CMCA-LEC-FINAL-EXAM QUESTIONS WITH ANSWERS

CMCA-LEC-FINAL-EXAM QUESTIONS WITH ANSWERS
1. The primary critical observation for Apgar scoring is the:
a. Respiratory rate
b. Evaluation of the Moro reflex
c. Heart rate
d. Presence of meconium
2. 10. A client has just given birth at 42 weeks’ gestation. When assessing the neonate,
which physical finding is expected?
a. Lanugo covering the body
b. Desquamation of the epidermis
c. Vernix caseosa covering the body
d. A sleepy, lethargic baby
3. 11. The nurse is preparing to discharge a multipara 24 hours after a vaginal delivery. The client
is breast-feeding her newborn. The nurse instructs the client that if engorgement occurs the
client should
a. Wear a tight fitting bra or breast binder.
b. Restrict fluid intake to 1000 ml. daily
c. Apply warm, moist heat to the breasts
d. Contact the nurse midwife for a lactation suppressant
4. 12. A nurse is assessing a newborn infant following circumcision and notes that the
circumcised area is red with a small amount of bloody drainage. Which of the following
nursing actions would be most appropriate?
a. Contact the physician
b. Reinforce the dressing
c. Document the findings
d. Circle the amount of bloody drainage on the dressing and reassess in 30 minutes
5. 13. Vitamin K is prescribed for a neonate. A nurse prepares to administer the medication
in which muscle site?
a. Triceps
b. Vastus lateralis
c. Biceps
d. Deltoid
6. 14. A nursing instructor asks a nursing student to describe the procedure for administering
erythromycin ointment into the eyes if a neonate. The instructor determines that the
student needs to research this procedure further if the student states:
a. “I will instill the eye ointment into each of the neonate’s conjunctival sacs within
one hour after birth.”
b. “I will flush the eyes after instilling the ointment.”
c. “Administration of the eye ointment may be delayed until an hour or so after birth
so that eye contact and parent-infant attachment and bonding can occur.”
d. “I will cleanse the neonate’s eyes before instilling ointment.”
7. 15. When teaching umbilical cord care to a new mother, the nurse would include
which information?