NURS 4403 (NURS 4403)

NURS 4403 Chapter 36: Chronic Illness, Disability, and End-of-Life Care MULTIPLE CHOICE 1. The nurse case manager is planning a care conference about a young child who has complex health care needs and will soon be discharged home. Whom should the nurse invite to the conference? a. Family and nursing staff b. Social worker, nursing staff, and primary care physician c. Family and key health professionals involved in child’s care d. Primary care physician and key health professionals...

NURS 4403 Chapter 29: Communication, History, and Physical Assessment MULTIPLE CHOICE 1. The nurse is seeing an adolescent boy and his parents in the clinic for the first time. What should the nurse do first? a. Introduce himself or herself. c. Explain the purpose of the interview. b. Make the family comfortable. d. Give an assurance of privacy. 2. Which action is most likely to encourage parents to talk about their feelings related to their child’s illness? a. Be sympathetic. c....

NURS 4403 Chapter 27: Family, Social, Cultural, and Religious Influences on Child Health Promotion MULTIPLE CHOICE 1. What type of family is one in which all members are related by blood? a. Consanguineous c. Family of origin b. Affinal d. Household 2. The nurse is teaching a group of new parents about the experience of role transition. Which statement by a parent indicates a correct understanding of the teaching? a. “My marital relationship can have a positive or negative effect...

NURS 4403 Chapter 22: Physiologic and Behavioral Adaptations of the Newborn MULTIPLE CHOICE 1. A woman gave birth to a healthy 7-pound, 13-ounce infant girl. The nurse suggests that the woman place the infant to her breast within 15 minutes after birth. The nurse knows that breastfeeding is effective during the first 30 minutes after birth because this is the: a. Transition period. c. Organizational stage. b. First period of reactivity. d. Second period of reactivity. 2. Part of the...

NURS 4403 Chapter 21: Postpartum Complications MULTIPLE CHOICE 1. The perinatal nurse is caring for a woman in the immediate postbirth period. Assessment reveals that the woman is experiencing profuse bleeding. The most likely etiology for the bleeding is: a. Uterine atony. c. Vaginal hematoma. b. Uterine inversion. d. Vaginal laceration. 2. A primary nursing responsibility when caring for a woman experiencing an obstetric hemorrhage associated with uterine atony is to: a. Establis...

NURS 4403 Chapter 25: The High Risk Newborn MULTIPLE CHOICE 1. A macrosomic infant is born after a difficult forceps-assisted delivery. After stabilization the infant is weighed, and the birth weight is 4550 g (9 pounds, 6 ounces). The nurse’s most appropriate action is to: a. Leave the infant in the room with the mother. b. Take the infant immediately to the nursery. c. Perform a gestational age assessment to determine whether the infant is large for gestational age. d. Monitor bl...

NURS 4403 Chapter 23: Nursing Care of the Newborn and Family MULTIPLE CHOICE 1. An infant boy was born just a few minutes ago. The nurse is conducting the initial assessment. Part of the assessment includes the Apgar score. The Apgar assessment is performed: a. Only if the newborn is in obvious distress. b. Once by the obstetrician, just after the birth. c. At least twice, 1 minute and 5 minutes after birth. d. Every 15 minutes during the newborn’s first hour after birth. 2. A n...

NURS 4403 Chapter 13: Labor and Birth Processes MULTIPLE CHOICE 1. A new mother asks the nurse when the “soft spot” on her son’s head will go away. The nurse’s answer is based on the knowledge that the anterior fontanel closes after birth by months. a. 2 c. 12 b. 8 d. 18 2. When assessing a woman in labor, the nurse is aware that the relationship of the fetal body parts to one another is called fetal: a. Lie. c. Attitude. b. Presentation. d. Position. 3. When a...

NURS 4403 Chapter 18: Maternal Physiologic Changes MULTIPLE CHOICE 1. A woman gave birth to an infant boy 10 hours ago. Where would the nurse expect to locate this woman’s fundus? a. One centimeter above the umbilicus b. Two centimeters below the umbilicus c. Midway between the umbilicus and the symphysis pubis d. Nonpalpable abdominally 2. Which woman is most likely to experience strong afterpains? a. A woman who experienced oligohydramnios b. A woman who is a gravida 4, para...

NURS 4403 Chapter 08: Nursing Care of the Family During Pregnancy MULTIPLE CHOICE 1. The nurse caring for a newly pregnant woman would advise her that ideally prenatal care should begin: a. Before the first missed menstrual period. b. After the first missed menstrual period. c. After the second missed menstrual period. d. After the third missed menstrual period. 2. Prenatal testing for human immunodeficiency virus (HIV) is recommended for: a. All women, regardless of risk factors...