NUR2513 MATERNAL-CHILD EXAM 2 QUESTIONS AND ANSWERS

NUR2513 MATERNAL-CHILD EXAM 2
QUESTIONS AND ANSWERS



Providing care to the postpartum client, the nurse recognizes that women are hype
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rcoagulable during the third trimester of pregnancy. Assessment of this client shoul
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d include evaluation for the development of venous thromboembolism. Which of th
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e follow should be included in this eval? SATA
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A. Observe distal upper extremities for swelling/edema
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B. Observe lower extremities for symmetry
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C. Asses for uterine cramping
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D. Observe respiratory rate and effort
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E. Auscultate lung sounds - ans-B. Observe lower extremities for symmetry
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D. Observe respiratory rate and effort
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E. Auscultate lung sounds
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A newborn is prescribed to receive Vitamin K 0.5 mg intramuscularly. How should
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the nurse administer the medication to the newborn?
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A. Provide medication immediately before breastfeeding
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B. Administer medication into the vastus lateralis
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C. Notify physician for swelling and irritation at the injection site
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D. Administer the medication in the deltoid muscle - ans-
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B. Administer medication into the vastus lateralis
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Which technique is used to palpate the fundal heigh on postpartum client?
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A. Placing one hand on the fundus, one on the perineum
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B. Resting both hands on the fundus
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C. Palpating the fundus with only fingertip pressure
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D. Placing one hand at the base of the uterus , one on the fundus - ans-
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D. Placing one hand at the base of the uterus , one on the fundus
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A nurse is caring for a 4 yr old female. Which of the following is expected of a p
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A. Describing manifestations of illness
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B. Understanding cause of illness
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C. Relating fears to magical thinking
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D. Awareness of body function - ans-
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, A new mother asks the nurse how soon she can try to breastfeed after deliery. W
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hich of the following would be the nurses best response?
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A. Once the infant has his first feeding of formula
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B. Immediately after birth
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C. In 24 hours after her infant is given water
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D. After the infant is allowed to rest - ans-B. Immediately after birth
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Which assessment finding indicated to the nurse that a newborn has hip sublaxtio
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n?
A. Crying on straightening of the right leg
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B. Inward rotation of the right foot
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C. Inability of the right hip to abduct
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D. Drawing of the legs underneath while prone - ans-
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C. Inability of the right hip to abduct
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A nurse is helping her postpartum client up to the bathroom for the first time after
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delivery. Which finding indicates her lochia is within normal imites?
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A. the color of the flow is red
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B. Lochia contains large clots
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C. The flow is over 500 mL
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D. Her uterus is boggy and soft - ans-A. the color of the flow is red
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A nurse is caring for an infant with myelomeningocele. Which of the following acti
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ons should the nurse include in the preoperative plan of care.
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A. Place the infant in a supine position
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B. Assess the infants temp rectally
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C. Apply a sterile, moist dressing on the sac
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D. Assist the caregiver with cuddling the infant - ans-
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C. Apply a sterile, moist dressing on the sac
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The nurse is inspecting a males newborns genitalia. Which action should the nurs
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e avoid when conducting this assessment?
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A. Palpating if testes are descended into the scrotal sac
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B. Retracting the foreskin over the glans to assess for secretions
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C. Inspecting if the urethral opening appears circular
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D. Inspecting the genital area for irritated skin - ans-
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B. Retracting the foreskin over the glans to assess for secretions
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During a home visit, the nurse determines that a toddler has a difficult temperame
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nt. What did the nurse observe in this toddler? SATA
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A. Rhythmic
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B. Minimal adaptability
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C. Withdrawing
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D. Intense mood - ans-B. Minimal adaptability
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C. Withdrawing
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D. Intense mood
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