Capstone Nursing Care of Children Maternal Newborn Assessment
A nurse is reinforcing teaching with a client who is "I should add 500 calories per day to my diet."
postpartum and plans to breastfeed their newborn. Which
of the following statements by the
client indicates an understanding of the teaching?
1. "I should add 500 calories per day to my diet."
2. "I will use antibacterial soap and warm water to wash
my breasts."
3. "Breastfeeding is a reliable method of birth control."
4. "If my nipples become cracked and red, I will apply
hydrocortisone cream."
A nurse is collecting data from an infant who has Abdominal distention
Hirschsprung's disease. Which of the following
manifestations should the nurse expect?
1. Abdominal distention
2. Steatorrhea
3. Blood-tinged emesis
4. Dysphagia
A nurse is collecting data from a client who is 6 weeks Ask the client if they have had thoughts about harming their infant.
postpartum. The client tells the nurse,
"I am not a good mother. My baby doesn't like me."
Which of the following actions should the nurse take?
1. Advise the client that most new mothers experience
these feelings
2. Ask the client if they have had thoughts about harming
their infant.
3. Explain to the client they are experiencing the "baby
blues."
4. Take the client to the emergency department.
A nurse is reinforcing teaching with an adolescent client "I need to use my levalbuterol inhaler before I exercise.
who uses inhalers for the treatment of asthma. Which of
the following statements by the
client indicates an understanding of the teaching?
1. "I will wait 15 seconds between puffs when using my
levalbuterol inhaler.
2. "I need to use my fluticasone inhaler when I start to
wheeze during exercise."
3. "I need to use my levalbuterol inhaler before I exercise.
4. "I will stop using my fluticasone inhaler if I experience
restlessness."
A nurse is reinforcing teaching with a parent of an infant "I will use moist disposable wipes that are detergent free."
who has diaper dermatitis and a new prescription for zinc
oxide ointment. Which of the
following statements by the parent indicates an
understanding of the teaching?
1. "I will wash off the ointment with each diaper change."
2. "I should shake talcum powder onto the reddened
areas."
3. "I should dry the diaper area with a hair dryer on the
lowest setting."
4. "I will use moist disposable wipes that are detergent
free."
A nurse is reinforcing teaching with a parent of a school- "You should place your child's head on a pillow."
age child who has tonic-clonic seizures. Which of the
following statements should the
nurse make regarding care during a seizure?
1. "You should offer your child sips of clear liquids."
2. "You should gently restrain your child using both of your
arms."
3. "You should place your child's head on a pillow."
4. "You should give rectal diazepam to your child at the
onset of the seizure."
, Capstone Nursing Care of Children Maternal Newborn Assessment
A nurse is reviewing laboratory reports for four antepartum 2+ proteinuria
clients. Which of the following laboratory results should the
nurse report to the
provider?
1. 2-hr postprandial glucose 105 mg/dL
2. Negative group B streptococcus -hemolytic
3. Hgb 13 g/dL
4. 2+ proteinuria
A nurse is assisting in the care of a child who is receiving Stop the IV infusion.
IV cefuroxime when the child begins to have difficulty
breathing. Which of the following
actions should the nurse take first?
1. Obtain vital signs.
2.Stop the IV infusion.
3. Administer epinephrine IM.
4. Monitor intake and output.
A nurse is discussing growth and development milestones "My child can ride a tricycle."
with the parents of a 3-year-old preschooler. Which of the
following statements by a parent indicates to the nurse that
the preschooler is meeting the expected benchmarks of
other preschoolers in this age group?
1. "My child uses scissors to cut out the outline of an
object."
2. "My child can copy triangle shapes onto paper."
3. "My child can ride a tricycle."
4. "My child can throw a ball overhead."
A nurse is assisting with the care of an adolescent who has Blister formation
a partial-thickness burn. When observing the site of the
burn, which of the following
clinical manifestations should the nurse expect?
1. Brown in color
2. Leathery appearance
3. Visible ligaments
4. Blister formation
A nurse on a pediatric unit is assisting with the admission Experiences separation anxiety
of a toddler who has pneumonia. The nurse should identify
that which of the following
findings is an expected behavior of hospitalization?
1. Experiences separation anxiety
2. Fears a loss of control
3. Feels hospitalization is punishment
4. Develops body image disturbance
A nurse is assisting in the admission of a client who had Hypothermia
recently given birth and is presenting to the emergency
department with acute opioid
toxicity. Which of the following findings should the nurse
expect?
1. Hypothermia
2. Hypertension
3. Diaphoresis
4. Mydriasis
A nurse is reinforcing teaching about perception of death "Adolescents tend to be more concerned with their appearance than the dying
with the guardians of an adolescent who has a terminal process."
illness. Which of the following
statements should the nurse make?
1. "Adolescents tend to be more concerned with their
appearance than the dying process."
2. "Many adolescents imagine death as a type of monster."
3. "Adolescents tend to believe their own actions might
have caused their terminal illness."
4. "Many adolescents don't understand that death is
permanent."
A nurse is reinforcing teaching with a client who is "I should add 500 calories per day to my diet."
postpartum and plans to breastfeed their newborn. Which
of the following statements by the
client indicates an understanding of the teaching?
1. "I should add 500 calories per day to my diet."
2. "I will use antibacterial soap and warm water to wash
my breasts."
3. "Breastfeeding is a reliable method of birth control."
4. "If my nipples become cracked and red, I will apply
hydrocortisone cream."
A nurse is collecting data from an infant who has Abdominal distention
Hirschsprung's disease. Which of the following
manifestations should the nurse expect?
1. Abdominal distention
2. Steatorrhea
3. Blood-tinged emesis
4. Dysphagia
A nurse is collecting data from a client who is 6 weeks Ask the client if they have had thoughts about harming their infant.
postpartum. The client tells the nurse,
"I am not a good mother. My baby doesn't like me."
Which of the following actions should the nurse take?
1. Advise the client that most new mothers experience
these feelings
2. Ask the client if they have had thoughts about harming
their infant.
3. Explain to the client they are experiencing the "baby
blues."
4. Take the client to the emergency department.
A nurse is reinforcing teaching with an adolescent client "I need to use my levalbuterol inhaler before I exercise.
who uses inhalers for the treatment of asthma. Which of
the following statements by the
client indicates an understanding of the teaching?
1. "I will wait 15 seconds between puffs when using my
levalbuterol inhaler.
2. "I need to use my fluticasone inhaler when I start to
wheeze during exercise."
3. "I need to use my levalbuterol inhaler before I exercise.
4. "I will stop using my fluticasone inhaler if I experience
restlessness."
A nurse is reinforcing teaching with a parent of an infant "I will use moist disposable wipes that are detergent free."
who has diaper dermatitis and a new prescription for zinc
oxide ointment. Which of the
following statements by the parent indicates an
understanding of the teaching?
1. "I will wash off the ointment with each diaper change."
2. "I should shake talcum powder onto the reddened
areas."
3. "I should dry the diaper area with a hair dryer on the
lowest setting."
4. "I will use moist disposable wipes that are detergent
free."
A nurse is reinforcing teaching with a parent of a school- "You should place your child's head on a pillow."
age child who has tonic-clonic seizures. Which of the
following statements should the
nurse make regarding care during a seizure?
1. "You should offer your child sips of clear liquids."
2. "You should gently restrain your child using both of your
arms."
3. "You should place your child's head on a pillow."
4. "You should give rectal diazepam to your child at the
onset of the seizure."
, Capstone Nursing Care of Children Maternal Newborn Assessment
A nurse is reviewing laboratory reports for four antepartum 2+ proteinuria
clients. Which of the following laboratory results should the
nurse report to the
provider?
1. 2-hr postprandial glucose 105 mg/dL
2. Negative group B streptococcus -hemolytic
3. Hgb 13 g/dL
4. 2+ proteinuria
A nurse is assisting in the care of a child who is receiving Stop the IV infusion.
IV cefuroxime when the child begins to have difficulty
breathing. Which of the following
actions should the nurse take first?
1. Obtain vital signs.
2.Stop the IV infusion.
3. Administer epinephrine IM.
4. Monitor intake and output.
A nurse is discussing growth and development milestones "My child can ride a tricycle."
with the parents of a 3-year-old preschooler. Which of the
following statements by a parent indicates to the nurse that
the preschooler is meeting the expected benchmarks of
other preschoolers in this age group?
1. "My child uses scissors to cut out the outline of an
object."
2. "My child can copy triangle shapes onto paper."
3. "My child can ride a tricycle."
4. "My child can throw a ball overhead."
A nurse is assisting with the care of an adolescent who has Blister formation
a partial-thickness burn. When observing the site of the
burn, which of the following
clinical manifestations should the nurse expect?
1. Brown in color
2. Leathery appearance
3. Visible ligaments
4. Blister formation
A nurse on a pediatric unit is assisting with the admission Experiences separation anxiety
of a toddler who has pneumonia. The nurse should identify
that which of the following
findings is an expected behavior of hospitalization?
1. Experiences separation anxiety
2. Fears a loss of control
3. Feels hospitalization is punishment
4. Develops body image disturbance
A nurse is assisting in the admission of a client who had Hypothermia
recently given birth and is presenting to the emergency
department with acute opioid
toxicity. Which of the following findings should the nurse
expect?
1. Hypothermia
2. Hypertension
3. Diaphoresis
4. Mydriasis
A nurse is reinforcing teaching about perception of death "Adolescents tend to be more concerned with their appearance than the dying
with the guardians of an adolescent who has a terminal process."
illness. Which of the following
statements should the nurse make?
1. "Adolescents tend to be more concerned with their
appearance than the dying process."
2. "Many adolescents imagine death as a type of monster."
3. "Adolescents tend to believe their own actions might
have caused their terminal illness."
4. "Many adolescents don't understand that death is
permanent."
