NUR 2513 MATERNAL CHILD NURSING EXAM 2 QUESTIONS AND ANSWERS 2023 STUDY GUIDE

1. In providing care to the postpartum client, the nurse recognizes that women are hypercoagulable during the third trimester of pregnancy and that assessment of this client should include evaluation for the development of venous thromboembolism. Which of the following should be included in this evaluation? (SATA) A. Observe the distal upper extremities for swelling/edema B. Observe the lower extremities for symmetry C. Assessment of uterine cramping D. Observation of respiratory rate and effort E. Auscultation of lung sounds 2. A newborn is prescribed to receive vitamin K 0.5 mg intramuscularly. How should the nurse administer this medication to the newborn? A. Provide the medication immediately before breastfeeding. B. Administer the medication into the vastus lateralis. C. Notify the physician for swelling and irritation at the injection site. D. Administer the medication in the deltoid muscle. 3. Which technique is used to palpate the fundal height on a postpartum client? A. Placing one hand on the fundus, one on the perineum B. Resting both hands on the fundus C. Palpating the fundus with only fingertip pressure D. Placing one hand at the base of the uterus, one on the fundus. 4. A nurse is caring for a 4-year-old female. Which of the following is expected of a preschool-aged child? A. Describing manifestations of illness B. Understanding cause of illness C. Relating fears to magical thinking D. Awareness of body function 5. 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? A. “Once the infant has a first feeding of formula.” B. “Immediately after birth.” C. “In 24 hours after her infant is given water.” D. “After the infant is allowed to rest.” 6. Which assessment finding indicates to the nurse that a newborn has hip subluxation? A. Crying on straightening of the right leg B. Inward rotation of the right foot C. Inability of the right hip to abduct D. Drawing of the legs underneath while prone 7. 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? A. The color of the flow is red. B. Lochia contains large clots.