NU 404 Final Exam Questions With Complete Solutions
A newborn is experiencing cold stress. Which findings would
the nurse expect to assess? Select all that apply.
Respiratory rate 71 breaths/min
O2 saturation 89% on room air
Blood glucose level low
yellowing of the eyes and skin
A nurse is preparing a presentation for a client who is
considering contraception. When discussing oral contraceptives,
the nurse would identify which advantages? Select all that apply.
shortening of the menstrual period
reduction in severe cramping
reduction in risk for osteoporosis
A client has just given birth to a healthy newborn, but the
placenta has not yet delivered. What stage of labor does this
scenario represent?
Third
Stage three begins with the birth of the newborn and ends with
delivery of the placenta.
,A preterm newborn is admitted to the neonatal intensive care
with the diagnosis of an omphalocele. What nursing actions
would the nurse perform? Select all that apply.
The abdominal contents are protected.
Fluid loss of the neonate will be minimized.
Perfusion to the exposed abdominal contents will be maintained.
Nursing management of newborns with omphalocele or
gastroschisis focuses on preventing hypothermia, maintaining
perfusion to the eviscerated abdominal contents by minimizing
fluid loss, and protecting the exposed abdominal contents from
trauma and infection.
When doing a health assessment, at which location would the
nurse expect to palpate the fundus in a client on the second
postpartum day and how should it feel?
fundus two fingerbreadths below umbilicus and firm
A uterine fundus typically regresses at a rate of one
fingerbreadth a day, so on the second day postpartum it would
be two fingerbreadths under the umbilicus and would feel firm.2
The nurse would recommend the use of which supplement as a
primary prevention strategy to prevent neural tube defects in the
future offspring of pregnant clients?
folic acid
, A woman with preterm labor is receiving magnesium sulfate.
Which finding would require the nurse to intervene
immediately?
respiratory rate of 11 breaths per minute
Magnesium Sulfate is a central nervous system depressant and
signs of toxicity include a respiratory rate less than 12
breaths/minute, urine output less than 30 ml/hour, and a
decreased level of consciousness. 2 + deep tendon reflexes are
normal. Flushing on the chest and face is a common side effect
of magnesium sulfate and resolves once the drug is
discontinued.
A client is experiencing a postpartum hemorrhage due to uterine
atony. Which risk factor would the nurse recognize as
contributory to this specific problem?
Risk factors for postpartum hemorrhage due to uterine atony
include many factors, including multiparity.
A 12-year-old client expresses concern to the nurse because the
client has not begun their period yet. The nurse notes that the
client has grown 6 inches in the past year and a half and is
beginning to develop breast buds. Which response by the nurse
is appropriate?
"It is normal to begin menstruating between the ages of 12 and
15."
A client, 6 hours postpartum, has a severe postpartum
hemorrhage that the health care providers are unable to control.
A newborn is experiencing cold stress. Which findings would
the nurse expect to assess? Select all that apply.
Respiratory rate 71 breaths/min
O2 saturation 89% on room air
Blood glucose level low
yellowing of the eyes and skin
A nurse is preparing a presentation for a client who is
considering contraception. When discussing oral contraceptives,
the nurse would identify which advantages? Select all that apply.
shortening of the menstrual period
reduction in severe cramping
reduction in risk for osteoporosis
A client has just given birth to a healthy newborn, but the
placenta has not yet delivered. What stage of labor does this
scenario represent?
Third
Stage three begins with the birth of the newborn and ends with
delivery of the placenta.
,A preterm newborn is admitted to the neonatal intensive care
with the diagnosis of an omphalocele. What nursing actions
would the nurse perform? Select all that apply.
The abdominal contents are protected.
Fluid loss of the neonate will be minimized.
Perfusion to the exposed abdominal contents will be maintained.
Nursing management of newborns with omphalocele or
gastroschisis focuses on preventing hypothermia, maintaining
perfusion to the eviscerated abdominal contents by minimizing
fluid loss, and protecting the exposed abdominal contents from
trauma and infection.
When doing a health assessment, at which location would the
nurse expect to palpate the fundus in a client on the second
postpartum day and how should it feel?
fundus two fingerbreadths below umbilicus and firm
A uterine fundus typically regresses at a rate of one
fingerbreadth a day, so on the second day postpartum it would
be two fingerbreadths under the umbilicus and would feel firm.2
The nurse would recommend the use of which supplement as a
primary prevention strategy to prevent neural tube defects in the
future offspring of pregnant clients?
folic acid
, A woman with preterm labor is receiving magnesium sulfate.
Which finding would require the nurse to intervene
immediately?
respiratory rate of 11 breaths per minute
Magnesium Sulfate is a central nervous system depressant and
signs of toxicity include a respiratory rate less than 12
breaths/minute, urine output less than 30 ml/hour, and a
decreased level of consciousness. 2 + deep tendon reflexes are
normal. Flushing on the chest and face is a common side effect
of magnesium sulfate and resolves once the drug is
discontinued.
A client is experiencing a postpartum hemorrhage due to uterine
atony. Which risk factor would the nurse recognize as
contributory to this specific problem?
Risk factors for postpartum hemorrhage due to uterine atony
include many factors, including multiparity.
A 12-year-old client expresses concern to the nurse because the
client has not begun their period yet. The nurse notes that the
client has grown 6 inches in the past year and a half and is
beginning to develop breast buds. Which response by the nurse
is appropriate?
"It is normal to begin menstruating between the ages of 12 and
15."
A client, 6 hours postpartum, has a severe postpartum
hemorrhage that the health care providers are unable to control.
