NSG 3500 - Exam 3 Testbank Galen College of Nursing-Louisville |
UPDATED Questions with 100% Verified Answers
Question:
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.
Question:
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.
Question:
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.
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.
,Question:
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.
Question:
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. It is unnecessary to culture the breast. This
client is engorged; she does not have an infection.It is
unnecessary to assess this client's temperature and pulse rate.
This client is engorged; she is not infected.
Question:
A breastfeeding woman has been counseled on how to
prevent engorgement. Which of the following actions by the
mother shows that the teaching was effective?
1. She pumps her breasts after each feeding.
2. She feeds her baby every 2 to 3 hours.
3. She feeds her baby 10 minutes on each side.
4. She supplements each feeding with formula.
Answer:
2 Clients are not recommended to pump their breasts after
feedings unless there is a specific reason to do so.This
statement is true. The best way to prevent engorgement is to
feed the baby every 2 to 3 hours. Clients should not restrict
babies' feeding times. Babies feed at different rates. Babies
themselves, therefore, should regulate the amount of time they
need to complete their feeds. Clients are not recommended to
supplement with formula unless there is a specific reason to
do so.
Question:
A 2-day-postpartum breastfeeding woman states, "I am sick
of being fat. When can I go on a diet?" Which of the
following responses is appropriate?
1. "It is fine for you to start dieting right now as long as you
drink plenty of milk."
2. "Your breast milk will be low in vitamins if you start to
diet while breastfeeding."
UPDATED Questions with 100% Verified Answers
Question:
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.
Question:
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.
Question:
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.
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.
,Question:
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.
Question:
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. It is unnecessary to culture the breast. This
client is engorged; she does not have an infection.It is
unnecessary to assess this client's temperature and pulse rate.
This client is engorged; she is not infected.
Question:
A breastfeeding woman has been counseled on how to
prevent engorgement. Which of the following actions by the
mother shows that the teaching was effective?
1. She pumps her breasts after each feeding.
2. She feeds her baby every 2 to 3 hours.
3. She feeds her baby 10 minutes on each side.
4. She supplements each feeding with formula.
Answer:
2 Clients are not recommended to pump their breasts after
feedings unless there is a specific reason to do so.This
statement is true. The best way to prevent engorgement is to
feed the baby every 2 to 3 hours. Clients should not restrict
babies' feeding times. Babies feed at different rates. Babies
themselves, therefore, should regulate the amount of time they
need to complete their feeds. Clients are not recommended to
supplement with formula unless there is a specific reason to
do so.
Question:
A 2-day-postpartum breastfeeding woman states, "I am sick
of being fat. When can I go on a diet?" Which of the
following responses is appropriate?
1. "It is fine for you to start dieting right now as long as you
drink plenty of milk."
2. "Your breast milk will be low in vitamins if you start to
diet while breastfeeding."
