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Hondros NUR 166 Exam 2 verified Solution
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Hondros NUR 166 Exam 2 verified Solution
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Passed!!2024/2025
Hondros NUR 166 Exam 2
You have a patient that just gave birth. What is your priority assessment?
Answer: Assess the fundus at the umbilicus and make sure it is firm.
Where do you palpate the uterus the day of birth? Answer: Midline at the
umbilicus
Where should the fundus be 2 days after birth? Answer: 2 finger breaths
(widths) below the umbilicus
If the uterus isn't contracted, is 1 finger breath above the umbilicus and to the
side Answer: This means patient has a full bladder- have them empty their
bladder and recheck
How would you instruct postpartum peri care? Answer: Use a warm bottle of
water every time they void.
You have a postpartum patient who is bottle feeding. When should she expect her
period again? Answer: 5 weeks if bottle feeding, 8 weeks if breast feeding
When doing a newborn assessment, how many vessels should at the umbilicus?
Answer: 3 (2 arteries and 1 vein)
You have a postpartum patient who has shortness of breath and an O2 of 84%,
how do you position them? Answer: High fowlers
, Passed!!
2024/2025
You are caring for a one day postpartum patient. In the last 4 hours she has had
bright red lochia. What do you do? Answer: Assess the fundus to see if it is
boggy.
A patient is at home and 5 days postpartum has pink lochia with an odor. What
should she do? Answer: Call and get an appointment with her doctor today.
When does a mother not get a Rhogam shot? Answer: No Rhogam shot if
mom's blood type and baby's blood type are both negative.
If a baby is stillborn and parents still want to hold it, what do you do? Answer:
Swaddle him/her, keep them warm and give him/her to the parents for as long as
they want
What do we need to teach the patient about constipation? Answer: A lot of
fluids; high fiber diet; increased activity; and using a stool softener as a last resort
When discharging a postpartum patient, what education should we give?
Answer: watch for: Swelling in the calves; fever over 101; & foul smelling
discharge
What do you give a toddler who likes finger foods and is a vegetarian? Answer:
Give supplements
You are caring for postpartum patient who has a bright red saturated pad. What
do you do? Answer: Assess the fundus
, Passed!!
2024/2025
How do you know when a toddler is ready to be toilet trained? Answer:
When they stay dry overnight and are able to communicate that they need to go
to the bathroom.
Why do toddlers throw temper tantrums? Answer: when they are frustrated
What is the leading cause of death in infants? Answer: Accidents because
they are so low to the ground and they are curious
Parallel play Answer: Playing side-by-side, but not interactively
Late pre-k/schoolage Answer: Grow mostly in legs and double their 1 year
weight by age 5
When should you discipline a child? Answer: As soon as it happens.
Discipline Answer: Should be firm in decisions, makes kids feel safe and
secure, prevents injuries, removes pressure of making decisions from kids that
they are young
What is not a good toy to give a child due to allergens? Answer: Teddy bear
What should you do if you find a mongolian spot during your newborn
assessment? Answer: Document it right away to ensure other nurses/Dr.'s
know it is not a sign of abuse.
What should you do if the fundus is not firm? Answer: Vigorous massage.
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