NUR 404 Exam 3 NCLEX Case Study Questions With
Complete Solutions
A client at 43 weeks' gestation has just given birth to an infant
with typical postmaturity characteristics. Which sign of
postmaturity would the nurse identify? Select all that apply.
One, some, or all responses may be correct.
Cracked and peeling skin
Long scalp hair and fingernails
Red, puffy appearance of face and neck
Increased lanugo
Decreased subcutaneous fat
Umbilical meconium staining
Vernix caseosa covering the back and buttocks
Creases covering the neonate's full soles and palms Correct
Answers Cracked and peeling skin
Long scalp hair and fingernails
Decreased subcutaneous fat
Umbilical meconium staining
Creases covering the neonate's full soles and palms
A mother and her newborn have just been transferred to the
postpartum unit from labor and delivery. Which infant safety
education would be provided as soon as mom and baby are
settled into their room? Select all that apply. One, some, or all
responses may be correct.
"Wash your hands before touching the newborn."
"Individuals with infectious conditions are not allowed to visit."
"Send the newborn to nursery to be monitored during the night."
, "All client identification bands should remain in place until
discharge."
"Place the newborn in the bassinet if you become sleepy."
"Do not let anyone remove the infant from your sight while you
are in the hospital."
"Check the identification of staff, and if there is a question of
validity, call the nursing station."
"It is important for the mother to share the bed with the
newborn." Correct Answers "Wash your hands before touching
the newborn."
"All client identification bands should remain in place until
discharge."
"Place the newborn in the bassinet if you become sleepy."
"Check the identification of staff, and if there is a question of
validity, call the nursing station."
An infant being treated for talipes equinovarus (clubfoot) has a
cast change every 2 to 3 weeks. Which assessment would the
nurse include at routine visits? Select the 5 appropriate
assessments.
Capillary refill of affected limb
Color of the toes of the foot in the cast
Movement of the toes of the foot in the cast
Knee flexion and extension of the affected leg
Lower extremity skin integrity
Pain with vital signs Correct Answers Capillary refill of
affected limb
Color of the toes of the foot in the cast
Movement of the toes of the foot in the cast
Lower extremity skin integrity
Complete Solutions
A client at 43 weeks' gestation has just given birth to an infant
with typical postmaturity characteristics. Which sign of
postmaturity would the nurse identify? Select all that apply.
One, some, or all responses may be correct.
Cracked and peeling skin
Long scalp hair and fingernails
Red, puffy appearance of face and neck
Increased lanugo
Decreased subcutaneous fat
Umbilical meconium staining
Vernix caseosa covering the back and buttocks
Creases covering the neonate's full soles and palms Correct
Answers Cracked and peeling skin
Long scalp hair and fingernails
Decreased subcutaneous fat
Umbilical meconium staining
Creases covering the neonate's full soles and palms
A mother and her newborn have just been transferred to the
postpartum unit from labor and delivery. Which infant safety
education would be provided as soon as mom and baby are
settled into their room? Select all that apply. One, some, or all
responses may be correct.
"Wash your hands before touching the newborn."
"Individuals with infectious conditions are not allowed to visit."
"Send the newborn to nursery to be monitored during the night."
, "All client identification bands should remain in place until
discharge."
"Place the newborn in the bassinet if you become sleepy."
"Do not let anyone remove the infant from your sight while you
are in the hospital."
"Check the identification of staff, and if there is a question of
validity, call the nursing station."
"It is important for the mother to share the bed with the
newborn." Correct Answers "Wash your hands before touching
the newborn."
"All client identification bands should remain in place until
discharge."
"Place the newborn in the bassinet if you become sleepy."
"Check the identification of staff, and if there is a question of
validity, call the nursing station."
An infant being treated for talipes equinovarus (clubfoot) has a
cast change every 2 to 3 weeks. Which assessment would the
nurse include at routine visits? Select the 5 appropriate
assessments.
Capillary refill of affected limb
Color of the toes of the foot in the cast
Movement of the toes of the foot in the cast
Knee flexion and extension of the affected leg
Lower extremity skin integrity
Pain with vital signs Correct Answers Capillary refill of
affected limb
Color of the toes of the foot in the cast
Movement of the toes of the foot in the cast
Lower extremity skin integrity
