NSG222 Final Practice 2 Exam Questions With Answers

NSG222 Final Practice 2 Exam Questions With Answers One hour after delivery, the nurse is unable to palpate the uterine fundus of a client who had an epidural and notes a large amount of lochia on the perineal pad. The nurse massages at the umbilicus and obtains current vital signs. Which intervention should the nurse implement next? A. Document number of pad changes in the last hour B. Increase the rate of the oxytocin infusion C. Palpate the suprapubic area for bladder distention D. Provide bedpan to void if unable to ambulate - ANSWER- C. Palpate the suprapubic area for bladder distention After breast-feeding 10 minutes at each breast, a new mother calls the nurse to the postpartum room to help change the newborns diaper. As the mother begins the diaper change, the newborn spits up the breast milk. What action should the nurse implement first? A. Wipe away the spit-up and assist the mother with the diaper change B. Turn the newborn to the side and bulb suction the mouth and nares C. Sit the newborn up and burp by rubbing or patting the upper back D. Place the newborn in a position with the head lower than the feet - ANSWER- B. Turn the newborn to the side and bulb suction the mouth and nares A client delivers a viable infant, but begins to have excessive uncontrolled vaginal bleeding after the IV Pitocin is infused. When notifying the hcp of the clients condition, what information is most important for the nurse to provide? A. Total amount of Pitocin infused B. Maternal Blood pressure C. Maternal Apical Pulse rate D. Time Pitocin infusion completed - ANSWER- B. Maternal Blood pressure The nurse is caring for a newborn infant who was recently diagnosed with congenital heart defect. Which assessment finding warrants immediate intervention by the nurse? A. Sweating during feedings B. Weak peripheral pulse C. Bluish tinge to the tongue D. Increased respiratory rate - ANSWER- C. Bluish tinge to the tongue A client who delivered a healthy newborn an hour ago asks the nurse when can she go home. Which information is most important for the nurse to provide the client? A. When there is no significant vaginal bleeding B. When ambulating to void does not cause dizziness C. After the vitamin K injection is given to the baby D. After the baby no longer demonstrates acrocyanosis - ANSWER- A. When there is no significant vaginal bleeding A client at 33- weeks gestation is admitted with a moderate amount of vaginal bleeding and no contractions are noted on the external monitor. Which intervention should the nurse implement? A. Weight perineal pads B. Weight daily C. Measure intake and output D. Ambulate 15 minutes QID - ANSWER- A. Weight perineal pads A client at 20 weeks gestation comes to the antepartum clinic complaining of vaginal warts (human papillomavirus). What information should the nurse provide this client? A. Treatment options, while limited due to the pregnancy, are available B. The client should be treated with Penicillin G C. This client should be treat with acyclovir (Zovirax) D. Termination of the pregnancy should be considered - ANSWER- A. Treatment options, while limited due to the pregnancy, are available