NUR 2513 / NUR2513 Exam 2 Maternal Child Nursing –
Rasmussen
1. A newborn with esophageal atresia has just returned from surgery to place a gastrostromy
tube. Which nursing diagnosis will the nurse use to plan the care for this client?
- risk for imbalanced nutrition
2. The physiciam ordered promethazine 25 mg at bedtime for the client. Promethazine is
supplied as 6.25 mg/ 5mL. How many mL will the nurse administer?
- 20
3. A nurse is caring for a 4 year old female. Which of the following is expected of a
preschool aged child?
- relating fears to magical thinking
4. A nurse is caring for a 9 month old with influenza. Which of the following might be a toy
that could be used to interact, play, or distract them for the discomfort?
- large plastic stacking blocks
5. A parent is describing to the nurse activities that her 3 year old preschool child is
achieving. The nurse knows that this child is experiencing which task of Erickson's
psychosocial stage of development?
, - initiative vs. guily
6. When collecting data from an infant, which of the following techniques should the nurse
use to elicit the stepping reflex?
- stroke the outer edge of the sole of the infant's foot up toward the toes
7. The nurse is assessing the breast of a woman who is 1 month postpartum. The woman
reports a painful, inflamed area on one breast. Upon assessment the nurse notes a wedge
shaped area on one breast to be red and warm to touch. Client's temperature is 101.8 F.
What should the nurse consider as the potential diagnosis?
- Mastitis
8. The nurse is providing discharge teaching to the postpartum client regarding mood
changes to report. In differentiating between the "baby blues" and postpartum depression,
which of the following statements should be included in the instruction?
- "baby blues may present in the first few days after borth and resolve prior to
the second postpartum week."
9. The nurse observes a mother telling a toddler that pasta and potatoes will make the child
at. What should the nurse instruct the mother about these food items?
- it is more important to restrict protein than carbohydrates
Rasmussen
1. A newborn with esophageal atresia has just returned from surgery to place a gastrostromy
tube. Which nursing diagnosis will the nurse use to plan the care for this client?
- risk for imbalanced nutrition
2. The physiciam ordered promethazine 25 mg at bedtime for the client. Promethazine is
supplied as 6.25 mg/ 5mL. How many mL will the nurse administer?
- 20
3. A nurse is caring for a 4 year old female. Which of the following is expected of a
preschool aged child?
- relating fears to magical thinking
4. A nurse is caring for a 9 month old with influenza. Which of the following might be a toy
that could be used to interact, play, or distract them for the discomfort?
- large plastic stacking blocks
5. A parent is describing to the nurse activities that her 3 year old preschool child is
achieving. The nurse knows that this child is experiencing which task of Erickson's
psychosocial stage of development?
, - initiative vs. guily
6. When collecting data from an infant, which of the following techniques should the nurse
use to elicit the stepping reflex?
- stroke the outer edge of the sole of the infant's foot up toward the toes
7. The nurse is assessing the breast of a woman who is 1 month postpartum. The woman
reports a painful, inflamed area on one breast. Upon assessment the nurse notes a wedge
shaped area on one breast to be red and warm to touch. Client's temperature is 101.8 F.
What should the nurse consider as the potential diagnosis?
- Mastitis
8. The nurse is providing discharge teaching to the postpartum client regarding mood
changes to report. In differentiating between the "baby blues" and postpartum depression,
which of the following statements should be included in the instruction?
- "baby blues may present in the first few days after borth and resolve prior to
the second postpartum week."
9. The nurse observes a mother telling a toddler that pasta and potatoes will make the child
at. What should the nurse instruct the mother about these food items?
- it is more important to restrict protein than carbohydrates
