Exam (elaborations)
Capstone Nursing Care of Children/Maternal Newborn Assessment
Capstone Nursing Care of Children/Maternal Newborn Assessment
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Capstone Nursing Care ofChildren/Maternal Newborn Assessment
A nurse is reinforcing teaching with a client who is postpartum and plans to
breastfeed their newborn. Which of the following statements by the
client indicates an understanding of the teaching?
1. "I should add 500 calories per day to my diet."
2. "I will use antibacterial soap and warm water to wash my breasts."
3. "Breastfeeding is a reliable method of birth control."
4. "If my nipples become cracked and red, I will apply hydrocortisone
cream." - -"I should add 500 calories per day to my diet."
-A nurse is collecting data from an infant who has Hirschsprung's disease.
Which of the following manifestations should the nurse expect?
1. Abdominal distention
2. Steatorrhea
3. Blood-tinged emesis
4. Dysphagia - -Abdominal distention
-A nurse is collecting data from a client who is 6 weeks postpartum. The
client tells the nurse,
"I am not a good mother. My baby doesn't like me."
Which of the following actions should the nurse take?
1. Advise the client that most new mothers experience these feelings
2. Ask the client if they have had thoughts about harming their infant.
3. Explain to the client they are experiencing the "baby blues."
4. Take the client to the emergency department. - -Ask the client if they
have had thoughts about harming their infant.
-A nurse is reinforcing teaching with an adolescent client who uses inhalers
for the treatment of asthma. Which of the following statements by the
client indicates an understanding of the teaching?
1. "I will wait 15 seconds between puffs when using my levalbuterol inhaler.
2. "I need to use my fluticasone inhaler when I start to wheeze during
exercise."
3. "I need to use my levalbuterol inhaler before I exercise.
4. "I will stop using my fluticasone inhaler if I experience restlessness." - -"I
need to use my levalbuterol inhaler before I exercise.
-A nurse is reinforcing teaching with a parent of an infant who has diaper
dermatitis and a new prescription for zinc oxide ointment. Which of the
following statements by the parent indicates an understanding of the
teaching?
1. "I will wash off the ointment with each diaper change."
, 2. "I should shake talcum powder onto the reddened areas."
3. "I should dry the diaper area with a hair dryer on the lowest setting."
4. "I will use moist disposable wipes that are detergent free." - -"I will use
moist disposable wipes that are detergent free."
-A nurse is reinforcing teaching with a parent of a school-age child who has
tonic-clonic seizures. Which of the following statements should the
nurse make regarding care during a seizure?
1. "You should offer your child sips of clear liquids."
2. "You should gently restrain your child using both of your arms."
3. "You should place your child's head on a pillow."
4. "You should give rectal diazepam to your child at the onset of the seizure."
- -"You should place your child's head on a pillow."
-A nurse is reviewing laboratory reports for four antepartum clients. Which
of the following laboratory results should the nurse report to the
provider?
1. 2-hr postprandial glucose 105 mg/dL
2. Negative group B streptococcus -hemolytic
3. Hgb 13 g/dL
4. 2+ proteinuria - -2+ proteinuria
-A nurse is assisting in the care of a child who is receiving IV cefuroxime
when the child begins to have difficulty breathing. Which of the following
actions should the nurse take first?
1. Obtain vital signs.
2.Stop the IV infusion.
3. Administer epinephrine IM.
4. Monitor intake and output. - -Stop the IV infusion.
-A nurse is discussing growth and development milestones with the parents
of a 3-year-old preschooler. Which of the following statements by a parent
indicates to the nurse that the preschooler is meeting the expected
benchmarks of other preschoolers in this age group?
1. "My child uses scissors to cut out the outline of an object."
2. "My child can copy triangle shapes onto paper."
3. "My child can ride a tricycle."
4. "My child can throw a ball overhead." - -"My child can ride a tricycle."
-A nurse is assisting with the care of an adolescent who has a partial-
thickness burn. When observing the site of the burn, which of the following
clinical manifestations should the nurse expect?
1. Brown in color
2. Leathery appearance
3. Visible ligaments
4. Blister formation - -Blister formation
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