NUR2513 Exam 2 QUESTIONS
AND VERIFIED ANSWERS
The nurse is concerned that a new mother is not showing interest in the newborn and does not
participate in newborn care. What action should the nurse take to help both the mother and
newborn at this time? - correct answer consult a case manager to complete a post partum
assessment
A nurse in a postpartum unit is reviewing uterotonic (oxytocic) medication with a group of
nursing students. Which of the following would be included in this discussion? - correct answer
Misoprostil
A neonatal nurse is assessing a 2-hour-old male newborn. She notes that the urethra meatus is
not midline, but is displaced on the dorsal surface (top side) of the penis. What is the medical
term for this? - correct answer Epispadias
A postpartum woman (gravida 1, para 1) asks the nurse immediately after delivery if she should
request rooming in with her infant. Which of the following responses by the nurse would be
correct? - correct answer Rooming-in allows increased maternal-newborn contact
At birth the infant has dry, cracked skin, absence of vernix, lack of sub fat, fingernails extending
beyond the fingertips, and poor skin turgor. Based on these findings, how would the nurse
classify this neonate? - correct answer post term
When caring for a newborn several hours after birth, what would the nurse assess as a normal
newborn's respiratory rate? - correct answer 30-60 breath/min
The nurse provides discharge instructions to a postpartum client. Which client statement
indicates that teaching has been effective? - correct answer I can return to my full-time job after
6 weeks
Which of the following actions should the nurse take to prepare the preschool-aged child for a
physical assessment? - correct answer allow the child to role play
The nurse is inspecting a male newborn's genitals. Which action should the nurse avoid when
conducting this assessment? - correct answer Retracting the foreskin over the glans to assess
for secretions.
, A new mother asks the nurse how to determine if the baby is receiving enough breast milk. How
should the nurse respond? - correct answer The infant should gain weight and have six wet
diapers daily.
A woman who delivered a term neonate 3 days ago is complaining of fever, fatigue, and a heavy
vaginal discharge. On assessment, the nurse notes that the her fundus is tender on palpation
and heavy with foul smelling lochia. What is the most likely cause of these symptoms? - correct
answer endometritis
The nurse is preparing a seminar on breastfeeding for a group of pregnant clients. Which
information should the nurse include during this seminar? - correct answer breastfeeding
enchances bonding with the infant
The nurse in the pediatric clinic is recording anthropometric data in the 12-month-old child's
chart. The father asks " is my son growing the way that he should?" - correct answer The child's
weight will be equal to birth weight x3 at 12 months (triple)
The nurse is assessing a client at her 8-week postpartum appointment. The client states that she
feels tired all the time, has trouble falling and staying asleep, and doesn't feel connected to her
baby. She denies thoughts of harming herself and her baby. The symptoms may indicate -
correct answer postpartum depression
A newbon with esophageal aresia has just returned from surgery to place a gastrostomy tube.
Which nursing diagnosis will the nurse to plan the care for - correct answer risk for imbalanced
nutrition
A father is concerned that his 3-day infant's face appears yellow. Which response should the
nurse provide to the father? - correct answer This is mild jaundice due to the immaturity of the
baby's liver. We will continue to monitor bilirubin levels
An infant develops hydrocephalus at 2 weeks of age. Which finding should the nurse expect to
asses? - correct answer bulging fontanels
The nurse is assessing a term newborn. Which finding should the nurse expect when assessing
the patterns of sole creases? - correct answer creases 2/3 of the foot
The nurse is called to the room of a client who had a term delivery of a 9lb 8oz newborn 24
hours ago. The client is noted to have lost consciousness on her way to the bathroom. What is
the priority nursing assessment for the client? - correct answer assess the fundus
According to Piaget, which basic concept will the child learn during the first year of life? -
correct answer He is not an extension of their parents
AND VERIFIED ANSWERS
The nurse is concerned that a new mother is not showing interest in the newborn and does not
participate in newborn care. What action should the nurse take to help both the mother and
newborn at this time? - correct answer consult a case manager to complete a post partum
assessment
A nurse in a postpartum unit is reviewing uterotonic (oxytocic) medication with a group of
nursing students. Which of the following would be included in this discussion? - correct answer
Misoprostil
A neonatal nurse is assessing a 2-hour-old male newborn. She notes that the urethra meatus is
not midline, but is displaced on the dorsal surface (top side) of the penis. What is the medical
term for this? - correct answer Epispadias
A postpartum woman (gravida 1, para 1) asks the nurse immediately after delivery if she should
request rooming in with her infant. Which of the following responses by the nurse would be
correct? - correct answer Rooming-in allows increased maternal-newborn contact
At birth the infant has dry, cracked skin, absence of vernix, lack of sub fat, fingernails extending
beyond the fingertips, and poor skin turgor. Based on these findings, how would the nurse
classify this neonate? - correct answer post term
When caring for a newborn several hours after birth, what would the nurse assess as a normal
newborn's respiratory rate? - correct answer 30-60 breath/min
The nurse provides discharge instructions to a postpartum client. Which client statement
indicates that teaching has been effective? - correct answer I can return to my full-time job after
6 weeks
Which of the following actions should the nurse take to prepare the preschool-aged child for a
physical assessment? - correct answer allow the child to role play
The nurse is inspecting a male newborn's genitals. Which action should the nurse avoid when
conducting this assessment? - correct answer Retracting the foreskin over the glans to assess
for secretions.
, A new mother asks the nurse how to determine if the baby is receiving enough breast milk. How
should the nurse respond? - correct answer The infant should gain weight and have six wet
diapers daily.
A woman who delivered a term neonate 3 days ago is complaining of fever, fatigue, and a heavy
vaginal discharge. On assessment, the nurse notes that the her fundus is tender on palpation
and heavy with foul smelling lochia. What is the most likely cause of these symptoms? - correct
answer endometritis
The nurse is preparing a seminar on breastfeeding for a group of pregnant clients. Which
information should the nurse include during this seminar? - correct answer breastfeeding
enchances bonding with the infant
The nurse in the pediatric clinic is recording anthropometric data in the 12-month-old child's
chart. The father asks " is my son growing the way that he should?" - correct answer The child's
weight will be equal to birth weight x3 at 12 months (triple)
The nurse is assessing a client at her 8-week postpartum appointment. The client states that she
feels tired all the time, has trouble falling and staying asleep, and doesn't feel connected to her
baby. She denies thoughts of harming herself and her baby. The symptoms may indicate -
correct answer postpartum depression
A newbon with esophageal aresia has just returned from surgery to place a gastrostomy tube.
Which nursing diagnosis will the nurse to plan the care for - correct answer risk for imbalanced
nutrition
A father is concerned that his 3-day infant's face appears yellow. Which response should the
nurse provide to the father? - correct answer This is mild jaundice due to the immaturity of the
baby's liver. We will continue to monitor bilirubin levels
An infant develops hydrocephalus at 2 weeks of age. Which finding should the nurse expect to
asses? - correct answer bulging fontanels
The nurse is assessing a term newborn. Which finding should the nurse expect when assessing
the patterns of sole creases? - correct answer creases 2/3 of the foot
The nurse is called to the room of a client who had a term delivery of a 9lb 8oz newborn 24
hours ago. The client is noted to have lost consciousness on her way to the bathroom. What is
the priority nursing assessment for the client? - correct answer assess the fundus
According to Piaget, which basic concept will the child learn during the first year of life? -
correct answer He is not an extension of their parents
