NUR 209 Completed Exam Questions and Answers, Exams of Nursing

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NUR 209

COMPLETED EXAM

QNS & ANS

1. Which assessment findings would indicate to the registered nurse that proper latch-on has occurred in a breastfeeding client? Tongue down with lips flanged. A slurping sound as infant suckles. Dimpling of infant’s cheeks while suckling. Rhythmic suckling. Audible swallowing
2. While caring for a laboring patient, the anesthesiologist asks the registered nurse to administer a dose of fenantyl via an epidural catheter. Which standard would guide the RN on their next step? AWHONN believes that registered nurses who are not licensed anesthesia care providers should monitor but not manage the delivery of analgesia and anesthesia by catheter techniques to pregnant women
3. The breastfeeding patient calls the physician’s office and tells the registered nurse that she has been tired, has a temperature of 100°F and has a localized warm reddened area in the lower right quadrant of her right breast. What would be the most appropriate intervention? take antibiotics and regularly empty the breast by breastfeeding or pumping the breast milk

8. After delivery of the newborn, the registered nurse instructs the postpartum mother to call for the nurse when getting out of bed for the first time to void. The registered nurse informs the client that the most important reason is to: minimize the potential for postpartum hemorrhage.
9. After ambulating in the hall and returning to bed, the patient states that her water broke. The fetal heart rate is 85 beats per minute and the vaginal exam reveals the cervix is 90% effaced, 2 cm dilated, vertex presentation - 2 station. There is a pulsating cord felt in the anterior portion of the vagina. Which intervention would the registered nurse perform immediately? Apply pressure to the presenting part to prevent pressure on the umbilical cord.
10. A registered nurse is assessing the fundus of a postpartum patient one day after delivery and notes that the fundus is soft and spongy. Which is the first nursing intervention to perform Massage the fundus gently until it firms.
11. Which statement made by the postpartum patient indicates to the RN that more discharge

teaching is needed regarding the resumption of sexual activity after giving birth? “The Doctor told me to wait until my discharge turns white in color before resuming sexual activity.

12. A baby is born with a diaphragmatic hernia. Which nursing action is the priority in providing immediate care for this newborn? Apply pressure to the presenting part to prevent pressure on the umbilical cord
13. The RN is caring for a woman in the second stage of labor. Which direction should the nurse provide to the client? Push with contractions and rest between them
14. The registered nurse should collaborate with the lactation consultant if which event occurred in the first 48 hours after birth with the breastfeeding mother? Mother voices concern about amount of milk being taken.
15. The registered nurse is caring for the patient in labor and interprets the fetal monitor

abstinence syndrome? Tachypnea Lethargy Hyporeflexia Persistent shrill cry

20. Which of these findings, if identified in a client who is in active labor with an epidural, should be reported to the anesthesiologist immediately? Respiratory depression
21. Which statement made by the mother demonstrates to the registered nurse that teaching about white, raised papules on the face of the infant is effective? I know these white raised areas will disappear on their own.”
22. An infant is being admitted to the newborn nursery. Which finding would the registered nurse report to the health care practitioner? Clustered vesicles
23. While being admitted to the labor unit the client is bearing down uncontrollably with

contractions and says, “The baby is coming!” Which is the priority nursing action Put on gloves and prepare for immediate birth

24. Which is the priority nursing intervention to perform on an infant immediately following a repair of a meningomyelocele? Monitor intake and output.
25. Which assessment finding in early labor should be reported to the health care provider immediately? Sinusoidal pattern on electronic fetal monitor