NU 335 Exam 3 Questions With Complete Solutions
A 24-day old infant is placed in an incubator under the
phototherapy lights with an elevated bilirubin level. The infant
has eye and genital coverine in place. What is th expected
nursing action in this situation?
a)Administer intravenous fluids via pump per doctors' orders
b)Tightly swaddle in baby blankets to maintain a normal
temperature c)Change the newborn's position every two hours,
to expose all body parts d)Give the newborn oral rehydration
therapy after all feedings Correct Answers c)Change the
newborn's position every two hours, to expose all body parts
A 6-hour-old infant passes an unformed, black, tarlike stool.
What conclusion should the nurse draw from this finding?
a)It is transitional stool that is expected later
b)It is a meconium stool that is expected at this time
c)It is meconium stool expected at the time of birth
d)It is transitional stool expected at this time Correct Answers
b)It is a meconium stool that is expected at this time
A goal on the nursing care plan is "to facilitate parent-infant
bonding". Which nursing intervention should take place in order
to attain this goal? Select All That Apply
a)Promote skin to skin contact.
b)Provide assistance and encouragement with rooming in.
c)Encourage the parents to join a new parent support group.
, d)Keep the newborn in the nursery at night to allow the parents
to rest. e)Teach the parents infant-care skills to increase their
confidence. Correct Answers a)Promote skin to skin contact.
b)Provide assistance and encouragement with rooming in.
A newborn parent is concerned about a mass on her newborn's
head. The nurse assesses this and finds it to be a
cephalohematoma. Which of the following characteristics
indicate a cephalohematoma?
a)The mass does not cross the suture line
b)The mass was present immediately after birth
c)A collection of fluid and swelling on top of the scalp
d)The head appears soft and true skin color Correct Answers
a)The mass does not cross the suture line
A nurse has administered Methergine (Methylegonovine) 0.2mg
po to a primipara who delivered vaginally 30 minutes earlier.
Which outcome indicates that the medication is effective?
a)Blood pressure 120/80
b)Pulse rate 90 bpm and regular
c)Fundus firm, 2 fingerbreadths below the umbilicus
d)Increase in prothrombin time Correct Answers c)Fundus
firm, 2 fingerbreadths below the umbilicus
A patient arrives in the Labor and Delivery Unit, within 30
minutes of arrival she has a precipitous birth of an SGA infant.
She has received little prenatal care. The next day the nurse on
the postpartum unit notices the infant exhibits excessive high
A 24-day old infant is placed in an incubator under the
phototherapy lights with an elevated bilirubin level. The infant
has eye and genital coverine in place. What is th expected
nursing action in this situation?
a)Administer intravenous fluids via pump per doctors' orders
b)Tightly swaddle in baby blankets to maintain a normal
temperature c)Change the newborn's position every two hours,
to expose all body parts d)Give the newborn oral rehydration
therapy after all feedings Correct Answers c)Change the
newborn's position every two hours, to expose all body parts
A 6-hour-old infant passes an unformed, black, tarlike stool.
What conclusion should the nurse draw from this finding?
a)It is transitional stool that is expected later
b)It is a meconium stool that is expected at this time
c)It is meconium stool expected at the time of birth
d)It is transitional stool expected at this time Correct Answers
b)It is a meconium stool that is expected at this time
A goal on the nursing care plan is "to facilitate parent-infant
bonding". Which nursing intervention should take place in order
to attain this goal? Select All That Apply
a)Promote skin to skin contact.
b)Provide assistance and encouragement with rooming in.
c)Encourage the parents to join a new parent support group.
, d)Keep the newborn in the nursery at night to allow the parents
to rest. e)Teach the parents infant-care skills to increase their
confidence. Correct Answers a)Promote skin to skin contact.
b)Provide assistance and encouragement with rooming in.
A newborn parent is concerned about a mass on her newborn's
head. The nurse assesses this and finds it to be a
cephalohematoma. Which of the following characteristics
indicate a cephalohematoma?
a)The mass does not cross the suture line
b)The mass was present immediately after birth
c)A collection of fluid and swelling on top of the scalp
d)The head appears soft and true skin color Correct Answers
a)The mass does not cross the suture line
A nurse has administered Methergine (Methylegonovine) 0.2mg
po to a primipara who delivered vaginally 30 minutes earlier.
Which outcome indicates that the medication is effective?
a)Blood pressure 120/80
b)Pulse rate 90 bpm and regular
c)Fundus firm, 2 fingerbreadths below the umbilicus
d)Increase in prothrombin time Correct Answers c)Fundus
firm, 2 fingerbreadths below the umbilicus
A patient arrives in the Labor and Delivery Unit, within 30
minutes of arrival she has a precipitous birth of an SGA infant.
She has received little prenatal care. The next day the nurse on
the postpartum unit notices the infant exhibits excessive high
