Maternal Exam 2 Study Guide|74
Questions and answers
a postpartum women (gravida1, para 1) asks the nurse immediately after
delivery if she should request rooming-in with her newborn. what would be
the best response from the nurse? - -rooming-in allows increases maternal-
newborn contact
- the nurse is assessing a child who has been diagnosed with mononucleosis
for splenomegaly. which area of the abdomen would be palpated to identify
the abnormality? - -left upper quadrant (LUQ)
- which action by the mother relates to the nurse that she is accepting her
child? - -mom turns her face to meet the newborn's eyes when she holds her
newborn
- the nurse is providing discharge teaching to the postpartum client
regarding mood
changes to report. In differentiating between the baby blues and postpartum
depression, what statements would be accurate? - -baby blues may present
in the first few days after birth and resolves prior to the second postpartum
week
- after delivery, a client is diagnosed with postpartum preeclampsia. What
care will the nurse provide to this client? (SATA) - -1. maintain on bed rest
with bathroom privileges
2. monitor urine output and daily weight
3. administer magnesium sulfate as prescribed
4. administer antihypertensive medication as prescribed
- while assessing the newborn's 5 minute apgar score, the nurse notes the
following: heart rate 154, respiratory effort lusty cry, muscle tone well flexed
with active movement, reflex irritability crying vigorously with stimulation,
color hands and feet are blue. What score would she assign to this newborn?
- -9
- the nurse is preparing formula for a preterm newborn. Which type of
formula will most likely be prescribed for this client? - -24 calorie per ounce
infant formula
, - when planning care for a postpartum client, the nurse is aware that which
site is the most common for postpartum infection? - -reproductive tract
- a newborn has jaundice and receiving phototherapy. Which of the following
is an appropriate intervention when caring for a newborn with
hyperbilirubinemia? - -place eye shields over the newborns closed eyes
- the nurse is assessing the fundus on a client on postpartum day 2. What
should the nurse expect when palpating the fundus? - -funds two finger
breadths below the umbilicus and firm
- at birth the newborn has dry, cracked skin, absence of vernix, lack of
subcutaneous fat, and fingernails extending beyond the fingertips. Based on
these findings what term would the nurse expect the newborn? - -postterm
- by the time children reach their twelfth birthday, they should have learned
to trust others and should have developed a sense of... - -industry
- during the assessment of a 7-year-old male the nurse notes an abnormal
depression of the lower portion of the sternum. The child is alert and
orientated and in no apparent distress. what should the nurse expect? - -
pectus exacavatum
- the nurse is preparing a seminar on breastfeeding for a group of pregnant
clients. Which information should the nurse include during the seminar? - -
breastfeeding enhances bonding with the newborn
- a nurse is assessing a newborn for congenital hip dysplasia. Which signs or
symptoms should be brought to the attention of the health care provider for
further assessment? (SATA) - -1. newborn has one leg that appears longer
than the other
2. newborn who has extra skin folds on the inner thigh of one leg
3. newborn who has a click in the hip joint when one hip is maneuvered
- which technique is used to palpate the fundal height on a postpartum
client? - -placing one hand at the base of the uterus and one on the fungus
- why are postpartum women prone to urinary retention? - -decreased
bladder sensation results from edema because of pressure from birth
- a nurse is helping her postpartum client up to the bathroom for the first
time after delivery. Which finding indicates her lochia is normal or expected?
- -the color of the flow is red
Questions and answers
a postpartum women (gravida1, para 1) asks the nurse immediately after
delivery if she should request rooming-in with her newborn. what would be
the best response from the nurse? - -rooming-in allows increases maternal-
newborn contact
- the nurse is assessing a child who has been diagnosed with mononucleosis
for splenomegaly. which area of the abdomen would be palpated to identify
the abnormality? - -left upper quadrant (LUQ)
- which action by the mother relates to the nurse that she is accepting her
child? - -mom turns her face to meet the newborn's eyes when she holds her
newborn
- the nurse is providing discharge teaching to the postpartum client
regarding mood
changes to report. In differentiating between the baby blues and postpartum
depression, what statements would be accurate? - -baby blues may present
in the first few days after birth and resolves prior to the second postpartum
week
- after delivery, a client is diagnosed with postpartum preeclampsia. What
care will the nurse provide to this client? (SATA) - -1. maintain on bed rest
with bathroom privileges
2. monitor urine output and daily weight
3. administer magnesium sulfate as prescribed
4. administer antihypertensive medication as prescribed
- while assessing the newborn's 5 minute apgar score, the nurse notes the
following: heart rate 154, respiratory effort lusty cry, muscle tone well flexed
with active movement, reflex irritability crying vigorously with stimulation,
color hands and feet are blue. What score would she assign to this newborn?
- -9
- the nurse is preparing formula for a preterm newborn. Which type of
formula will most likely be prescribed for this client? - -24 calorie per ounce
infant formula
, - when planning care for a postpartum client, the nurse is aware that which
site is the most common for postpartum infection? - -reproductive tract
- a newborn has jaundice and receiving phototherapy. Which of the following
is an appropriate intervention when caring for a newborn with
hyperbilirubinemia? - -place eye shields over the newborns closed eyes
- the nurse is assessing the fundus on a client on postpartum day 2. What
should the nurse expect when palpating the fundus? - -funds two finger
breadths below the umbilicus and firm
- at birth the newborn has dry, cracked skin, absence of vernix, lack of
subcutaneous fat, and fingernails extending beyond the fingertips. Based on
these findings what term would the nurse expect the newborn? - -postterm
- by the time children reach their twelfth birthday, they should have learned
to trust others and should have developed a sense of... - -industry
- during the assessment of a 7-year-old male the nurse notes an abnormal
depression of the lower portion of the sternum. The child is alert and
orientated and in no apparent distress. what should the nurse expect? - -
pectus exacavatum
- the nurse is preparing a seminar on breastfeeding for a group of pregnant
clients. Which information should the nurse include during the seminar? - -
breastfeeding enhances bonding with the newborn
- a nurse is assessing a newborn for congenital hip dysplasia. Which signs or
symptoms should be brought to the attention of the health care provider for
further assessment? (SATA) - -1. newborn has one leg that appears longer
than the other
2. newborn who has extra skin folds on the inner thigh of one leg
3. newborn who has a click in the hip joint when one hip is maneuvered
- which technique is used to palpate the fundal height on a postpartum
client? - -placing one hand at the base of the uterus and one on the fungus
- why are postpartum women prone to urinary retention? - -decreased
bladder sensation results from edema because of pressure from birth
- a nurse is helping her postpartum client up to the bathroom for the first
time after delivery. Which finding indicates her lochia is normal or expected?
- -the color of the flow is red
