NUR 2513 MATERNAL CHILD NURSING EXAM
2 ACTUAL QUESTIONS AND VERIFIED
ANSWERS EXAM PREP
◉ 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. 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. 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.
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. 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. 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. 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
C. The flow is over 500 mL
D. Her uterus is boggy and soft. Answer: A. the color of the flow is
red
◉ 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
2 ACTUAL QUESTIONS AND VERIFIED
ANSWERS EXAM PREP
◉ 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. 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. 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.
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. 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. 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. 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
C. The flow is over 500 mL
D. Her uterus is boggy and soft. Answer: A. the color of the flow is
red
◉ 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
