NCLEX Questions Module7

NCLEX Questions Module7• A nurse is preparing to administer vitamin K IM to a newborn. Which of the following actions should the nurse plan to take? Answer: Apply sterile 2. The nurse is assessing a 1-year-old infant in the pediatric office. What finding should the nurse report to the physician immediately? a. Respiratory rate of 60 breaths per minute 3. A new mother is voicing concern she is breastfeeding her newborn too frequently. How often does the nurse instruct this mother she should expect her newborn to feed? a. Every 2 to 3 hours 4. The nurse cautions that children who have unmet hunger needs will likely display which characteristic(s)? (Select all that apply.) a. Irritability b. Ineffective feeding patterns c. No predictable sleep-wake cycle d. Distrust 5. Parents of an infant inform the nurse they are planning home preparation of solid foods. What directions should the nurse provide? (Select all that apply.) d. Puree food in electric blender. e. Add sugar sparingly. 6. What contraction duration and interval does the nurse recognize could result in fetal compromise? a. Duration longer than 90 seconds, interval shorter than 60 seconds A woman is 7 cm dilated, and her contractions are 3 minutes apart. When she begins cursing at her birthing coach and the nurse, what does the nurse assess as the most likely explanation for the woman’s change in behavior? • Labor has progressed to the transition phase. If a woman suddenly loses control and becomes irritable, suspect that she has progressed to the transition stage of labor. 7. The nurse is caring for a woman in the first stage of labor. What will the nurse remind the patient about contractions during this stage of labor? a. They dilate and efface the cervix.