OB/MCN 1 - P2 REVIEWER

8. The position that the nurse teaches the client to avoid when experiencing back pain during labor would be the: A. Sitting position B. Supine position C. Right lateral position D. Left-side-lying position

B. Supine position

SAS #14: 1. Which of the characteristics of contractions would the nurse expect to find in a client experiencing true labor? A. Occurring at regular intervals B. Starting mainly in the abdomen C. Gradually increasing intervals D. Increasing intensity with walking

D. Increasing intensity with walking

4. The labor and delivery experience is frequently reviewed by the mother. During which of the following periods according to Reva Rubin, is this commonly done? A. Letting-down B. Letting go C. Taking hold D. Taking in

D. Taking in

10. The nurse's developmental assessment of a 9-month-old infant would be expected to reveal: A. A 2 to 3-word vocabulary B. An ability to feed self with a spoon C. The ability to sit steadily without support D. Closure of both anterior and posterior fontanels

A. A 2 to 3-word vocabulary

3. Which of the following measurements indicates that the fetal presenting part is engaged? A. -2 B. 0 C. +2 D +4

B. 0

6. An infant's mother asks you "When should I expect my daughter to begin to walk?= Which of the following is an appropriate response? A. "Probably by 9 months" B. "Most children walk around 12 months" C. "It varies so much I couldn't even guess" D. "Try not to worry. When she's ready, she'll walk"

B. "Most children walk around 12 months"

3. When assessing the newborn's heart rate, which of the following would be considered normal if the baby were sleeping? A. 80 bpm B. 100 bpm C. 120 bpm D. 140 bpm

B. 100 bpm

2. The nurse is reviewing the record of the patient in the labor room and notes that the fetus is in +2 station. The nurse notes that the fetal presenting part is: A. 2 cm above the ischial spine B. 2 cm below the ischial spine C. 2 inches below the ischial spine D. 2 inches above the ischial spine

B. 2 cm below the ischial spine

4. Which of the following is an essential intrapartum fetal assessment? A. Determination of the duration, frequency and intensity of contractions B. Inspection of the maternal abdomen to determine lie C. Examination of the vagina to assess effacement and cervical dilatation D. Evaluation of the mother to determine knowledge about childbirth education.

A. Determination of the duration, frequency and intensity of contractions

7. The nurse is assessing a patient in the immediate postpartum period for signs of hemorrhage. Which of the following assessment findings indicates an early sign of excessive blood loss? A. An increase in pulse rate from 78 to 106 bpm B. A blood pressure change from128/88 to 118/80 mm Hg. C. A body temperature of 37.4C D. A respiratory rate of 24/min.

A. An increase in pulse rate from 78 to 106 bpm

2. After birth, which of the following structures receives blood only from the left ventricle? A. Aorta B. Inferior vena cava C. Pulmonary arteries D. Ductus arteriosus

A. Aorta

10. At ultrasound, it was known that presentation was breech. The doctor will perform external cephalic version. The client asked what a cephalic version is. What is the response of the nurse? A. Apply fundal pressure B. Prepare for an assisted forceps delivery C. Obtain an order for oxytocin D. Flex the client's legs sharply against her abdomen

A. Apply fundal pressure

9. The nurse is providing postpartum instructions to a patient after delivery of a healthy newborn. Which of the following instructions should be given by the nurse to the patient? A. Breasts become distended with milk on the third day. B. Normal bowel elimination returns by the 4th or 5th day C. Temperature may be elevated after 2 days. D. Pulse rate of 96 to 110 bpm is normal during the first week. E. Depressed feelings for the first 4 weeks is to be expected.

A. Breasts become distended with milk on the third day.

5. The following are feeding problems in infancy. Which is the most common? A. Colic B. Diarrhea C. Vomiting D. Aspiration

A. Colic

4. Which of the following mechanisms of labor occurs when the widest diameter of the presenting part has passed the pelvic inlet and usually corresponds to a 0 station? A. Engagement B. Restitution C. Flexion D. Descent

A. Engagement

SAS #21 1. A toddler seems unable to remain dry despite toilet training. Which patient teaching should be included in his plan of care? A. He probably is not yet physically ready for toilet training. B. He is reacting to his emotional outbursts, responsible for delaying toilet training. C. He may need to be examined by a child psychologist to solve this problem. D. He must be under undue stress to be behaving this way.

A. He probably is not yet physically ready for toilet training.

5.What is the physiologic advantage derived by flexion of the fetal head during labor? A. Head presents the smallest diameter for delivery B. Head is able to exert greater pressure against the cervix C. Perineal pressure is less likely to be obstructed by secretions D. Fetal nose and mouth are less likely to be obstructed by secretions

A. Head presents the smallest diameter for delivery

3. During lecture of a childbirth class, the nurse explains that in the postpartum period the process whereby the uterus returns to its pre-pregnancy state is called: A. Involution B. Puerperium C. Uterine atony D. Lochia rubra

A. Involution

3. A 10-year-old recently began smoking cigarettes. What patient teaching should the nurse provide at a health maintenance visit? A. Cigarette abuse invariably leads to other forms of drug abuse. B. Cigarette smoking is associated with long-term respiratory and cardiovascular effects. C. He or she will probably begin stealing to pay for cigarettes. D. At age 10 years, bone growth is severely retarded by the effect of nicotine

B. Cigarette smoking is associated with long-term respiratory and cardiovascular effects.

8. Which would be appropriate teaching about the force that propels the fetus through the vagina during labor? A. It is a combination of fundal and abdominal pressures. B. Mainly gravitational from the superior fetal lie. C. It is cervical contractions beginning with full dilation. D. It is abdominal and perineal muscle contractions

A. It is a combination of fundal and abdominal pressures.

9. A mother tells the nurse that her 7-month-old child has just started sitting without support. The nurse should inform the mother that this: A. Its an expected developmental behavior at this stage B. Activity signifies the upper 10% of physical development C. Could be a developmental delay that requires further evaluation D. Behavior is early and indicates that the baby will be walking soon

A. Its an expected developmental behavior at this stage

8. According to Sigmund Freud, the age of infancy corresponds to the _______. A. Oral stage B. Pre-Conceptual Stage C. Stage for development of the self D. Anal Stage

A. Oral stage

8. The nurse is aware that the play of a 5-month-old infant would probably consist of: A. Picking up a rattle or toy and putting it in the mouth B. Exploratory searching when a cuddly toy is hidden from view C. Simultaneously kicking the legs and batting the hands in the air. D. Waving and clenching fists and dropping toys placed in the hands

A. Picking up a rattle or toy and putting it in the mouth

6. When crowning is observed during labor, you would take which of the following actions? A. Position the woman on her left side B. Have the woman hold her breath and push C. Encourage the woman to pant D. Prepare the woman to be transferred to the delivery room

A. Position the woman on her left side

7. The nurse understands that the fetal head is in which position with a face presentation? A Completely flexed B. Completely extended C. Partially flexed D. Partially extended

B. Completely extended

2. When preparing to teach a class in child development, you review the work of a theorist who postulated that the personality is a structure with three parts, called the id, ego and superego. The theorist is: A. Sigmund Freud B. Erik Erikson C. Jean Piaget D. Lawrence Kohlberg

A. Sigmund Freud

3. Which of the following signs indicate that the placenta has separated and is ready to be delivered? A. Sudden gush of vaginal fluid B. Globular and irregular uterine shape C. Lengthening of the umbilical cord D. Cessation of contractions

A. Sudden gush of vaginal fluid

4. Which of the following signs and symptoms indicate that a patient in labor has progressed to the second stage of labor? A. The cervix is dilated completely B. Increase in bloody show C. Uterine contractions occur every 3 to 10 minutes, lasting 60 to 75 seconds, and are of strong intensity. D. The patient feels the urge to bear down E. Placental separation and expulsion

A. The cervix is dilated completely

8. Which of the following 1-day postpartum patients should be given the highest priority by the nurse? A. The patient with bright red lochia with blood clots greater than 1 cm. B. The patient who complains of afterpains C. The client with a pulse rate of 62 bpm D . the patient with colostrum discharge from both breasts.

A. The patient with bright red lochia with blood clots greater than 1 cm.

7. The first period of reactivity begins at birth. Which of the following is characteristic of this period? A. This period lasts about 30 minutes B. The infant is asleep. C. A poor suck is present. D. Respirations may be increased to 110cpm

A. This period lasts about 30 minutes

10. Which of the following stages of separation OCCURS LAST? A. Protest B. Denial C. Despair D. Recovery

B. Denial

6. The management of a client in the transition phase of labor is primarily directed toward: A. helping the patient maintain control B. decreasing intravenous fluid intake C. reducing the client's discomfort with medications D. having the client follow simple breathing patterns during contractions

A. helping the patient maintain control

9. When assisting a client in labor whose fetus is in breech presentation, it is important to assess initially for: A. meconium-stained amniotic fluid B. presence of early decelerations C. cord prolapse right after rupture of membranes D. cervical dilatation

A. meconium-stained amniotic fluid

9. Which of the following is not true regarding duration of uterine contractions? A. Duration of contractions is measured from the beginning of one contraction to the end of the same contraction B. Duration decreases as labor progresses C. Duration increases as labor progresses D. Duration should not exceed 70 seconds

B. Duration decreases as labor progresses

10. The nurse is assessing Homan's sign on a postpartum patient. Which statement of the student indicates an understanding of this assessment technique? A. "I will ask the patient to raise her extended leg and lower legs slowly." B. "I will ask the patient to extend her legs flat on bed and dorsiflex her foot forward." C. "I will ask the patient to extend her legs flat on bed and sharply extend her foot backward." D. "I will ask the patient to raise her legs against pressure from my hand."

B. "I will ask the patient to extend her legs flat on bed and dorsiflex her foot forward."

4. The initial respirations of the newborn are a result from which of the following? A. A rise in temperature B. A change in pressure gradients C. Increased blood pH D. Decreased blood CO2 level

B. A change in pressure gradients

5.Nurse Mara is aware that periodic contraction and relaxation of the uterine muscles cause pains and cramping after birth. Which of the following patients is more likely to experience severe pain after giving birth? A. A gravida 1 para 1001 patient who is bottle feeding B. A gravida 3 para 2002 patient who is breastfeeding C. A gravida 3 para 1102 patient who is bottle feeding D. A gravida 2 para 1001 patient who is breastfeeding

B. A gravida 3 para 2002 patient who is breastfeeding

SAS #20: 1. The clinic nurse evaluates a 7-month-old infant for eruption of primary teeth and finds a normal eruption schedule. At this stage, how many primary teeth are expected? A. A pair of upper central incisors B. A pair of lower central incisors C. A pair of molars D. two pairs on incisors

B. A pair of lower central incisors

8. Which patient education should the nurse provide a mother of a preschooler with broken fluency? A. Encourage the preschooler to recite in front of friends. B. Allow the preschooler to have time to talk. C. Encourage the preschooler to speak slowly. D. Stop the preschooler and tell him or her to start over.

B. Allow the preschooler to have time to talk.

9. According to Erikson, 2-year-old Peter, is in which stage of development? A. Anal B. Autonomy C. Pre-conceptual D. all of the above

B. Autonomy

8. Which of the following groups of reflexes are present at birth and remains unchanged through adulthood? A. Blink, cough, rooting and gag B. Blink, cough, sneeze and gag C. Rooting, sneeze, swallowing and cough D. Stepping, blink, cough and sneeze

B. Blink, cough, sneeze and gag

6. When describing fetal position, the first letter in the series denotes: A. Presenting part of the fetus B. Side of the maternal pelvis C. Size of the maternal pelvis D. Type of fetal delivery

B. Side of the maternal pelvis

3. The cardinal movements of labor in proper sequence are: A. Engagement, internal rotation, external rotation, expulsion and flexion B. Engagement, descent, internal rotation, external rotation, extension C. Extension, internal rotation, external rotation and expulsion D. Expulsion, internal rotation, external rotation, extension

B. Engagement, descent, internal rotation, external rotation, extension

6. A previously toilet trained 4-year-old child has many episodes of urinary incontinence while in the hospital for a fractured femur. Which of the following actions should the nurse implement? A. Awaken the child every 2 hours through the night to try to use the bedpan. B. Explain that children will usually quickly regain control over a previously mastered skill once home again. C. Send a urine specimen for analysis. D. Limit consumption of fluids between meals.

B. Explain that children will usually quickly regain control over a previously mastered skill once home again.

2. During the transition phase of the first stage of labor, which of the following occurs? A. Irregular short contractions B. Feeling the urge to push C. Onset of the first contractions D. Cervical dilatation of 4 to 7 cm

B. Feeling the urge to push

10. Before birth, which of the following structures connects the left and right atria of the heart? A. Umbilical vein B. Foramen ovale C. Ductus arteriosus D. Ductus venosus

B. Foramen ovale

10. The school age child is lean because bones grow faster than muscles and ligaments at his age. This normal pattern of growth tends to predispose the school age child to ___ A. Scoliosis B. Fractures C. Hip dislocation D. Clubfoot

B. Fractures

7. The landmark used in determining station is: A. Ischial promontory B. Ischial spine C. Ischial tuberosity D. Ischial prominence

B. Ischial spine

2. Lochia serosa is characterized by which of the following? A. Creamy yellow color B. No odor C. Serosanguinous appearance D. White to colorless

B. No odor

4. According to Erikson, INFANCY is the age for developing which psychosocial task? A. Sense of initiative vs. guilt B. Sense of trust vs. mistrust C. Sense of identity vs. role diffusion D. Sense of industry vs. inferiority

B. Sense of trust vs. mistrust

SAS #19: 1. You're caring for children in a day-care center. According to the theorist Jean Piaget, an infant who learns about objects by placing them in his mouth is in which stage of development? A. Preoperational B. Sensorimotor C. Concrete operational D. Formal operational

B. Sensorimotor

8. The clinic nurse provides information to the mother of a school age child about nutrition. Which of the following is not a component of the information session? A. The child will normally select nutritious snacks. B. The child should help in preparing his snacks C. The child will need to shift to a low-fat snack. D. The child needs extra money so he can participate in snack selection on school

B. The child should help in preparing his snacks

2. A toddler's mother is concerned because her toddler takes her blanket everywhere. Which advice would be most appropriate for her regarding this? A. Have her daughter evaluated by a child psychologist. B. Understand that this is probably a normal event. C. Make subtle efforts to remove the blanket. D. Destroy the blanket by cutting off a strip from it every day

B. Understand that this is probably a normal event.

9. Which of the following when present in the urine may cause a reddish stain on the diaper of a newborn? A. Mucus B. Uric acid crystals C. Bilirubin D. Excess iron

B. Uric acid crystals

5. The head nurse checks for labor contractions in the monitoring sheet of Mrs. Lyra, who is in the active phase of labor. Entered data include: <8 a.m.: contraction, moderate, lasts 45 sec.; 8:05 a.m. contraction, moderate, lasts 45 sec.= based on these data, what is Mrs. Lyra's interval of contractions? A. 45 secs. B. every 5 minutes C. 4 minutes 5 seconds D. 30 seconds

B. every 5 minutes

9. Which of the following fears is highest in the school age child? A. fear of image alteration B. fear of death C. fear of separation from parents D. fear of strangers

B. fear of death

6. The most significant person to in infant is ___ A. parents B. mother C. father D. basic family

B. mother

5. To stimulate the senses of infants and provide early mental feeding is to meet the needs of this cognitive stage of infancy. According to Piaget, which stage is this? A. preoperational stage B. sensorimotor stage C. formal operations D. concrete operations stage

B. sensorimotor stage

7. Which of the following toys is best for school age? A. tricycle B. sorting games and toys C. painting D. balls

B. sorting games and toys

10. According to Sigmund Freud's psychoanalytic theory of development, Tana, age 4, is in the phallic stage and is having Electra complex. When asked what behavior will be observed in Tana, the nurse gives the parents which explanation? A. "Tana will show attachment to her mother and jealousy towards her father." B. "Having more independence, Tana will withdraw from her parents." C. "Tana will show attachment to her father and jealousy towards her mother." D. "Tana will be extra clingy to both parents."

C. "Tana will show attachment to her father and jealousy towards her mother."

3. Directional trends in growth and development are easily seen in the neonate. Which term describes development in the head-to-tail direction? A. Sequential trend B. Proximodistal pattern C. Cephalocaudal trend D. Mass to specific pattern

C. Cephalocaudal trend

6. What is the best position to assume by a low-risk parturient who is in early labor? A. Supine B. Lithotomy C. Left lateral recumbent D. Squatting

C. Left lateral recumbent

7. An appropriate toy that the nurse should offer to a 3-month-old infant would be a: A. Push-pull toy B. Stuffed animal C. Metallic mirror D. Large plastic ball

C. Metallic mirror

SAS #13: 1. Which of the following attitudes refers to the military position? A. Partial extension B. Complete extension C. Moderate flexion D. Complete flexion

C. Moderate flexion

6. The nurse is assessing a patient in the fourth stage of labor. She notes that the fundus is firm, globular and located midline of the abdomen. But she assessed that bleeding is excessive. Which of the following is the most appropriate initial nursing action? A. Massage the fundus B. Place the patient in Trendelenburg position C. Notify the physician D. Document the findings

C. Notify the physician

9. After placental delivery, the nurse examines the cord and evaluates that it is normal with the identification of which findings? A. One umbilical vein and one umbilical artery B. two umbilical veins and two umbilical arteries C. One umbilical vein and two umbilical arteries D. A placental weight of 1,000 g.

C. One umbilical vein and two umbilical arteries

2. After the baby's head extends, which of these actions should be carried out first? A. Suction the nose, then the mouth B. Feel the nape for any cord coil C. Promote internal rotation of the head D. Stimulate cry

C. Promote internal rotation of the head

5.The woman is in active labor. The position of the fetus is left occiput posterior. Which of the following measures should be included when caring for the patient? A. Provide food and fluids B. assist the client to ambulate C. Provide back massage D. Allow the client to sleep.

C. Provide back massage

6. If the school age child has an unsuccessful resolution of the psychological crisis according to Erikson, which of the following may result? A. Trust-fear conflict and general difficulties relating to people B. Independence-fear conflict and severe feelings of self-doubt C. Sense of inferiority and difficulty learning and working D. Aggression-fear conflict and feelings of inadequacy or guilt

C. Sense of inferiority and difficulty learning and working

7. A 4-year-old boy will not stop throwing sand at his sister. Which of the following punishments would be most effective with this child? A. Send him to his room for 15 minutes. B. Restrict television viewing for a day. C. Sit him in "time-out" for 4 minutes. D. Spank him on his bottom.

C. Sit him in "time-out" for 4 minutes.

6. Which of the following is true regarding the fontanels of the newborn? A. The anterior is triangle-shaped, the posterior is diamond-shaped B. The posterior closes at 18 months, the anterior closes at 8 to 12 weeks C. The anterior is larger in size when compared to the posterior. D. The anterior is bulging and the posterior is sunken

C. The anterior is larger in size when compared to the posterior.

4. A woman who is having contractions is concerned whether she is in labor or not. She states "How will you know if I already am in labor? A. A bloody show is rare with false labor B. fetal movement is decreased in true labor C. The cervix dilates and effaces in true labor D. The membranes rupture when true labor begins

C. The cervix dilates and effaces in true labor

SAS #16: 1. The pregnant client is in the latent phase of labor. Which of the following findings characterize this stage of labor? A. The client is helpless and restless B. The client feels out of control C. The client feels talkative and eager D. The client is tired and anxious

C. The client feels talkative and eager

7. In order to foster trust in infants, which of the following measures is most important? A. The mother should always be at home B. The infant should be fen whenever he cries. C. The infant's needs should be met consistently. D. All of the above

C. The infant's needs should be met consistently.

5.Which of the following would the nurse identify as correct about the newborn's immune system? A. The risk of infection in the newborn is relatively low B. Phagocytosis occurs fairly rapidly in the newborn C. The newborn is unable to limit the invading organisms at their point of entry. D. Immunoglobulin A is present in their GI and respiratory tract.

C. The newborn is unable to limit the invading organisms at their point of entry.

SAS #18: 1. Which of the following would the nurse identify as a goal of newborn care in the postpartum period? A. To facilitate development of a close parent-newborn relationship B. To assist parents in developing healthy attitudes about childbearing practices C. To identify actual or potential problems requiring immediate or emergency attention D. To provide the parents of the newborn with information about well-baby programs

C. To identify actual or potential problems requiring immediate or emergency attention

10. When assessing a laboring woman's uterine contractions, it is important for the nurse to: A. Ask the client when her contractions started and how long they are occurring B. Place the fingertips of one hand over the fundus pressing gently to measure uterine contractions C. Use an electronic monitor to measure uterine contractions D. Place client in dorsal recumbent position and perform Leopold's maneuver

C. Use an electronic monitor to measure uterine contractions

8. A client delivers a healthy baby girl. An indication to the nurse that the placenta is beginning to separate from the uterus and is ready to be delivered would be the: A. presence of strong contractions B. descent of the uterus C. appearance of a sudden gush of blood D. retraction of the umbilical cord into the vagina

C. appearance of a sudden gush of blood

4. The clinic nurse instruct the mother on the introduction of solid food to her baby. Which if the following is the correct sequence of introducing solids? A. vegetable, fruit, cereal, meat, egg B. fruit, meat, cereal vegetable, egg C. cereal, vegetable, fruit, meat, egg D. cereal, meat, fruit, vegetable, egg

C. cereal, vegetable, fruit, meat, egg

2. During a well-baby check-up, the nurse weighs Baby Ron, 6 months of age, and identifies that he is growingnormally, because his present weight, compared to his birth weight has ____ A. tripled B. quadrupled C. doubled D. decreased

C. doubled

7. The decision is made to encourage a woman in early labor to ambulate around the unit fpr a while then to reassess her status. What assessment distinguishes between true and false labor? A. confirmation of spontaneous rupture of membranes B. signs and symptoms of increasing discomfort C. evidence of cervical dilatation D. presence of copious bloody vaginal discharge

C. evidence of cervical dilatation

3. Food allergy is one of the problems in infant feeding. Which of these food items is considered the most allergenic food? A. fruits B. vegetables C. milk D. meats

C. milk

5. The following are causes of accidents in children. Which one is the leading cause of injuries, accidents and deaths in the school age? A. drowning B. burns C. motor vehicle accidents D. aspiration

C. motor vehicle accidents

3. While evaluating nursing care in a community clinic, you find that toddlers are at high risk for injuries because of their increasing curiosity, advancement in cognition, and improved motor skills. All these hazards are a concern for this age group except: A. burns B. poisoning C. sports injury D. falls

C. sports injury

4. The most significant person/s to a school-age child is/are___ A. girl friend or boy friend B. firemen or policemen C. teacher and classmates D. parents

C. teacher and classmates

8. With a fetus in the left anterior breech presentation, the nurse would expect the fetal heart rate to be most audible in which of the following areas? A. Above the maternal umbilicus and to the right of midline B. In the lower left maternal abdominal quadrant C. In the lower right maternal abdominal quadrant D. Above the maternal umbilicus and to the left of midline

D. Above the maternal umbilicus and to the left of midline

9. Mrs. Sia expresses concern about her 4-year-old son who still insists on a bottle at bedtime. Which of the suggestions is most appropriate to give to Mrs. Sia? A. Allow the bottle if it contains diluted formula B. Allow the bottle if it contains juice C. Do not allow the bottle; give a pacifier instead D. Allow the bottle if it contains water

D. Allow the bottle if it contains water

10. INTERNAL ROTATION begins: A. at the level of the ischial tuberosity B. Below the ischial spines C. Within the false pelvis D. At the level of the outlet

D. At the level of the outlet

3. The partner of a woman in labor is having difficulty timing the frequency of contractions and asks the nurse to review the procedure. The nurse instructs the partner to note the time from the: A. End of one contraction to the beginning of the next B. Beginning of one contraction to the end of the next C. Beginning of one contraction to the end of the same contraction. D. Beginning of one contraction to the beginning of the next.

D. Beginning of one contraction to the beginning of the next.

SAS #17: 1. A woman delivered a newborn 12 hours ago. Which of the following assessment would the nurse expect to find? A. Lochia alba B. Soft, boggy fundus C. Transient tachycardia D. Complaints of hunger

D. Complaints of hunger

2. A 10-year-old becomes very upset and expresses sympathy for his friend whose dog has just died. This kind of reaction is an indication that he has achieved which step in cognitive thought? A. Conservation B. Accommodation C. Comprehension D. Decentering

D. Decentering

9. It refers to the relationship of the presenting part of the fetus to the level of the ischial spines A. Descent B. Extension C. Internal Rotation D. Engagement

D. Engagement

SAS #15: 1. Immediately before expulsion, which of the following cardinal movements can occur? A. Descent B. Flexion C. Extension D. External rotation

D. External rotation

5. In explaining to parents about parallel play in toddlers, which should be EXCLUDED by the nurse? A. It is normal for toddlers not to share. B. Parents need not encourage their toddlers to share during parallel play. C. Parallel play is when two toddlers are seated together or side by side, each playing with his toy. D. Parents should encourage toddlers to cooperate and share during play.

D. Parents should encourage toddlers to cooperate and share during play.

7. You received a client in the delivery room. On assessment, the baby's head is crowning and she is bearing down, and delivery appears imminent. The nurse should BEST: A. Suction the nose and then the mouth B. Feel the nape for any cord coil C. Promote internal rotation of the head. D. Stimulate cry.

D. Stimulate cry.

5.Nursing assessment of a woman in labor noted marked introspection, irritability and inability to focus. She is diaphoretic, and cries, "I can't take it anymore" These behaviors are characteristic of which stage or phase of labor? A. Latent phase B. Second phase C. Active phase D. Transitional phase

D. Transitional phase

SAS #22 1. An 8-year-old eats lunch daily in the school cafeteria. Which is the best way to feel assured that he will eat a balanced lunch daily? A. Encourage him to include a vegetable daily. B. Help him memorize a list of acceptable foods. C. Teach him to eat everything on his plate. D. Use visual aids to demonstrate appropriate food selections

D. Use visual aids to demonstrate appropriate food selections

2. When assessing frequency of contractions, the nurse should assess intervals of which of the following: A. acme on one contraction to the beginning of the next B. Beginning of one contraction to the end of the next C. end of one contraction to the end of the next D. beginning of one contraction to the beginning of the next

D. beginning of one contraction to the beginning of the next

4. The public health nurse is conducting a class for mothers of 1-3 years. Which of these characteristics are LEAST likely to be observed in toddlers? A. negativistic B. dawdling C. exhibits temper tantrums D. cooperative

D. cooperative

10. The nurse palpates the fundus and notes the character of the lochia in the fourth stage of labor. The expected finding during this stage is: A. white B. brown C. pink D. dark red

D. dark red