NUR2513 Maternal-Child Exam
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The nurse is assessing the fundus of a client on postpartum on day 2. What should the nurse
expect when palpating the fundus?
A. Fundus two fingerbreadths above symphysis pubis and firm
B. Fundus two fingerbreadths below the umbilicus and firm
C. Fundus 4cm below tjhe umbilic and midline
D. Fundus 4cm above the symphysis pubis and firm - correct answer B. Fundus two
fingerbreadths below the umbilicus and firm
A new mother asks the nurse how to determine if the baby is receiving enough breast milk. How
should the nurse respond to the mother?
A. You need to weight the infant before and after each feeding
B. The infant should not become constipated
C. The infant should gain weight and have 6 wet diapers daily
D. The infant should sleep atleast 3 hours between feedings - correct answer C. The infant
should gain weight and have 6 wet diapers daily
The nurse is teaching new parents how to calculate the amount of formula to feed their
newborn each day. The baby weighs 8lb. how much formula should the nurse teach the parents
to provide each day.
A. 30-36oz
,B. 42-54oz
C. 20-24 oz
D. 60-72oz - correct answer C. 20-24 oz
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 - correct answer B. Observe lower extremities for symmetry
D. Observe respiratory rate and effort
E. Auscultate lung sounds
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 - correct answer B. Administer medication
into the vastus lateralis
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 - correct answer D. Placing
one hand at the base of the uterus , one on the fundus
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 - correct answer
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 - correct answer B. Immediately after birth
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 - correct answer C. Inability of the right hip to
abduct
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
2 Question And verified
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The nurse is assessing the fundus of a client on postpartum on day 2. What should the nurse
expect when palpating the fundus?
A. Fundus two fingerbreadths above symphysis pubis and firm
B. Fundus two fingerbreadths below the umbilicus and firm
C. Fundus 4cm below tjhe umbilic and midline
D. Fundus 4cm above the symphysis pubis and firm - correct answer B. Fundus two
fingerbreadths below the umbilicus and firm
A new mother asks the nurse how to determine if the baby is receiving enough breast milk. How
should the nurse respond to the mother?
A. You need to weight the infant before and after each feeding
B. The infant should not become constipated
C. The infant should gain weight and have 6 wet diapers daily
D. The infant should sleep atleast 3 hours between feedings - correct answer C. The infant
should gain weight and have 6 wet diapers daily
The nurse is teaching new parents how to calculate the amount of formula to feed their
newborn each day. The baby weighs 8lb. how much formula should the nurse teach the parents
to provide each day.
A. 30-36oz
,B. 42-54oz
C. 20-24 oz
D. 60-72oz - correct answer C. 20-24 oz
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 - correct answer B. Observe lower extremities for symmetry
D. Observe respiratory rate and effort
E. Auscultate lung sounds
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 - correct answer B. Administer medication
into the vastus lateralis
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 - correct answer D. Placing
one hand at the base of the uterus , one on the fundus
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 - correct answer
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 - correct answer B. Immediately after birth
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 - correct answer C. Inability of the right hip to
abduct
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