NURS 3500 Final Updated Questions and 100% Verified Exam 2025

NURS 3500 Final Updated Questions and 100% Verified Exam 2025 In the pre-admission clinic, the perinatal nurse describes the advantages to a short hospital stay as including which of the following? a. decreased risk of non-socomial infection b. increased rest and recuperation c. increased opportunity to initiate successful breastfeeding d. increased teaching about infant care - Correct Ans-A In the immediate postpartum period, the perinatal nurse knows that the postpartum woman most often has: a. bradycardia b. tachycardia c. a pulse within the normal adult range c. tachycardia with a. return of normal pulse within 4 hours - Correct Ans-A The postpartum nurse expects a postpartum woman's bladder function to return to normal within what length of time? a. 2-4 hours b. 4-6 hours c. 6-8 hours d. 8-12 hours - Correct Ans-B A student nurse in the perinatal clinic sees a notation on the chart of a patient describing her as being in the "puerperium." What explanation does the registered nurse provide the student? a. time period when breastfeeding inhibits ovulation b. time period when the infant loses weight after birth c. time period form childbirth through 6 weeks PP d. time period when risk of the "baby blues" is highest - Correct Ans-C A nurse performing a perineal assessment on a postpartum woman assists her into which position? a. Sim's b. Prone c. Supine d. Knee-chest - Correct Ans-A The perinatal nurse understands the term "subinvolution" to mean which of the following? a. inverted uterus b. abnormally small uterus c. uterus not returned to pre-pregnant state NURS 3500 NURS 3500 d. uterus with retained placental tissue - Correct Ans-C A nurse notes a postpartum woman's vaginal drainage as red fluid with a fleshy odor. How should the nurse document this finding? a. lochia maxima c. lochia alba d. lochia serosa d. lochia rubra - Correct Ans-D The nurse knows that during what time frame is a woman most likely to experience heart failure? a. first trimester b. second trimester c. third trimester d. postpartum - Correct Ans-D The perinatal nurse understands the concept of attachment as which of the following? a. promotion of a unique and powerful relationship between parent and baby b. the tie that exists between parent and baby; recognized as a feeling that binds c. learning to care for the infant and knowing him or her well enough to anticipate needs d. an urge to protect the infant against the world which may lead to overprotectiveness - Correct Ans-B During which time frame is the new mother most vulnerable to emotional difficulties? a. first 10 days PP b. first 3 months PP c. first 6 months PP d. first year P - Correct Ans-B As part of a postpartum woman's assessment, the perinatal nurse observes for s/s of hematoma formation. Which of the following is the most anatomical site for a hematoma to form? a. rectum b. vulva c. cervix d. episiotomy site - Correct Ans-B The perinatal nurse promotes postpartum health and prevents infection with the inclusion of information about which concept? a. good hand washing b. early ambulation c. minimal fluid intake d. restricted protein intake - Correct Ans-A NURS 3500 NURS 3500 The perinatal nurse is providing information to a PP woman being discharged from the hospital on warfarin (Coumadin) therapy. Which drug would the nurse instruct the pt to restrict? a. acetaminophen (Tylenol) b. ibuprofen (Motrin) c. prenatal vitamins d. decussate sodium (Colace) - Correct Ans-B The perinatal nurse understands that a puerperal infection occurs within how many days after giving birth? a. 10-14 b. 15-30 c. within 28 days d. within 6 months - Correct Ans-C A nurse reads on a pt's chart that she has a clot in her superficial saphenous venous system. What condition should the nurse be prepared to treat? a. pulmonary embolism b. superficial venous thrombosis c. deep venous thrombosis d. uterine thrombophlebitis - Correct Ans-B A nurse is caring for a pt on IV heparin for a DVT. Which lab value should the nurse monitor as the priority? a. hemoglobin b. INR c. PTT d. platelet count - Correct Ans-C The nurse caring for PP patines understands that which of the following Is the most common type of psychosocial disturbance seen in this population? a. postpartum blues b. postpartum depression c. postpartum psychosis d. postpartum mania - Correct Ans-A What teaching is important for the woman being treated with lithium for postpartum psychosis? a. dental visits every 4 months b. lithium levels drawn every 6 months c. do not drink any citrus juices d. use two types of birth control - Correct Ans-B The perinatal nurse is aware of physical effects that maternal battering can have on a newborn. Which of the following is inconsistent with this knowledge? a. low-birth-weight infant NURS 3500 NURS 3500 b. preterm birth c. neonatal death d. prolonged labor - Correct Ans-D A perinatal nurse screens all patines for intimate partner violence. What technique is best when performing this screening? a. asking direct questions about abuse b. having the woman fill out a survey c. scheduling a social worker to visit all new patients d. distributing flyers that encourage reporting abuse - Correct Ans-A A postpartum woman who is RhoD-negative and needs an injection of Rho(D) immune globulin. Which of the following doses would the perinatal nurse expect to be ordered? a. 120g b. 250g c. 300g d. 350g - Correct Ans-C The perinatal nurse is teaching the patient about breastfeeding and explains that which of the following is the most appropriate time to breastfeed? a. 4-5 hours after last feeding b. only when infant exhibits hunger-related crying c. when her infant is in a quiet alert state d. when her infant is in an active alert state - Correct Ans-C The perinatal nurse observes the new mother watching her baby daughter closely, touching her face, and asking many questions about infant feeding. This is best described as which stage of mothering? a. taking charge b. taking hold c. taking in d. taking time - Correct Ans-B A postpartum woman is complaining of a headache that is worsening despite having taken Tylenol (acetaminophen) an hour ago. She delivered yesterday with epidural anesthesia. What action by the nurse is best? a. assess if the pain is worse when she sits upright b. call provider and ask for stronger analgesics c. document findings in pt chart d. notify healthcare provider immediately - Correct Ans-A A postpartum patient complains of severe perineal pain and a sensation of needing to defecate but cannot pass stool. What action by the nurse is best? a. administer a stool softener b. document findings in chart c. offer a warm sitz bath NURS 3500 NURS 3500 d. palpate the perineal area - Correct Ans-D Two days after an uncomplicated vaginal birth, the nurse notes that the patients hemoglobin is 13 mg/dL and the hematocrit is 48%. What does the nurse conclude about these values? a. pt is dehydrated b. needs further assessment c. normal for situation d. serious anemia - Correct Ans-C A woman is 10 hours postpartum after an uncomplicated vaginal birth. She has voided four times, and each time the volume is less than 100 mL. What action by the nurse is best? a. ask the woman to keep a voiding oof for 24 hours b. palpate the fundus and assess the amount of loch is present c. request an order for a straight catherization d. run the water in the bathroom faucet during voiding attempts - Correct Ans-B A woman complains of perineal pain. The nurse assesses swelling, but sees no other abnormalities. The woman does not wish pharmacological treatment. What suggestion by the nurse is most appropriate? a. applying a covered ice pack to the perineum every 2-4 hours for 20mins b. placing a cool cabbage leaves on the woman's peri-pad c. sitting on a donut-type pillow when out of bed d. immersing in a sitz bath with a water temp of 120F - Correct Ans-A A nurse is caring for a woman after a cesarean birth. Prior to ambulating her for the first time, which action by the nurse takes priority? a. assess sensation in lower extremities b. discontinue the patients IV line c. encourage the pt to cough and deep breathe d. have the pt sit on the edge of the bed - Correct Ans-A A woman had a cesarean birth 2 hours ago. She now complains of being hungry and wants something to eat. What action by the nurse is best? a. assess for bowel sounds and ask if she is passing gas b. inform the woman that she can't eat until her bowels move c. order her a meal high in carbohydrates d. provide her with a medical liquid diet - Correct Ans-A An infant was born weighing 6 lb (2.72 kg). At the end of 30 days, approximately how much should this infant weigh to demonstrate effective breastfeeding? A. 6 lb, 4 oz to 7 lb (2.833.17 kg) B. 7 to 9 lb (3.174 kg) C. 9 to 11 lb (45 kg) D. 10 to 12 lb, 6 oz (4.55.6 kg) - Correct Ans-A NURS 3500 NURS 3500 A mother brings her 3-month-old baby to the clinic for a well-baby check. She appears exhausted and when the nurse questions her, the mother explains that she feels that she is the only person who can look after and care for her infant properly, so all of her time is devoted to this task. The nurse should document which of the following? A. Difficulty with letting-go, as evidenced by excluding her partner from infant care B. Poor bonding, as evidenced by resentment toward the baby and fatigue C. Personal neglect, as evidenced by exhaustion and by not taking care of herself D. Time management problems, as evidenced by needing the entire day to care for the baby - Correct Ans-A An adolescent has vaginally given birth to a healthy baby. What action by the nurse would be most important in developing a plan to help this mother bond successfully? A. Ask the mother about her expectations of the baby and their relationship. B. Determine if the mother plans to keep the baby or give it up for adoption. C. Inquire as to how many family members are available to help care for the baby. D. Refer the mother and her baby to the social worker or to the visiting nurses. - Correct Ans-A The perinatal nurse knows that breastfeeding is contraindicated if a mother has which o