hours after birth, what would the nurse assess
as a normal newborn's respiratory rate? - ✔✔30 to 60 breaths/min
✔✔The nurse is concerned that a new mother is not showing interest in the newborn
and does not participate in newborn care. What action should the nurse take to help
both the mother and newborn at this time? - ✔✔consult a case manager to complete a
postpartum assessment
✔✔The nurse is called to the room of a client who had a term delivery of a 9 lb 8 oz
newborn 24 hours ago. The client is noted to have lost conssciousness on her way to
the bathroom. What is the priority nursing assessment for the client? - ✔✔assess blood
pressure and heart rate
✔✔A postpartum woman is prescribed an antibiotic because of the endometritis. Her
breast-fed infant should be observed particularly for which of the following? - ✔✔signs
of thrush and easy bruising
✔✔The nurse had instructed a mother on the importance of providing a toddler with a
balanced diet. Which observation during a home visit indicates that instruction has been
effective? - ✔✔the mother prepares a scrambled egg for the toddler's breakfast
QUESTIONS SET A+
✔✔The nurse is evaluating a new mother's ability to effectively breastfeed her infant.
Which criteria indicates that the mother should be able to breastfeed independently?
(select all that apply) - ✔✔nipples are everted
breasts are soft and nontender
the mother holds the infant close to her breast in a football hold
infant swallows spontaneously and frequently
✔✔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 limits? - ✔✔the color of the
flow is red
✔✔Hypoglycemia in a mature infant is defined as a blood glucose level below which
amount? - ✔✔40 mg/100 mL whole blood
✔✔The newborns birthweight is 8 lbs 8 oz. What is the weight in kg? - ✔✔3.9
✔✔The nurse is assisting a new mother to begin breastfeeding her newborn son. Which
action is the most appropriate for the nurse to take? - ✔✔positioning the infant near her
breast and stroking his cheek to encourage him to suck
✔✔Which assessment finding indicates to the nurse that a newborn has hip
subluxation? - ✔✔inability of the right hip to abduct
✔✔The nurse is preparing a seminar on breastfeeding for a group of pregnant clients.
Which information should the nurse include during this seminar? - ✔✔breastfeeding
enhances bonding with the infant
✔✔According to Piaget which basic concept will the child learn during the first year of
life? - ✔✔he is not an extension of their parents
, ✔✔In providing care to the postpartum client the nurse recognizes that women are
hypercoagulable during the 3rd trimester of pregnancy and that assessment of this
client should include evaluation for the development of venous thromoembolism. Which
of the following should be included in this evaluation? - ✔✔
✔✔The nurse assesses a postpartum client's discharge as being moderate in amount
and red in color. How should the nurse document the appearance of the lochia? -
✔✔lochia rubra
✔✔The nurse is assessing the fundus of a client on postpartum day 2. What should the
nurse expect when palpating the fundus? - ✔✔fundus two fingerbreadths below the
umbilicus and firm
✔✔A newborn who was delivered 2 hours ago is being assessed in the nursery. Upon
exam, the nurse notes a flattened nasal bridge, wide set eyes, low set ears, and overall
decrease in tone. Given these exam findings, what diagnostic tests would the nurse
anticipate that the physician will order? - ✔✔chromosomal blood testing
✔✔A neonatal nurse is assessing a 2 hours old male newborn. She notes that the
urethra meatus is not midline but is displaced on the dorsal surface (top side) of the
penis. What is the medical term for this? - ✔✔epispadias
✔✔When caring for a newborn several hours after birth, what would the nurse assess
as a normal newborn's respiratory rate? - ✔✔30 to 60 breaths/min
✔✔The nurse is concerned that a new mother is not showing interest in the newborn
and does not participate in newborn care. What action should the nurse take to help
both the mother and newborn at this time? - ✔✔consult a case manager to complete a
postpartum assessment
✔✔The nurse is called to the room of a client who had a term delivery of a 9 lb 8 oz
newborn 24 hours ago. The client is noted to have lost conssciousness on her way to
the bathroom. What is the priority nursing assessment for the client? - ✔✔assess blood
pressure and heart rate
✔✔A postpartum woman is prescribed an antibiotic because of the endometritis. Her
breast-fed infant should be observed particularly for which of the following? - ✔✔signs
of thrush and easy bruising
✔✔The nurse had instructed a mother on the importance of providing a toddler with a
balanced diet. Which observation during a home visit indicates that instruction has been
effective? - ✔✔the mother prepares a scrambled egg for the toddler's breakfast
