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NUR 2513 Exam 2
- Which technique is used to palpate the fundal height on a postpartum client?
Answer
place hand at the base of the uterus, one on the fundus
- Which assessment finding indicates to the nurse that a newborn has hip subluxation?
Answer
Inability of the right hip to abduct
- The nurse is providing discharge teaching to the post-partum client regarding mood
changes to report. In differentiating between post partum de- pression and baby blues what should be included in the instructions?
Answer
Baby blues may present in the first few days after birth and resolve prior to the second postpartum week.
- Hypoglycemia in a mature infant is defined as a blood glucose level below which amount?
Answer
40-100
- The nurse assesses a postpartum client's discharge as being moderate in amount and red in
color. How should the nurse document the appearance
Answer
- Lochia rubra 1 / 3
- By the time children reach their tenth birthday, they should have learned to trust others and
should have developed a sense of what?
Answer
industry
- The parents of a newborn are concerned that something is wrong with their newborns
eyesight. What should the nurse instruct the parents as being
Answer
follows a light to the midline
- A nurse is caring for a four year old female. Which of the following is expected of a
preschool-aged child?
Answer
relaxing fears to magical thinking
- In providing care to the postpartum client the nurse recognizes that women are
hypercoagulable during the 3rd trimester of pregnancy and that assessment of this client should include evaluation for the development of venous thromboembolism . Which of the following should be included in this evaluation ?
Answer
- observe the lower extremities
- Observation of respiratory rate and effort
- The nurse has instructed on the importance of providing a toddler with a balanced diet.
Which observation during a home visit indicates that instruction has been effective?
Answer 2 / 3
The mother prepares a scrambled egg for the toddler's breakfast.
- The nurse is caring for a postpartum woman 18 hours after primary cesarean section for
preeclampsia. The client is noted to have a boggy and a moderate to large amount of vaginal bleeding. The nurse notifies the physician of these findings and expects an order for which of the following medications ?
Answer
Carboprost
- A nurse is caring for a nine month old with influenza. Which of the following might be a
toy that could be used to interact, play, or distract them from the discomfort?
Answer
large plastic stacking blocks
- A nurse is caring for an infant with myelomeningocele. Which of the following actions
should the nurse include in the preoperative plan of care?
Answer
apply a sterile, moist dressing on the sac
- 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 displacement is noted. What is the priority nursing action?
Answer
empty the bladder
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