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Exam 3: NUR230 / NUR 230 (Latest 2026/2027 Update) Concepts of Nursing: The Childbearing, Assignments of Medicine

Galen Health Institute - San AntonioMedicine

Exam 3: NUR230 / NUR 230 (Latest 2026/2027 Update) Concepts of Nursing: The Childbearing/Child Caring Family | Questions & Answers | 100% Correct | Galen

Typology: Assignments

2025/2026

Available from 06/06/2026

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Exam 3: NUR230 / NUR 230 (Latest
2026/2027 Update) Concepts of Nursing: The
Childbearing/Child Caring Family |
Questions & Answers | 100% Correct | Galen
Upon examining a patient on day 2 after spontaneous vaginal delivery, a nurse finds the perineal
pad to be completely saturated with bright red blood over the last 15 minutes. The priority in
this scenario is:
A. Start a second intravenous line of Normal Saline
B. Notify the primary health care provider
C. Massage the fundus
D. Assess vital signs
C. Massage the fundus
The nurse recognizes the following postpartum changes are normal EXCEPT:
A. Low-grade fever (<100.2) in the first 24 hours
B. Profuse night-time sweating in the first few days postpartum
C. WBCs of 40,000/mm3
D. Intense shivering in the first hour postpartum without feeling cold
C. WBCs of 40,000/mm3
Related to uterine involution, the nurse recognizes all of the following statements are true
EXCEPT:
A. The fundus descends at a rate of about 1-2 cm every 24 hours.
B. The uterus should not be palpable abdominally after 2 days.
..GRADE A+
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Download Exam 3: NUR230 / NUR 230 (Latest 2026/2027 Update) Concepts of Nursing: The Childbearing and more Assignments Medicine in PDF only on Docsity!

Exam 3 : NUR230 / NUR 230 (Latest

2026/2027 Update) Concepts of Nursing: The

Childbearing/Child Caring Family |

Questions & Answers | 100% Correct | Galen

Upon examining a patient on day 2 after spontaneous vaginal delivery, a nurse finds the perineal pad to be completely saturated with bright red blood over the last 15 minutes. The priority in this scenario is: A. Start a second intravenous line of Normal Saline B. Notify the primary health care provider C. Massage the fundus D. Assess vital signs C. Massage the fundus The nurse recognizes the following postpartum changes are normal EXCEPT: A. Low-grade fever (<100.2) in the first 24 hours B. Profuse night-time sweating in the first few days postpartum C. WBCs of 40,000/mm D. Intense shivering in the first hour postpartum without feeling cold C. WBCs of 40,000/mm Related to uterine involution, the nurse recognizes all of the following statements are true EXCEPT: A. The fundus descends at a rate of about 1-2 cm every 24 hours. B. The uterus should not be palpable abdominally after 2 days.

C. Oxytocin causes the uterus to contract, causing the hemostasis of blood vessels in the uterine myometrium. D. The most common causes of subinvolution are retained placental fragments and infection. B. The uterus should not be palpable abdominally after 2 days. If a postpartum client complains of extreme perineal pain, especially after having received pain medication, the FIRST action by the nurse should be: A. Notify the provider B. Apply an ice pack to the perineum C. Assess the perineum D. Check the client's vital signs and fundus C. Assess the perineum The nurse is performing a 1 minute APGAR assessment of a newborn infant. Appearance Body pink, hands blue pulse 118 bpmGrimace Minimal response activity Some flexion Respiration Slow and irregular What is the APGAR score? A. 8 B. 7 C. 6 D. 5 D. 5 The nurse checks a newborn's axillary temperature after giving a bath. What type of heat loss may occur as a result? A. Conduction B. Convection C. Radiation

Which infants are at greatest risk of developing physiological jaundice? (Select all that apply) A. 3-hour-old infant born at term B. 2-day-old infant born at 35weeks C. An 18-hour-old SGA baby who is having difficulty breastfeeding D. A 2-day-old baby diagnosed with a cephalhematoma E. A 2-hour-old infant who is O-and the mother is B+ blood type B. 2-day-old infant born at 35weeks D. A 2-day-old baby diagnosed with a cephalhematoma An infant admitted to the NICU is exhibiting signs of neonatal abstinence syndrome. Which of the following behaviors would support this diagnosis? A. High-pitched shrill cry B. Hyper-dynamic precordium C. Depressed fontanels D. Excessive regurgitation A. High-pitched shrill cry Rubin describes one of the phases of maternal postpartum adjustment as "Mothers focus attention on themselves and their recovery needs. Mothers are dependent on others to make decisions and to care for their newborns." Which phase is she describing? A. Taking in B. Letting in C. Taking hold D. Letting go A. Taking in

What is the purpose of giving newborns Vitamin K/Phytonadione? A. It helps newborns create intestinal bacteria B. Given to prevent hemorrhage due to lack of Vit K in the gut C. It aids in the digestion of baby's first feedings D. Given to enhance newborn immunity B. Given to prevent hemorrhage due to lack of Vit K in the gut Which of the following findings indicates respiratory distress in the newborn when all are present simultaneously? SATA A. Respiratory rate 70 B. Apnea for 10 seconds C. Intercostal retractions D. Acrocyanosis E. Grunting F. Nasal Flaring A. Respiratory rate 70 C. Intercostal retractions E. Grunting F. Nasal Flaring Erythromycin eye ointment is administered to newborns after delivery to help which of the following? SATA A. Treat discharge from leaking from the eyes B. Prevent conjunctivitis C. Prevent complications associated with gonorrhea D. Prevent Group B Strep infections vertically transmitted from the mother E. Prevent neonatal blindness B. Prevent conjunctivitis

  1. Client
  2. Time
  3. Task
  4. Supervision
  5. Evaluation
  6. Task An unlicensed assistive person (UAP) is working on a rehabilitation unit. Which task would be appropriate for this person to delegate?
  7. Taking and recording vital signs
  8. Assisting with bathing
  9. Making a bed
  10. An unlicensed assistive person may not delegate tasks.
  11. An unlicensed assistive person may not delegate tasks. An RN delegates the task of taking a newly admitted clients vital signs to a nurses aide. The clients blood pressure was 182/98, but did not get reported to the physician for several hours. Who is responsible for the lapse in time between discovery and action?
  12. Nurse manager
  13. Aide
  1. Client
  2. RN
  3. RN A nurse manager has the reputation of being an autocratic leader. Which of the following statements by this manager would support that reputation?
  4. Id like to hear from you (addressing the staff) what your ideas are for promoting better morale in this unit.
  5. Im putting a suggestion box in the break room if anyone has ideas that would be helpful to the unit.
  6. The new work schedule is posted for the next 6 weeks.
  7. I put the new procedure manual out. Please add your comments to the blank sheet of paper attached to the front.
  8. The new work schedule is posted for the next 6 weeks. During a particularly heated staff meeting regarding staff assignments, the nurse manager makes this comment: When you all can come to a decision, let me know and well move on from there. This leader is best identified as which of the following?
  9. Democratic leader
  10. Permissive leader
  1. Transactional
  2. Shared A charge nurses responsibilities include the day-to-day management and coordination of therapies for the clients, client assignments, and scheduling. Which type of management is the charge nurse performing?
  3. Top level
  4. Middle level
  5. First level
  6. Upper level
  7. First level A nurse manager is working on new job descriptions for all nursing units of the hospital. Which management function is this nurse conducting?
  8. Planning
  9. Organizing
  10. Directing
  11. Coordinating
  12. Organizing

A hospital was named in a lawsuit after a client had to undergo a second surgical procedure because an arthroscopy was performed on the wrong knee during surgery. The hospital settled out of court with the client for damages. This is an example of which principle of management?

  1. Authority
  2. Responsibility
  3. Coordination
  4. Accountability
  5. Accountability A nurse manager has had to handle a particularly difficult physician who is demanding as well as demeaning. Through this situation, the nurse manager has learned that accuracy and honesty are attributes of which skill necessary for managers?
  6. Critical thinking
  7. Communication
  8. Networking
  9. Responsibility
  10. Communication
  1. Refreezing
  2. Unfreezing
  3. Moving
  4. Drift
  5. Unfreezing Prior to delegating a task, the nurse reviews the rights of delegation; these include which rights? Standard Text: Select all that apply.
  6. Supervision
  7. Evaluation
  8. Client
  9. Time
  10. Task
  11. Supervision
  12. Evaluation
  13. Task The nurse has been promoted to the role of manager for a client care area. What responsibilities of the nurse will this new role include?

Standard Text: Select all that apply.

  1. Accomplish the goals of the organization.
  2. Use the organizations resources efficiently.
  3. Ensure effective client care.
  4. Ensure compliance with regulatory standards.
  5. Manage relationships.
  6. Accomplish the goals of the organization.
  7. Use the organizations resources efficiently.
  8. Ensure effective client care.
  9. Ensure compliance with regulatory standards. A nurse is identified as being an effective leader. With this designation, the nurse will most likely demonstrate which characteristics? Standard Text: Select all that apply.
  10. Self-aware
  11. Focus on people
  12. Excellent communicator

Standard Text: Select all that apply.

  1. Energetic
  2. Creative
  3. Optimistic
  4. Open
  5. Risk taking
  6. Energetic
  7. Creative
  8. Optimistic
  9. Open The nurse has been promoted to a position that includes the supervision of first-level management and responsibility for activities in a specific department. This nurse will most likely have which title? Standard Text: Select all that apply.
  10. Supervisor
  11. Nurse manager
  12. Head nurse
  1. Primary care nurse
  2. Vice president
  3. Supervisor
  4. Nurse manager
  5. Head nurse The nurse practices responsibility when functioning in the role of manager of a care area. What will the nurse manager demonstrate as evidence of responsibility? Standard Text: Select all that apply.
  6. Effective utilization of resources
  7. Communication to subordinates
  8. Implementation of organizational goals and objectives
  9. Problem solving
  10. Managing the work team
  11. Effective utilization of resources
  12. Communication to subordinates
  13. Implementation of organizational goals and objectives
  14. Problem Solving The nurse is determining whether an activity can be delegated to a UAP. What will the nurse use to make this determination?
  1. Excellent communication skills
  2. Effective utilization of resources
  3. Self-confident
  4. Skilled in teaching
  5. Excellent communication skills
  6. Effective utilization of resources The manager determines that a new graduate nurse needs additional training on the principles of delegation. What delegation to unlicensed assistive personnel did the manager observe to make this decision? Standard Text: Select all that apply.
  7. Bathing a patient recovering from surgery
  8. Weighing a patient who is prescribed diuretics
  9. Discharge instruction teaching
  10. Transferring and ambulating a client after hip replacement surgery
  11. The care of an intravenous access device
  12. Discharge instruction teaching
  13. The care of an intravenous access device The nurse is providing care within the total care context. What should the nurse consider when using this care approach?
  1. The individualism of the client
  2. Principles applicable to the client at this moment
  3. Principles general to all clients of the same age and condition
  4. The persons self-identity
  5. Principles general to all clients of the same age and condition The nurse is practicing the concept of holism with a client. Which action is the nurse most likely making?
  6. Considering how the loss of a clients job will affect the regulation of the clients diabetes
  7. Making sure to do complete teaching regarding pharmacological interventions
  8. Following physician treatments on schedule
  9. Prioritizing the needs of the client assigned according to Maslows hierarchy
  10. Considering how the loss of a clients job will affect the regulation of the clients diabetes Psychologic homeostasis is maintained by a variety of mechanisms. Which client should the nurse identify as being the most likely candidate to obtain psychologic homeostasis?
  11. A child who is used to getting ready for school alone
  12. A teenager whose circle of friends includes single parents of the same age
  13. An elderly person who has just moved to a long-term care facility
  14. A young adult who is in a long-term relationship
  15. A young adult who is in a long-term relationship A client is having difficulty with feelings of self-loathing and disgust after being attacked and raped. According to Maslows human needs theory, at which level should the nurse recognize that the client is struggling?