Following a precipitous delivery, examination of the client’s vagina reveals a fourth-degree laceration. Which of the following would be contraindicated when caring for this client? A. Applying cold to limit edema during the first 12 to 24 hours. B. Instructing the client to use two or more peri pads to cushion the area.… Read More »
In which of the following types of spontaneous abortions would the nurse assess dark brown vaginal discharge and a negative pregnancy test? A. Threatened B. Imminent C. Missed D. Incomplete Correct Answer: C. Missed In a missed abortion, there is early fetal intrauterine death, and products of… Read More »
When teaching parents about the child’s readiness for toilet training, which of the following signs should the nurse instruct them to watch for in the toddler? A. Demonstrates dryness for 4 hours. B. Demonstrates ability to sit and walk. C. Has a new sibling for stimulation. D. Verbalizes desire to go… Read More »
Which of the following signs and symptoms will most likely make the nurse suspect that the patient has hydatidiform mole? A. Slight bleeding B. Passage of clear vesicular mass per vagina C. Absence of fetal heartbeat D. Enlargement of the uterus Correct Answer: B. Passage of clear vesicular mass… Read More »
An appropriate nursing intervention when caring for a postpartum mother with thrombophlebitis is: A. Encourage the mother to ambulate to relieve the pain in the leg. B. Instruct the mother to apply elastic bondage from the foot going towards the knee to improve venous return flow. C. Apply warm compress on the… Read More »
When caring for a 3-day-old neonate who is receiving phototherapy to treat jaundice, the nurse in charge would expect to do which of the following? A. Turn the neonate every 6 hours B. Encourage the mother to discontinue breastfeeding. C. Notify the physician if the skin becomes bronze in color. D.… Read More »
One hour following a normal vaginal delivery, a newborn infant boy’s axillary temperature is 96° F, his lower lip is shaking and, when the nurse assesses for a Moro reflex, the boy’s hands shake. Which intervention should the nurse implement first? A. Stimulate the infant to cry. B. Wrap the infant in warm… Read More »
Immediately after birth, the nurse notes the following on a male newborn: respirations 78; apical heart rate 160 BPM, nostril-flaring; mild intercostal retractions; and grunting at the end of expiration. Which of the following should the nurse do? A. Call the assessment data to the physician’s attention B. Start oxygen per nasal cannula… Read More »
A newborn’s failure to pass meconium within the first 24 hours after birth may indicate which of the following? A. Hirschsprung disease B. Celiac disease C. Intussusception D. Abdominal wall defect Correct Answer: A. Hirschsprung disease Failure to pass meconium within the first 24 hours after birth… Read More »
When doing perineal care in preparation for delivery, the nurse should observe the following, except? A. Use up-down technique with one stroke. B. Clean from the mons veneris to the anus. C. Use mild soap and warm water. D. Paint the inner thighs going towards the perineal area. … Read More »