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NUR 2513 Maternal-Child Exam 2 2025 LATEST
WINTER-SPRING QUARTER EXAM RASMUSSEN
UNIVERSITY COMPLETE FULL LENGTH EXAM
WITH ANSWERS
A new mother asks the nurse how soon she can try to breastfeed after deliery. Which of the following would be the nurses best response? A. Once the infant has his first feeding of formula B. Immediately after birth C. In 24 hours after her infant is given water D. After the infant is allowed to rest B. Immediately after birth Which assessment finding indicated to the nurse that a newborn has hip sublaxtion? A. Crying on straightening of the right leg B. Inward rotation of the right foot C. Inability of the right hip to abduct D. Drawing of the legs underneath while prone
C. Inability of the right hip to abduct A nurse is helping her postpartum client up to the bathroom for the first time after delivery. Which finding indicates her lochia is within normal imites? A. the color of the flow is red B. Lochia contains large clots C. The flow is over 500 mL D. Her uterus is boggy and soft A. the color of the flow is red A nurse is caring for an infant with myelomeningocele. Which of the following actions should the nurse include in the preoperative plan of care. A. Place the infant in a supine position B. Assess the infants temp rectally C. Apply a sterile, moist dressing on the sac D. Assist the caregiver with cuddling the infant C. Apply a sterile, moist dressing on the sac
The nurse instructs the parents of a newborn on actions of a newborn on actions to prevent sudden infant death syndrome. Which observation indicates the teaching has been effective? A. The baby is an every 2-hr formula feeding schedule B. Newborn is placed on the back to sleep C. Parents signed a waiver refusing routing immunizations after birth D. Mother removes a pacifier from the babys mouth B. Newborn is placed on the back to sleep A neonatal nurse is assessing a 2-hr old male newborn. She notes that the urethra meatus is not midline but is displaced on the dorsal surface(top side) of the penis. What is the medical term for this? A. Undescended testicle B. Varicocele C. Hypospadias D. Epispadias
The nurse is assessing a client at her 8 week postpartum appt. The client states she fees tired all the time, ha trouble falling and staying asleep. She feels overwhelmed and forgetful and "just doesnt feel connected" to her baby. She denies thoughts of harming herself or her baby. These symptoms may indicate which of the following to the nurse A. Baby blues B. Normal postpartum feelings C. Postpartum psychosis D. Postpartum depression D. Postpartum depression When collecting data from an infant, which of the following techniques should the nurse use to elicit the stepping reflex? A. place an object in the infant palm B. Strike a flat surface on which the infant is lying C. Hold the infant upright with his feet touching a flat survive D. Stroke the outer edge of the sole of the infants foot up toward the toes C. Hold the infant upright with his feet touching a flat survive
The nurse is assessing a term newborn. Which findings should the nurse expect when assessing the patterns of sole creases? A. Creased covering 1/4of the foot B. Creases on 2/3 of the foot c. Longitudinal but no horizontal creases D. Heel creases but no anterior creases B. Creases on 2/3 of the foot A postpartum woman is prescribed an antibiotic because of endometritis. her breastfed infant should be observed particularly for which of the following? A. irritability and loss of appetite B. Signs of thrush and easy bruising C. Decreased sleep levels and increased appetite D. Jaundice that does not respond to phototherapy B. Signs of thrush and easy bruising The nurse assesses a postpartum clients discharge as being moderate in amount and red in color. How should the nurse document the appearance of the lochia?
A. Lochia rubra B. Lochia normalia C. Lochia serosa D. Lochia alba A. Lochia rubra Nurse is assisting a new mother to begin breastfeeding for her newborn son. Which action is most appropriate for the nurse to take? A. Cautioning her not to allow the infant to grasp the areola of her breast to prevent soreness B. Positioning the infant near her breast and stroking his cheek to encourage him to suck C. Stressing that breastfeeding is a normal process and minimal help is needed to learn it D. Encouraging her to lie on her side and help the baby become wide awake by talking to him B. Positioning the infant near her breast and stroking his cheek to encourage him to suck
women who delivered a term neonate 3 days ago is complaining of fever, fatigue and heavy vaginal discharge. On assessment, the nurse notes that her fundus is tender on palpation and heavy with foul smelling lochia. What is most likely the cause of these symtoms? A. UTI B. Postpartum hemorrhage C. Mastitis D. Endometritis After a delivery, a client is diagnosed with postpartum preeclampsia. What care will the nurse provide to this client? A. Maintain on bed rest B. Monitor urine output and daily weight C. Administer antihypertensive medication as prescribed D. Instruct on the need for fluid bolus E. Administer mag sulfate as prescribed A. Maintain on bed rest B. Monitor urine output and daily weight
C. Administer antihypertensive medication as prescribed E. Administer mag sulfate as prescribed Postpartum woman has a 4th degree perineal laceration. Which of the following physician orders would the nurse question? A. an order for PRN docusate sodium B. Administration of a sitz bath C. administration of acetaminophen/oxycodone for pain D. Administration of an enema The nurse is preparing formula for a preterm infant. Which type of formula will most likely be prescribed for this client? A. 24 calories per ounce B. 20 calories per ounce C. Glucose water D. Iron supplemented A. 24 calories per ounce
A newborn who was delivered 2 hrs ago is being assessed in the nursery. Upon exam, nurse notes a flattened nasal brduge, wide set eyes, low set ears and overall decrease in tone. Given these exam findings, what diagnostic rst would the nurse anticipate that the physician will order A. Hemoglobin electrophoresis B. CT of the brain C. Meconium toxicology testing D. Chromosomal blood testing D. Chromosomal blood testing During a home visit, a new motheris concerned that after 3 meconium stools her newborn now has yellow seedy stools. What should the nurse explain to the mother? A. Baby may be developing an allergy to breast milk B. this is a normal finding C. Child will need to be isolated until the stool can be cultured D. This is most likely a symptom of diarrhea B. this is a normal finding
Nurse observes a mother telling a toddlers that pasta and potatoes will make the child fat. What should the nurse instruct the mother about these food items? A. The child should be instructed to restict carbs after the age of 5 B. No more than 30% of all food should be from carbs C. It is more important to restrict protein than carbs D. Toddlers needs carbs for brain function D. Toddlers needs carbs for brain function A preterm infant is placed in a radiant heat warmer immediately after birth. Which of the following nursing diagnosis is the intervention addressing? A. ineffective thermoregulation B. Impaired gas exchange related to immature pulmonary functioning C. Risk for deficient fluid volume related to insensible water loss D. Risk for imbalanced nutrition, less than body requirements A. ineffective thermoregulation
A. Breast-fed infants stools are normally loose A nurse is caring for a 9mon old influenza. Which of the following might be a toy that could be used to interact, play or distract them from the discomfort. A. teddy bear with buttons B. Legos C. Cloth doll D. Large plastic stacking blocks D. Large plastic stacking blocks A newborn with esophageal atresia has just returned from surgery to place a gastrostomy tube. Which nursing diagnosis will the nurse use to plan the care for this client? A. Risk for imbalanced nutrition B. Risk for deficient fluid volume C.Risk for ineffective gas exchange D. Risk for impaired thermoregulation A. Risk for imbalanced nutrition
Nurse is caring for a postpartum woman 18 hrs after primary c- section for preeclampsia. The client is noted to have a boggy uterus and a moderate to late amount of vaginal bleeding. The nurse notifies the physician of these findings and expect an order for which of the following medications? A. Terbutaline B. Hydrocodone/ acetaminophen C. Mag Sulfate D. Carboprost A. Terbutaline A nurse is caring for a client who has just delivered her first newborn. The infant has been diagnosed with hyperbilirubinemia. While providing education to the client on this condition, the nurse should include which of the following as potential causes of this condition? SATA A. ABO incompatibilty B. Rh isoimmunization C. Allergy to breast milk D. Biliary atresia
C. It would be best to switch from breastfeeding to formula to help the baby excrete the bilirubin B. This is mild jaundice due to the immaturity of the babys liver. We will continue to monitor bilirubin levels The parents of a newborn are concerned that something is wrong with their newborns eyesight. What should the nurse instruct the parents as being an expect finding in the newborn A. Follows a light to midline B. Follows the finger full 180 degrees C. Produces tears when he cries D. Has a white rather than a red reflex A. Follows a light to midline The nurse is preparing a seminar on breastfeeding for a group of pregnant clients. Which information should the nurse include during the seminar? A. Uterine involution is slowed by breastfeeding B. Breastfeeding might increase the risk of breast cancer C Breastfeeding enhances bonding with the infant
D. Breastfeeding mothers have decreased risk of developing thrombophlebitis C Breastfeeding enhances bonding with the infant When assessing a newborn, the APGAR assess the ability of the newborn to transition to extrauterine life. What does the APGAR assess. SATA A. Gender B. Respirations C. Birth time D. Heart Rate E. Color B. Respirations D. Heart Rate E. Color At birth, the infant has dry, cracked skin, absence of vernix, lack of subcutaneous fat, fingernails extending beyond fingertips and poor turgor. Based on these findings, how would the nurse classify this neonate?
