NURS 131 Exam 2

jasmine's version from 2016-05-04 01:41


Question Answer
The nurse recognizes that exclusive breastfeeding is encouraged by the American Academy of Pediatrics (AAP) for 6 months
During an assessment, the nurse notes the postpartum client is experiencing intense shaking chills. What does this assessment finding indicate to the nurse? This may be a reaction to epidural anesthesia; This may be a reaction to maternal adrenal production during labor and birth
The nurse is instructing a postpartum client on when she can resume her normal exercise regimen of running for exercise most days of the week. Which statement indicates that teaching was effective? "I should check my energy level at home and increase my activity slowly"
A postpartum client is experiencing pain from an episiotomy. What can the nurse instruct this client to aid with pain relief? Increase the intake of meat, cheese, fish, eggs, and nuts; Tighten the buttocks before sitting; Change peripads with the addition of "tucks" and "spray" added to the pad or perineum
In palpating the fundus of a woman on her first day postpartum, the nurse finds that the woman's uterus is higher than expected and is deviated to the right. She is having moderately excessive uterine bleeding. What action should the nurse take first? Have the client void to empty the bladder and then re-measure fundal height
To assess healing of the uterus at the placental site, the nurse assesses Type, amount, and consistency of lochia
Which newborn reflex is elicited by stroking the lateral sole of the infant’s foot from the heel to the ball of the foot? Babinski
Following delivery, the nurse would first assess which of the following two newborn body systems that must undergo the most rapid changes to support extrauterine life? Respiratory and Cardiovascular
The nurse is preparing new parents to be discharged with their newborn. The father asks the nurse why the baby’s head is so pointed and puffy-looking. The best response by the nurse is “His head is molded from fitting through the birth canal. It will become more round”
A new mother asks the nurse, “Why are my baby’s hands and feet blue?” The nurse explains that this is a common and temporary condition known as which of the following? Acrocyanosis
Erythema Toxicum An innocuous, self-limited rash of unknown cause that affects neonates; consists of papules, vesicles, and pustules on a pink base, and occurs on the trunk, face, and extremities
Erythema Neonatorum A common skin condition of neonates characterized by a pink papular rash frequently superimposed with vesicles or pustules. The rash appears within 24 to 48 hours after birth and disappears spontaneously after several days. A smear of the papules that reveals the presence of eosinophils rather than neutrophils differentiates the condition from neonatal pustular melanosis. Also called toxic erythema of the newborn
Transient neonatal pustular melanosis This is a benign neonatal dermatosis that is most common among African- American infants. The original lesion is a vesiculopustule, which may be present at birth. This small blister quickly ruptures and leaves a typical collarette of superficial scale processes
The nurse, providing feeding instructions on breastfeeding frequency after the milk "comes in", encourages the new parents that the newborn will eat 8-12 times/24 hours