EXAM 1
Providing-care-to-the-postpartum-client,-the-nurse-recognizes-that-women-are-
hypercoagulable-during-the-third-trimester-of-pregnancy.-Assessment-of-this-client-should-
include-evaluation-for-the-development-of-venous-thromboembolism.-Which-of-the-follow-
should-be-included-in-this-eval?-SATA-
A. Observe-distal-upper-extremities-for-swelling/edema-
B. Observe-lower-extremities-for-symmetry-
C. Asses-for-uterine-cramping-
D. Observe-respiratory-rate-and-effort-
E. Auscultate-lung-sounds-
B.-Observe-lower-extremities-for-symmetry-
D. Observe-respiratory-rate-and-effort-
E. Auscultate-lung-sounds-
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A-newborn-is-prescribed-to-receive-Vitamin-K-0.5-mg-intramuscularly.-How-should-the-nurse-
administer-the-medication-to-the-newborn?-
A. Provide-medication-immediately-before-breastfeeding-
B. Administer-medication-into-the-vastus-lateralis-
C. Notify-physician-for-swelling-and-irritation-at-the-injection-site-
D. Administer-the-medication-in-the-deltoid-muscle-
B.-Administer-medication-into-the-vastus-lateralis-
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,Which-technique-is-used-to-palpate-the-fundal-heigh-on-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-
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-preschool-
aged-child-
A. Describing-manifestations-of-illness-
B. Understanding-cause-of-illness-
C. Relating-fears-to-magical-thinking-
D. Awareness-of-body-function-
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A-new-mother-asks-the-nurse-how-soon-she-can-try-to-breastfeed-after-deliery.-Which-of-the-
following-would-be-the-nurses-best-response?-
A. Once-the-infant-has-his-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-
B.-Immediately-after-birth-
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Which-assessment-finding-indicated-to-the-nurse-that-a-newborn-has-hip-sublaxtion?-
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-
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-delivery.-
Which-finding-indicates-her-lochia-is-within-normal-imites?-
A. the-color-of-the-flow-is-red-
B. Lochia-contains-large-clots-
C. The-flow-is-over-500-mL-
D. Her-uterus-is-boggy-and-soft-
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-actions-should-
the-nurse-include-in-the-preoperative-plan-of-care.-
A. Place-the-infant-in-a-supine-position-
B. Assess-the-infants-temp-rectally-
C. Apply-a-sterile,-moist-dressing-on-the-sac-
D. Assist-the-caregiver-with-cuddling-the-infant-
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-nurse-avoid-
when-conducting-this-assessment?-
A. Palpating-if-testes-are-descended-into-the-scrotal-sac-
B. Retracting-the-foreskin-over-the-glans-to-assess-for-secretions-
C. Inspecting-if-the-urethral-opening-appears-circular-