FINAL EXAM 2024/2025 ALL 200+ ACTUAL EXAM
QUESTIONS AND CORRECT DETAILED ANSWERS
(100% CORRECT VERIFIED ANSWERS)
|GUARANTEED A+ (FULL REVISED EXAM
A woman who is 4 months pregnant asks what can be done to alleviate frequent heart palpitations and
leg cramps. Which nursing diagnosis would be applicable to the patient at this time?
Select one:
a. Pain related to severe complications of pregnancy
b. Health-seeking behaviors related to ways to relieve discomforts of pregnancy
c. Risk for ineffective breathing pattern related to pressure of the growing uterus
d. Impaired urinary elimination related to inability to excrete creatine from the muscles - CORRECT
ANSWER-b. Health-seeking behaviors related to ways to relieve discomforts of pregnancy
The nurse is visiting the family of a newly pregnant patient whose spouse was ambivalent about the
pregnancy during the first prenatal visit. Which observation indicates that the spouse is accepting the
pregnancy?
Select one:
a. Spouse leaves the house when the nurse arrives.
b. Spouse sits with the pregnant patient during the nurse's visit.
c. Spouse shouts down the stairs about the location of clean laundry.
d. Spouse tells the patient what needs to be obtained from the grocery store. - CORRECT ANSWER-b.
Spouse sits with the pregnant patient during the nurse's visit.
A patient enjoys exercising and wants to know if it can continue to be done while pregnant. What should
the nurse instruct the patient about exercising at this time? (Select all that apply.)
Select one or more:
a. Drink plenty of liquids to prevent dehydration.
b. Limit strenuous exercise to no longer than 20 minutes.
c. Eat a low-protein, simple carbohydrate snack before exercising.
,d. Warm up for 5 minutes by walking or cycling on low resistance.
e. Avoid exercises that require jumping or rapid changes in direction. - CORRECT ANSWER-a,d,e
The nurse is providing care in an organization that supports the maternal and child care continuum.
Which type of patient care area is an example of this approach?
Select one:
a. Primary care
b. Team nursing
c. Case management
d. Family-centered care - CORRECT ANSWER-d. Family-centered care Correct
During the fourth stage of labor, your patient's assessment includes a blood pressure (BP) of 110/60, a
pulse of 90, and the fundus is firm midline and halfway between the symphysis pubis and the umbilicus.
The priority action of the nurse should be to
Select one:
a. Turn the patient onto her left side.
b. Place the bed in Trendelenburg position.
c. Massage the fundus.
d. Continue to monitor. - CORRECT ANSWER-d
The nurse notices that a new mother who is beginning postpartum day 2 handles the newborn
tentatively and does not kiss the child when holding him. What should the nurse suspect as the probable
reason for this behavior?
Select one:
a. Disappointment with the child's sex
b. Difficulty accepting the role changes
c. Reacting normally to accepting a new child
d. Cultural customs do not include kissing children - CORRECT ANSWER-c
,The nurse is caring for a newborn that weighed 7 lb 3 oz at birth. What action should the nurse take first
based on this weight?
Select one:
a. Plot the weight on a gestational age graph.
b. Ask for a physician to examine the newborn.
c. Draw additional blood work for cholesterol level.
d. Turn off the radiant heat warmer for physical assessment. - CORRECT ANSWER-a
The nurse instructs a patient on actions to prevent postpartum depression. During a home visit, which
observation indicates that instruction has been effective?
Select one:
a. Patient complains of fatigue.
b. Patient appears disheveled and listless.
c. Patient is chatting on the telephone with a friend.
d. Patient is cleaning the kitchen while the baby naps. - CORRECT ANSWER-c
A new mother asks the nurse how to determine if the baby is receiving enough breast milk. What
response should the nurse make to the mother?
Select one:
a. "The infant should not become constipated."
b. "The infant should sleep at least 3 hours between feedings."
c. "You need to weigh the infant before and after each feeding."
d. "The infant should gain weight and have six wet diapers daily." - CORRECT ANSWER-d
You assess a postpartal woman's fundal height every 15 minutes during the first hour postpartum. At
which of the following locations would you expect to assess the height of her fundus?
Select one:
a. Two fingerbreadths under the umbilicus
b. One fingerbreadth under the umbilicus
, c. At the umbilicus
d. Two fingerbreadths above the symphysis pubis - CORRECT ANSWER-c
The nurse had completed a postpartum assessment on a patient who gave birth to her first child 12
hours ago. She is nauseated, but has not vomited in the last 2 hours. Her fundus was boggy, and firmed
with massage to 1 fingerbreadths below the umblicus, moderately heavy lochia rubra, perineum
ecchymotic and edematous, and pain rating 6 on scale of 1-10. Her partner is present and supportive.
Breastfeeding has been successful three times. Which nursing diagnosis has the highest priority for this
patient? Select one:
a. Acute pain related to perineal trauma
b. Risk for deficient fluid volume related to uterine bleeding and nausea
c. Readiness for enhanced family coping
d. Knowledge deficit related to newborn care - CORRECT ANSWER-b
The postpartum patient delivered 4 hours ago. She has a mediolateral episiotomy and large
hemorrhoids. She is rating her pain at 7 on a scale of 1-10. She has a history of anaphylactic reaction to
Tylenol (acetaminophen). Which nursing action would be best?
Select one:
a. Offer the patient 800 mg Advil (ibuprofen) orally with food.
b. Provide two Percocet (oxycodone with acetaminophen) by mouth.
c. Encourage use of Dermoplast topical anesthetic spray.
d. Run very warm water into the tub and assist her into the bath. - CORRECT ANSWER-a
Which of the following is an appropiate nursing diagnosis for a postpartal mother with an episiotomy
during the first 5 days postpartum?
Select one:
a. Anxiety related to vaginal scar formation and decreased body image
b. Imbalance nutrition: more than body requirements related to increase appetite
c. Risk for infection related to lochia and decreased perineal skin integrity
d. Self-care deficit related to poor opportunity for independence - CORRECT ANSWER-c