NUR2513 EXAM 2|| LATEST 2024-2025 QUESTIONS
AND 100% CORRECT ANSWERS ALREADY
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Which technique is used to palpate the fundal height on a postpartum client? -
ANSWER: place hand at the base of the uterus, one on the fundus
Which assessment finding indicates to the nurse that a newborn has hip
subluxation? - ANSWER: Inability of the right hip to abduct
The nurse is providing discharge teaching to the post-partum client regarding mood
changes to report. In differentiating between post partum depression and baby
blues what should be included in the instructions? - ANSWER: Baby blues may
present in the first few days after birth and resolve prior to the second postpartum
week.
Hypoglycemia in a mature infant is defined as a blood glucose level below which
amount? - ANSWER: 40-100
The nurse assesses a postpartum client's discharge as being moderate in amount
and red in color. How should the nurse document the appearance - ANSWER:
Lochia rubra
By the time children reach their tenth birthday, they should have learned to trust
others and should have developed a sense of what? - ANSWER: industry
The parents of a newborn are concerned that something is wrong with their
newborns eyesight. What should the nurse instruct the parents as being -
ANSWER: follows a light to the midline
,2|Pag e
A nurse is caring for a four year old female. Which of the following is expected of
a preschool-aged child? - ANSWER: relaxing fears to magical thinking
In providing care to the postpartum client the nurse recognizes that women are
hypercoagulable during the 3rd trimester of pregnancy and that assessment of this
client should include evaluation for the development of venous thromoembolism.
Which of the following should be included in this evaluation? - ANSWER: -
observe the lower extremities
- Observation of respiratory rate and effort
The nurse has instructed on the importance of providing a toddler with a balanced
diet. Which observation during a home visit indicates that instruction has been
effective? - ANSWER: The mother prepares a scrambled egg for the toddler's
breakfast.
The nurse is caring for a postpartum woman 18 hours after primary cesarean
section for preeclampsia. The client is noted to have a boggy and a moderate to
large amount of vaginal bleeding. The nurse notifies the physician of these findings
and expects an order for which of the following medications? - ANSWER:
Carboprost
A nurse is caring for a nine month old with influenza. Which of the following
might be a toy that could be used to interact, play, or distract them from the
discomfort? - ANSWER: large plastic stacking blocks
A nurse is caring for an infant with myelomeningocele. Which of the following
actions should the nurse include in the preoperative plan of care? - ANSWER:
apply a sterile, moist dressing on the sac
, 3|Pag e
The nurse is called to the room of a client who delivered a macrosomic infant 20
hours ago. Upon assessment, the fundus is noted to be boggy and displacement is
noted. What is the priority nursing action? - ANSWER: empty the bladder
The nurse is assessing the breast of a woman who is 1 month postpartum. The
woman reports a painful, inflamed area on one breast. Upon admission, the breast
is red and warm to the touch. The client's temperature is 101.8F. What should the
nurse consider at the potential diagnosis? - ANSWER: Mastitis
The nurse is evaluating a new mother's ability to effectively breastfeed her infant.
Which criteria indicates that the mother should be able to breastfeed
independently? - ANSWER: - nipples are inverted
- breasts are soft and non-tender
- the mother holds the infant close to her breast in a football hold.
- infant swallows spontaneously and frequently
During a home visit, a new mother is concerned that after three meconium stools,
her newborn as yellow seedy stools. - ANSWER: This is a normal finding
A nurse at a well-baby clinic is collecting data about a nine-month infant. The
nurse understands which of the following occurs at this stage of development. -
ANSWER: fears strangers
During a home visit, a postpartum client is complaining of a sore area on one
breast. The nurse notes a local on the left breast to be lumpy, red, and warm to the
touch and palpates a small lump. - ANSWER: plugged milk duct
A new mother asks the nurse how soon she can try to breastfeed after delivery.
Which of the following would be the nurses best response? - ANSWER:
"immediately after birth"
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