“NURSING CARE OF FAMILY EXAM PRACTICE
QUESTIONS ”LATEST EXAM SOLVED
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The nurse documents the following observations on a newly born infant.
Which of the following should be immediately reported to the health care
provider?
A. Unilateral Moro reflex
B. small, blood-tinged mucous discharge from the vagina
C. drooling
D. acrocyanosis
A. Unilateral Moro reflex
Which of the following observations of a preterm neonate would indicate the
presence of respiratory distress? (Select all that apply.)
A. Chest retractions
B. Respiratory rate of 70/min
C. Grunting
D. Generalized Cyanosis
ALL
The startle reflex is also known as the:
A. Moro reflex.
B. rooting reflex.
C. pincer reflex.
D. grasp reflex.
A. Moro reflex
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A car seat for an infant less than 1 year of age:
A. is not needed if the infant is held securely in the lap of an adult.
B. should be placed close to the driver in the front passenger seat.
C. should face the rear and be placed in the center of the back seat.
D. should face forward and be placed on the driver's side of the back seat.
C. should face the rear and be placed in the center of the back seat
o detect allergies when feeding new foods:
A. Introduce 1 food at a time
B. mix the food with one the infant likes.
C. mix the food with formula.
D. offer two new foods at a time.
A. Introduce 1 food at a time
The nurse is discussing home safety with the mother of a 4-month-old infant.
Which of the following is a priority topic?
A. Placing locks on cabinet doors that contain cleaning supplies
B. Covering electrical outlets
C. Raising and securing crib side rails
D. Raising and securing crib side rails
C. raising and securing crib side rails
A mother expresses concern that her 1-year-old infant is overweight. She
states that her family has a tendency to be overweight and wishes to
discontinue formula feedings and start the infant on low-fat milk. The nurse
assesses that the present weight of the infant is 24 lb. The infant's birth weight
was 8 lb 2 oz. The best response of the nurse would be:
A. to place the infant on low-fat milk because the infant is slightly overweight
at this time.
B. to place the infant on regular whole milk because the infant's weight is
appropriate for his age.
C. to indicate that the infant is underweight for his age and needs to have
supplemental formula added to the diet.
D. to note that infancy is a period of rapid growth and weight loss will occur as
the infant becomes more active.
B. to place the infant on regular whole milk because the infant's weight is appropriate
for his age.
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Which of the following is a developmental red flag for a 3-month-old infant that
the nurse should record and report? (Mark all that apply)
A. The infant does not attempt to raise her head when placed on her abdomen.
B. The infant cannot sit without support.
C. The infant exhibits stranger anxiety.
D. The infant does not smile responsively
A. The infant does not attempt to raise her head when placed on her abdomen.
C. The infant exhibits stranger anxiety.
Which postpartum patient assessment requires immediate nursing
intervention?
A. Excretion of large amounts of urine on first postpartum day
B. Soft uterine fundus, to right of the midline, 2 hours after birth
C. Nipples intact but reddened on the first postpartum day
D. Perineal area edematous with minor tenderness and slight bruising
B. Soft uterine fundus, to right of the midline, 2 hours after birth
The most serious potential problem if a woman's bladder is distended in the
early postpartum period is:
infection.
discomfort.
vomiting.
hemorrhage.
hemorrhage
Two hours after a woman's uncomplicated vaginal birth requiring no
anesthesia, the nurse notes that her uterus is firm, two finger widths above her
umbilicus, and deviated slightly to her right side. The most appropriate
nursing action at this time is to:
A. assess for shock or hemorrhage.
B. massage her uterus continuously.
C. insert an indwelling catheter.
D. help her walk to the bathroom to urinate
D. help her walk to the bathroom to urinate
Choose the situation that describes appropriate administration of RhO (D)
immune globulin (RhoGAM).
A. Rh-negative newborn, Rh-negative mother, given IV to the newborn within
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12 hours of birth
B. Rh-positive newborn, Rh-negative mother, given IV to the mother within 1
week of birth
C. Rh-positive newborn, Rh-negative mother, given IM to the mother within 72
hours of birth
D. Rh-negative newborn, Rh-positive mother, given IM to the mother within 72
hours of birth
D. Rh-negative newborn, Rh-positive mother, given IM to the mother within 72 hours
of birth
The nurse gives a postpartum woman a rubella immunization. Which is the
most important patient teaching related to this immunization?
A. Neomycin can be used for rash or elevated temperature.
B. Use a reliable birth control method for 3 months.
C.Immunization now gives the baby immunity through breast milk.
D. Increased urination is a common side effect of the immunization.
B. Use a reliable birth control method for 3 months
Colostrum's greatest benefit to the newborn is prevention of:
A. constipation
B. weight loss
C. hemorrhage
D. infection
D. infection
The let-down reflex is stimulated by:
A. massage of the uterus
B. Breast Stimulation
C. increased fluid intake
D. breast engorgement
B. Breast stimulation
What should the nursing mother be taught about breast care?
A. Clean the breasts with plain water when washing.
B. Give one formula feeding daily to limit engorgement.
C. Do not wear a bra the first few days after birth.
D. Begin with the same breast at each feeding.
A. Clean the breasts with plain water when washing.