NUR2513 Exam 2 (100 out of 100) Questions and Verified Answers (Latest Update) Guaranteed, Exams of Nursing

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NUR2513 Exam 2 (100 out of 100)

Questions and Verified Answers

(Latest Update) Guaranteed Pass

(Rasmussen)

[Document subtitle]

Prof Goodluck 7/16/25 nursing

NUR2513 Exam 2 (100 out of 100) Questions and Verified Answers (Latest Update) Guaranteed Pass (Rasmussen) Which technique is used to palpate the fundal height on a postpartum client? 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? 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? 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? 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 Lochia rubra

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? 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? apply a sterile, moist dressing on the sac 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? 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? 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?

• 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. 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. 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. 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? "immediately after birth" The nurse is concerned that a new mother is not showing interest in the newborn and does not participate in newborn care. What action should the nurse take to help both the mother and newborn at this time? consult a case manager to complete a post partum assessment A nurse in a postpartum unit is reviewing uterotonic (oxytocic) medication with a group of nursing students. Which of the following would be included in this discussion? Misoprostil

The nurse is inspecting a male newborn's genitals. Which action should the nurse avoid when conducting this assessment? Retracting the foreskin over the glans to assess for secretions. A new mother asks the nurse how to determine if the baby is receiving enough breast milk. How should the nurse respond? The infant should gain weight and have six wet diapers daily. A woman who delivered a term neonate 3 days ago is complaining of fever, fatigue, and a heavy vaginal discharge. On assessment, the nurse notes that the her fundus is tender on palpation and heavy with foul smelling lochia. What is the most likely cause of these symptoms? endometritis The nurse is preparing a seminar on breastfeeding for a group of pregnant clients. Which information should the nurse include during this seminar? breastfeeding enchances bonding with the infant The nurse in the pediatric clinic is recording anthropometric data in the 12-month-old child's chart. The father asks " is my son growing the way that he should?" The child's weight will be equal to birth weight x3 at 12 months (triple) The nurse is assessing a client at her 8-week postpartum appointment. The client states that she feels tired all the time, has trouble falling and staying asleep, and doesn't feel connected to her baby. She denies thoughts of harming herself and her baby. The symptoms may indicate postpartum depression

A newbon with esophageal aresia has just returned from surgery to place a gastrostomy tube. Which nursing diagnosis will the nurse to plan the care for risk for imbalanced nutrition A father is concerned that his 3-day infant's face appears yellow. Which response should the nurse provide to the father? This is mild jaundice due to the immaturity of the baby's liver. We will continue to monitor bilirubin levels An infant develops hydrocephalus at 2 weeks of age. Which finding should the nurse expect to asses? bulging fontanels The nurse is assessing a term newborn. Which finding should the nurse expect when assessing the patterns of sole creases? creases 2/3 of the foot The nurse is called to the room of a client who had a term delivery of a 9lb 8oz newborn 24 hours ago. The client is noted to have lost consciousness on her way to the bathroom. What is the priority nursing assessment for the client? assess the fundus According to Piaget, which basic concept will the child learn during the first year of life? He is not an extension of their parents

Newborn is placed on his back to sleep The nurse is preparing formula for a preterm infant. Which type of formula will most likely be prescribed for this client? 24 calories per ounce During a home visit, the nurse determines that a toddler has a difficult temperament. What did the nurse observe in this toddler? (select all that apply) withdrawing intense mood minimal adaptability When planning care for a postpartum client, the nurse is aware that which site is the common for postpartum infection? reproductive tract A postpartum woman has a fourth-degree perineal laceration. Which of the following physician orders would the nurse question? Administration of enema A parent is describing to the nurse activities that her 4 year old preschool child is achieving. The nurse knows that this child is experiencing which task of Erickson's psychosocial stage of development? Initiative vs Guilt

A preterm infant is placed in a radiant heat warmer immediately after birth. Which of the following nursing diagnosis is this intervention addressing? ineffective thermoregulation related to immaturity Which of the following is an advantage of breastfeeding for the infant? breast milk contains antibodies and thus decreases possibility of gastrointestinal illnesses While inspecting a newborn's head, the nurse identifies a swelling of the scalp on the right posterior side of the head that does not cross the suture line. Which term describes this finding? cephalohematoma In caring for the postpartum client, the nurse will include assessment and observation for signs of postpartum hemorrhage. Which of the following would increase the risk for postpartum hemorrhage? (select all that apply) macrosomic infant dysfunctional or prolonged labor multiparity history of iron deficiency anemia Which action by the mother relates to the nurse that she is accepting her child? she turns her face to meet the infant's eyes when she holds her Administer Vitamin K into the vastus lateralis

The nurse is teaching new parents how to calculate the amount of formula to feed their newborn each day. The baby weighs 8 lbs. How much formula should the nurse teach the patient to provide each day? 20 - 24 oz The nurse is assessing the fundus of a client on postpartum day 2. What should the nurse expect when palpating the fundus? fundus two fingerbreadths below the umbilicus and firm After delivery, a client is diagnosed with postpartum preeclampsia. What care will the nurse provide to this client? (select all that apply) maintain bedrest monitor I&O daily weights Administer Mag as prescribed Administer antihypertensives as prescribed A nurse is assessing a newborn infant for congenital hip dysplasia. Which signs or symptoms should be brought to the attention of the health care provider for further evaluation? (select all that apply) an infant who has one leg appears longer than the other an infant who has extra skin folds on the inner thigh of one leg an infant who has a click in the hip joint when one hip is maneuvered A newborn who was delivered 2 hours ago is being assessed in the nursery. Upon exam, the nurse notes a flattened nasal bridge, wide set eyes, low set ears, and overall decrease in tone. Given these exam findings, what diagnostic tests would the nurse anticipate that the physician will order? chromosomal blood testing

The nurse is assessing a newborn. Which would be considered a normal finding? acrocyanosis Calculate a client's total intake in milliliters (mL) from 0700 to 1500. Continous IV infusion of Lactated Ringer's (LR) @ 125 mL/hr. Oral intake: 1/2 cup of green tea, 8 oz glass of apple juice, 1/2 bowl cream of wheat and 4 oz of jello.