NSG 3500 - Exam 3 Testbank /\ /\ /\ /\ /\ /\
questions with answers /\ /\
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. - CORRECT ANSWERS ✔✔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.
/\ /\ /\ /\
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. - CORRECT ANSWERS ✔✔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.
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. - CORRECT
/\ /\ /\ /\ /\ /\ /\ /\ /\ /\
ANSWERS ✔✔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.
/\ /\
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. -
/\ /\ /\ /\ /\ /\ /\ /\ /\
CORRECT ANSWERS ✔✔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.
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. - CORRECT
/\ /\ /\ /\ /\ /\ /\ /\ /\ /\ /\ /\
ANSWERS ✔✔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.
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. - CORRECT
/\ /\ /\ /\ /\ /\ /\ /\ /\
ANSWERS ✔✔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.
/\ /\ /\ /\ /\ /\ /\ /\
questions with answers /\ /\
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. - CORRECT ANSWERS ✔✔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.
/\ /\ /\ /\
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. - CORRECT ANSWERS ✔✔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.
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. - CORRECT
/\ /\ /\ /\ /\ /\ /\ /\ /\ /\
ANSWERS ✔✔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.
/\ /\
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. -
/\ /\ /\ /\ /\ /\ /\ /\ /\
CORRECT ANSWERS ✔✔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.
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. - CORRECT
/\ /\ /\ /\ /\ /\ /\ /\ /\ /\ /\ /\
ANSWERS ✔✔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.
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. - CORRECT
/\ /\ /\ /\ /\ /\ /\ /\ /\
ANSWERS ✔✔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.
/\ /\ /\ /\ /\ /\ /\ /\
