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NUR2513 MATERNAL-CHILD NURSING
EXAM 2 ACTUAL EXAM, PRACTICE
EXAM AND STUDYGUIDE QUESTIONS
AND DETAILED CORRECT ANSWERS |
NUR 2513 EXAM 2025
A newborn who was delivered 2 hrs ago is being assessed in the nursery. Upon exam, nurse notes a flattened nasal brduge, wide set eyes, low set ears and overall decrease in tone. Given these exam findings, what diagnostic rst would the nurse anticipate that the physician will order A. Hemoglobin electrophoresis B. CT of the brain C. Meconium toxicology testing D. Chromosomal blood testing Correct Answer D. Chromosomal blood testing 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 Correct Answer 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 Correct Answer 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 Correct Answer 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 Correct Answer C. assess blood pressure and HR
Nurse is caring for a postpartum woman 18 hrs after primary c-section for preeclampsia. The client is noted to have a boggy uterus and a moderate to late amount of vaginal bleeding. The nurse notifies the physician of these findings and expect an order for which of the following medications? A. Terbutaline B. Hydrocodone/ acetaminophen C. Mag Sulfate D. Carboprost Correct Answer 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 Correct Answer 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 Correct Answer 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 Correct Answer B. This is mild jaundice due to the immaturity of the babys liver. We will continue to monitor bilirubin levels 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 Correct Answer 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
B. allow the child to role play C. Use the medical terminology to describe what will happen D. Keep medical equipment visible to the child Correct Answer B. allow the child to role play 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 Correct Answer 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? A. Uterine involution is slowed by breastfeeding B. Breastfeeding might increase the risk of breast cancer C Breastfeeding enhances bonding with the infant D. Breastfeeding mothers have decreased risk of developing thrombophlebitis Correct Answer C Breastfeeding enhances bonding with the infant When assessing a newborn, the APGAR assess the ability of the newborn to transition to extrauterine life. What does the APGAR assess. SATA A. Gender B. Respirations
C. Birth time D. Heart Rate E. Color Correct Answer B. Respirations D. Heart Rate E. Color At birth, the infant has dry, cracked skin, absence of vernix, lack of subcutaneous fat, fingernails extending beyond fingertips and poor turgor. Based on these findings, how would the nurse classify this neonate? A. Small gestational age B. Preterm C. Large for gestational age D. Post term Correct Answer 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 Correct Answer 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
small lump. For which health problem should the nurse plan care for this client? A. Engorgement B. Plugged milk duct C. Breast Cancer D. Mastitis Correct Answer D. Mastitis According to piaget, which basic concept will the child learn the first year of life? A. his parents are not perfect B. he is not an extension of their parents C. He cannot be fooled by changing shapes D. Most procedures can be reversed Correct Answer B. he is not an extension of their parents 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 Correct Answer B. Observe lower extremities for symmetry D. Observe respiratory rate and effort E. Auscultate lung sounds
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 Correct Answer B. Administer medication into the vastus lateralis Which technique is used to palpate the fundal heigh on postpartum client? A. Placing one hand on the fundus, one on the perineum B. Resting both hands on the fundus C. Palpating the fundus with only fingertip pressure D. Placing one hand at the base of the uterus , one on the fundus Correct Answer D. Placing one hand at the base of the uterus , one on the fundus A nurse is caring for a 4 yr old female. Which of the following is expected of a preschool-aged child A. Describing manifestations of illness B. Understanding cause of illness C. Relating fears to magical thinking D. Awareness of body function Correct Answer A new mother asks the nurse how soon she can try to breastfeed after deliery. Which of the following would be the nurses best response? A. Once the infant has his first feeding of formula B. Immediately after birth
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 Correct Answer 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 Correct Answer 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 Correct Answer B. Newborn is placed on the back to sleep
A neonatal nurse is assessing a 2-hr old male newborn. She notes that the urethra meatus is not midline but is displaced on the dorsal surface(top side) of the penis. What is the medical term for this? A. Undescended testicle B. Varicocele C. Hypospadias D. Epispadias Correct Answer The nurse is assessing a client at her 8 week postpartum appt. The client states she fees tired all the time, ha trouble falling and staying asleep. She feels overwhelmed and forgetful and "just doesnt feel connected" to her baby. She denies thoughts of harming herself or her baby. These symptoms may indicate which of the following to the nurse A. Baby blues B. Normal postpartum feelings C. Postpartum psychosis D. Postpartum depression Correct Answer D. Postpartum depression When collecting data from an infant, which of the following techniques should the nurse use to elicit the stepping reflex? A. place an object in the infant palm B. Strike a flat surface on which the infant is lying C. Hold the infant upright with his feet touching a flat survive
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 Correct Answer 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 Correct Answer A. Lochia rubra Nurse is assisting a new mother to begin breastfeeding for her newborn son. Which action is most appropriate for the nurse to take? A. Cautioning her not to allow the infant to grasp the areola of her breast to prevent soreness B. Positioning the infant near her breast and stroking his cheek to encourage him to suck C. Stressing that breastfeeding is a normal process and minimal help is needed to learn it D. Encouraging her to lie on her side and help the baby become wide awake by talking to him Correct Answer B. Positioning the infant near her breast and stroking his cheek to encourage him to suck Nurse instructed a mother on the importance of providing a toddler with a balanced diet. Which observation during a home visit indicates that instruction has been effective?
A. child take candy from a dish that is placed on the coffee table in the living room B. Mother prepares a scrambled egg for the toddlers breakfast C. mother places a serving of fried finger foods on a plate for the child D. The child is eating a piece of cake and ice cream for lunch Correct Answer B. Mother prepares a scrambled egg for the toddlers breakfast Why are postpartum women prone to urinary retention? A. decreased bladder sensation results from edema because of pressure of birth 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 Correct Answer 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 Correct Answer
A nurse is assessing a newborn infant for congenital hip dysplasia. Which signs or symptoms should be brought to the attention of the health care provider for further evaluation? SATA A. An infant who has one leg that appears longer than the other B. An infant who has a click in the hip joint when one hip is maneuvered C. An infant who has extra skin folds on the inner thigh of one leg D. An infant who is actively moving all extremities E. An infant whose bilateral leg length is symmetric Correct Answer A. An infant who has one leg that appears longer than the other B. An infant who has a click in the hip joint when one hip is maneuvered C. An infant who has extra skin folds on the inner thigh of one leg When caring for a newborn several hours after birth, what would the nurse assess as normal newborns respiratory rate? A. 20 to 30 breaths/min B. 16 to 20 breaths/min C. 12 to 16 breaths/min D. 30 to 60 breaths/min Correct Answer D. 30 to 60 breaths/min An infant develops hydrocephalus at 2 weeks of age. Which finding would the nurse expect to assess?
A. Hypothermia in the late afternoon B. Excessive thirst C. A soft, fretful cry D. Bulging fontanels Correct Answer D. Bulging fontanels The nurse is evaluating a new mothers ability to effectively breastfeed in her infant. Which criteria indicates that the mother should be able to breastfeed independently? SATA A. Nurse places pillow under the baby for support B. Infant swallows spontaneously and frequently C. Breasts are soft and non-tender D. Nipples are everted E. The mothers hold the infant close to her breast in a football hold Correct Answer B. Infant swallows spontaneously and frequently C. Breasts are soft and non-tender D. Nipples are everted E. The mothers hold the infant close to her breast in a football hold While inspecting a newborns head, the nurse identifies a swelling of the scalp on the right posterior side of the head that doe snot cross the suture line. What term describes this finding? A. enlarged fontanelle B. Molding C. Cephalohematoma D. Caput Succedaneum Correct Answer C. Cephalohematoma
