Voordeelbundel
NCLEX COMPLETE EXAM PACK|GUARANTEED SUCCESS
NCLEX COMPLETE EXAM PACK|GUARANTEED SUCCESS
[Meer zien]NCLEX COMPLETE EXAM PACK|GUARANTEED SUCCESS
[Meer zien]A postpartum nurse is preparing to care for a woman who has just delivered a healthy newborn infant. In the immediate postpartum period the nurse plans to take the woman's vital signs: 
A) Every 30 minutes during the first hour and then every hour for the next two hours. 
B) Every 15 minutes during...
Voorbeeld 3 van de 23 pagina's
In winkelwagenA postpartum nurse is preparing to care for a woman who has just delivered a healthy newborn infant. In the immediate postpartum period the nurse plans to take the woman's vital signs: 
A) Every 30 minutes during the first hour and then every hour for the next two hours. 
B) Every 15 minutes during...
1. A postpartum woman has been diagnosed with postpartum psychosis. Which of the following actions should the nurse perform? 
a. Supervise all infant care. 
b. Maintain client on strict bed rest. 
c. Restrict visitation to her partner. 
d. Carefully monitor toileting 
ANS: A 
 
a. It is essential th...
Voorbeeld 2 van de 12 pagina's
In winkelwagen1. A postpartum woman has been diagnosed with postpartum psychosis. Which of the following actions should the nurse perform? 
a. Supervise all infant care. 
b. Maintain client on strict bed rest. 
c. Restrict visitation to her partner. 
d. Carefully monitor toileting 
ANS: A 
 
a. It is essential th...
A nurse is preparing a list of self-care instructions for a postpartum client who was diagnosed with mastitis. Which of the following instructions would be included on the list? 
A. Wear a supportive bra 
B. Rest during the acute phase 
C. Maintain a fluid intake of at least 3000 ml 
D Continue to b...
Voorbeeld 2 van de 9 pagina's
In winkelwagenA nurse is preparing a list of self-care instructions for a postpartum client who was diagnosed with mastitis. Which of the following instructions would be included on the list? 
A. Wear a supportive bra 
B. Rest during the acute phase 
C. Maintain a fluid intake of at least 3000 ml 
D Continue to b...
D 
 
(Rationale: A woman that develops postpartum psychosis usually does so within four weeks of delivery. Only 1% of women develop this disorder. Suicide and infanticide are common and the disorder is considered a medical emergency. Delusions and hallucinations accompany the disorder and the woman ...
Voorbeeld 3 van de 22 pagina's
In winkelwagenD 
 
(Rationale: A woman that develops postpartum psychosis usually does so within four weeks of delivery. Only 1% of women develop this disorder. Suicide and infanticide are common and the disorder is considered a medical emergency. Delusions and hallucinations accompany the disorder and the woman ...
Rubin identified a series of changes that a new mother makes during the postpartum period. The correct sequence of these changes is 
 
a) Taking-in, taking-hold, letting-go 
b) Taking, holding-on, letting-go 
c) Taking-in, holding-on, letting-go 
d) Taking-in, taking-on, letting-go 
Taking-in, takin...
Voorbeeld 3 van de 22 pagina's
In winkelwagenRubin identified a series of changes that a new mother makes during the postpartum period. The correct sequence of these changes is 
 
a) Taking-in, taking-hold, letting-go 
b) Taking, holding-on, letting-go 
c) Taking-in, holding-on, letting-go 
d) Taking-in, taking-on, letting-go 
Taking-in, takin...
The nurse is caring for a client during the immediate recovery phase or fourth stage of labor. Which action is most important for the nurse to take at this time? 
Check the uterine fundus and lochia. 
 
 
 
The postpartum nurse is caring for a mother following delivery of a newborn infant. The nurse...
Voorbeeld 2 van de 12 pagina's
In winkelwagenThe nurse is caring for a client during the immediate recovery phase or fourth stage of labor. Which action is most important for the nurse to take at this time? 
Check the uterine fundus and lochia. 
 
 
 
The postpartum nurse is caring for a mother following delivery of a newborn infant. The nurse...
A postpartum nurse is preparing to care for a woman who has just delivered a healthy newborn infant. In the immediate postpartum period the nurse plans to take the woman's vital signs: 
1. Every 30 minutes during the first hour and then every hour for the next two hours. 
2. Every 15 minutes during...
Voorbeeld 3 van de 20 pagina's
In winkelwagenA postpartum nurse is preparing to care for a woman who has just delivered a healthy newborn infant. In the immediate postpartum period the nurse plans to take the woman's vital signs: 
1. Every 30 minutes during the first hour and then every hour for the next two hours. 
2. Every 15 minutes during...
The client received epidural anesthesia during labor and had a forceps delivery after pushing for 2 hours. At 6 hours postpartum, the client's systolic blood pressure (BP) dropped 20 points, the diastolic BP dropped 10 points, and her pulse is 120 beats per minute. The client is very anxious and re...
Voorbeeld 3 van de 17 pagina's
In winkelwagenThe client received epidural anesthesia during labor and had a forceps delivery after pushing for 2 hours. At 6 hours postpartum, the client's systolic blood pressure (BP) dropped 20 points, the diastolic BP dropped 10 points, and her pulse is 120 beats per minute. The client is very anxious and re...
A macrosomic infant is born after a difficult forceps-assisted delivery. After stabilization the infant is weighed, and the birth weight is 4550 g (9 pounds, 6 ounces). The nurse's most appropriate action is to: 
 
a. Leave the infant in the room with the mother. 
b. Take the infant immediately to ...
Voorbeeld 3 van de 26 pagina's
In winkelwagenA macrosomic infant is born after a difficult forceps-assisted delivery. After stabilization the infant is weighed, and the birth weight is 4550 g (9 pounds, 6 ounces). The nurse's most appropriate action is to: 
 
a. Leave the infant in the room with the mother. 
b. Take the infant immediately to ...
A client who delivered by cesarean section 24 hours ago is using a patient-controlled analgesia (PCA) pump for pain control. Her oral intake has been ice chips only since surgery. She is now complaining of nausea and bloating, and states that because she had nothing to eat, she is too weak to breast...
Voorbeeld 2 van de 13 pagina's
In winkelwagenA client who delivered by cesarean section 24 hours ago is using a patient-controlled analgesia (PCA) pump for pain control. Her oral intake has been ice chips only since surgery. She is now complaining of nausea and bloating, and states that because she had nothing to eat, she is too weak to breast...
Prior to discharging a 24-hour-old newborn, the nurse assesses her respiratory status. Which of the following would the nurse expect to assess? 
 
A) Respiratory rate 45, irregular 
B) Costal breathing pattern 
C) Nasal flaring, rate 65 
D) Crackles on auscultation 
A 
Typically, respirations in a 2...
Voorbeeld 3 van de 30 pagina's
In winkelwagenPrior to discharging a 24-hour-old newborn, the nurse assesses her respiratory status. Which of the following would the nurse expect to assess? 
 
A) Respiratory rate 45, irregular 
B) Costal breathing pattern 
C) Nasal flaring, rate 65 
D) Crackles on auscultation 
A 
Typically, respirations in a 2...
Based on the hormonal theory of labor, the nurse anticipates a rise in which of the following to begin a chain of hormonal events that cause labor? 
A. Cortisol 
B. Oxytocin 
C. Progesterone 
D. Estrogen 
A. Cortisol 
 
 
 
The nurse would recognize that the client has experienced lightening when th...
Voorbeeld 3 van de 25 pagina's
In winkelwagenBased on the hormonal theory of labor, the nurse anticipates a rise in which of the following to begin a chain of hormonal events that cause labor? 
A. Cortisol 
B. Oxytocin 
C. Progesterone 
D. Estrogen 
A. Cortisol 
 
 
 
The nurse would recognize that the client has experienced lightening when th...
What is the Kleihauer-Betke ("KB") test and when is it used? 
1. Used to measure the amount of fetal hemoglobin transferred from a fetus to a mother's bloodstream. 
2. Used to detect transplacental hemorrhage (TPH) 
 
 
 
A client has an extremely high quantitative HCG level. What could the reaso...
Voorbeeld 2 van de 9 pagina's
In winkelwagenWhat is the Kleihauer-Betke ("KB") test and when is it used? 
1. Used to measure the amount of fetal hemoglobin transferred from a fetus to a mother's bloodstream. 
2. Used to detect transplacental hemorrhage (TPH) 
 
 
 
A client has an extremely high quantitative HCG level. What could the reaso...
2. Uterine tenderness 
The nurse is assessing a pregnant client in the second trimester of pregnancy who was admitted to the maternity unit with a suspected diagnosis of abruptio placentae. Which assessment finding should the nurse expect to note if this condition is present? 
1. Soft abdomen 
2. Ut...
Voorbeeld 2 van de 14 pagina's
In winkelwagen2. Uterine tenderness 
The nurse is assessing a pregnant client in the second trimester of pregnancy who was admitted to the maternity unit with a suspected diagnosis of abruptio placentae. Which assessment finding should the nurse expect to note if this condition is present? 
1. Soft abdomen 
2. Ut...
To establish a good interview relationship with an adolescent, which strategy is most appropriate? 
 
1. Asking personal questions unrelated to the situation 
2. Writing down everything the teen says 
3. Asking open-ended questions 
4. Discussing the nurse's own thoughts and feelings about the situ...
Voorbeeld 3 van de 17 pagina's
In winkelwagenTo establish a good interview relationship with an adolescent, which strategy is most appropriate? 
 
1. Asking personal questions unrelated to the situation 
2. Writing down everything the teen says 
3. Asking open-ended questions 
4. Discussing the nurse's own thoughts and feelings about the situ...
1. Apnea of infancy has been diagnosed in an infant who will soon be discharged with home monitoring. Part of the discharge teaching by the nurse for the parents includes: 
A. administration of IV fluids. 
B. cardiopulmonary resuscitation. 
C. reassurance that the infant cannot be electrocuted durin...
Voorbeeld 1 van de 4 pagina's
In winkelwagen1. Apnea of infancy has been diagnosed in an infant who will soon be discharged with home monitoring. Part of the discharge teaching by the nurse for the parents includes: 
A. administration of IV fluids. 
B. cardiopulmonary resuscitation. 
C. reassurance that the infant cannot be electrocuted durin...
While interviewing parents who have just arrived in the healthcare clinic, the nurse begins the interview. Which of the following statements involve therapeutic communication techniques? Select all that apply. 
A. Allow the parents to direct the conversation so that they feel comfortable and in cont...
Voorbeeld 2 van de 13 pagina's
In winkelwagenWhile interviewing parents who have just arrived in the healthcare clinic, the nurse begins the interview. Which of the following statements involve therapeutic communication techniques? Select all that apply. 
A. Allow the parents to direct the conversation so that they feel comfortable and in cont...
A nurse is providing care to an infant who underwent a laparoscopic pyloromyotomy. After providing discharge instructions to the infant's caregivers, which statements indicate appropriate understanding? Select all that apply. 
A. "I will feed my baby 3 times per day." 
B. "I will clean the incis...
Voorbeeld 3 van de 17 pagina's
In winkelwagenA nurse is providing care to an infant who underwent a laparoscopic pyloromyotomy. After providing discharge instructions to the infant's caregivers, which statements indicate appropriate understanding? Select all that apply. 
A. "I will feed my baby 3 times per day." 
B. "I will clean the incis...
A nurse is caring for an 11-month old infant admitted for watery, green diarrhea; vomiting: and fever. He is diagnosed with gastroenteritis with no known source at this time. Which nursing diagnosis should be the highest priority? 
a. Altered Nutrition 
b. Anxiety related to hospitalization 
c. Flui...
Voorbeeld 2 van de 5 pagina's
In winkelwagenA nurse is caring for an 11-month old infant admitted for watery, green diarrhea; vomiting: and fever. He is diagnosed with gastroenteritis with no known source at this time. Which nursing diagnosis should be the highest priority? 
a. Altered Nutrition 
b. Anxiety related to hospitalization 
c. Flui...
What is the most effective position for the nurse to place a toddler in to administer medications? 
 
1. Semi-sitting position on a nurse's lap 
2. Sitting in a high chair 
3. Semi-Fowler's in a crib 
4. Standing after providing an explanation 
1. Semi-sitting position on a nurse's lap 
 
Toddler...
Voorbeeld 2 van de 6 pagina's
In winkelwagenWhat is the most effective position for the nurse to place a toddler in to administer medications? 
 
1. Semi-sitting position on a nurse's lap 
2. Sitting in a high chair 
3. Semi-Fowler's in a crib 
4. Standing after providing an explanation 
1. Semi-sitting position on a nurse's lap 
 
Toddler...
A child has a right femur fracture caused by a motor vehicle accident and is placed in skin traction temporarily until surgery can be performed. During assessment, the nurse notes that the dorsalis pedis pulse is absent on the right foot. Which action should the nurse take? 
A. Administer an analges...
Voorbeeld 1 van de 2 pagina's
In winkelwagenA child has a right femur fracture caused by a motor vehicle accident and is placed in skin traction temporarily until surgery can be performed. During assessment, the nurse notes that the dorsalis pedis pulse is absent on the right foot. Which action should the nurse take? 
A. Administer an analges...
Which instructions would the nurse provide to the family of a child who has undergone a hypospadias repair? (Select all that apply.) 
It is important that the catheter be left in place. 
 
The child should avoid the straddling position with play. 
 
Avoid tub baths until the catheter is removed 
 
R...
Voorbeeld 2 van de 5 pagina's
In winkelwagenWhich instructions would the nurse provide to the family of a child who has undergone a hypospadias repair? (Select all that apply.) 
It is important that the catheter be left in place. 
 
The child should avoid the straddling position with play. 
 
Avoid tub baths until the catheter is removed 
 
R...
Discharge teaching for a three month old infant with a cardiac defect who is to receive digoxin action should include which information? Select all that apply. 
 
A. Give the medication at regular intervals 
B. Mix the medication with a small volume of breastmilk or formula 
C. Repeat the dose one t...
Voorbeeld 2 van de 15 pagina's
In winkelwagenDischarge teaching for a three month old infant with a cardiac defect who is to receive digoxin action should include which information? Select all that apply. 
 
A. Give the medication at regular intervals 
B. Mix the medication with a small volume of breastmilk or formula 
C. Repeat the dose one t...
The nurse is talking to a group of parents about different types of play in which children engage. Which statement made by a parent would indicate correct understanding of the teaching? 
 
A: Parallel-play children borrow and lend play materials and sometimes attempt to control who plays in the grou...
Voorbeeld 3 van de 23 pagina's
In winkelwagenThe nurse is talking to a group of parents about different types of play in which children engage. Which statement made by a parent would indicate correct understanding of the teaching? 
 
A: Parallel-play children borrow and lend play materials and sometimes attempt to control who plays in the grou...
A 2-year-old has just been diagnosed with cystic fibrosis (CF). The parents ask the nurse what early respiratory symptoms they should expect to see in their child. Which is the nurse's best response? 
1. "You can expect your child to develop a barrel-shaped chest." 
2. "You can expect your child...
Voorbeeld 2 van de 9 pagina's
In winkelwagenA 2-year-old has just been diagnosed with cystic fibrosis (CF). The parents ask the nurse what early respiratory symptoms they should expect to see in their child. Which is the nurse's best response? 
1. "You can expect your child to develop a barrel-shaped chest." 
2. "You can expect your child...
When planning care for a 4-month-old child admitted with respiratory distress caused by respiratory syncytial virus (RSV) and bronchiolitis, it is essential to include which of the following? 
a. Give antibiotics. 
b. Ensure adequate hydration. 
c. Administer cough syrup. 
d. Feed 4 oz of formula ev...
Voorbeeld 2 van de 8 pagina's
In winkelwagenWhen planning care for a 4-month-old child admitted with respiratory distress caused by respiratory syncytial virus (RSV) and bronchiolitis, it is essential to include which of the following? 
a. Give antibiotics. 
b. Ensure adequate hydration. 
c. Administer cough syrup. 
d. Feed 4 oz of formula ev...
How does the nurse interpret the laboratory analysis of a stool sample containing excessive amounts of azotorrhea and steatorrhea in a child with cystic fibrosis (CF)? 
The values indicate the child is 
 
1. Not compliant with taking her vitamins. 
 
2. Not compliant with taking her enzymes. 
 
3. E...
Voorbeeld 4 van de 33 pagina's
In winkelwagenHow does the nurse interpret the laboratory analysis of a stool sample containing excessive amounts of azotorrhea and steatorrhea in a child with cystic fibrosis (CF)? 
The values indicate the child is 
 
1. Not compliant with taking her vitamins. 
 
2. Not compliant with taking her enzymes. 
 
3. E...
Stimulate and deliver low-to-moderate O2 concentrations 
An APGAR score of 5 is determined 1 minute after delivery of a term infant. Which of the following should be done next? 
 
a. Stimulate and deliver low-to-moderate O2 concentrations 
b. Intubate and initiate mechanical ventilation 
c. Intubate...
Voorbeeld 2 van de 11 pagina's
In winkelwagenStimulate and deliver low-to-moderate O2 concentrations 
An APGAR score of 5 is determined 1 minute after delivery of a term infant. Which of the following should be done next? 
 
a. Stimulate and deliver low-to-moderate O2 concentrations 
b. Intubate and initiate mechanical ventilation 
c. Intubate...
The bronchial tree develops by week ____ of intrauterine life. 
16 
 
 
 
After birth the alveoli develop in increasing numbers until the age of __ __________ and increase in size until growth of the chest wall is finished. 
8 years 
 
 
 
How many alveoli does the full-term infant have? How many wi...
Voorbeeld 2 van de 13 pagina's
In winkelwagenThe bronchial tree develops by week ____ of intrauterine life. 
16 
 
 
 
After birth the alveoli develop in increasing numbers until the age of __ __________ and increase in size until growth of the chest wall is finished. 
8 years 
 
 
 
How many alveoli does the full-term infant have? How many wi...
Voorbeeld 4 van de 43 pagina's
In winkelwagenNEONATAL PEDIATRIC RESPIRATORY CARE
Stuvia-klanten hebben meer dan 700.000 samenvattingen beoordeeld. Zo weet je zeker dat je de beste documenten koopt!
Je betaalt supersnel en eenmalig met iDeal, creditcard of Stuvia-tegoed voor de samenvatting. Zonder lidmaatschap.
Samenvattingen worden geschreven voor en door anderen. Daarom zijn de samenvattingen altijd betrouwbaar en actueel. Zo kom je snel tot de kern!
Je krijgt een PDF, die direct beschikbaar is na je aankoop. Het gekochte document is altijd, overal en oneindig toegankelijk via je profiel.
Onze tevredenheidsgarantie zorgt ervoor dat je altijd een studiedocument vindt dat goed bij je past. Je vult een formulier in en onze klantenservice regelt de rest.
Stuvia is een marktplaats, je koop dit document dus niet van ons, maar van verkoper GUARANTEEDSUCCESS. Stuvia faciliteert de betaling aan de verkoper.
Nee, je koopt alleen deze samenvatting voor €66,88. Je zit daarna nergens aan vast.
4,6 sterren op Google & Trustpilot (+1000 reviews)
Afgelopen 30 dagen zijn er 94340 samenvattingen verkocht
Opgericht in 2010, al 14 jaar dé plek om samenvattingen te kopen