MATERNAL CHILD ANSWERS AND QUESTIONS SET
A+
✔✔A new mother asks the nurse how soon she can try to breastfeed after delivery.
Which of the following would be the nurse's best response? - ✔✔"immediately after
birth"
✔✔A nurse at a well-baby clinic is collecting data about a nine month old infant. The
nurse understands which of the following occurs at this stage of development? -
✔✔fears strangers
✔✔The nurse is called to the room of a client who delivered a macrosomic infant 20
hours ago. Upon assessment the fundus is noted to be boggy and displaced to the left,
and a moderate amount of vaginal bleeding is noted. What is the priority nursing action?
- ✔✔empty the bladder
✔✔Calculate a client's total intake in milliliters (mL) from 0700 to 1500. Continous IV
infusion of Lactated Ringer's (LR) @ 125 mL/hr. Oral intake: 1/2 cup of green tea, 8 oz
glass of apple juice, 1/2 bowl cream of wheat and 4 oz of jello. - ✔✔
✔✔A newborn with esophageal atresia has just returned from surgery to place a
gastrostromy tube. Which nursing diagnosis will the nurse use to plan the care for this
client? - ✔✔risk for imbalanced nutrition
✔✔The physiciam ordered promethazine 25 mg at bedtime for the client. Promethazine
is supplied as 6.25 mg/ 5mL. How many mL will the nurse administer? - ✔✔20
✔✔A nurse is caring for a 4 year old female. Which of the following is expected of a
preschool aged child? - ✔✔relating fears to magical thinking
✔✔A nurse is caring for a 9 month old with influenza. Which of the following might be a
toy that could be used to interact, play, or distract them for the discomfort? - ✔✔large
plastic stacking blocks
, ✔✔A parent is describing to the nurse activities that her 3 year old preschool child is
achieving. The nurse knows that this child is experiencing which task of Erickson's
psychosocial stage of development? - ✔✔initiative vs. guily
✔✔When collecting data from an infant, which of the following techniques should the
nurse use to elicit the stepping reflex? - ✔✔stroke the outer edge of the sole of the
infant's foot up toward the toes
✔✔The nurse is assessing the breast of a woman who is 1 month postpartum. The
woman reports a painful, inflamed area on one breast. Upon assessment the nurse
notes a wedge shaped area on one breast to be red and warm to touch. Client's
temperature is 101.8 F. What should the nurse consider as the potential diagnosis? -
✔✔mastitis
✔✔The nurse is providing discharge teaching to the postpartum client regarding mood
changes to report. In differentiating between the "baby blues" and postpartum
depression, which of the following statements should be included in the instruction? -
✔✔"baby blues may present in the first few days after borth and resolve prior to the
second postpartum week."
✔✔The nurse observes a mother telling a toddler that pasta and potatoes will make the
child at. What should the nurse instruct the mother about these food items? - ✔✔it is
more important to restrict protein than carbohydrates
✔✔A father is concerned that his 3 day old infants face appears yellow. Which response
should the nurse provide to the father? - ✔✔"this is mild jaundice due to the immaturity
of the baby's liver. We will continue to monitor bilirubin levels."
✔✔A nurse is assessing a newborn infant for congenital hip dysplasia. Which signs or
symptoms should be brought to the attention of the health care provider for further
evaluation? (select all that apply) - ✔✔an infant who has one leg appears longer than
the other
an infant who has extra skin folds on the inner thigh of one leg
an infant who has a click in the hip joint when one hip is maneuvered
✔✔Which action by the mother relates to the nurse that she is accepting her child? -
✔✔she turns her face to meet the infant's eyes when she holds her
✔✔The nurse provides discharge instructions to a postpartum client. Which client
statement indicates that teaching has been effective? - ✔✔"i can return to my full-time
job after 6 weeks"
A+
✔✔A new mother asks the nurse how soon she can try to breastfeed after delivery.
Which of the following would be the nurse's best response? - ✔✔"immediately after
birth"
✔✔A nurse at a well-baby clinic is collecting data about a nine month old infant. The
nurse understands which of the following occurs at this stage of development? -
✔✔fears strangers
✔✔The nurse is called to the room of a client who delivered a macrosomic infant 20
hours ago. Upon assessment the fundus is noted to be boggy and displaced to the left,
and a moderate amount of vaginal bleeding is noted. What is the priority nursing action?
- ✔✔empty the bladder
✔✔Calculate a client's total intake in milliliters (mL) from 0700 to 1500. Continous IV
infusion of Lactated Ringer's (LR) @ 125 mL/hr. Oral intake: 1/2 cup of green tea, 8 oz
glass of apple juice, 1/2 bowl cream of wheat and 4 oz of jello. - ✔✔
✔✔A newborn with esophageal atresia has just returned from surgery to place a
gastrostromy tube. Which nursing diagnosis will the nurse use to plan the care for this
client? - ✔✔risk for imbalanced nutrition
✔✔The physiciam ordered promethazine 25 mg at bedtime for the client. Promethazine
is supplied as 6.25 mg/ 5mL. How many mL will the nurse administer? - ✔✔20
✔✔A nurse is caring for a 4 year old female. Which of the following is expected of a
preschool aged child? - ✔✔relating fears to magical thinking
✔✔A nurse is caring for a 9 month old with influenza. Which of the following might be a
toy that could be used to interact, play, or distract them for the discomfort? - ✔✔large
plastic stacking blocks
, ✔✔A parent is describing to the nurse activities that her 3 year old preschool child is
achieving. The nurse knows that this child is experiencing which task of Erickson's
psychosocial stage of development? - ✔✔initiative vs. guily
✔✔When collecting data from an infant, which of the following techniques should the
nurse use to elicit the stepping reflex? - ✔✔stroke the outer edge of the sole of the
infant's foot up toward the toes
✔✔The nurse is assessing the breast of a woman who is 1 month postpartum. The
woman reports a painful, inflamed area on one breast. Upon assessment the nurse
notes a wedge shaped area on one breast to be red and warm to touch. Client's
temperature is 101.8 F. What should the nurse consider as the potential diagnosis? -
✔✔mastitis
✔✔The nurse is providing discharge teaching to the postpartum client regarding mood
changes to report. In differentiating between the "baby blues" and postpartum
depression, which of the following statements should be included in the instruction? -
✔✔"baby blues may present in the first few days after borth and resolve prior to the
second postpartum week."
✔✔The nurse observes a mother telling a toddler that pasta and potatoes will make the
child at. What should the nurse instruct the mother about these food items? - ✔✔it is
more important to restrict protein than carbohydrates
✔✔A father is concerned that his 3 day old infants face appears yellow. Which response
should the nurse provide to the father? - ✔✔"this is mild jaundice due to the immaturity
of the baby's liver. We will continue to monitor bilirubin levels."
✔✔A nurse is assessing a newborn infant for congenital hip dysplasia. Which signs or
symptoms should be brought to the attention of the health care provider for further
evaluation? (select all that apply) - ✔✔an infant who has one leg appears longer than
the other
an infant who has extra skin folds on the inner thigh of one leg
an infant who has a click in the hip joint when one hip is maneuvered
✔✔Which action by the mother relates to the nurse that she is accepting her child? -
✔✔she turns her face to meet the infant's eyes when she holds her
✔✔The nurse provides discharge instructions to a postpartum client. Which client
statement indicates that teaching has been effective? - ✔✔"i can return to my full-time
job after 6 weeks"
