Final Exam: NUR2513/ NUR 2513 (Latest 2023/ 2024) Maternal-Child Nursing Exam | Questions and Verified Answers| Graded A - Rasmussen
Q: The nurse in labor and delivery is monitoring a client at 38 weeks gestation who presents for a nonstress test (NST). In performing a nonstress test, the nurse ...
Final Exam: NUR2513/ NUR 2513 (Latest 2023/ 2024) Maternal -Child Nursing Exam | Questions and Verified Answers| Graded A - Rasmussen Q: The nurse in labor and delivery is monitoring a client at 38 weeks gestation who presents for a nonstress test (NST). In performing a nonstress test, the nurse will observe for and document which of the following? (SATA) a. Accelerations in the fetal heart rate b. Amount of amniotic fluid c. Fetal tone d. Decelerations in the fetal heart rate e. Variability in the fetal heart rate Answer: a. Accelerations in the fetal heart rate d. Decelerations in the fetal heart rate e. Variability in the fetal heart rate Q: Health teaching that the nurse would provide for parents of an immunosuppressed child focus on which important measure a. Nutrition b. Pain control c. Hand washing d. Restricted visiting hours Answer: c. Hand washing Q: Parents ask the nurse why their premature infant is receiving a feeding through the mouth rather than the nose. What is the best explanation by the nurse? a. It is equally acceptable to use either insertion site. b. Orogastric tube insertion can cause inflammation and obstruction of the nares c. Newborns are obligate nose breathers so nasogastric may obstruct their breathing d. Nasogastric tubes decrease the possibility of striking the vaginal nerve. Answer: c. Newborns are obligate nose breathers so nasogastric may obstruct their breathing Q: The school nurse is observing in the classroom. The child is speaking, then suddenly stops and stares for about 5 seconds, and then continues speaking. The nurse charts this experience as what type of seizure? a. Tonic -clonic b. Febrile c. Absence d. Partial (focal) seizure Answer: c. Absence Q: A nurse in an emergency situation is caring for a child with a superficial burn of the foot. Which of the following is the immediate priority? a. Decrease anxiety about procedures b. Maintaining adequate circulatory function c. Relieving pain and discomfort d. Reassuring the child that all will be fine Answer: c. Relieving pain and discomfort Q: A newborn is diagnosed with coarctation of the aorta. Which assessment should the nurse make when caring for this infant a. Observing for excessive crying b. Auscultating for a cardiac murmur c. Assessing femoral and radial pulses simultaneously d. Recording an upper extremity blood pressure Answer: c. Assessing femoral and radial pulses simultaneously Q: An emergency department nurse is assessing a client after a fall. On assessment the nurse notes swelling to the lateral aspect of the left ankle point tenderness and crepitus on palpation. The nurse plans care for the client recognizing that this presentat ion most consistent with of the following injuries A.Sprain B. Fracture C. compartment syndrome D. Muscle strain Answer: Fracture Q: A 2 year old is diagnosed with osteomyelitis. Which of the following would you anticipate as a primary nursing intervention to include in the child's plan of care? a. Maintaining intravenous antibiotic therapy b. Keeping the child quiet while in skeletal traction c. Restricting fluid to encourage red cell production d. Assisting the child with crutch walking Answer: a. Maintaining intravenous antibiotic therapy Q: The nurse visits the foster home of a newborn with failure to thrive syndrome. Which observation indicates a successful outcome for the child's care? a. Birth mother has stopped visiting the child. b. Birth father comes by the home to bring toys. c. Child eagerly takes a bottle and is gaining weight d. Child is crying and has bruises over the lower legs Answer: c. Child eagerly takes a bottle and is gaining weight Q: A woman is 39 weeks gestation with severe abdominal pain that remains constant. She is being admitted to the labor and delivery unit. She suddenly experiences increased contraction frequently for every one to two minutes, has dark vaginal bleeding, and a ----rigid abdomen. What should the nurse expect at this time? a. Placenta abruption b. Placenta previa c. Preterm labor d. Eclamptic seizure Answer: a. Placenta abruption Q: A nurse in the newborn nursery is monitoring a newborn infant for respiratory distress syndrome. Which assessment signs, if noted in the newborn, would alert the nurse to the possibility of this syndrome? a. Tachypnea and retractions b. Acrocyanosis and grunting c. Hypotension and bradycardia d. Presence of barrel chest with clubbing Answer: a. Tachypnea and retractions Q: The nurse is teaching a child with type 1 diabetes melitus to administer her own insulin. The child is receiving a combination of short -acting and long acting insulin. How will the nurse know that the child has appropriately learned the technique. a. Administers the insulin into a doll at a 20 -degree angle. b. Draws up the short acting insulin into the syringe first c. Wipes off the needle with an alcohol swab d. Administers the insulin intramuscularly into rotating sites. Answer: b. Draws up the short acting insulin into the syringe first Q: The nurse on the pediatric unit is caring for a child admitted for epiglottitis. Which of the following would be appropriate positioning for the patient? a. Left lateral b. Upright
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