Mom baby prepU quizzes
The mother of a formula-fed newborn asks how she will know if her newborn is receiving enough formula during feedings. Which response by the nurse is correct? "Your newborn should finish a bottle in less than 15 minutes." "A sign of good nutrition is when your newborn seems satisfied and is gaining sufficient weight." "If your newborn is wetting three to four diapers and producing several stools a day, enough formula is likely being consumed." "Your newborn should be taking about 2 oz of formula for every pound of body weight during each feeding."
"A sign of good nutrition is when your newborn seems satisfied and is gaining sufficient weight."
A nurse is working with the parents of a newborn girl. The parents have a 2-year-old boy at home. Which statement would the nurse include when teaching these parents?
"Ask your 2-year-old to pick out a special toy for his sister."
A nurse is conducting a class on various issues that might develop after going home with a new infant. After discussing how to care for hemorrhoids, the nurse understands that which statement by the class would indicate the need for more information?
"I only eat a low-fiber diet."
The parents of a 5-year-old child with a cardiovascular disorder tell the nurse they don't understand why their child isn't gaining weight, "We make sure our child has 3 very nutritious meals every day." How should the nurse respond? "Are you sure you are making nutrient-dense foods?" "Maybe your child doesn't really like the foods your making. This could lead to not gaining sufficient weight." "It's great you are providing nutritious meals, but small, frequent meals will tire your child less and promote weight gain." "It's hard to get your child to eat enough at this age to maintain their weight since they are expending so much energy with the heart condition."
"It's great you are providing nutritious meals, but small, frequent meals will tire your child less and promote weight gain."
A new mother asks the nurse why newborns receive an injection of vitamin K after delivery. What will be the best response from the nurse? "Newborns are given vitamin K to help with the digestion to help them absorb fat-soluble vitamins." "Newborns lack the intestinal flora needed to produce vitamin K, so it is given to prevent bleeding episodes." "Newborns are given vitamin K and erythromycin ointment to help prevent ophthalmia neonatorum." This vitamin substitutes for vitamin C for newborns to strengthen their immune systems."
"Newborns lack the intestinal flora needed to produce vitamin K, so it is given to prevent bleeding episodes."
Two days after giving birth, a client is to receive Rho(D) immune globulin. The client asks the nurse why this is necessary. The most appropriate response from the nurse is:
"Rho(D) immune globulin suppresses antibody formation in a woman with Rh-negative blood who gave birth to a baby with Rh-positive blood."
The nurse is providing child and family education prior to discharge following a cardiac catheterization. The nurse is teaching about signs and symptoms of complications. Which statement by the mother indicates a need for further teaching? "The feeling of the heart skipping a beat is common." "We need to avoid a tub bath for the next 3 days." "Strenuous activity should be limited for the next 3 days." "We need to watch for changes in skin color or difficulty breathing."
"The feeling of the heart skipping a beat is common."
The nurse is discussing the treatment of congenital aganglionic megacolon with the caregivers of a child diagnosed with this disorder. Which statement is the best explanation of the treatment for this diagnosis? "The treatment for the disorder will be a surgical procedure." "Your child will be treated with oral iron preparations to correct the anemia." "We will give enemas until clear and then teach you how to do these at home." "Your child will receive counseling so the underlying concerns will be addressed."
"The treatment for the disorder will be a surgical procedure."
The nurse is caring for a client who underwent a cesarean birth one day ago. After listening to the nurse's discussion about the plan of care, the client indicates that she is in a great deal of pain and does not wish to ambulate until the next day. What response by the nurse is most appropriate?
"Walking is the best way to prevent complications such as blood clots."
The nurse is caring for a 7-year-old who is being discharged following surgery with a Gore® Helex device to repair an atrial septal defect. The parents of the child demonstrate understanding of the procedure with which statements? Select all that apply. "Our child will be so excited to get back to soccer league in a few days." "We will be sure to not allow our child to ride a bicycle for at least 2 weeks." "It's wonderful that our child will never have an abnormal heart rhythm again." "We will be sure to monitor our child for any signs of infection and notify the doctor if we notice any." "We know how important our child's medications are so we will write out a schedule to be sure medications are taken as prescribed."
"We will be sure to not allow our child to ride a bicycle for at least 2 weeks." "We will be sure to monitor our child for any signs of infection and notify the doctor if we notice any." "We know how important our child's medications are so we will write out a schedule to be sure medications are taken as prescribed."
A nurse is teaching a newborn's caregivers how to change a diaper correctly. Which statement by the caregiver best indicates the nurse's teaching was effective? "We will apply a moisture barrier cream with every diaper change to prevent diaper rash." "We should clean the skin with soap and water after each bowel movement." "We will fold down the front of her diaper under the umbilical cord until it falls off." "It is best practice to change the diaper every 2 to 4 hours, even during the night."
"We will fold down the front of her diaper under the umbilical cord until it falls off."
New parents are getting ready to go home from the hospital and have received information to help them learn how best to care for their new infant. Which statement indicates that they need additional teaching about how to soothe their newborn if he becomes upset? "We'll turn on the mobile that's hanging above his head in his crib." "We'll lightly rub his back as we talk to him softly." "We'll swaddle him snuggly to make him feel secure." "We'll hold off on feeding him for a while because he might be too full."
"We'll hold off on feeding him for a while because he might be too full."
The nurse reviews the note from newborn's electronic health record (above). Upon the newborn's return to the mother, which statement will the nurse make? "Your baby did not sleep while in the nursery." "Your baby will continue to sleep deeply for several hours." "Your baby was looking around the nursery and interacting." "Your baby was in light sleep while in the nursery and was moving just a little bit."
"Your baby was in light sleep while in the nursery and was moving just a little bit."
In a class for expectant parents, the nurse discusses the various benefits of breastfeeding. However, the nurse also describes that there are situations involving certain women who should not breastfeed. Which examples would the nurse cite? Select all that apply.
-women on antithyroid medications -women on antineoplastic medications -women using street drugs
A nurse is assessing the vital signs of a woman who delivered a healthy newborn vaginally 2 hours ago. Which temperature reading would lead the nurse to notify the health care provider?
100.8 F
The heart rate of the newborn in the first few minutes after birth will be in which range? 120 to 130 bpm 110 to 160 bpm 180 to 220 bpm 80 to 120 bpm
110 to 160 bpm
One minute after birth, the neonate's heart rate is 98 beats per minute (bpm), respirations are slow and irregular, arms are flexed, hips are extended, the neonate has no grimace, and the hands/feet are acrocyanotic. What Apgar score should the nurse assign to the neonate? 4 5 6 7
4
A mother is upset because her newborn has lost 6 ounces since birth 2 days ago. The nurse informs the mother that it is normal for a newborn to lose which percentage of their birth weight within the first week of life? 10% to 15% of their birth weight 5% to 10% of their birth weight 15% to 18% of their birth weight 20% of their birth weight
5% to 10% of their birth weight
A nurse is preparing to administer a prescribed dose of digoxin to an 6-month-old infant. After assessing the infant's apical pulse, the nurse decides to withhold the dose and notify the health care provider. The nurse bases this decision on which apical pulse rate? 118 beats/min 102 beats/min 94 beats/min 80 beats/min
80 beats/min
During a childbirth class, the nurse talks to the parents about how to prevent infant abductions in the hospital by recognizing the profile of an abductor. Which person best fits the profile of a typical infant abductor? A teenager who is an honor student at school A clean cut male between the age of 20 and 40 A female in her mid-20s who appears pregnant A middle-age woman who lives in another town
A female in her mid-20s who appears pregnant
A nurse is providing care to a postpartum woman who gave birth vaginally 6 hours ago. The client is reporting perineal pain secondary to an episiotomy. Which intervention would be most appropriate for the nurse to implement at this time?
Apply an ice pack to the perineal area.
When completing the morning postpartum data collection, the nurse notices the client's perineal pad is completely saturated. Which action should be the nurse's first response?
Ask the client when she last changed her perineal pad.
The nurse is caring for a pediatric client with idiopathic celiac disease. Which meal will the nurse select for this client? Ham and cheese sandwich, orange slices, chips, and whole milk Whole wheat pasta, meatballs, carrot sticks, apple, and water Baked salmon, potato slices, vanilla ice cream, and apple juice Meatloaf, green beans, peanut butter cookie, and fat-free milk
Baked salmon, potato slices, vanilla ice cream, and apple juice
Which intervention would be the best way for the nurse to prevent heat loss in a newborn while bathing? Limit the bathing time to 5 minutes. Bathe the baby in water between 90 and 93 degrees. Bathe the baby under a radiant warmer. Postpone breastfeeding until after the initial bath.
Bathe the baby under a radiant warmer.
A nurse is conducting an in-service education program for a group of nurses working in the newborn nursery. The nurse has explained the events that occur as fetal circulation transitions to newborn circulation. The nurse determines the session is successful after the participants put the chain of events in which order? All options must be used. 1 Birth occurs. 2 Pulmonary blood flow increases, and pulmonary venous return to the left side of the heart increases. 3 The foramen ovale closes. 4 An increase in systemic blood pressure occurs with continued increase in blood flow to the lungs. 5 The ductus arteriosus closes.
Birth occurs. Pulmonary blood flow increases, and pulmonary venous return to the left side of the heart increases. The foramen ovale closes. An increase in systemic blood pressure occurs with continued increase in blood flow to the lungs. The ductus arteriosus closes.
The nurse is administering an enteral feeding to a child with a gastrostomy tube (G-tube). Which action will the nurse take when administering a prescribed feeding through the client's G-tube? Check for gastric residual before starting feeding. Position the client with the head of the bed at a 20° angle. Use a syringe plunger to administer the feeding. After feeding, flush the tube with a small amount of saline and leave the G-tube open for 2 minutes.
Check for gastric residual before starting feeding.
The nurse is assisting with the admission of a newborn to the nursery. The nurse notes what appears to be bruising on the left upper outer thigh of this dark-skinned newborn. Which documentation should the nurse provide? Congenital dermal melanocytosis (slate gray nevi) noted on left upper outer thigh. Harlequin sign noted on left upper outer thigh. Mottling noted on left upper outer thigh. Birth trauma noted on left upper outer thigh.
Congenital dermal melanocytosis (slate gray nevi) noted on left upper outer thigh.
The nurse is preparing discharge instructions for the parents of a male newborn who is to be circumcised before discharge. Which instruction should the nurse prioritize? Soak the penis daily in warm water. Cover the glans generously with petroleum jelly. Cleanse the glans daily with alcohol. Notify the primary care provider if it appears red and sore.
Cover the glans generously with petroleum jelly.
The nurse is administering medications to the child with congestive heart failure (CHF). Large doses of what medication are used initially in the treatment of CHF to attain a therapeutic level? Digoxin Albuterol sulfate Ferrous sulfate Spironolactone
Digoxin
The nurse is caring for a 14-year-old girl with atrial fibrillation. Which medication would the nurse expect to be prescribed? Digoxin Alprostadil Furosemide Indomethacin
Digoxin
The nurse is assessing a newborn's vital signs and notes the following: HR 138, RR 42, temperature 98.7oF (37.1oC), and blood pressure 70/40 mm Hg. Which action should the nurse prioritize? -Report tachypnea. -Recheck blood pressure in 15 minutes. -Put warming blanket over infant. -Document normal findings.
Document normal findings.
Which action would be priority for the nurse to complete immediately after the delivery of a 40-week gestation newborn? Swaddle the infant and place in the bassinet. Complete a full head-to-toe assessment. Assess the newborn's glucose level. Dry the newborn and place it skin-to-skin on mother.
Dry the newborn and place it skin-to-skin on mother.
A postpartum client is having difficulty stopping her urine stream. Which should the nurse do next?
Educate the client on how to perform Kegel exercises.
A nurse is applying ice packs to the perineal area of a client who has had a vaginal birth. Which intervention should the nurse perform to ensure that the client gets the optimum benefits of the procedure?
Ensure ice pack is changed frequently.
The nurse is caring for a newborn who was delivered via a planned cesarean birth. The nurse determines the infant requires closer monitoring than a vaginal delivery infant based on which factor? Oxygen was cut off when the umbilical cord was clamped, resulting in decreased oxygen and increased carbon dioxide. Excessive fluid in the infant's lungs, making respiratory adaptation more challenging. Fetal lungs are uninflated and full of amniotic fluid that must be absorbed. Much of the fetal lung fluid is squeezed out in cesarean birth.
Excessive fluid in the infant's lungs, making respiratory adaptation more challenging.
A nurse admits an infant with a possible diagnosis of congestive heart failure. Which signs or symptoms would the infant most likely be exhibiting? Feeding problems Bradypnea Bradycardia Yellowish color
Feeding problems
The nurse reads the laboratory report on a newborn (above). What action will the nurse take next? Further assess the newborn for hypoglycemia. Monitor the newborn's temperature. Assess the newborn for elevated bilirubin levels. Alert the provider that the newborn has elevated potassium.
Further assess the newborn for hypoglycemia.
When teaching the new mother about breastfeeding, the nurse is correct when providing what instructions? Select all that apply.
Help the mother initiate breastfeeding within 30 minutes of birth. Encourage breastfeeding of the newborn infant on demand. Place baby in uninterrupted skin-to-skin contact (kangaroo care) with the mother.
A nurse is reviewing blood work for a child with a cyanotic heart defect. What result would most likely be seen in a client experiencing polycythemia? Increased WBC Decreased RBC Decreased WBC Increased RBC
Increased RBC
The nurse is preparing to administer the vitamin K injection to a newborn. Which action would be correct for this client? Using a 21-gauge needle Injecting 1cc of medication Injecting the medication into the vastus lateralis Injecting at a 45-degree angle
Injecting the medication into the vastus lateralis
A nurse is assessing a postpartum client. Which measure is appropriate?
Instruct the client to empty her bladder before the examination.
A woman who is about to be discharged after a vaginal birth notices a flea-like rash on her newborn's chest. The rash has tiny red lesions all across the nipple line. What does this rash indicate? It is a normal skin finding in a newborn. It is a sign of a group B streptococcus (GBS) skin infection. It is an indication that the woman has mistreated her newborn. It is a self-limiting virus that does not require treatment.
It is a normal skin finding in a newborn.
A nursing student is preparing a class for new mothers about adaptations they can expect in their newborns. Which information about newborn vision should the student include in the presentation? Newborns have the ability to focus only on objects far away. Newborns have the ability to focus only on objects in close proximity. Newborns have the ability to focus on objects in midline. Newborns cannot focus on any objects.
Newborns have the ability to focus only on objects in close proximity.
A nurse suspects a child is experiencing cardiac tamponade after heart surgery. What would be the priority nursing intervention? Elevate the head of the bed. Notify the doctor immediately. Administer epinephrine. Observe vitals every two hours.
Notify the doctor immediately.
A client who has a breastfeeding newborn reports sore nipples. Which intervention can the nurse suggest to alleviate the client's condition?
Offer suggestions based on observation to correct positioning or latching.
A client gave birth 2 days ago and is preparing for discharge. The nurse assesses respirations to be 26 breaths/min and labored, and the client was short of breath ambulating from the bathroom this morning. Lung sounds are clear. The nurse alerts the primary care provider and the nurse-midwife to her concern that the client may be experiencing:
PE
A nursing student learns that a certain condition occurring in up to 3 in every 1,000 births is a major cause of death. What is this condition?
PE
An infant with tetralogy of Fallot becomes cyanotic. Which nursing intervention would be the first priority? Place the infant in the knee-chest position. Start an IV for fluids. Prepare the infant for surgery. Raise the head of the bed.
Place the infant in the knee-chest position.
The parents of a 2-day-old newborn are preparing for discharge from the hospital. Which teaching is most important for the nurse to include regarding sleep? The infant may sleep through the night around 2 months of age. Caregivers need to sleep while the baby is sleeping. Newborns usually sleep for 16 or more hours each day. Place the infant on the back when sleeping.
Place the infant on the back when sleeping.
The nurse is assessing a newborn by auscultating the heart and lungs. Which natural phenomenon will the nurse explain to the parents is happening in the cardiovascular system? Oxygen is exchanged in the lungs. Fluid is removed from the alveoli and replaced with air. Pressure changes occur and result in closure of the ductus arteriosus. The oxygen in the blood decreases.
Pressure changes occur and result in closure of the ductus arteriosus.
The nurse is caring for a child admitted with pyloric stenosis. Which clinical manifestation would likely have been noted in the child with this diagnosis? Explosive diarrhea Projectile vomiting Severe abdominal pain Frequent urination
Projectile vomiting
A parent brings an infant in for poor feeding and listlessness. Which assessment data would most likely indicate a coarctation of the aorta? Pulses weaker in lower extremities compared to upper extremities Pulses weaker in upper extremities compared to lower extremities Cyanosis with crying Cyanosis with feeding
Pulses weaker in lower extremities compared to upper extremities
A nurse has been assigned to the care of a client who has just given birth. How frequently should the nurse perform the assessments during the first hour after birth?
Q15 min
The nursery nurse notes that one of the newborn infants has white patches on his tongue that look like milk curds. What action would be appropriate for the nurse to take? Wipe the tongue off vigorously to remove the white patches. Rinse the tongue off with sterile water and a cotton swab. Since it looks like a milk curd, no action is needed. Report the finding to the pediatrician.
Report the finding to the pediatrician.
The nurse is caring for a new mother and newborn in a rooming-in unit and watches the mother put the infant in the bed, lying on her side, propped up with a pillow. The nurse should point out that this position can increase the risk of which situation? Gastroesophageal reflux Sudden infant death syndrome Apnea episodes Sleeping for short intervals
Sudden infant death syndrome
At 3 years of age, a child has a cardiac catheterization. After the procedure, which interventions would be most important? Assuring the child that the procedure is now over Allowing the child to adapt to the light in the room gradually Taking pedal pulses for the first 4 hours Allowing the child to talk about the procedure
Taking pedal pulses for the first 4 hours
A mother asks the nurse about having her son circumcised. The nurse understands that circumcision is contraindicated under which circumstances? Select all that apply. The penis is small. There is a family history of hemophilia. The newborn was febrile at birth but temperature is now normal. The father is uncircumcised. The infant is at 33 weeks' gestation.
There is a family history of hemophilia. The infant is at 33 weeks' gestation.
A mother is asking for more information about her infant's patent ductus arteriosus (PDA). What would be included in the education? Your child may need multiple surgeries to correct this defect. An IV for fluids will be started immediately. This is caused by an opening that usually closes by 1 week of age. This type of defect is caused by having a genetic predisposition for it.
This is caused by an opening that usually closes by 1 week of age.
The nurse is caring for a child with congestive heart failure and is administering the drug digoxin. At the beginning of this drug therapy, the process of digitalization is done for which reason? To decrease the pain to a tolerable level To increase the heart rate To establish a maintenance dose of the drug To build the blood levels to a therapeutic level
To build the blood levels to a therapeutic level
A first-time mother informs the nurse that she is unable to breastfeed her newborn through the day as she is usually away at work. She adds that she wants to express her breast milk and store it for her newborn to have later. What instruction would be correct to offer the mother to ensure the safety of the stored expressed breast milk? Use the sealed and chilled milk within 24 hours. Use any frozen milk within 6 months of obtaining it. Use microwave ovens to warm the chilled milk. Refreeze any unused milk for later use if it has not been out more that 2 hours.
Use the sealed and chilled milk within 24 hours.
The nurse is explaining the care the newborn will be receiving right after birth to the parents. The nurse should point out the infant will receive an ophthalmic antibiotic ointment by approximately which time? Within 12 hours Within one hour Any time prior to discharge Within 72 hours
Within one hour
Upon assessing the newborn's respirations, which finding would cause the nurse to notify the primary care provider? coughing and sneezing in the newborn short periods of apnea that last 10 seconds in a pink newborn a respiratory rate of 15 breaths per minute with nasal flaring a respiratory rate of 45 breaths per minute with acrocyanosis
a respiratory rate of 15 breaths per minute with nasal flaring
The nurse is conducting a physical examination of an infant with a suspected cardiovascular disorder. Which assessment finding is suggestive of sudden ventricular distention? decreased blood pressure heart murmur cool, clammy, pale extremities accentuated third heart sound
accentuated third heart sound
On examination, the hands and feet of a 12-hour-old infant are cyanotic without other signs of distress. The nurse should document this as: potential for respiratory distress. poor oxygenation. cold stress. acrocyanosis.
acrocyanosis.
A nurse is assessing a client during the postpartum period. Which findings indicate normal postpartum adjustment? Select all that apply.
active bowel sounds passing gas nondistended abdomen
Which problem-based nursing care plan will the nurse indicate as priority for the child following cardiac surgery for tetralogy of Fallot? surgical site infection risk acute parental anxiety fluid overload risk altered cardiopulmonary tissue perfusion risk
altered cardiopulmonary tissue perfusion risk
Which finding would lead the nurse to suspect that a woman is developing a postpartum complication?
an absence of lochia
The nurse is reinforcing dietary teaching with the caregiver of a child diagnosed with celiac syndrome. Which foods would be permitted in the diet of the child with celiac syndrome? Select all that apply. applesauce bananas skim milk rye bread wheat bread
applesauce bananas skim milk
Seven hours ago, a multigravida woman gave birth to a male infant weighing 4,133 g. She has voided once and calls for a nurse to check because she states that she feels "really wet" now. Upon examination, her perineal pad is saturated. The immediate nursing action is to:
assess and massage the fundus.
A new mother tells the nurse at the baby's 3 month check-up, "When she cries, it seems like I am the only one who can calm her down." This is an example of which behavior?
attachment
A nurse is assessing a neonate during the first 24 hours after birth. Which finding would the nurse recognize as normal? body temperature of 97.9° to 99.7° F (36.5° to 37.5° C) asymmetrical abdomen enlarged labia with pseudomenstruation positive Ortolani sign
body temperature of 97.9° to 99.7° F (36.5° to 37.5° C)
A nurse is assessing a neonate during the first 24 hours after birth. Which finding would the nurse recognize as normal? heart rate of 90 to 100 beats/min body temperature of 97.9° to 99.7° F (36.5° to 37.5° C) positive Ortolani sign enlarged labia with pseudomenstruation
body temperature of 97.9° to 99.7° F (36.5° to 37.5° C)
A nurse is making a home visit to the parents of a newborn. This is their first baby. During the visit, the nurse observes the parents interacting with their newborn and notes that they demonstrate responsible behaviors to promote the infant's growth and development. The nurse interprets this behavior as reflecting:
centrality.
Many clients experience a slight fever after birth especially during the first 24 hours. To what should the nurse attribute this elevated temperature?
dehydration
Which nursing intervention is appropriate for prevention of a urinary tract infection (UTI) in the postpartum woman?
encouraging the woman to empty her bladder completely every 2 to 4 hours
A 12-hour-old infant is receiving IV fluids for polycythemia. For which complication should a nurse monitor this client? tachycardia hypotension decreased level of consciousness fluid overload
fluid overload
A nursing student will pick which value as a correct laboratory value for a newborn? hemoglobin (Hbg) 17 g/dL (170 g/L) hematocrit (Hct) 40% (0.4) platelet count 75,000/µL (75 ×109/L) white blood cell (WBC) count 40,000/mm³ (40 ×109/L)
hemoglobin (Hbg) 17 g/dL (170 g/L)
A client who gave birth to twins 6 hours ago becomes restless and nervous. Her blood pressure falls from 130/80 mm Hg to 96/50 mm Hg. Her pulse drops from 80 to 56 bpm. She was induced earlier in the day and experienced placental abruption (abruptio placentae). Based on this information, what postpartum complication would the nurse expect is happening?
hemorrhage
A client appears to be resting comfortably 12 hours after giving birth to her first child. In contrast, she labored for more than 24 hours, the primary care provider had to use forceps to deliver the baby, and she had multiple vaginal examinations during labor. Based on this information what postpartum complication is the client at risk for developing?
infection
A nurse is preparing to administer Vitamin K to a newborn. The nurse would administer the drug: orally. subcutaneously. intramuscularly. intravenously.
intramuscularly.
The nurse measures a newborn's temperature immediately after birth and finds it to be 99°F (37.2°C). An hour later, it has dropped several degrees. The nurse understands that this heat loss can be explained in part by which factor in the newborn? lack of subcutaneous fat continual kicking continual crying constriction of blood vessels
lack of subcutaneous fat
A new mother who is breastfeeding reports that her right breast is very hard, tender, and painful. Upon examination the nurse notices several nodules and the breast feels very warm to the touch. What do these findings indicate to the nurse?
mastitis
A child is diagnosed with rheumatic fever. For which medication will the nurse educate the caregivers? nonsterioidal anti-inflammatory drugs (NSAIDs) antiviral insulin phenytoin
nonsterioidal anti-inflammatory drugs (NSAIDs)
The nurse is observing a client who gave birth yesterday. Where should the nurse expect to find the top of the client's fundus?
one fingerbreadth below the umbilicus
A nurse is assessing a woman who gave birth vaginally approximately 24 hours ago. Which finding would the nurse report to the primary care provider immediately?
oral temperature 100.8° F (38.2° C)
A nursing student is aware that fetal gas exchange takes place in which area? uterus placenta lungs bronchioles
placenta
When palpating for fundal height on a postpartum woman, which technique is preferable?
placing one hand at the base of the uterus, one on the fundus
At the 6-week visit following delivery of her infant, a postpartum client reports extreme fatigue, feelings of sadness and anxiety, and insomnia. Based on these assessment findings, the nurse documents that the client is exhibiting characteristics of:
postpartum depression.
A nurse is teaching newborn care to students. The nurse correctly identifies which mechanism as the predominant form of heat loss in the newborn? nonshivering thermogenesis lack of brown adipose tissue sweating and peripheral vasoconstriction radiation, convection, and conduction
radiation, convection, and conduction
A nurse is assessing a newborn with the parents present. The nurse explains that which aspect of newborn behavior is an important indication of neurologic development and function? reflex crying response voluntary movements orientation to surroundings
reflex
The nurse is caring for an 8-month-old infant with a suspected congenital heart defect. The nurse examines the child and documents which expected finding? steady weight gain since birth softening of the nail beds appropriate mastery of developmental milestones intact rooting reflex
softening of the nail beds
A nurse is teaching new parents about keeping follow-up appointments and calling their health care provider if they notice signs of illness in their newborn. The nurse determines that the teaching was successful when the parents identify which signs as needing to be reported? Select all that apply. temperature of 38.3° C (101° F) or higher refuse feeding abdominal distention general fussiness approximately eight wet diapers a day
temperature of 38.3° C (101° F) or higher refuse feeding abdominal distention
A newborn has been diagnosed with a congenital heart disease. Which congenital heart disease is associated with cyanosis? coarctation of aorta tetralogy of Fallot pulmonary stenosis aortic stenosis
tetralogy of Fallot
Which factor puts a client on her first postpartum day at risk for hemorrhage?
uterine atony
The nurse has administered oral penicillin as ordered for prophylaxis of endocarditis. The nurse instructs the parents to immediately report which reaction? wheezing stomach upset nausea with diarrhea abdominal distress
wheezing
The nurse reviews the newborn's morning laboratory levels and notes a bilirubin level of 5.8 mg/dl (99.20 µmol/l). What will the nurse expect to assess in the newborn? stools that are seedy and yellow yellow-tinted skin on the head and face yellowing of the soles of the feet enlarged liver, palpable on examination
yellow-tinted skin on the head and face
