Exam (elaborations)
Maternal-Child Exam II with correct answers.
Course
Maternal Child Nursing
Institution
Maternal Child Nursing
Maternal-Child Exam II with correct answers.
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Institution
Maternal Child Nursing
Course
Maternal Child Nursing
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Maternal-Child Exam II with correct
answers
1. nnA nnpostpartum nnwoman nn(gravida nn1, nnpara nn1) nnasks nnthe nnnurse nnimmediately nnafter nndelivery nnif nnshe
nnshould nnrequest nnrooming-in nnwith nnher nnnewborn. nnWhich nnof nnthe nnfollowing nn
A nnThis nnputs nntoo nnmuch nnresponsibility nnon nnthe nnfirst nntime nnmother nn
B. nnIt nndepends nnon nnwhether nnyou nnwill nnbreastfeed nnor nnnot. nn
C. nnResting nnfor nnthe nnfirst nn3 nnday nnpostpartum nnwill nnbe nnbetter nnfor nnyou nn
D. nnRooming-in nnallows nnincreased nnmaternal-newborn nncontact nn- nncorrect nnanswers-D. nnRooming-in
nnallows nnincreased nnmaternal-newborn nncontact
2. nnThe nnnurse nnis nnassessing nna nnchild nnwho nnhas nnbeen nndiagnosed nnwith nnmononucleosis nnfor
nnsplenomegaly. nnWhich nnarea nnof nnthe nnabdomen nnwould nnbe nnpalpated nnto nnidentify nnthis nnabnormality nn
a. nnRUQ nn
b. nnLUQ nn
c. nnRLQ nn
d. nnLLQ nn- nncorrect nnanswers-b. nnLUQ
3. nnWhich nnaction nnby nnthe nnmother nnrelates nnto nnthe nnnurse nnthat nnshe nnis nnaccepting nnher nnchild? nn
A. nnShe nnturns nnher nnface nnto nnmeet nnthe nnnewborn's nneyes nnwhen nnshe nnholds nnher nn
B. nnShe nnfills nnout nnthe nnbirth nncertificate nnwhile nnin nnthe nnhospital nn
C. nnShe nnhas nnmany nnvisitors nnin nnthe nnroom nn
D. nnHer nnhusband nnspends nntime nnholding nnthe nnbaby nn- nncorrect nnanswers-A. nnShe nnturns nnher nnface nnto
nnmeet nnthe nnnewborn's nneyes nnwhen nnshe nnholds nnher
4. nnThe nnnurse nnis nnproviding nndischarge nnteaching nnto nnthe nnpostpartum nnclient nnregarding nnmood
nnchanges nnto nnreport. nnIn nndifferentiating nnbetween nnthe nnbaby nnblues nnand nnpostpartum nndepression,
nnwhich nnof nnthe nnfollowing nnstatements nnshould nnbe nnincluded.. nn
A. nnBaby nnblues nnare nnthe nnresult nnof nnhormonal nnshifts nnand nnshould nnresolve nnby nnthe nnend nnof nnthe nnsixth
nnpostpartum nnweek nn
,B. nnBaby nnblues nnmay nnpresent nnin nnthe nnfirst nnfew nndays nnafter nnbirth nnand nnresolve nnprior nnto nnthe nnsecond
nnpostpartum nnweek nn
C. nnPostpartum nndepression nnmay nnoccur nnon nnthe nn5th nnpostpartum nnday nnbut nnwill nnresolve
nnspontaneously nnby nnthe nnend nnof nnthe nn6th nnweek. nn
D. nnPostpartum nndepression nnis nnthe nnresult nnof nnhormonal nnchanges nnrelated nnto nnthe nnend nnof nnpregnancy
nnand nnwill nnnot nnrequire nnintervention nnor nnmedication nnmanagement nn- nncorrect nnanswers-B. nnBaby nnblues
nnmay nnpresent nnin nnthe nnfirst nnfew nndays nnafter nnbirth nnand nnresolve nnprior nnto nnthe nnsecond nnpostpartum
nnweek
5. nnAfter nndelivery, nna nnclient nnis nndiagnosed nnwith nnpostpartum nnpreeclampsia. nnWhat nncare nnwill nnthe
nnnurse nnprovide nnto nnthis nnclient nn(Select nnall) nn
A. nnMaintain nnon nnbed nnrest nnwith nnbathroom nnprivileges nn
B. nnMonitor nnurine nnoutput nnand nndaily nnweight nn
C. nnInstruct nnon nnthe nnneed nnfor nna nnfluid nnbolus nn
D. nnAdminister nnmagnesium nnsulfate nnas nnprescribed nn
E. nnAdminister nnantihypertensive nnmedication nnas nnprescribed nn- nncorrect nnanswers-A. nnMaintain nnon nnbed
nnrest nnwith nnbathroom nnprivileges nn
B. nnMonitor nnurine nnoutput nnand nndaily nnweight nn
D. nnAdminister nnmagnesium nnsulfate nnas nnprescribed nn
E. nnAdminister nnantihypertensive nnmedication nnas nnprescribed
6. nnWhile nnassessing nnthe nnnewborn's nn5 nnminute nnapgar nnscore, nnthe nnnurse nnnotes nnthe nnfollowing: nnheart
nnrate nn154, nnrespiratory nneffort nnlusty nncry, nnmuscle nntone nnwell nnflexed nnwith nnactive nnmovement, nnreflex
nnirritability nncrying nnvigorously nnwith nnstimulation, nncolor nnhands nnand nnfeet nnare nnblue. nnWhat nnscore
nnwould nnshe nnassign nnto nnthis nnnewborn? nn
A. nn6 nn
B. nn7 nn
C. nn9 nn
D. nn10 nn- nncorrect nnanswers-C. nn9
7. nnThe nnnurse nnis nnpreparing nnformula nnfor nna nnpreterm nnnewborn. nnWhich nntype nnof nnformula nnwill nnmost
nnlikely nnbe nnprescribed nnfor nnthis nnclient nn
A. nnGlucose nnwater nn
, B. nn20 nncalories nnper nnounce nn
C. nnIron nnsupplemented nn
D. nn24 nncalorie nnper nnounce nn- nncorrect nnanswers-D. nn24 nncalorie nnper nnounce
When nnplanning nncare nnfor nna nnpostpartum nnclient, nnthe nnnurse nnis nnaware nnthat nnwhich nnsite nnis nnthe nnmost
nncommon nnfor nnpostpartum nninfection nn
A. nnMilk nnducts nn
B. nnUrinary nnbladder nn
C. nnBlood nnstream nn
D. nnReproductive nntract nn- nncorrect nnanswers-D. nnReproductive nntract
9. nnA nnnewborn nnis nnjaundiced nnand nnreceiving nnphototherapy. nnWhich nnof nnthe nnfollowing nnis nnan
nnappropriate nnintervention nnwhen nncaring nnfor nna nnnewborn nnwith nnhyperbilirubinemia nn
A. nnApply nnan nnoil nnbased nnlotion nnto nnthe nnnewborns nnskin nnto nnprevent nndrying nnand nncracking nn
B. nnChange nnthe nnnewborns nnposition nnevery nn4 nnhours nn
C. nnLimit nnthe nnnewborns nnintake nnof nnmilk nnto nnprevent nnnausea, nnvomiting, nnand nndiarrhea nn
D. nnPlace nneye nnshields nnover nnthe nnnewborns nnclosed nneyes. nn- nncorrect nnanswers-D. nnPlace nneye nnshields
nnover nnthe nnnewborns nnclosed nneyes.
10. nnThe nnnurse nnis nnassessing nnthe nnfundus nnon nna nnclient nnon nnpostpartum nnday nn2. nnWhat nnshould nnthe
nnnurse nnexpect nnwhen nnpalpating nnthe nnfundus? nn
A. nnFundus nn4 nncm nnabove nnthe nnsymphysis nnpubis nnand nnfirm nn
B. nnFundus nn4 nncm nnbelow nnthe nnumbilicus nnand nnmidline nn
C. nnFuns nntwo nnfingerbreadths nnabove nnsymphysis nnpubis nnand nnfirm nn
D. nnFundus nntwo nnfingerbreadths nnbelow nnthe nnumbilicus nnand nnfirm nn- nncorrect nnanswers-D. nnFundus nntwo
nnfingerbreadths nnbelow nnthe nnumbilicus nnand nnfirm
11. nnAt nnbirth nnthe nnnewborn nnhas nndry, nncracked nnskin, nnabsence nnof nnvernix, nnlack nnof nnsubcutaneous nnfat,
nnand nnfingernails nnextending nnbeyond nnthe nnfingertips. nnBased nnon nnthese nnfindings nn
A. nnPostterm nn
B. nnPreterm nn