NSG 210 ACTUAL EXAM WITH VERIFIED ANSWERS
(LATEST 2024/2025)
an infant shows a tendency to bleed two days after birth. the nurse understands this is
most likely caused by which reason?
a. hemophilia
b. absence of intestinal bacteria and lack of vitamin k
c. an immature liver that is unable to synthesize clotting factors
d. delayed production of red blood cells - ANSWER-b
a primigravida diagnosed with type 1 diabetes mellitus reviews the insulin regimen with
the nurse. the nurse explains which changes in insulin requirements will occur in
pregnancy?
a. insulin requirements will increase during pregnancy and decrease after delivery
b. insulin. requirements will decrease during pregnancy and increase after delivery
c. insulin requirements will increase during pregnancy and remain increased after
delivery
d. insulin requirements will decrease during pregnancy and remain decreased after
delivery - ANSWER-a
the need for more insulin is cause by hormones the placenta makes to help the baby
grow. at the same time, these hormones block the action of the mother's insulin.
immediately after delivery, the insulin requirements usually decrease abruptly.
a client had a cesarean delivery. the nurse places the highest priority on monitoring the
client for which potential complication?
a. infection and pain
b. hemorrhage and shock
c. hemorrhage and pain management
d. dehydration and infection - ANSWER-b
the client is not only an ob client but also a postoperative client; observe for patent
airway, and observe incisional dressing for bleeding and amount of lochia
the nurse assesses four newborns. which characteristics noted by the nurse are most
common in a preterm infant?
a. red, wrinkled skin, lanugo, and hypotonic muscles
b. vernix caseosa, silky hair, and facial edema
c. absent nose bridge, depressed fontanels, and absent lanugo
d. mottled skin, meconium stools, and hypertonic muscles - ANSWER-a
painless vaginal bleeding most likely suggests what condition in pregnant women? -
ANSWER-placenta previa
,when the nurse accidentally bumps into a newborn's bassinet, the newborn jumps and
pulls the extremities into the trunk. the nurse identifies the newborn is demonstrating
which reflex?
a. tonic neck
b. moro
c. babinski
d. rooting - ANSWER-b
meconium-stained amniotic fluid alerts the nurse to the possibility of which problem?
a. fetal distress and perinatal asphyxia
b. fetal distress and hyperbilirubinemia
c. abruptio placenta and asphyxia
d. placenta previa and perinatal sepsis - ANSWER-a
the client arrives at the hospital in active labor. the client asks the nurse what is the
purpose of the fetal monitor. which response by the nurse is best?
a. "the purpose of the fetal monitor is to evaluate the progress of labor"
b. "the purpose of the fetal monitor is to assess the strength and duration of
contractions"
c. "the purpose of the fetal monitor is to determine if the fetus is receiving adequate
amounts of oxygen"
d. "the purpose of the fetal monitor is to allow the health care provider to decide if an
oxytocin drip should be started" - ANSWER-c
the nurse understands a preterm infant is at greatest risk for developing which disorder?
a. hypoglycemia
b. respiratory distress syndrome
c. hydrocephalus
d. scoliosis - ANSWER-b
the nurse palpates the fundus of a client after the third stage of labor. the nurse expects
the fundus to have which characteristics?
a. soft and discoid
b. firm and discoid
c. soft and globular
d. firm and globular - ANSWER-d
a client calls the clinic and reports a fever, fatigue, and has a hard, reddened area in
one breast. the client is breastfeeding. which condition does the nurse understand that
the client is most likely experiencing?
, a. adjustment reaction
b. primary engorgement
c. a blocked duct
d. mastitis - ANSWER-d
a fetal heart rate (fhr) tracing shows an early deceleration pattern. the nurse is aware
that this indicates which interpretation?
a. the fhr slows early in the contraction, which is a normal finding
b. the fhr slows early in the contraction, which indicates fetal hypoxia
c. the fhr slows at the peak of the contraction, which is a normal finding
d. the fhr slows at the peak of the contraction, which indicates maternal hypoxia -
ANSWER-a
the nurse provides care for a client 24 hours after delivery, and the client states "i have
been urinating so much!". which response by the nurse is best?
a. "you probably have a urinary tract infection"
b. "your body is getting rid of the increased fluid"
c. "you must be drinking large amounts of fluid"
d. "your blood glucose is probably elevated" - ANSWER-b
the nurse provides care for a neonate born two hours ago. which occurrence initiates
the changes that take place in the neonate's circulatory system after birth?
a. the space constraints of the uterus are removed
b. the newborn begins pulmonary ventilation
c. the newborn is exposed to excessive sensory stimuli
d. the ambient temperature of the newborn is reduced - ANSWER-b
lung inflation causes pressure in the right atrium to decline while pressure is increased n
the left atrium. the foramen ovale closes which leads to the ductus arteriosus occluding
and becoming a ligament.
which action should the nurse take immediately after the newborn is circumcised?
a. leaves the area open to air
b. diapers the baby with a cloth diaper
c. applies petroleum gauze and observes carefully for bleeding
d. administers prophylactic antibiotics - ANSWER-c
the nurse should observe for bleeding hourly during the first 4-6 hours. the penis should
be washed gently with water and petroleum gauze should be applied around the glans
with each diaper change. instruct the parent that yellow exudate should not be removed.
the nurse provides care for a client receiving an oxytocin infusion to induce labor. the
nurse stops the infusion if which occur?
(LATEST 2024/2025)
an infant shows a tendency to bleed two days after birth. the nurse understands this is
most likely caused by which reason?
a. hemophilia
b. absence of intestinal bacteria and lack of vitamin k
c. an immature liver that is unable to synthesize clotting factors
d. delayed production of red blood cells - ANSWER-b
a primigravida diagnosed with type 1 diabetes mellitus reviews the insulin regimen with
the nurse. the nurse explains which changes in insulin requirements will occur in
pregnancy?
a. insulin requirements will increase during pregnancy and decrease after delivery
b. insulin. requirements will decrease during pregnancy and increase after delivery
c. insulin requirements will increase during pregnancy and remain increased after
delivery
d. insulin requirements will decrease during pregnancy and remain decreased after
delivery - ANSWER-a
the need for more insulin is cause by hormones the placenta makes to help the baby
grow. at the same time, these hormones block the action of the mother's insulin.
immediately after delivery, the insulin requirements usually decrease abruptly.
a client had a cesarean delivery. the nurse places the highest priority on monitoring the
client for which potential complication?
a. infection and pain
b. hemorrhage and shock
c. hemorrhage and pain management
d. dehydration and infection - ANSWER-b
the client is not only an ob client but also a postoperative client; observe for patent
airway, and observe incisional dressing for bleeding and amount of lochia
the nurse assesses four newborns. which characteristics noted by the nurse are most
common in a preterm infant?
a. red, wrinkled skin, lanugo, and hypotonic muscles
b. vernix caseosa, silky hair, and facial edema
c. absent nose bridge, depressed fontanels, and absent lanugo
d. mottled skin, meconium stools, and hypertonic muscles - ANSWER-a
painless vaginal bleeding most likely suggests what condition in pregnant women? -
ANSWER-placenta previa
,when the nurse accidentally bumps into a newborn's bassinet, the newborn jumps and
pulls the extremities into the trunk. the nurse identifies the newborn is demonstrating
which reflex?
a. tonic neck
b. moro
c. babinski
d. rooting - ANSWER-b
meconium-stained amniotic fluid alerts the nurse to the possibility of which problem?
a. fetal distress and perinatal asphyxia
b. fetal distress and hyperbilirubinemia
c. abruptio placenta and asphyxia
d. placenta previa and perinatal sepsis - ANSWER-a
the client arrives at the hospital in active labor. the client asks the nurse what is the
purpose of the fetal monitor. which response by the nurse is best?
a. "the purpose of the fetal monitor is to evaluate the progress of labor"
b. "the purpose of the fetal monitor is to assess the strength and duration of
contractions"
c. "the purpose of the fetal monitor is to determine if the fetus is receiving adequate
amounts of oxygen"
d. "the purpose of the fetal monitor is to allow the health care provider to decide if an
oxytocin drip should be started" - ANSWER-c
the nurse understands a preterm infant is at greatest risk for developing which disorder?
a. hypoglycemia
b. respiratory distress syndrome
c. hydrocephalus
d. scoliosis - ANSWER-b
the nurse palpates the fundus of a client after the third stage of labor. the nurse expects
the fundus to have which characteristics?
a. soft and discoid
b. firm and discoid
c. soft and globular
d. firm and globular - ANSWER-d
a client calls the clinic and reports a fever, fatigue, and has a hard, reddened area in
one breast. the client is breastfeeding. which condition does the nurse understand that
the client is most likely experiencing?
, a. adjustment reaction
b. primary engorgement
c. a blocked duct
d. mastitis - ANSWER-d
a fetal heart rate (fhr) tracing shows an early deceleration pattern. the nurse is aware
that this indicates which interpretation?
a. the fhr slows early in the contraction, which is a normal finding
b. the fhr slows early in the contraction, which indicates fetal hypoxia
c. the fhr slows at the peak of the contraction, which is a normal finding
d. the fhr slows at the peak of the contraction, which indicates maternal hypoxia -
ANSWER-a
the nurse provides care for a client 24 hours after delivery, and the client states "i have
been urinating so much!". which response by the nurse is best?
a. "you probably have a urinary tract infection"
b. "your body is getting rid of the increased fluid"
c. "you must be drinking large amounts of fluid"
d. "your blood glucose is probably elevated" - ANSWER-b
the nurse provides care for a neonate born two hours ago. which occurrence initiates
the changes that take place in the neonate's circulatory system after birth?
a. the space constraints of the uterus are removed
b. the newborn begins pulmonary ventilation
c. the newborn is exposed to excessive sensory stimuli
d. the ambient temperature of the newborn is reduced - ANSWER-b
lung inflation causes pressure in the right atrium to decline while pressure is increased n
the left atrium. the foramen ovale closes which leads to the ductus arteriosus occluding
and becoming a ligament.
which action should the nurse take immediately after the newborn is circumcised?
a. leaves the area open to air
b. diapers the baby with a cloth diaper
c. applies petroleum gauze and observes carefully for bleeding
d. administers prophylactic antibiotics - ANSWER-c
the nurse should observe for bleeding hourly during the first 4-6 hours. the penis should
be washed gently with water and petroleum gauze should be applied around the glans
with each diaper change. instruct the parent that yellow exudate should not be removed.
the nurse provides care for a client receiving an oxytocin infusion to induce labor. the
nurse stops the infusion if which occur?