NCLEX RN ACTUAL EXAM 2024-2025 /RN NCLEX
ACTUAL EXAM 2024-2025 COMPLETE 100
QUESTIONS AND CORRECT DETAILED ANSWERS
WITH RATIONALES
Terms in this set (23)
When an infant resumes Sucking provides the infant with a sense of security and
taking oral feedings after comfort. It also is an outlet for releasing tension. The
surgery to correct infant should not be discouraged from sucking on the
intussusception, the parents pacifier. Fussiness after feeding may indicate that the
comment that the child infant's appetite is not satisfied. Sucking is not
seems to suck on the manipulative in the sense of seeking parental attention.
pacifier more since the
surgery. The nurse explains
that sucking on a pacifier:
provides an outlet for
emotional tension.
indicates readiness to take
solid foods.
indicates intestinal motility.
is an attempt to get
attention from the parents.
, A 19-year-old primigravid Pushing during the first stage of labor, when the urge is
client at 38 weeks' gestation felt but the cervix is not completely dilated, may
is 7 cm dilated, and the produce cervical swelling, making labor more difficult.
presenting part is at +1 The client should be encouraged to use a pant-blow (or
station. The client tells the blow-blow) pattern of breathing to help overcome the
nurse, "I need to push!" urge to push. The McDonald procedure is used for
What should the nurse do cervical cerclage for an incompetent cervix and is
next? inappropriate here. Increasing the rate of oxygen and
Use the McDonald intravenous fluids will not alleviate the pressure that the
procedure to widen the client is feeling. The client should not push even if she
pelvic opening. feels the urge to do so because this may result in
Increase the rate of oxygen cervical edema at 7-cm dilation.
and intravenous fluids.
Instruct the client to use a
pant-blow pattern of
breathing.
Tell the client to push only
when absolutely necessary.
During the second day The taking-in phase is the period after birth
postpartum, the nurse characterized by the women's dependency and passivity
notices that a client is with others. Maternal needs are dominant and talking
initiating breastfeeding with about the birth is an important task. The new mother
her infant and changing her follows suggestions, is hesitant about making decisions,
infant's diapers with a little and is still preoccupied with her needs. The taking-hold
assistance from her partner. phase is the period after birth characterized by a woman
According to Reva Rubin's becoming more independent and most interested in
"phases of bonding," which learning how to care for her infant. Learning how to be a
of the following is the competent parent is an important task. The letting-go
appropriate phase the phase is an interdependent phase after birth in which the
woman is experiencing? mother and family move forward as a family system,
the taking-in phase interacting together.
the taking-hold phase
the binding-in phase
the letting-go phase
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