Practice Questions and Correct Answers Graded A
Rasmussen / Nur2513 exam 2 Prep Latest /
Maternal-Child Exam 2
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 - CORRECT ANSWER-B. Observe lower extremities for symmetry
D. Observe respiratory rate and effort
E. Auscultate lung sounds
During a home visit, a postpartum is complaining of a sore area on one breast. The nurse notes a
local area on the left breast is lumpy, red and warm to touch and palpates a small lump. For which
health problem should the nurse plan care for this client?
A. Engorgement
B. Plugged milk duct
C. Breast Cancer
D. Mastitis - CORRECT ANSWER-D. Mastitis
According to piaget, which basic concept will the child learn the first year of life?
A. his parents are not perfect
B. he is not an extension of their parents
C. He cannot be fooled by changing shapes
D. Most procedures can be reversed - CORRECT ANSWER-B. he is not an extension of their parents
A nurse at a well baby clinic is collecting data about a 9mon old infant. The nurse understands which
of the following occurs at this stage of development
,A. Scribble with crayons
B. fears strangers
C. used of 1-3 word sentences
D. Walking with on handheld - CORRECT ANSWER-B. fears strangers
Postpartum mom (G1P1) asks the nurse immediately after delivery if she should request rooming in
with her infant. Which of the following response by the nurse would be correct?
A. Rooming in allows increased maternal new born contact
B. This puts to much responsibility on a first time mother
C. Resting for the first 3 days postpartum will be better for you
D. It depends on whether you will breastfeed or not - CORRECT ANSWER-A. Rooming in allows
increased maternal new born contact
The nurse provides discharge instructions to a postpartum client. Which client statement indicates
that teaching has been effective
A. I can begin intercourse when i get home
B. I should notify the physician if my discharge decreases in amount
C. I should limit climbing stairs to 4x a day
D. I can return to my full time job after 6 weeks - CORRECT ANSWER-C. I should limit climbing stairs
to 4x a day
A nurse is assessing a newborn infant for congenital hip dysplasia. Which signs or symptoms should
be brought to the attention of the health care provider for further evaluation? SATA
A. An infant who has one leg that appears longer than the other
B. An infant who has a click in the hip joint when one hip is maneuvered
C. An infant who has extra skin folds on the inner thigh of one leg
D. An infant who is actively moving all extremities
E. An infant whose bilateral leg length is symmetric - CORRECT ANSWER-A. An infant who has one leg
that appears longer than the other
B. An infant who has a click in the hip joint when one hip is maneuvered
C. An infant who has extra skin folds on the inner thigh of one leg
, When caring for a newborn several hours after birth, what would the nurse assess as normal
newborns respiratory rate?
A. 20 to 30 breaths/min
B. 16 to 20 breaths/min
C. 12 to 16 breaths/min
D. 30 to 60 breaths/min - CORRECT ANSWER-D. 30 to 60 breaths/min
An infant develops hydrocephalus at 2 weeks of age. Which finding would the nurse expect to
assess?
A. Hypothermia in the late afternoon
B. Excessive thirst
C. A soft, fretful cry
D. Bulging fontanels - CORRECT ANSWER-D. Bulging fontanels
The nurse is evaluating a new mothers ability to effectively breastfeed in her infant. Which criteria
indicates that the mother should be able to breastfeed independently? SATA
A. Nurse places pillow under the baby for support
B. Infant swallows spontaneously and frequently
C. Breasts are soft and non-tender
D. Nipples are everted
E. The mothers hold the infant close to her breast in a football hold - CORRECT ANSWER-B. Infant
swallows spontaneously and frequently
C. Breasts are soft and non-tender
D. Nipples are everted
E. The mothers hold the infant close to her breast in a football hold
While inspecting a newborns head, the nurse identifies a swelling of the scalp on the right posterior
side of the head that doe snot cross the suture line. What term describes this finding?
A. enlarged fontanelle
B. Molding
C. Cephalohematoma
D. Caput Succedaneum - CORRECT ANSWER-C. Cephalohematoma