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[Show more]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...
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Add to cartA 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...
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Add to cart1. 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...
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Add to cartA 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 ...
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Add to cartD 
 
(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...
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Add to cartRubin 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...
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Add to cartThe 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...
Preview 3 out of 20 pages
Add to cartA 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...
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Add to cartThe 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 ...
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Add to cartA 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...
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Add to cartA 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...
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Add to cartPrior 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...
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Add to cartBased 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...
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Add to cartWhat 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...
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Add to cart2. 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...
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Add to cartTo 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...
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Add to cart1. 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...
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Add to cartWhile 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...
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Add to cartA 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...
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Add to cartA 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...
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Add to cartWhat 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...
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Add to cartA 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...
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Add to cartWhich 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...
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Add to cartDischarge 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...
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Add to cartThe 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...
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Add to cartA 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...
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Add to cartWhen 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...
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Add to cartHow 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...
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Add to cartStimulate 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...
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