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NUR 263 Health Nursing-50QA|100% verified Questions And Answers latest 2023, Exams of Nursing

Saint Francis Medical Center College of NursingNursing

50 questions and answers related to nursing care during and after childbirth. The questions cover a range of topics including perineal pain, vital signs, discharge education, obstetric history, fetal monitoring, and postpartum hemorrhage. The questions are multiple-choice and are designed to test the knowledge of nursing students. likely to be useful as study notes or exam preparation material for nursing students.

Typology: Exams

2022/2023

Available from 10/26/2023

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NUR 263 Health Nursing-50QA|100% verified
Questions And Answers latest 2023Rasmussen
College
1. Three hours after a vaginal delivery, the client reports
increase perineal pain. What should the nurse do first?
a. Assess the perineum.
b. Perform perineal care.
c. Apply ice to the perineum.
d. Administer analgesia as order.
2. A woman gave birth to a 7-pound 6-ounce infant girl one hour
ago. The birth was vaginal, and the estimated blood loss (EBL)
was 1500ml. When assessing the woman's vital sign what
should be most concerning to the nurse?
a. HR 116
b. Temp 99. *F
c. HR 60
d. BP 138/86
3. The nurse is caring for a 15-year-old Primipara who was
delivered yesterday. Which is the most appropriate
intervention when planning the clients discharge education?
a. Have the client watch a video on newborn care.
b. Demonstrate how to care for the newborn and have
the clients return the demonstration.
c. Give her information about a support group for adolescent
mothers.
d. Give the client printed instructions on newborn care.
4. A woman presents to labor and delivery at 35 weeks gestation
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Download NUR 263 Health Nursing-50QA|100% verified Questions And Answers latest 2023 and more Exams Nursing in PDF only on Docsity!

NUR 263 Health Nursing-50QA|100% verified

Questions And Answers latest 2023Rasmussen

College

  1. Three hours after a vaginal delivery, the client reports increase perineal pain. What should the nurse do first? a. Assess the perineum. b. Perform perineal care. c. Apply ice to the perineum. d. Administer analgesia as order.
  2. A woman gave birth to a 7-pound 6-ounce infant girl one hour ago. The birth was vaginal, and the estimated blood loss (EBL) was 1500ml. When assessing the woman's vital sign what should be most concerning to the nurse? a. HR 116 b. Temp 99. *F c. HR 60 d. BP 138/
  3. The nurse is caring for a 15-year-old Primipara who was delivered yesterday. Which is the most appropriate intervention when planning the clients discharge education? a. Have the client watch a video on newborn care. b. Demonstrate how to care for the newborn and have the clients return the demonstration. c. Give her information about a support group for adolescent mothers. d. Give the client printed instructions on newborn care.
  4. A woman presents to labor and delivery at 35 weeks gestation

with the following obstetric history: She delivered one child at 28 weeks gestation: child still living. She had a miscarriage at 8 weeks gestation. Should deliver one child at 36 weeks gestation: Child still living. What is her GTPAL? G= 4 T= 0 P= 2 A= 1 L= 2

  1. The nurse is caring for a client who has just delivered vaginally. After assuring there is a patent airway, which of the following action should the nurse’s next priority in the care of the neonate?

b. U/1 below c. -1 below d. 1/U above

  1. A client is identifying as RH negative. At 28 weeks gestation, the healthcare provider orders prophylactic RhoGAM. The client tells the nurse she does not need the medication because her last child was RH negative. What should the nurse do? a. Administer a partial dose of the medication. b. Wait until the client is in labor and give her the injection then. c. Explain to the client why she needs the injection.

d. Agree with the client.

  1. A woman gave birth vaginally to a 9-pound 12-ounce girl yesterday. Her primary care provider has written order for perineal ice packs, use of a sitz bath TID and a stool softener. What information is most closely correlated with disorders? a. The woman is a gravida 2 para 2. b. The woman received epidural Ennis this year. c. The woman has an episiotomy. d. The woman experienced an atraumatic delivery
  2. The prenatal nurse providing care to a laboring woman recognizes variable deceleration. What is the appropriate initial nursing action? a. Assist the woman to a left lateral position. b. Increase the IV rate. c. Document the fetal heart rate and variability. d. All the health care providers.
  3. A nurse applies an external fetal monitor and toco- transducer to monitor the fetal heart rate and contractions of a client in labor. The FHR is in the one 40s contractions are every 2- 3 minutes and 60 seconds in duration. The nurse performs a vaginal exam and finds the cervix is 6 cm dilated, and the fetus is at a -1 station. Which of the following stages and phases of Labor is this client experiencing? a. first stage, transition phase b. second stage of Labor c. first stage, active phase. d. first stage, early (latent) phase.

b. Increase urinary output, c. Large for gestation age. d. Uteroplacental insufficiency.

  1. If a newborn does not pass meconium during the first 36 hours of life. what is the most appropriate priority action by the nurse? a. Notify the physician. b. Measure the abdominal girth. c. Increase the number of oral feedings. d. Observe the annual area for fissures.
  2. A client at 39 weeks gestation in the latent phase of Labor is admitted to the labor and delivery unit. the client is attempting a vaginal birth after caesarean birth. in reviewing the client's medical record, the nurse should recognize which of the following has a contraindication to a VBAC? a. low transverse incision. b. A full-thickness incision. c. a classical vertical incision.
  3. a horizontal incision.
  4. A client is admitted in labor. her cervix is 100% effaced and 5 cm dilated. her fetus is in cephalic position and is at +1 station. What does the nurse know about the position of the fetus head? A. It is below the ischial of the spine. B. It Is ballotable. C. It is not yet engaged. D. it is visible at the vaginal opening.
  5. A G2 T2 P0 a L2 client experienced a precipitous birth 90 minutes ago. her in front weight 4200 grams and a repair of a second-degree laceration was needed following the birth. as part of the nursing

assessment, the nurse discovers that the patient’s uterus is buggy. Furthermore, it is noted that the patient's vaginal bleeding has increased. what is the nurse most appropriate for actions? A. Massage the uterine fundus with continual lower segment support. B. Ensure appropriate lightening for a perineal repair if it is needed. C. Measure and document each perineal ped changed to assess blood loss. D. Assess vital sign, including blood pressures and pulse.

  1. The neonatologist has ordered antibiotic therapy for an 8.8-pound newborn. the order is for Ampicillin 75mg/ kg/day IV in equally divided hours. how many mg will be administered per

on. C. Radiation. D. Convection.

  1. Which symptoms would require careful medical assessment during the postpartum period? A. Constipation. B. Urinary output of 2000mL/day C. Engorgement D. Headaches
  2. A laboring woman received butorphanol in opioid, IVP 30 minutes before she gave birth. which medication should be available to reduce the effect of the butorphanol on the neonate? A. Naloxone B. Promethazine

C. Surfactant D. Nalbuphine

  1. The mothers of a term neonate ask the nurse what the thick, white, cheesy coating is on her baby’s skin. which correctly describes this finding? A. amniotic fluid B. vernix C. lanugo D. milia
  2. A client continues to pass large number of clots and bright red lochia despite the nurses attempt to massage the fundus. Upon reexamination, the nurse finds that the clients uterine fundus remains boggy. The nursing action and oxytocin do not seem to be helping to keep the fundus firm. which of the following medications would the nurse anticipate the physicians may order to manage uterine atony? A. Methylergonovine B. Betamethasone C. Terbutaline Sulfate D. Magnesium Sulfate
  3. A woman has requested an epidural for her pain. she is 5 cm dilated and 100% effaced. the nurse reviews her laboratory value and note that the woman's hemoglobin is 12g/dL hematocrit is 38%, platelets are 70,000 and WBC are 12,000/mm3. which factors would contraindicate an epidural for the woman? A.she has thrombocytopenia. B. She is septic. C. She is anemic. D. She is too far dilated. 30 The neonatal nurse providing care for a premature infant who begins to demonstrate signs of cyanosis in room air, tachypnea, retractions, and it is often accompanied by an expiratory grunt. what are these

E. Oxytocin 32 A nurse is assessing the newborn of a mother with a drug addiction. which assessment finding would the nurse expect to note during the assessment of this newborn? A. Excessive crying B. Easily consoled. C. Cuddles when being held. D. Sleepiness

  1. A client at 38 weeks gestation tells the nurse that it feels like her baby is sitting on her bladder causing her to urinate more frequently. However, the client states it has made it easier for her to breathe. What does the nurse recognize this is a sign of? A.lightening B. Flexion C. Quicke ning D contractions
  2. When planning client instructions on breastfeeding, the nurse includes that the amount of breast milk the mothers produce is directly related to which of the following? A. Her nipple erectility. B.Her newborn’s sucking stimulus. C. Her newborns weight. D. Her breast size
  3. The perinatal nurse prepares the laboring woman for an epidural anesthesia insertion. to prevent maternal hypotension. what should the nurse do? A. Encourage frequent cleansing breads after the patients has been placed in the correct position for the anesthesia administration. B. Assess blood pressure and pulse every 5 minutes, three

times, before the epidural insertion. C. Administer an IV fluid bolus of 500ML of normal Saline or LR. D. Assist the woman to lie down in a supine position.

  1. A 26-year-old G3 TPAL 3004 postpartum woman has a deep vein thrombosis related to antenatal bedrest therapy, multiple gestation (giving birth to Twins) and an operative birth. she is now 48 hours postpartum and states I feel anxious and have some pain in my chest. the patient's respiratory rate is 28 breaths per minute. what are the perinatal nurses most appropriate first step? A. assess the patient's blood pressure and pulse. B. assist the patient into a Trendelenburg position. C. changed her position. D. Call for help
  2. Which of the following actions helped to decrease the risk of hyperbilirubinemia in the

the baby displays a weak respiratory effort. (1) What is the APGAR score? SCORE IS 6

  1. A postpartum client who delivered 3 hours ago states I feel all wet underneath. “what should be the initial action of the nurse? A. Determine when she last avoided. B. Perform perineal care. C. Ask the client to rate her discomfort on a scale of 1-10. D. Assess her lochia flow.
  2. Following delivery, the nurse would first assess which two newborn body system that must undergo the most rapid changes to support extrauterine life? A. Respiratory and cardiovascular

B. Neurologic and temperature control. C. Gastrointestinal and hepatic. D. Urinary and hematologic

  1. What is the most critical nursing action in caring for the newborn immediately after birth? A.Keeping the newborn airway clear. B. Crying the newborn and wrapping the infant in the blanket. C. Fostering parent- newborn attachment. D. Administering eye drops and vitamin K. 44 A newborn goes through many changes at the time of delivery when transitioning two extrauterine life. what is a normal change that the nurse will observe? A. Asymmetry B. Acrocyanosis C. Atonia D. Apnea
  2. The nurse expects to administer oxytocin to a woman after expulsion of her placenta. what effect will this medication have on the client? A. Decrease uterine contraction. B. Relieve pain C. Stimulate uterine contraction. D. Prevent infection.
  3. A new mother calls the clinic 4 days after deliver. She is breastfeeding her infant and is concerned that her baby is not getting enough milk. what is the most important question for the nurse to ask the mother? A.How many wet diapers has your baby had in the last 24 hours? B. Do your breasts tingle when you begin to nurse? C. Are your nipple sores or bleeding. D do you have any red or tender area on your breast.

B. Increasing the frequency of breastfeeding sessions. C. Switching permanently to formula. D. Feeding the newborn nothing by mouth.

  1. For a woman at 42 weeks gestation, which finding would require more of an assessment by the nurse? A.Maternal report of no fetal movement over the past hour. B. Fetal heart rate of 118 beats/minute. C. Cervix dilated 2 cm and 50% effaced. D. Reactive nonstress test.
  2. A nurse has provided discharge instruction to a client who delivered a healthy infant by cesarean section. Which statement made by the client indicates a need for further instruction? A. I will begin abdominal exercise immediately. B. I will turn on my side and push up with my arms to get out of bed. C. I will lift nothing heavier than the baby for at least two weeks. D. I will notify the physician if I develop a fever.