WOMEN’S HEALTH NURSING O’MEARA 2ND
EDITION COMPREHENSIVE EXAMINATION TEST
WITH FULL SOLUTION
◉ A nurse determines that a 1-day-old newborn has a heart rate of
138 beats/min. What is the best nursing action at this time? Answer:
Documenting the heart rate
◉ An infant is born with a bilateral cleft palate. Plans are made to
begin reconstruction immediately. What nursing intervention should
be included to promote parent-infant attachment? Answer:
Demonstrating positive acceptance of the infant
◉ On the second day of life, minutes after drinking 2½ ounces of
formula, a newborn regurgitates about half an ounce. The mother
remarks, "My baby spits up after every feeding." What should the
nurse do next? Answer: Suggest that she hold her baby upright for
30 minutes after feeding
◉ A 15-year-old emancipated minor gave birth to a boy 36 hours
ago and has requested a circumcision. What is the nurse's priority?
Answer: Getting an informed consent signed by the mother of the
baby
, ◉ A nurse decides on a teaching plan for a new mother and her
infant. What should the plan include? Answer: A demonstration and
explanation of infant care
◉ During a vertex vaginal birth the nurse notes meconium-stained
amniotic fluid. What is the priority nursing intervention for the
newborn? Answer: Suctioning the airway
◉ A 7-lb, 4-oz (3290-g) boy is admitted to the nursery and placed in
a warm crib. The neonate begins to choke on mucus. How should the
nurse suction him with a bulb syringe? Answer: By suctioning the
mouth before the nostrils
◉ Vitamin K 0.5 mg is prescribed for a newborn. The vial on hand is
labeled "1 mL = 2 mg." How many milliliters should the nurse
administer? Include a leading zero if applicable. Record your answer
using two decimal places. _____ mL Answer: 0.25
◉ The nurse is caring for a couple after the birth of their first child.
What should the nurse tell the family to do when their infant is
exhibiting the behavior demonstrated in the picture? Answer: "This
is the time when the baby is likely to be most responsive to you."