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NUR2513 MATERNAL-CHILD NURSING EXAM1, EXAM 2 AND FINAL EXAM 2025|REAL 250 QUESTIONS AND VERIFIED ANSWERS|2025-2026|ALREADY GRADED A+
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Providing care to the postpartum client, the nurse recognizes that women are hypercoagulable during the third trimester of pregnancy. Assessment of this client should include evaluation for the development of venous thromboembolism. Which of the follow should be included in this eval? SATA A. Observe distal upper extremities for swelling/edema B. Observe lower extremities for symmetry C. Asses for uterine cramping D. Observe respiratory rate and effort E. Auscultate lung sounds B. Observe lower extremities for symmetry D. Observe respiratory rate and effort E. Auscultate lung sounds Rationale: During the postpartum period, women remain hypercoagulable, increasing their risk for venous thromboembolism (VTE), including deep vein thrombosis (DVT) and pulmonary embolism (PE). A thorough evaluation for VTE should include: B. Observe lower extremities for symmetry Correct: Asymmetry in the legs (e.g., one leg more swollen, red, or tender than the other) can indicate DVT, a common form of VTE in postpartum women. D. Observe respiratory rate and effort
Correct: Pulmonary embolism can present with increased respiratory rate, dyspnea, or labored breathing. Monitoring this is essential in postpartum assessments for VTE. E. Auscultate lung sounds Correct: PE can cause abnormal lung sounds, such as crackles or decreased breath sounds. Auscultation helps detect early signs of P E. A newborn is prescribed to receive Vitamin K 0.5 mg intramuscularly. How should the nurse administer the medication to the newborn? A. Provide medication immediately before breastfeeding B. Administer medication into the vastus lateralis C. Notify physician for swelling and irritation at the injection site D. Administer the medication in the deltoid muscle B. Administer medication into the vastus lateralis Rationale: Newborns are routinely given Vitamin K shortly after birth to prevent Vitamin K Deficiency Bleeding (VKDB), as they are born with low stores of this essential clotting factor. B is correct because: B. Administer medication into the vastus lateralis Correct: The vastus lateralis muscle (located on the anterolateral thigh) is the preferred site for intramuscular (IM) injections in newborns and infants under 1 year of age because it is well-developed and easily accessible. Which technique is used to palpate the fundal heigh on postpartum client? A. Placing one hand on the fundus, one on the perineum
Which assessment finding indicated to the nurse that a newborn has hip sublaxtion? A. Crying on straightening of the right leg B. Inward rotation of the right foot C. Inability of the right hip to abduct D. Drawing of the legs underneath while prone C. Inability of the right hip to abduct A nurse is helping her postpartum client up to the bathroom for the first time after delivery. Which finding indicates her lochia is within normal imites? A. the color of the flow is red B. Lochia contains large clots C. The flow is over 500 mL D. Her uterus is boggy and soft A. the color of the flow is red A nurse is caring for an infant with myelomeningocele. Which of the following actions should the nurse include in the preoperative plan of care. A. Place the infant in a supine position B. Assess the infants temp rectally C. Apply a sterile, moist dressing on the sac D. Assist the caregiver with cuddling the infant C. Apply a sterile, moist dressing on the sac
The nurse is inspecting a males newborns genitalia. Which action should the nurse avoid when conducting this assessment? A. Palpating if testes are descended into the scrotal sac B. Retracting the foreskin over the glans to assess for secretions C. Inspecting if the urethral opening appears circular D. Inspecting the genital area for irritated skin B. Retracting the foreskin over the glans to assess for secretions During a home visit, the nurse determines that a toddler has a difficult temperament. What did the nurse observe in this toddler? SATA A. Rhythmic B. Minimal adaptability C. Withdrawing D. Intense mood B. Minimal adaptability C. Withdrawing D. Intense mood The nurse instructs the parents of a newborn on actions of a newborn on actions to prevent sudden infant death syndrome. Which observation indicates the teaching has been effective? A. The baby is an every 2-hr formula feeding schedule B. Newborn is placed on the back to sleep C. Parents signed a waiver refusing routing immunizations after birth D. Mother removes a pacifier from the babys mouth
C. Hold the infant upright with his feet touching a flat survive Hypoglycemia in a mature infant is defined as blood glucose level below which amount? A. 100mg/100mL whole blood B. 80mg/100mL whole blood C. 30 mg/100 mL whole blood D. 40mg/100mL whole blood D. 40mg/100mL whole blood A nurse is assessing a newborn. Which would be considered a normal finding A. Asymmetry B. Acrocyanosis C. Apnea D. Atonia B. Acrocyanosis The nurse is assessing a term newborn. Which findings should the nurse expect when assessing the patterns of sole creases? A. Creased covering 1/4of the foot B. Creases on 2/3 of the foot
c. Longitudinal but no horizontal creases D. Heel creases but no anterior creases B. Creases on 2/3 of the foot A postpartum woman is prescribed an antibiotic because of endometritis. her breastfed infant should be observed particularly for which of the following? A. irritability and loss of appetite B. Signs of thrush and easy bruising C. Decreased sleep levels and increased appetite D. Jaundice that does not respond to phototherapy B. Signs of thrush and easy bruising The nurse assesses a postpartum clients discharge as being moderate in amount and red in color. How should the nurse document the appearance of the lochia? A. Lochia rubra B. Lochia normalia C. Lochia serosa D. Lochia alba A. Lochia rubra
B. Catheterization at the time of delivery reduces bladder tonicity C. Frequent partial voiding never relieves the bladder pressure D. Mild dehydration causes concentrated urin volume in the bladder A. decreased bladder sensation results from edema because of pressure of birth women who delivered a term neonate 3 days ago is complaining of fever, fatigue and heavy vaginal discharge. On assessment, the nurse notes that her fundus is tender on palpation and heavy with foul smelling lochia. What is most likely the cause of these symtoms? A. UTI B. Postpartum hemorrhage C. Mastitis D. Endometritis After a delivery, a client is diagnosed with postpartum preeclampsia. What care will the nurse provide to this client? A. Maintain on bed rest B. Monitor urine output and daily weight C. Administer antihypertensive medication as prescribed D. Instruct on the need for fluid bolus E. Administer mag sulfate as prescribed A. Maintain on bed rest B. Monitor urine output and daily weight
C. Administer antihypertensive medication as prescribed E. Administer mag sulfate as prescribed Postpartum woman has a 4th degree perineal laceration. Which of the following physician orders would the nurse question? A. an order for PRN docusate sodium B. Administration of a sitz bath C. administration of acetaminophen/oxycodone for pain D. Administration of an enema The nurse is preparing formula for a preterm infant. Which type of formula will most likely be prescribed for this client? A. 24 calories per ounce B. 20 calories per ounce C. Glucose water D. Iron supplemented A. 24 calories per ounce Nurse in the pediatric clinic is recording anthropometric data in the 12 mo old child charts. The father asks "is my son growing the way that he should? Which of the following nurses responses to based on the knowledge of expected growth?
During a home visit, a new motheris concerned that after 3 meconium stools her newborn now has yellow seedy stools. What should the nurse explain to the mother? A. Baby may be developing an allergy to breast milk B. this is a normal finding C. Child will need to be isolated until the stool can be cultured D. This is most likely a symptom of diarrhea B. this is a normal finding Nurse observes a mother telling a toddlers that pasta and potatoes will make the child fat. What should the nurse instruct the mother about these food items? A. The child should be instructed to restict carbs after the age of 5 B. No more than 30% of all food should be from carbs C. It is more important to restrict protein than carbs D. Toddlers needs carbs for brain function D. Toddlers needs carbs for brain function A preterm infant is placed in a radiant heat warmer immediately after birth. Which of the following nursing diagnosis is the intervention addressing? A. ineffective thermoregulation B. Impaired gas exchange related to immature pulmonary functioning
C. Risk for deficient fluid volume related to insensible water loss D. Risk for imbalanced nutrition, less than body requirements A. ineffective thermoregulation Nurse is called to the room of a client who had a term delivery of a 9lb 8oz newborn 24 hours ago. Client is noted to have lost consciousness on her to the bathroom. What is the priority nursing assessment for the client? A. call the provider B. assess the fundus C. assess blood pressure and HR D. Assess ability to void C. assess blood pressure and HR A new born infant has loose yellow stool. The infant appears healthy, but his mother is concerned that this means he is allergic to breast milk. Which of the following is the nurses best response? A. Breast-fed infants stools are normally loose B. Consider changing to a soybean formula C. Try burping the infant more frequently D. You may need to have the infant investigated for bile duct disease A. Breast-fed infants stools are normally loose
D. Carboprost A. Terbutaline A nurse is caring for a client who has just delivered her first newborn. The infant has been diagnosed with hyperbilirubinemia. While providing education to the client on this condition, the nurse should include which of the following as potential causes of this condition? SATA A. ABO incompatibilty B. Rh isoimmunization C. Allergy to breast milk D. Biliary atresia E. Prenatal alcohol consumption A. ABO incompatibilty B. Rh isoimmunization D. Biliary atresia According to erickson, which stage of development has the developmental task Trust vs. mistrust? A. Early childhood B. Infancy C. Adolescence D. Toddler B. Infancy
A father is concerned that his 3-day old infants face appears yellow. Which response should the nurse provide to the father? A. This is a very serious condition. your infant will be trasnferred to the NICU immediately B. This is mild jaundice due to the immaturity of the babys liver. We will continue to monitor bilirubin levels C. It would be best to switch from breastfeeding to formula to help the baby excrete the bilirubin B. This is mild jaundice due to the immaturity of the babys liver. We will continue to monitor bilirubin levels The parents of a newborn are concerned that something is wrong with their newborns eyesight. What should the nurse instruct the parents as being an expect finding in the newborn A. Follows a light to midline B. Follows the finger full 180 degrees C. Produces tears when he cries D. Has a white rather than a red reflex A. Follows a light to midline The nurse is preparing a seminar on breastfeeding for a group of pregnant clients. Which information should the nurse include during the seminar?
D. Post term D. Post term A parent is describing to the nurse activities that her 4yr old preschool child is achieving. The nurse knows that this child is experiencing which task of ericksons psychosocial stage of development? A. Industry vs. inferiority B. Trust vs. Mistrust C. Autonomy vs. Shame/doubt D. Initiative vs. Guilt D. Initiative vs. Guilt A newborn is jaundiced and receiving phototherapy via ultraviolet bank lights. Which of the following is an appropriate intervention when caring for an infant with hyperbilirubinemia and receiving phototherapy? A. Apply an oil based lotion to the newborms skin to prevent drying and cracking B. Change the newborns position every 4 hours C. Limit the newborns intake of milk to prevent nausea, vomiting and diarrhea D. Place eyeshields over the newborns closed eyes D. Place eyeshields over the newborns closed eyes
The nurse is called to the room of a client who delivered a macrosomic infant 20 hours ago. Upon assessment the fundus is noted to be boggy and displaced to the left and moderate amount of vaginal bleeding is noted. What is priority action? A. Empty the bladder B. Initiate IV access C. Provide pain medication D. Administer uterotonic medication A. Empty the bladder Which of the following is an advantage of breastfeeding for the infant? A. Breast milk contains antibodies and thus decreases the possibility of GI illnesses B. Breast milk is more difficult to digest, so it makes the infant feel fuller longer C. Breast milk leads to firmer stools, increasing bowel tone D. It takes less effort for an infant to suck at a breast than a bottle A. Breast milk contains antibodies and thus decreases the possibility of GI illnesses During a home visit, a postpartum is complaining of a sore area on one breast. The nurse notes a local area on the left breast is lumpy, red and warm to touch and palpates a small lump. For which health problem should the nurse plan care for this client? A. Engorgement B. Plugged milk duct C. Breast Cancer