verified questions and answers
A nurse is assessing a newborn who was born 2 days ago. Which of the following
findings should the nurse report to the provider?
a. blackening of the stump of the umbilical cord
b. redness of the skin at the base of the umbilical cord stumping
c. scant amount of dried blood on the skin around the umbilical cord stump
d. hardening of the umbilical cord stump -
ANSWER-b
A nurse is assessing the fundal height for a client who is at 28 weeks of gestation. The
nurse should measure the distance in centimeters between which two anatomical
landmarks?
a. the mons pubis and the xiphoid process
b. the top of the fundus and the umbilicus
c. the symphysis pubis and the top of the fundus
d. the mons pubis and the umbilicus -
ANSWER-c
A nurse is assigning a 1 min apgar score to the newborn who is crying loudly. The
newborn has a HR of 140 bpm, has well-flexed arms and legs, grimaces when the
nurse rubs the soles of their feet, and is pink with mild acrocyanosis. What apgar score
should the nurse assign to this newborn? -
ANSWER-8
, A nurse is caring for a client who is in early labor and has a fetus in the occipitoposterior
presentation. The client reports pain in their lower back with contractions. Which of the
following pain management techniques is most likely to be effective in relieving low back
pain caused by this type of fetal presentation?
a. counterpressure
b. effleurage
c. therapeutic touch
d. breathing techniques -
ANSWER-a
A nurse is performing a gestational age assessment using the New Ballard Score.
Which of the following findings should indication to the nurse that the newborn is
preterm?
a. flexion of the extremities at rest
b. creases over the entire plantar surface
c. leathery skin
d. flat areola -
ANSWER-d
A nurse is providing discharge teaching to a client who is 3 days postpartum and is
formula feeding their newborn. Which of the following instruction should the nurse
include when discussing engorgement?
a. apply ice packs to the breasts for 15 min to relieve swelling and discomfort
b. wear loose-fitting bra for 1 week to minimize pressure on the breasts
c. manually express small amounts of breastmilk 3x per day
d. allow warm water from a shower to run over the breasts 2x a day -
ANSWER-a
A nurse is providing teaching about breastfeeding to a client who gave birth 8 hours
ago. Which of the following information should the nurse include?