Capstone Nursing Care of Children/Maternal Newborn Assessment questions and answers well illustrated.

Capstone Nursing Care of Children/Maternal Newborn Assessment questions and answers well illustrated. A nurse is reinforcing teaching with a client who is postpartum and plans to breastfeed their newborn. Which of the following statements by the client indicates an understanding of the teaching? 1. "I should add 500 calories per day to my diet." 2. "I will use antibacterial soap and warm water to wash my breasts." 3. "Breastfeeding is a reliable method of birth control." 4. "If my nipples become cracked and red, I will apply hydrocortisone cream." - correct answers."I should add 500 calories per day to my diet." A nurse is collecting data from an infant who has Hirschsprung's disease. Which of the following manifestations should the nurse expect? 1. Abdominal distention 2. Steatorrhea 3. Blood-tinged emesis 4. Dysphagia - correct answers.Abdominal distention A nurse is collecting data from a client who is 6 weeks postpartum. The client tells the nurse, "I am not a good mother. My baby doesn't like me." Which of the following actions should the nurse take? 1. Advise the client that most new mothers experience these feelings 2. Ask the client if they have had thoughts about harming their infant. 3. Explain to the client they are experiencing the "baby blues." 4. Take the client to the emergency department. - correct answers.Ask the client if they have had thoughts about harming their infant. A nurse is reinforcing teaching with an adolescent client who uses inhalers for the treatment of asthma. Which of the following statements by the client indicates an understanding of the teaching? 1. "I will wait 15 seconds between puffs when using my levalbuterol inhaler. 2. "I need to use my fluticasone inhaler when I start to wheeze during exercise." 3. "I need to use my levalbuterol inhaler before I exercise. 4. "I will stop using my fluticasone inhaler if I experience restlessness." - correct answers."I need to use my levalbuterol inhaler before I exercise. A nurse is reinforcing teaching with a parent of an infant who has diaper dermatitis and a new prescription for zinc oxide ointment. Which of the following statements by the parent indicates an understanding of the teaching? 1. "I will wash off the ointment with each diaper change." 2. "I should shake talcum powder onto the reddened areas." 3. "I should dry the diaper area with a hair dryer on the lowest setting." 4. "I will use moist disposable wipes that are detergent free." - correct answers."I will use moist disposable wipes that are detergent free." A nurse is reinforcing teaching with a parent of a school-age child who has tonic-clonic seizures. Which of the following statements should the nurse make regarding care during a seizure? 1. "You should offer your child sips of clear liquids." 2. "You should gently restrain your child using both of your arms." 3. "You should place your child's head on a pillow." 4. "You should give rectal diazepam to your child at the onset of the seizure." - correct answers."You should place your child's head on a pillow." A nurse is reviewing laboratory reports for four antepartum clients. Which of the following laboratory results should the nurse report to the provider? 1. 2-hr postprandial glucose 105 mg/dL 2. Negative group B streptococcus -hemolytic 3. Hgb 13 g/dL 4. 2+ proteinuria - correct answers.2+ proteinuria A nurse is assisting in the care of a child who is receiving IV cefuroxime when the child begins to have difficulty breathing. Which of the following actions should the nurse take first? 1. Obtain vital signs. 2.Stop the IV infusion. 3. Administer epinephrine IM. 4. Monitor intake and output. - correct answers.Stop the IV infusion. A nurse is discussing growth and development milestones with the parents of a 3-year-old preschooler. Which of the following statements by a parent indicates to the nurse that the preschooler is meeting the expected benchmarks of other preschoolers in this age group? 1. "My child uses scissors to cut out the outline of an object." 2. "My child can copy triangle shapes onto paper." 3. "My child can ride a tricycle." 4. "My child can throw a ball overhead." - correct answers."My child can ride a tricycle." A nurse is assisting with the care of an adolescent who has a partial-thickness burn. When observing the site of the burn, which of the following clinical manifestations should the nurse expect? 1. Brown in color 2. Leathery appearance 3. Visible ligaments 4. Blister formation - correct answers.Blister formation A nurse on a pediatric unit is assisting with the admission of a toddler who has pneumonia. The nurse should identify that which of the following findings is an expected behavior of hospitalization? 1. Experiences separation anxiety 2. Fears a loss of control 3. Feels hospitalization is punishment 4. Develops body image disturbance - correct answers.Experiences separation anxiety A nurse is assisting in the admission of a client who had recently given birth and is presenting to the emergency department with acute opioid toxicity. Which of the following findings should the nurse expect? 1. Hypothermia 2. Hypertension 3. Diaphoresis 4. Mydriasis - correct answers.Hypothermia A nurse is reinforcing teaching about perception of death with the guardians of an adolescent who has a terminal illness. Which of the following statements should the nurse make? 1. "Adolescents tend to be more concerned with their appearance than the dying process." 2. "Many adolescents imagine death as a type of monster." 3. "Adolescents tend to believe their own actions might have caused their terminal illness." 4. "Many adolescents don't understand that death is permanent." - correct answers."Adolescents tend to be more concerned with their appearance than the dying process." A nurse is contributing to the plan of care for a newborn who has hyperbilirubinemia and requires phototherapy. Which of the following interventions should the nurse include? 1. Apply lotion to the newborn's skin twice per day. 2. Check the newborn's blood glucose every 2 hr. 3. Swaddle the newborn during the treatment. 4. Remove the newborn's eye mask during feedings. - correct answers.Remove the newborn's eye mask during feedings. A nurse is assisting with the care of a client who is experiencing a postpartum hemorrhage. Which of the following actions should the nurse take? (Select all that apply.) 1. Firmly massage the fundus. 2. Administer oxygen via a nonrebreather face mask. 3. Ensure the client has IV access. 4. Prepare the client for an amnioinfusion. 5. Give the client Rh(D) immune globulin. - correct answers.1. Firmly massage the fundus. 2. Administer oxygen via a nonrebreather face mask. 3. Ensure the client has IV access. A nurse is caring for a client who is postpartum, reports an allergy to aspirin, and states that they are in pain. The nurse should identify which of