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Maternal Exam 2 Study Guide
- a postpartum women (gravida1, para 1) asks the nurse rooming-in allows in- immediately after delivery if she should request room- creases maternal-new- ing-in with her newborn. what would be the best re- sponse from the nurse?
born contact
- the nurse is assessing a child who has been diagnosed left upper quadrant (LUQ) with mononucleosis for splenomegaly. which area of the abdomen would be palpated to identify the abnor- mality?
- which action by the mother relates to the nurse that she is accepting her child?
- the nurse is providing discharge teaching to the post- partum client regarding mood
mom turns her face to meet the newborn's eyes when she holds her new- born
baby blues may present in the first few days af-
changes to report. In differentiating between the baby ter birth and resolves prior blues and postpartum depression, what statements would be accurate?
- after delivery, a client is diagnosed with postpartum preeclampsia. What care will the nurse provide to this client? (SATA)
to the second postpartum week
- maintain on bed rest with bathroom privileges
- monitor urine output and daily weight
- administer magnesium sulfate as prescribed
- administer antihyper-
Maternal Exam 2 Study Guide
tensive medication as pre- scribed
Maternal Exam 2 Study Guide
- pectus exacavatum
during the assessment of a 7-year-old male the nurse notes an abnormal depression of the lower portion of the sternum. The child is alert and orientated and in no apparent distress. what should the nurse expect?
- the nurse is preparing a seminar on breastfeeding for breastfeeding enhances a group of pregnant clients. Which information should bonding with the newborn the nurse include during the seminar?
- a nurse is assessing a newborn for congenital hip dys- 1. newborn has one leg plasia. Which signs or symptoms should be brought that appears longer than to the attention of the health care provider for further the other assessment? (SATA)
- which technique is used to palpate the fundal height on a postpartum client?
- why are postpartum women prone to urinary reten- tion?
- newborn who has ex- tra skin folds on the inner thigh of one leg
- newborn who has a click in the hip joint when one hip is maneuvered
placing one hand at the base of the uterus and one on the fungus
decreased bladder sensa- tion results from edema because of pressure from birth
- a nurse is helping her postpartum client up to the bath- the color of the flow is red room for the first time after delivery. Which finding indicates her lochia is normal or expected?
hold the newborn upright with their feet touching a flat surface
positioning the newborn near her breast and stroking newborn cheek to encourage him to latch
retracting the foreskin over the glans to assess for se- cretions
incessant crying
would the nurse expect?
- in providing care to the postpartum client, the nurse recognizes that women are hypercoagulable during the third trimester of pregnancy and that assessment of this client should include evaluation for the devel- opment of venous thromboembolism. Which of the
- observe the lower ex- tremities for symmetry
- auscultation of lung sounds
following should be included in this evaluation? (SATA)
- observation of respira- tory rate and ettort
- the nurse had instructed a mother on the importance of providing a toddler with a balanced diet. What ob-
the mother prepares a scrambled egg for the tod-
servation during a home visit indicates that the mother dlers breakfast understands the education?
- in caring for a postpartum client, the nurse will include 1. macrocosmic infant assessment and observation for signs of postpartum hemorrhage. What would indicate an increased risk for postpartum hemorrhage? (SATA)
- dysfunctional or pro- longed labor
- multiparty
- which assessment finding indicates to the nurse that a inability for the hip to newborn has hip sublimation?
- which of the following is an advantage of breastfeed- ing for the newborn?
- the nurse assesses a postpartum client's discharge as being moderate in
should the nurse document the appearance of the lochia?
- the nurse in the pediatric clinic is providing educa- tion to the parents of a child newly diagnosed with autism. Which of the following would be included in the lifestyle implementation? (SATA)
- during a home visit, a postpartum client reports full- ness and tenderness on the outer side of her right breast. with light palpation, the nurse feels a small lump with engorgement. what is the expected finding?
- a new mother asks the nurse how soon she can try to
- social skills training
- speech and language therapy
- structured and pre- dictable environment
plugged milk duct
as soon as possible or
breastfeed after delivery. Which of the following would as soon as the newborn be the nurse's best response? shows feeding cues
- the nurse is teaching new parents how to calculate the 16-24 oz amount of formula to feed their newborn each day. The baby weighs 8 lbs. How much formula should the nurse teach the parents to provide?
- a postpartum woman is prescribed an antibiotic be- signs of thrush and easy cause of endometritis. Her breast-fed newborn should bruising be observed for...
- the nurse is evaluating a new mother's ability to effec- 1. nipples are everted tively breastfeed her newborn. What criteria indicates that the mother should be breastfeeding? 2.^ breast are soft and non- tender
- a nurse is caring for a newborn with myelomeningo- cele. What actions should the nurse include in their care?
- a nurse at a well-baby clinic is collecting data about a nine-month-old infant. The nurse understands that what occurs at this stage of development?
- a nurse is caring for an adolescent whose moth- er expresses concern about the child sleeping such long hours. What is associated with the long sleeping hours?
- a new mother asks the nurse how to determine if the baby is receiving enough breast milk. How should the nurse respond to the mother?
- what actions should the nurse take to prepare the preschool aged child for a physical examination?
- mother holds the new- born close to her breast (holds newborn like a football)
- newborn swallows spontaneously and fre- quently
apply a sterile, moist dressing on the sac
fear of strangers
rapid growth
the newborn should gain weight and have six wet diapers daily
allow the child to role play
- the nurse is concerned that a new mother is not show- schedule home visits for ing interest in the newborn and does not participate in newborn care. What action should the nurse take
mother, newborn, and support person
The client is noted to have lost consciousness on her way to the bathroom, what is the nurses first priority?
- while inspecting a newborn's head, the nurse identifies cephalohematoma a swelling of the scalp on the right posterior side of the head, what is this expected finding?
- the nurse is caring to a postpartum woman 18 hours after the primary cesarean section for preeclampsia. The client is noted to have a boggy uterus and a mod- erate to large amount of vaginal bleeding. The nurse notifies the physician of these findings and expects an order for what?
misoprostol
- the nurse observes a mother telling a toddler that pas- toddlers need carbohy- ta and potatoes will make the child fat. What should the nurse instruct the mother about these food items?
- the nurse is assessing a term newborn. Which finding
drates for brain function
creases on two thirds of
should the nurse expect when assessing the pattern of the foot sole creases?
- a nurse is caring for a 9-month-old with influenza. What would be a toy that could be used to interact, play, or distract them from the discomfort?
- during a home visit, a new mother is concerned that after three meconium stools her newborn is now start- ing to have yellow seedy stools. What should the nurse explain?
graduated size wooden rings on a solid platform or large plastic blocks
this is a normal finding
- 30-60 breaths per minute
a preterm newborn is placed in a radiant heat warmer immediately after birth. What nursing diag- noses would this be?
inettective thermoregula- tion related to immaturity
- a newborn is prescribed to receive vitamin k 0.5 mg in- administer the medication tramuscularly. What should the nurse do to administer into the vests lateralis this medication to the newborn?
- a postpartum woman has a fourth-degree perineal lac- administer of aceta- eration. Which of the following physician orders would minophen/oxycodone for the nurse anticipate?
- the nurse instructs the parents of a newborn on ac- tions to prevent sudden infant death syndrome. What observation indicates that teaching has been effec- tive?
- when assessing a newborn, the apgar score deter- mines the ability of the newborn to transition to ex- trauterine life. What does the Apgar score assess? (SATA)
- during a home visit, the nurse determines that a tod- dler has a difficult temperament. What did the nurse observe in this visit? (SATA)
- a nurse is caring for a 4-year-old female. What action is expected of a preschool aged child?
pain
newborn is placed on the back to sleep
- color
- heart rate
- respiration
- withdrawing
- intense mood/negative mood
- menial adaptability
relating fears to magical thinking
the nurse provides discharge instructions to a post- partum client who had a vaginal birth. What client statement indicates that teaching has been effective?
- a nurse is caring for a client who has delivered her first newborn less than 24 hours ago. The newborn has been diagnosed with hyperbilirubinemia. While
I can return to my full-time job after 6 weeks
- biliary atresia
- abo incompatibility
providing education to the client on this condition, the
- Rh isoimmunization nurse should include what has potential causes of this condition? (SATA) (blood group incompati- bility)
