OB/PEDS Final Questions from Study Guide

If a fetus is in an ROA position during labor, how would the nurse understand the fetus be positioned? A. In a longitudinal lie facing the left posterior. B. Facing the right anterior abdominal quadrant. C. In a common breech delivery position. D. Presenting with the face as the presenting part.

A. In a longitudinal lie facing the left posterior.

A nurse is teaching a client who is in preterm labor about terbutaline. Which of the following statements by the client indicates an understanding of the teaching?

-"I will have blood tests because my potassium might decrease"

141. A school-aged boy has an emergency appendectomy. Which assessment should the nurse report to his physician if noticed in the immediate postoperative period? a. Abdominal pain b. A feeling of tugging at the incision line c. Thirst d. A rigid abdomen

d. A rigid abdomen

A nurse is assessing the reflexes of a newborn. In checking for the Moro reflex, the nurse should perform which of the following? a. Hold the newborn vertically under arms and allow one foot to touch table. b. Stimulate the pads of the newborns hands with stroking or massaging. c. Stimulate the soles of the newborns feet on the outer lateral surface of each foot. d. Hold the newborn in a semi-sitting position, then allow the newborns head and trunk to fall backwards.

d. Hold the newborn in a semi-sitting position, then allow the newborns head and trunk to fall backwards.

John, 6 years old, is a school-aged child. According to Erikson, health promotion activities should integrate what developmental task of this period? a. How to be creative b. How to think abstractly c. How to trust others d. How to do things well

d. How to do things well

A nurse is providing teaching to the parent of a child who has a new prescription for liquid oral iron supplements. Which of the following statements by the parent indicates an understanding of the teaching? a. I should take my child to the emergency department if his stools become dark b. My child should avoid eating citrus fruits while taking the supplements c. I should give the iron with milk to help prevent an upset stomach d. My child should take the supplement through a straw

d. My child should take the supplement through a straw

A nurse is teaching a group of parents about communicable diseases. The nurse should include that which of the following is the best method to prevent a communicable disease? a. Hand washing b. Avoiding persons who have active disease c. Covering your cough d. Obtaining immunizations

d. Obtaining immunizations

A child who has anemia requires a blood transfusion. Which form of blood product Is most often used in children? a. Plasma b. Washed RBCs c. Whole blood d. Packed RBCs

d. Packed RBCs

What calorie intake is recommended during pregnancy?

A. An additional 300 calories per day

A symptom of heart decompensation is? A) energy B) SOB C) dizziness D) fatigue

D) fatigue

Most side effects associated with combined oral contraceptives are due to:

estrogen

Which is the most accurate and reliable outcome measure for evaluating an intervention? A) a fasting glucose level of 85 mg/dl B) an oral intake measurement of 720 ml of fluids within 8 hrs C) an exercise diary indicating the pregnant woman walked 30 minutes everyday for a wk D) the statement by a pregnant women, "I understand why folic acid is important for red blood cell formation"

A) a fasting glucose level of 85 mg/dl

A woman who membranes rupture is discharged to home care. Which of the following points would the nurse most likely include in her teaching plan? A) having her monitor her temp twice a day B) anticipating having a vaginal examination within 24 hr after discharge C) remaining on bed rest for the first 24 hrs after discharge D) hourly assessment of homan sign

A) having her monitor her temp twice a day

Although the time frame for labor differs with individual women, which time period would you find excessive for a nullipara woman? A. A latent phase of labor of 24 hours B. A deceleration phase of 2 hours C. A phase of maximum slope of 1.5 cm per hour D. A fetal descent slope of 1 cm per hour

A. A latent phase of labor of 24 hours

Mrs. Smith ask the nurse to compute her expected due date. Based on the fact that her last menstrual flow began on July 20, which due date would the nurse estimate?

A. April 27

A nurse on the postpartum units is performing a physical assessment of a client who is being admitted with a suspected deep-vein thrombosis (DVT). Which of the following clinical findings should the nurse anticipate the client will exhibit? (Select all that apply) A. Calf tenderness to palpation B. Swelling of the extremity C. Elevated temperature D. Area of warmth E. Report of nausea

A. Calf tenderness to palpation B. Swelling of the extremity C. Elevated temperature D. Area of warmth

A nurse is caring for a client who is in labor and is experiencing maternal exhaustion and ineffective pushing efforts. The provider has decided to use vacuum-assisted delivery. The nurse knows that which of the following could be a normal and resolvable condition following a vacuum-assisted delivery: A. Caput succedaneum B. Cephalohematomas C. Scalp lacerations D. Lacerations to the cervix, vagina, or perineum

A. Caput succedaneum

A nurse us discussing risk factors for asthma with a group of newly licensed nurses. Which of the following conditions should the nurse include in the teaching? (select all that apply) A. Family history of asthma B. Family history of allergies C. Exposure to smoke D. Low birth weight E. Being underweight

A. Family history of asthma B. Family history of allergies C. Exposure to smoke D. Low birth weight

Terry has her IV site changed to her dominant hand. She has stated that she is bored and kind of sad. What would be the best activity for her while her medication infuses? A. Listen to a story you read B. Playing kick ball in the hallway C. Playing Simon says with her parents D. Building a tower in the play area with another child

A. Listen to a story you read

A nurse is providing care for a client diagnosed with a marginal abruptio placenta. The nurse is aware that which of the following findings are risk factors for developing this condition? (Select all that apply) A. Maternal hypertension B. Blunt abdominal trauma C. Cocaine use D. Maternal age E. Cigarette smoking

A. Maternal hypertension B. Blunt abdominal trauma C. Cocaine use E. Cigarette smoking

A nurse has been assigned to the care of the newborn infants who are 38 weeks' gestation. One is small-for-gestational age and the on is large-for-gestational age. The nurse knows that they both are most likely at risk for all of the following complications EXCEPT: A. Polycythemia B. Intraventricular hemorrhage. C. Hypoglycemia D. Hyperbilirubinemia

A. Polycythemia

You are collaborating with celeste baileys obstetrician and you are planning possible interventions in light of fetal position. Which of the following positions is considered ideal and is most conductive to a birth that requires few interventions by the obstetrician? A. Right occipoanterior with full flexion. B. left transverse anterior in moderate flexion C. right occipitoposterior with no flexion D. left sacroanterior with full flexion

A. Right occipoanterior with full flexion.

A nurse is caring for a client and her infant. Which action by the mother would alert the nurse that further education is needed? A. The mother allows the nipple of the bottle to empty of formula while the baby is sucking. B. The mother decides to name the baby Sharkiesha Jr. C. The mother soothes the baby when it cries D. The mother chooses to use cloth diapers vs. disposable.

A. The mother allows the nipple of the bottle to empty of formula while the baby is sucking.

A nurse is admitting a child who has cystic fibrosis, which of the following medications should the nurse anticipate including in the plan of care A. Tobramycon B. Loperamide C. Fat-soluble D. Albuteral E. Dornase alfa

A. Tobramycon C. Fat-soluble D. Albuteral E. Dornase alfa

47. A nurse is providing care for a client diagnosed with a placenta previa. The nurse is aware that which of the following findings are risk factors for developing this condition? (Select all that apply) A. Uterine scar B. Over 35-40 years of age C. Multiple gestation D. Smoking E. Closely spaced pregnancies F. Maternal hypertension

A. Uterine scar B. Over 35-40 years of age C. Multiple gestation D. Smoking E. Closely spaced pregnancies

Liz is scheduled to have an amniocentesis to test for fetal maturity. To help make sure the procedure is successful, what instructions would be best to give her before this procedure?

A. Void immediately before the procedure to reduce the size of your bladder.

The nurse is teaching a child who has asthma how to use a peak flow meter. Which of the following information should the nurse include in the teaching? (select all that apply) A. Zero the meter before each use B. Record the average of the attempts C. Perform three attempts D. Deliver a long, slow, breath into the meter E. Sit in the chair with feet in the floor

A. Zero the meter before each use C. Perform three attempts

A nurse is reviewing the diagnostic findings for a preschool age child who is suspected of having cystic fibrosis. Which of the following findings should the nurse identify as an indication of Cystic Fibrosis A. sweat chloride content 85 mEq/L B. increased serum levels of fat-soluble vitamins C. 72 hr stool analysis sample indicating hard, packed stool D. Chest x-ray negative for atelectasis

A. sweat chloride content 85 mEq/L

A nurse is performing an admission assessment for a child who has cystic fibrosis, which of the following findings should the nurse expect(select all ) A. wheezing B. clubbing of the finger and toes C. barrel-shaped chest D. thin, watery mucus E. rapid growth spurts

A. wheezing B. clubbing of the finger and toes C. barrel-shaped chest

Angelina is prescribed an insulin pump to administer insulin for her gestational diabetes, Which of the following would you want to teach her as to why nighttime is a particularly hazardous time for her fetus during pump therapy? A) the fetus can develop hyperglycemia from excessive insulin administration B) continuous insulin administration with no food intake can lead to hypoglycemia C) her lack of exercise at night tends to lead to hypercalcemia from muscle disuse D) her lack of fluid intake during the night causes a relative increase in serum insulin levels

B) continuous insulin administration with no food intake can lead to hypoglycemia

A 19-year-old first-time mother in the second stage of labor who has been given an epidural reports severe, unrelenting abdominal pain and rates it as 10 on a scale of 0 to 10. As the nurse, what should you do? A- Proceed with standard care; the nurse knows that this is typical in the second stage of labor and that younger women and those who are first-time mothers are more likely to report severe pain. B- Call the obstetrician; severe unrelenting abdominal pain could indicate placental abruption, uterine rupture, or other undiagnosed complication. C- Call the anesthetist, who is responsible for managing the epidural and should be monitoring the woman's pain. D- Discuss with the woman the additional pain medication options available to her at this stage in her labor so that she can choose which option she prefers.

B- Call the obstetrician; severe unrelenting abdominal pain could indicate placental abruption, uterine rupture, or other undiagnosed complication

Which statement by a woman who is 8 weeks pregnant and has cardiac disease would you most likely follow up closely? A. "I have been really constipated for the last few weeks." B. "I have gained 4lbs during the last week, but I'm not eating more than before." C. "I have not felt any fetal movement as of yet." D. "I have had episodes in the morning when I have almost thrown up."

B. "I have gained 4lbs during the last week, but I'm not eating more than before."

A nurse is caring for a child in the postoperative period following a tonsillectomy, which of the actions should the nurse take? A. Encourage the child to blow her nose gently B. Administer analgesics on a schedule C. Offer orange juice D. Position the child supine

B. Administer analgesics on a schedule

A nurse is reviewing the health record of a client who is pregnant. The provider indicated the client exhibits probable signs of pregnancy, which of the following finding should the nurse expect? (select all)

B. Goodell's sign C. Ballottement D. Chadwick's sign

A nurse is teaching a parent of an infant about administration of oral medications. Which of the following should the nurse include in the teaching? (select all that apply) A. Use a universal dropper for medication administration B. Ask the pharmacy to add flavoring to the medication C. Add medication to a formula bottle before feeding D. Use the nipple of a bottle to administer the medication E. Hold the infant in a semi reclining position

B. Ask the pharmacy to add flavoring to the medication D. Use the nipple of a bottle to administer the medication E. Hold the infant in a semi reclining position

The nurse is caring for a newborn. Which of the following actions by the newborn indicates readiness to feed? A. Spits up clear mucus. B. Attempts to place his hand in his mouth. C. Turn his head toward sound. D. Lies quietly with his eyes open.

B. Attempts to place his hand in his mouth.

A hypotensive drug such as hydralazine (Apresoline) may be prescribed to reduce hypertension. This drug acts to lower blood pressure by peripheral dilation. Which assessment finding would prevent the administration of this medication? A. Respiratory rate of 14 B. BP 88/68 C. Temp 99.8 D. HR 98

B. BP 88/68

Which of the following nursing interventions is appropriate when preparing a woman for an amniocentesis?

B. Be certain she knows that there is a slight risk of complication, such as preterm labor, from amniocentesis.

A nurse is completing a pain assessment of an infant. Which of the following pain scales should the nurse use? A. FACES B. FLACC C. Oucher D. Non-communicating children's pain checklist

B. FLACC

What are some measures to prevent DVT? A. Insert a Foley catheter immediately on all patients B. Initiate early and frequent ambulation C. Administer Vitamin K q 4 hrs D. Massage clients limbs with a nice lotion from the Avon.

B. Initiate early and frequent ambulation

A nurse is caring for a client who is in preterm labor and is scheduled to undergo an amniocentesis. The nurse should evaluate which of the following tests to assess fetal lung maturity.

B. Lecithin/sphingomyelin (L/S) ratio

A nurse assessing an infant. Which of the following are manifestations of pain in an infant? (select all that apply) A. Pursed lips B. Loud cry C. Lowered eyebrows D. Rigid body E. Pushes away stimulus

B. Loud cry C. Lowered eyebrows D. Rigid body

A nurse is planning care for a child who has asthma. Which of the following interventions should the nurse include in the plan of care? (select all that apply) A. Perform chest percussion B. Place the child in an upright position C. Monitor O2 sats D. Administer bronchodilators E. Administer dornase alfa daily

B. Place the child in an upright position C. Monitor O2 sats D. Administer bronchodilators

Small-for-gestational age/Large-for-gestational age have a commonality. What is that they have in common regarding r/t risks? A. They are obese when they are babies and skinny when they reach adolescence. B. Polycythemia causes hyperbilirubinemia because so many extra blood cells break down and release bilirubin. Increase in RBC's puts extra work on infants heart. C. The infant requires more insulin for both SGA and LGA. D. Meningomyelocele is common and is one of the most complicated birth defects.

B. Polycythemia causes hyperbilirubinemia because so many extra blood cells break down and release bilirubin. Increase in RBC's puts extra work on infants heart.

A nurse is caring to an infant who needs Otis medication. Which of the following is an appropriate action for the nurse to take? A. Hold the infant in an upright position B. Pull the pinna downward and straight back C. Hyperextend the infants neck D. Ensure that the medication is cool

B. Pull the pinna downward and straight back

Sharkiesha has an Rh-negative blood type. Her electronic record shows she had a previous discharge at 16 weeks into her last pregnancy. What medication should the care team want to see if she received following the miscarriage to minimize isoimmunization? A. Misoprostol (Cytotec) B. RhIG (RhoGAM) C. Ferrous sulfate D. Packed red blood cell transfusion

B. RhIG (RhoGAM)

Baby Austin has surfactant administered at birth. When Mr. Bringhurst asks you why his baby has to receive surfactant, what would be your best response? A. Surfactant helps him raise his lung secretions by relaxing his airway B. Surfactant keeps his tiny lung sacs open and this improves his breathing C. Surfactant relaxes his respiratory muscles to synchronize his breathing pattern D. Surfactant reduces the amount of lung secretions that he produces.

B. Surfactant keeps his tiny lung sacs open and this improves his breathing

Which of the following is the most frequent reason for postpartum hemorrhage? A. Endometritis B. Uterine atony C. Perineal lacerations D. Disseminated intravascular coagulation

B. Uterine atony

A nurse is assessing a child who has asthma. Which if the following are indications of deterioration in the child's respiratory status? (select all that apply) A. Oxygen sat 95% B. Wheezing C. Retraction of sternal muscles D. Warm extremities E. Nasal flaring

B. Wheezing C. Retraction of sternal muscles E. Nasal flaring

A nurse is providing discharge teaching for a child who has cystic fibrosis. Which of the following instructions should the nurse include A. provide a low-calorie, low-protein diet B. administer pancreatic enzymes with meals and snack C. implement a fluid restriction during times of infection D. restrict physical activity

B. administer pancreatic enzymes with meals and snack

A nurse is caring for a 2 year old child who has a heart defect and is scheduled for cardiac catheterization. which of the following actions should the nurse take? A. place on NPO for 12 hr prior to the procedure B. check for iodine or shellfish allergies prior to the procedure C. elevate the affected extremity following the procedure D. limit fluid intake following the procedure

B. check for iodine or shellfish allergies prior to the procedure

A nurse is caring for a client who had no prenatal care, is Rh negative and will undergo an external version at 37 wks of gestation. The nurse anticipates a prescription for which of the following medications to be adminstered prior to the version? A) prostaglandin gel (Cervidil) B) magnesium sulfate C) Rho (D) immune globulin (RhoGAM) D) oxytocin (Pitocin)

C) Rho (D) immune globulin (RhoGAM)

Rosann's primary care provider is considering whether to augment her labor with oxytocin. Which of the following would make you question the care providers use of oxytocin for her? A) her blood pressure is slightly elevated above normal B) her membranes rupture after only 1 hr of labor C) her fetus is large for gestational age by a sonogram D) she had an amniocentesis preformed during pregnancy

C) her fetus is large for gestational age by a sonogram

A nurse at an antepartum clinic is caring for a client who is at 4 months of gestation. The client reports continued nausea and vomiting and scant, prune colored, discharge. She is experience no wt loss and has a fundal height larger than expected. Which of the following complications should the nurse suspect? A) hyperemesis gravidum B) threatened abortion C) hydatidiform mole D) preterm labor

C) hydatidiform mole

Protein is found in large quantities in meat. How many servings per day are recommended for women during pregnancy?

C. 6

Suppose you are going to give acetaminophen to Terry in the ED and she has no ID band currently in place. What would be the best way to identify her? A. Ask her to tell you what her name is? B. Tell her you need the know her name C. Ask a parent to identify her for you D. Ask to see her school student card

C. Ask a parent to identify her for you

A nurse is preparing to administer medication to a toddler. Which of the following actions should the nurse take? (select all that apply) A. Identify the toddler by asking the parent B. Tell the parent to administer the medication C. Calculate the safe dosage D. Ask the toddler what toy he wants to hold during administration E. Offer juice after the medication

C. Calculate the safe dosage D. Ask the toddler what toy he wants to hold during administration E. Offer juice after the medication

A mother who intend to breastfeed is advised by her sister to use formula for the first few days until her "real" milk comes in. Which is the nurse's best response regarding information? A. Suggest that the mother use formula to supplement for the first 2 day. B. Discuss with the mother that her "real" milk will not come in if she uses formula and does not nurse the baby right away. C. Discuss that colostrum is all the nutrition a baby needs the first few days of life. D. Advise the mother to disregard any suggestions by her sister about newborn nutrition.

C. Discuss that colostrum is all the nutrition a baby needs the first few days of life.

What are the S&S of heart disease in a pregnant woman? (Select all that apply) A. Irritability B. Dysuria C. Fatigue D. Dyspnea at rest E. Hyperbilirubinemia

C. Fatigue D. Dyspnea at rest

A nurse is caring for a child who is in the postoperative period following a tonsillectomy. Which of the following is a clinical finding of postoperative bleeding? A. HGb 11.6 and Hct 37% B. Inflamed and reddened throat C. Frequent swallowing and clearing of the throat D. Blood-tinged mucus

C. Frequent swallowing and clearing of the throat

Although Terry is 8 years old, she doesn't know how to swallow pills, If you needed to delegate the administration of an oral medication to LPN, what instruction would you provide to your colleague? A. Draw a picture of a child swallowing medicine and talk about it B. Tell the child that all medicine tastes sweet so she'll take it already C. Give the child a small ice chip to use to practice swallowing D. Tip the child's head forward to avoid the possibility of choking

C. Give the child a small ice chip to use to practice swallowing

The resistance to or destruction of insulin in a healthy pregnancy causes the pregnant mother with diabetes mellitus to increase her insulin dosage around week 24 to prevent what? A. Hypoglycemia B. Ketoacidosis C. Hyperglycemia D. Proteinuria

C. Hyperglycemia

Methotrexate can only be given in en-ruptered ectopic pregnancies. Which statement by the client indicates a further need for teaching? A. The good thing about this medication is that my fallopian tube will remain intact which no surgical scaring. B. I will not drink alcohol while taking this medication C. I should take folic acid while i am taking this medication to prevent neural tube defects of my baby

C. I should take folic acid while i am taking this medication to prevent neural tube defects of my baby

Sandra feels healthy so she asks you why she needs to bother coming for prenatal care. What benefit should you cite when responding to Sandra's statement?

C. It provides time for education about pregnancy and birth.

A nurse is teaching a group of new parents about proper techniques for bottle feeding, Which of the following instructions should the nurse provide? A. Burp the newborn at the end of the feeding. B. Hold the newborn close in supine position. C. Keep the nipple full of formula throughout the feeding. D. Refrigerate any unused formula.

C. Keep the nipple full of formula throughout the feeding.

A nurse is reviewing formula preparation with parents who plan to bottle-feed their newborn. Which of the following should the nurse include in the teaching? (Select all that apply) A. Use a disinfectant wipe to clean the lid of the formula can. B. Store prepared formula in the refrigerator for up to 72 hr. C. Place used bottles in the dishwasher. D. Check the nipple for appropriate flow of formula. E. Use tape water to dilute concentrated formula.

C. Place used bottles in the dishwasher. D. Check the nipple for appropriate flow of formula. E. Use tape water to dilute concentrated formula.

A nurse is instructing a patient who is taking an oral contraceptive about danger signs to report to her provider. The nurse determines the client understands the teaching when the client states the need to report which of the following?

C. Shortness of Breath

After terry receives an antibiotic, her body must distribute it to the site where it will act. Which assessment parameter addresses her body's ability to distribute a drug? A. Terry's renal function B. Terry's arterial blood gases C. Terry's plasma blood protein levels D. Terry's gallbladder function

C. Terry's plasma blood protein levels

A mother planning to bottle feed asks you which form of formula is the most economical to use. Which of the following would you include in your response? A. Prepackaged, individually prepared bottles B. The condensed type that requires water to dilute. C. The powder type, which is combined with water. D. The ready - pour liquid type

C. The powder type, which is combined with water.

Precipitous labor is defined as labor that lasts 3 hrs or less from the onset of contractions to the time of delivery. What is a side effect of precipitous delivery? A. Hypoglycemia B. Hyperbilirubinemia C. Uterine atony D. Deep vein thrombosis

C. Uterine atony

A nurse is teaching a client who is pregnant about the amniocentesis procedure. Which of the following statements should the nurse include in teaching?

C. You should empty your bladder prior to the procedure

A nurse is preparing to administer an IM injection to a child. Which of the following muscle groups in contraindicated? A. Deltoid B. Ventrogluteal C. Vastus lateralis D. Dorsogluteala

D. Dorsogluteala

What is the most accurate statement regarding exercise and nutrition during pregnancy for a woman with diabetes? A) extreme exercise may cause hypoglycemia; therefore, it should be avoided B) during the last trimester, caloric intake should be decreased to less than 1800 calories to control fetal wt gain C) exercise reduces the need for insulin; therefore, beginning an exercise regimen during pregnancy is recommended D) ideally, dietary calorie intake should be approximately 20% from protein, 40% to 50% from carbohydrates, and up to 30% from fats

D) ideally, dietary calorie intake should be approximately 20% from protein, 40% to 50% from carbohydrates, and up to 30% from fats

A state that usually arises because of insulin resistance combined with a relative deficiency in the production of insulin, is known as what type of diabetes? A) type 1 B) gestational C) impaired glucose homeostasis D) type 2

D) type 2

Michael's 4-year-old roommate in the care unit is scheduled for a tonsillectomy later today. In order to ensure that your nursing care is empathetic and patient centered, what food would be best to offer the roommate following his surgery? A. Grilled cheese sandwich B. Tomato juice and crackers C. Potato chips and dip D. A cold green ice pop

D. A cold green ice pop

A nurse is teaching an adolescent about the appropriate use of his asthma medications. Which if the following medications should the nurse instruct the client to use as needed before exercise? A. Fluticasone/salmeterol B. Montelukast C. Prednisone D. Albuterol

D. Albuterol

Michael has a barking cough, sore throat, and a fever. You want to see if his throat looks sore and swollen. What is the safest and most accurate way of performing this assessment? A. Gag him with a tongue blade so you can inspect his tonsils B. Ask him to press down on his tongue with one of his fingers C. Elicit a gag reflex using only one of your gloves D. Ask him to open is mouth and inspect his throat visually

D. Ask him to open is mouth and inspect his throat visually

A nurse is caring for a client who has been admitted for induction of labor. What priority action should the nurse first complete prior to induction of labor? A. Insertion of a Foley catheter B. Place a non-rebreather mask on the client C. Draw blood for hormone assessment D. Assess for fetal heart rate and existing contractions

D. Assess for fetal heart rate and existing contractions

If a client's water has broken, which of the following non-pharmacological methods would be contraindicated? A. Herbal preparations B. Prayer C. Heat and cold application D. Bathing or hydrotherapy

D. Bathing or hydrotherapy

A nurse is reviewing breastfeeding positions with the mother of a newborn. Which of the following positions should the nurse discuss? A. Over-the-shoulder B. Supine C. Chin-supported D. Cradle

D. Cradle

What does the term uterine atony mean and what causes it? A. The presence of lacerations and the risk for postpartum hemorrhage. B. Inversion of the uterus and is caused by hemorrhage C. An area of warmth over the uterus caused by DVT D. Inability of the uterine muscles to contact adequately caused by precipitous labor

D. Inability of the uterine muscles to contact adequately caused by precipitous labor

The nurse is assisting a woman through labor, monitoring her closely now that she has received an epidural. The nurse would report which finding to the anesthesiologist? A. Dry, cracked lips B. Urinary retention C. Rapid progress of labor D. Inability to push

D. Inability to push

Suppose Terry, 8 years old. Needs to have eardrops administered. If you consult the unit's policies and procedures, you should expect what directive? A. Have the child self- administer the drops to give the child a sense of control B. Refrigerate the drug for at least 30 minutes' prior so its numbs the ear canal C. Pull the pinna of the child's ear down to straighten the ear canal D. Keep the child's head turned to the side to help retain the drops

D. Keep the child's head turned to the side to help retain the drops

A nurse on the postpartum unit is planning care fr a client who has thrombophlebitis. Which of the following nursing interventions should the nurse include in the plan of care? A. Apply a cold compress to the affected extremity. B. Massage the affected extremity. C. Allow the client to ambulate. D. Measure leg circumference.

D. Measure leg circumference.

A nurse is planning to administer the influenza vaccine to a toddler. Which of the following actions should the nurse take? A. Administer subcutaneously in the abd B. Use a 20 -gauge needle C. Divide the medication into two injections D. Place the child in the supine position

D. Place the child in the supine position

Suppose Dana, 17 years old, chooses to use a COC as her family planning method. What is a danger sign of COC's you would ask her to report?

D. Severe migraine headache

Which of the following drugs is approved to prevent and treat bronchospasm but may be used, off label as a tocolytic agent (agent to halt labor)? A. Magnesium sulfate B. Apresoline C. Methotrexate D. Terbulatine

D. Terbulatine

A nurse is giving instructions to a mother about how to breastfeed her newborn. Which of the following actions indicates understanding of the teaching? A. The mother place a few drops of water of her nipple before feeding. B. The mother gently removes her nipple from the infant's mouth to break the suction. C. When she is ready to breastfeed, the mother gently strokes the newborn's neck with her finger. D. When latched on, the infants nose, cheek, and chin are touching the breast.

D. When latched on, the infants nose, cheek, and chin are touching the breast.

Assisting in the initiation of breastfeeding is a role of the nurse. When should the nurse recommend that a newborn have the initial feeding? A. After the first bath. B. Once the temperature has stabilized. C. After newborn labs are drawn. D. Within the first 30 minutes after birth.

D. Within the first 30 minutes after birth.

Lauren's doctor told her she had a positive Chadwick's sign. When she asks you what this means, your best answer would be which of the following?

D. Your vagina looks dark in color, a typical pregnancy sign.

_____________ or objective symptoms are experienced by the woman but cannot be documented.

Presumptive

T/F- Human chorionic gonadotropin is a placental hormone used to determine pregnancy vie either blood serum or urinalysis:

True

A nurse is providing education about age-appropriate activities for the parents of a 6-year-old child. Which of the following activities should the nurse include in teaching? a. Jumping rope b. Playing card games c. Solving jigsaw puzzles

a. Jumping rope

You want to prepare Leana to assess her own health after discharge. Which statement by her would make you worry that she needs more information? a. " I know about Lochia, I'll use tampons just like I do for my periods" b. " I admit I don't like having lochia, but I understand its purpose" c. "I know to wash my hands after I change perineal pads and before handling the baby." d. "Ill look for the color of my lochia to change from red to pink."

a. " I know about Lochia, I'll use tampons just like I do for my periods"

Beginning verbal communication is one of the most important tasks that infants need to achieve. You should teach Bryan's mother that by 12 months of age he should display which of the following characteristics? a. "Children the age can usually say around two words, plus 'ma-ma' and 'da-da" " b. "One-year-olds can usually say more words than they are able to understand" c. "A 12-month-old child can express his or her basic needs verbally." d. "An infant who is this age usually can't understand spoken words."

a. "Children the age can usually say around two words, plus 'ma-ma' and 'da-da" "

A nurse is providing teaching about expected changes during puberty to a group of parents of early adolescent girls. Which of the following statements by one of the parents indicates an understanding of the teaching? a. "Girls usually stop growing about 2 years after menarche" b. "Girls are expected to gain about 65 pounds during puberty" c. "Girls experience menstruation prior to breast development." d. Girls typically grow more than 10 inches during puberty

a. "Girls usually stop growing about 2 years after menarche"

A nurse is assessing an infant who has eczema. Which of the following findings should the nurse expect? (Select all that apply) a. Generalized distribution of lesions b. Papules c. Ecchymosis in flexural areas d. Crusting lesions e. Keratosis pilaris

a. Generalized distribution of lesions b. Papules d. Crusting lesions

A nurse is performing a developmental screening on a 10-month old infant. Which of the following fine motor skills should the nurse expect the infant to perform? a. Grasp a rattle by the handle b. Try building a two-block tower c. Use a crude pincer grasp d. Place object into a container e. Walks with one hand held

a. Grasp a rattle by the handle c. Use a crude pincer grasp

Jonny has chosen to have an epidural anesthesia and you have consequently informed the anesthesiologist. What are two risks that are potentially associated with this form of anesthesia? a. Hypotension and prolonged second stage of labor b. Severe headache and peripheral cyanosis can occur c. Women have increased back pain and abrupt transitions between stages of labor. d. Maternal hypertension and a reduced red blood cell count can occur

a. Hypotension and prolonged second stage of labor

Barry's mother is concerned that her new baby will develop pyloric stenosis. To detect vomiting from this, you would assess the infant at what time? a. Immediately after feeding b. An hour after feeding c. On arising the morning d. When the infant cries

a. Immediately after feeding

You are collaborating with your interprofessional team in the care of Becky, age 7 years. The social worker believes that she is showing the first signs of separation anxiety. What evidence would prompt the social worker to draw this conclusion? a. Loud, demanding crying b. Silent, sullen protesting c. Quiet introspective thought d. Inability to respond verbally

a. Loud, demanding crying

A nurse is performing a fundal assessment for a client who is 2 days postpartum and observes the perineal pad for lochia. She notes the pad to be saturated approximately 12 cm with lochia that is bright red and contains small clots. Which of the following findings should the nurse document? a. Moderate lochia rubra b. Excessive blood loss c. Light lochia rubra d. Scant lochia serosa

a. Moderate lochia rubra

A nurse is providing teaching about epistaxis to the parent of a school-aged child. Which of the should the nurse include as an appropriate action to take when managing an episode of epistaxis? a. Press the nares together for at least 10 minutes b. Breathe through the nose until bleeding stops c. Pack cotton or tissues into the naris that is bleeding d. Apply a warm cloth across the bridge of the nose e. Insert petroleum into the nares after the bleeding stops

a. Press the nares together for at least 10 minutes c. Pack cotton or tissues into the naris that is bleeding

A nurse is assessing an infant who has hypertrophic pyloric stenosis. Which of the following findings should the nurse expect? (Select all that apply) a. Projectile vomiting b. Dry mucus membranes c. Currant jelly stools d. Sausage-shaped abdominal mass e. Constant hunger

a. Projectile vomiting b. Dry mucus membranes e. Constant hunger

A nurse is performing a developmental screening on a 3-year-old child. Which of the following skills should the nurse expect the child to perform? a. Ride a tricycle b. Hop on one foot c. Jump rope d. Throw a ball overhead

a. Ride a tricycle

A nurse is providing teaching about the management of epistaxis to a child and his family. Which of the following positions should the nurse instruct the child to take when experiencing a nosebleed? a. Sit up and lean forward b. Sit up and tilt the head up c. Lie in a supine position d. Lie in a prone position

a. Sit up and lean forward

What is the best exercise for Joey who has sickle cell disease and his father who has the sickle cell trait? a. Playing video games with each other b. Joining a swimming program at their local YMCA c. Watching sports together on TV each evening d. Organizing a touch (no contact) football game each weekend

b. Joining a swimming program at their local YMCA

The father of Jason, the 2-year-old, has asked if it is normal for his son to spread his feet wide apart when he walks. After providing health education to Jason's father, which of his statements suggests that he received accurate teaching? a. "Jason may be all right, but toddlers with dislocated hips also walk that way." b. "A wide spread gait is a common characteristic of toddlers" c. "Most toddlers walk with feet close together to better stabilize themselves." d. "His shoes may not have a good arch and this could be causing him to walk unsteadily."

b. "A wide spread gait is a common characteristic of toddlers"

Marty's rash is causing him to scratch is skin. In order to maintain skin integrity and promote comfort, which of the following actions should you prioritize in his plan of care? a. Ask Marty to rate his pain level on a pain scale b. Administer an antihistamine as prescribed c. Instruct Marty not to ever scratch the lesions d. Cover his hands and fingernails with mittens

b. Administer an antihistamine as prescribed

A nurse is planning care for an infant who has diaper dermatitis. Which of the following actions should the nurse included in the plan of care? (Select all that apply) a. Apply talcum powder with every diaper change b. Allow the buttocks to air dry c. Use commercial baby wipes to cleanse the area d. Use cloth diapers until the rash is gone- e. Apply zinc oxide ointment to the affected area

b. Allow the buttocks to air dry e. Apply zinc oxide ointment to the affected area

Toddlers learn a great deal about oral communication in the course of their development. Which of the following statements should you expect Jason, a 2-year-old to have mastered? a. Red tomatoes b. Daddy come c. Old MacDonald d. Please, please

b. Daddy come

120. To examine the circumstances of why allergic reactions in young children occur, researchers collected data on 512 infants aged 3-15 months who had documented allergies to milk or egg. The incidence of reactions in the study group was less than one reaction per child per year. Reactions occurred mostly because of unintentional exposure to milk or egg through label reading errors and cross contact. In 50% of reactions, the offending food was provided by a person other than a parent. Of the reactions 29% were severe enough that the child was treated with epinephrine. Factors resulting in under treatment included a lack of recognition of the severity of symptoms, epinephrine being unavailable and fears about epinephrine administration. Based on the previous study ant the fact that Dexter is allergic to peanuts, which statement by Dexter's mother would give you the most concern? a. I pack his lunch every day so I'll know what he eats b. Dexter is a good kid and always wiling to share c. If he goes to a party I ask if peanuts will be served d. I try to limit Dexter's food to thing I know are safe

b. Dexter is a good kid and always wiling to share

Becky's mother and father ask you what type of therapeutic play would be best for Becky. Which type of therapeutic play would best meet Becky's needs if she will have a large bandage on her foot after surgery? a. Letting her hold and handle a syringe (with no needle attached) b. Giving her a doll and a bandage to change c. Supplying a video tape of a child having surgery for her to watch d. Giving her a book to read about a child's hospitalization experience

b. Giving her a doll and a bandage to change

Joey who has sickle cell anemia is being treated for sickle cell crisis. Which statement by his father would best assure you that joey is receiving adequate nursing care? a. He never used to understand why he had these crises, but now he can describe the reason b. He says that his pain is actually quite manageable now c. He says the nurses he's met so far are such nice people d. He is looking forward to getting home but he really doesn't mind it here

b. He says that his pain is actually quite manageable now

A nurse is caring for an infant whose screening test reveals that he might have sickle cell disease. Which of the following tests should be performed to distinguish if the infant has the trait or the disease. a. Sickle solubility test b. Hemoglobin electrophoresis c. Complete blood count d. Transcranial Doppler

b. Hemoglobin electrophoresis

John is 6 years old. You should teach his parents that which of his body systems should be reaching its peak point of development at this time? a. His neurologic system b. His lymphatic system c. His respiratory system d. His musculoskeletal system

b. His lymphatic system

Which response by a child suggests that he understands an important fact regarding the administration of a prescribed antibiotic for impetigo? a. I have to take this until the itchiness stops b. I'll continue the drug until it's all gone c. I'll have to take the drug at least 4 days d. Taking the drug will prevent itchiness

b. I'll continue the drug until it's all gone

A nurse is caring for a child who has watery diarrhea for the past 3 days. Which of the following is an appropriate action for the nurse to take? a. Offer the chicken broth b. Initiate oral rehydration therapy c. Start hypertonic IV solution d. Keep NPO until diarrhea subsides

b. Initiate oral rehydration therapy

20. A nurse is performing Leopold maneuvers on a client who is in labor. Which of the following techniques should the nurse use to identify the fetal lie? a. Apply palms of hands to sides of the uterus. b. Palpate the fundus of the uterus c. Grasp lower uterine segment between thumb and fingers d. Stand facing the client with fingertips outlining cephalic prominence

b. Palpate the fundus of the uterus

A nurse is caring for a child who has Hirchsprung's disease. Which of the following actions should the nurse take? a. Encourage a high fiber, low protein, low calorie diet b. Prepare the family for surgery c. Place an NG tube for decompression d. Initiate bed rest

b. Prepare the family for surgery

A nurse is teaching a group of parents about complications of communicable diseases. Which of the following communicable diseases can lead to pneumonia? (Select all that apply a. Rubella (German measles) b. Rubeola (measles) c. Pertussis (whooping cough) d. Varicella (chickenpox) e. Mumps

b. Rubeola (measles) c. Pertussis (whooping cough) d. Varicella (chickenpox)

A nurse is caring for a client who is in active labor. The client reports lower back pain. The nurse suspects that this pain is related to a persistent occiput posterior fetal position. Which of the following non-pharmacological nursing interventions should the nurse recommend to the client? a. Abdominal effleurage b. Sacral counter pressure c. Showering if not contradicted d. Back rub and massage

b. Sacral counter pressure

You assess Celeste's uterine contractions and the FHR. Which of the following would you document as a late deceleration? a. The FHR began increasing 45 seconds after the contraction was over b. The FHR decreased in rate 30 seconds after the start of a contraction c. The FHR decreased in strength after the start of a contraction d. A decrease in FHR occurs but is totally unrelated to timing.

b. The FHR decreased in rate 30 seconds after the start of a contraction

A nurse is preparing to administer iron dextran IM to a school-age child who has iron deficiency anemia. Which of the following actions by the nurse is appropriate? a. Administer the dose in the deltoid muscle. b. Use the Z-track method when administering the does c. Avoid injecting more than 2 mL with each dose d. Massage the injection site for 1 minute after administering the dose

b. Use the Z-track method when administering the do

Pressing a tongue blade against the back of the throat causes a gag reflex. When would you want your team members to know it is important not to elicit a gag reflex? a. When a child is under 5 years of age b. When a child has symptoms of epiglottitis c. When a boy has a possible inguinal hernia d. When a girl has a geographic tongue

b. When a child has symptoms of epiglottitis

Jonny asks you if she could safely use warm water tub bathing during labor. Your best answer would be which of the following? a. NO, the chilling that sometimes results can lead to hypothermia b. Yes, as long as your membranes are not ruptured c. No, this technique will separate you from your partner d. Yes, as long as you know warm water has no significant effect.

b. Yes, as long as your membranes are not ruptured

Cathy, 3 years old constantly asks question. When teaching her father about communication skills in children of this age, you should state that a child of Cathy's age typically asks how many question in a day? a. Around 50 b. 100 to 200 c. 300 to 400 d. 600 or more

c. 300 to 400

Bryan is 2 months old and you are collaborating with the occupational therapist in his care. You and your colleague should plan care based on the knowledge that he should sit securely at what age? a. 2.5 months b. 6 months c. 8 months d. 12 months

c. 8 months

During ambulation to the bathroom, a postpartum client experiences a gush of dark red blood that soon stops. On assessment, a nurse finds the uterus to be firm, midline, and at the level of the umbilicus. Which of the following findings should the nurse interpret this data as being? a. Evidence of a possible vaginal hematoma b. An indication of a cervical or perineal laceration c. A normal postural discharge of the lochia d. Abnormally excessive lochia rubra flow

c. A normal postural discharge of the lochia

On assessment, which finding would the nurse expect in a child with allergic rhinitis? a. Reddened, tender nasal mucosa b. Erythematous lesions on palate c. Blackened circles under eyes d. A thick purulent nasal discharge

c. Blackened circles under eyes

A 3-year old male is diagnosed with intussusception. Which symptom reported by the parents would have led the nurse to suspect this diagnosis. a. Projectile vomiting b. Right lower quadrant pain c. Bloody mucus stool d. Rebound tenderness

c. Bloody mucus stool

You offer to teach Jonny controlled breathing to help with pain management until she can receive her epidural. Which would be the best instruction? a. Lie on your back and breathe in slowly while repeating" I can do this" b. Hold your breath as long as you can before exhaling c. Breathe in as slowly as you can then breath out just as slowly d. Pant rapidly as this best lifts your abdominal wall off your expanding uterus

c. Breathe in as slowly as you can then breath out just as slowly

A newborn was not dried completely after birth, which of the following mechanisms should the nurse understand causes the heat loss? a. Conduction b. Convection c. Evaporation d. Radiation

c. Evaporation

John, at 6 years old, is a school-age child. According to Freud, what would you want the members of your interprofessional team to know when caring for school-age children? a. It's important for parents to teach children creativity during this time. b. Children develop their "moral compass" or religion during school-age years. c. Freud saw the school-age period as a largely latent or inactive period d. Every school-age child needs responsibilities in order to learn trust and integrity.

c. Freud saw the school-age period as a largely latent or inactive period

142. If Barry's mother is not able to stay with him in the hospital, what would the effect be on his nursing care his appendicitis? a. He may be at higher risk for infection because of contact with more care providers b. He will receive similar care because nurses apportion their care equitably c. He may receive more attentive care than a child whose parent is present d. He will be well card for but is at increased risk of anxiety

c. He may receive more attentive care than a child whose parent is present

Leana has expresses that she is excited to "get to know" her baby. Which of the following actions will support Leana's transition into a postpartal taking-hold phase? a. Tell her that she did will in labor and that it was "all worth it." b. Encourage her tot take as much time as she needs to recover from her labor. c. Help her to give her new baby a bath. d. Encourage her and her husband to choose their baby's name as soon as possible.

c. Help her to give her new baby a bath.

The best way in which a nurse can detect congenital hydrocephalus prior to brain tissue damage is to a. Assess for brow bulging. b. Perform a transillumination of the infant's skull. c. Measure the infant's head circumference at birth, then compare the measurement prior to discharge d. Assess fontanelles for width and tension

c. Measure the infant's head circumference at birth, then compare the measurement prior to discharge

A nurse is teaching a class about puberty in boys. Which of the following should the nurse include as the first manifestation of sexual maturation? a. Pubic hair growth b. Vocal changes c. Testicular enlargement d. Facial hair growth

c. Testicular enlargement

The discharge coordinator is discussing some of the statements made by Linda. Which of the following would indicate she needs further teaching about breastfeeding from you or one of team members? a. I know breastfeeding is recommended for the first year of my baby's life b. To prevent nipple pain I may need to vary the position I use to feed. c. While breastfeeding I need to drink at least 12 glasses of fluid a day d. I recognize that breastfeeding may help me lose some pregnancy weight

c. While breastfeeding I need to drink at least 12 glasses of fluid a day

A nurse is caring for a client following the administration of an epidural block and is preparing to administer an IV bolus. The clients partner asks about the purpose of the IV fluids. Which of the following is an appropriate response for the nurse to make? a. it is needed to promote increased urine output b. it is needed to counteract respiratory depression c. it is needed to counteract hypotension d. it is needed to prevent oligohydramnios

c. it is needed to counteract hypotension

16. Women should obtain their carbohydrates from ________ ________ rather than simple carbs.

complex carbs

What vitamins come from what foods • Vitamin A • Vitamin C • Vitamin D • Folic Acid

• Vitamin A- dark green and yellow vegetables and fruits and in animal sources such as liver, milk, butter, cheese, and eggs • Vitamin C-fresh vegetables and fruits • Vitamin D- fortified milk, cheese, eggs, and salmon • Folic Acid- vegetables and fruits