Solutions 2026 Set.
In assessing a preterm newborn, which of the following findings would be of greatest concern?
a. Milia over the bridge of the nose
b. Thin transparent skin
c. Poor muscle tone
d. Heart murmur - Answer D. Heart Murmur
While asssessing a postpartum multiparous client, the nurse detects a boggy uterusmidline 2
cm above the umbilicus. Which intervention would be the priority ? - Answer Massaging the
fundus
What is an appropriate nursing intervention to use when dealing with parents experiencing
perinatal loss ? - Answer Encourage them to participate in the newborn's care
Physiologic preparation for labour would be demostrated by: - Answer Lightening, where the
fetus first drops into true pelvis
Which factor would most likely be responsible for a pregnant individuals failure to receive
adequate prenatal care in Canada ? - Answer Lack of access
Which fetal lie is most conductive to a spontaneous vaginal birth ? - Answer Longitudinal
(Cephalic)
When administering magnesium sulphate toa. client with pre-eclampsia, the nurse explains that
the drug is given to: - Answer prevent seizures
Which finding would lead the nurse to suspect that a newborn is experiencing respiratory
distress syndrome ? - Answer Nasal flaring
Which client is at greatest risk for preterm labour ? - Answer a client with a history of a
previous preterm birth
The nurse documents that a newborn is post-term based on the understanding that they were
bron after how many weeks ? - Answer 40 weeks gestation
, By the end of the second stage of labour, the nurse would expect which of the following
events ? - Answer The fetus is born, and placed on the mother's chest
During the 4th stage of labour, the nurse assesses the client at frequent intervals after giving
childbirth. What assessment data would cause the nurse the most concern ? - Answer When
uterine fundus is palpated to the right of the umbilicus
The nurse would anticipate a C-section birth for a client who has which active infection present
at the onset of labour ? - Answer Herpes simplex virus
Immediately after childbirth in the recovery area, the nurswwe observes the client's partner's
fascination andd interest in their new son. This behaviour is often termed as: - Answer
Engrossment - a feeling of great interest
In the taking-in maternal role phase described by Rubin, the nurse would expect the client's
behaviour to be characterized as which of the following ? - Answer Being passive and
independent
When assessing the substane-exposed newborn, which finding would the nurse expect ? -
Answer Increased irritability
Post-partum breasdt engorgement occurs 48 to 72 hours after giving birth. What physiologic
change influence breast engorgement ? - Answer An increase in blood and lymph supply to
the breasts
The nurse would expect a post partum client to demonstrate lochia is which sequence ? -
Answer Rubra, serosa, alba
The nurse is explaining to a post-partum client 48 hours after her giving childbirth that afterpain
can be the result of what ? - Answer Contractions of the uterus after birth, expecially while
breast feeding
When determining the frequency of contractions, the nurse would measure from when to when
? - Answer Start of one contraction to the start of the next contraction
What would the nurse assess as indicating positive bonding between the parents and their
newborn - Answer Skin-to-skin contact, or holding the infant close to the body
Clients who are obese have a greater risk of developing which pregnancy ? - Answer
Gestational hypertension