NursingPlex
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    Exam Review

    1. The nurse is aware that a full-term infant is born with which reflexes? (Select all that apply.)(SATA)
      A)Sucking
      B)Blinking
      C)Gagging
      D)Pincer grasping
      E)Sneezing
    2. A nurse is caring for a client who is prescribed tetracycline 2 grams daily PO in four divided doses every 6 hr. Available is tetracycline 250 mg capsules. How many capsules should the nurse administer per dose? (Round the answer to the nearest tenth. Use a leading zero if it applies. Do not use a trailing zero.)
    3. What symptom assessed in the newborn shortly after delivery should be reported?
      A)Sternal or chest retractions
      B)Cyanosis of the hands and feet
      C)Mucus draining from the nose
      D)Irregular heart rate
    4. While inspecting a newborn's head, the nurse identifies a swelling of the scalp that does not cross the suture line. How would the nurse refer to this finding when documenting?
      A)Enlarged fontanelle
      B)Cephalohematoma
      C)Caput succedaneum
      D)Molding
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    Exam Review

    1. The mother of a post-term infant asks the nurse why the infant is being watched so closely. What is the nurse's most appropriate response?
      A)"Delivery of the post-term infant is more difficult."
      B)"Infants born post-maturely are generally large."
      C)"The placenta does not function adequately as it ages."
      D)“There is less amniotic fluid."
    2. On the second postpartum day, a mother bathed her newborn for the first time. She tells the nurse, "I don't think I did it right." What postpartum psychological stage is this woman most likely in based on this comment?
      A)Settling down
      B)Letting go
      C)Taking hold
      D)Taking in
    3. A nurse is caring for a client who gave birth 2 hr ago. The nurse notes that the client's blood pressure is 60/50 mm Hg. Which of the following actions should the nurse take first?
      A)Initiate oxygen therapy by nonrebreather mask.
      B)Administer oxytocin infusion.
      C)Evaluate the firmness of the uterus.
      D)Obtain a type and crossmatch.
    4. What type of lochia will the nurse assess initially after delivery?
      A)Serosa
      B)Rubra
      C)Vaginalis
      D)Alba
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    Exam Review

    1. A nurse is preparing to administer ceftriaxone 1 g via intermittent IV bolus over 30 min. Available is 1 g ceftriaxone sodium in 100 mL dextrose 5% in water. The nurse should set the pump to deliver how many mL/hr? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)
    2. A nurse is caring for a client who is 12 hr postpartum. Which of the following findings should alert the nurse to the possibility of a postpartum complication?
      A)Fundus palpable at the umbilicus
      B)Urine output of 3,000 mL in 12 hr
      C)Orthostatic hypotension
      D)Heart rate 110/min
    3. The mother of a 4-month-old infant, born prematurely, asks the nurse if her daughter will always be small for her age. What is the most appropriate nursing response?
      A)"Prematurity is associated with short stature but does not affect weight gain."
      B)"It takes about two years for the preterm infant to catch up to a full-term infant."
      C)"Your daughter will be the same size as other children by the time she is 1 year old."
      D)"Preterm infants usually remain smaller than term infants throughout childhood."
    4. When assessing a preterm infant, the nurse observes nasal flaring, sternal retractions, and expiratory grunting. What do these findings indicate?
      A)Apneic episode
      B)Post-maturity syndrome
      C)Respiratory distress syndrome
      D)Cold stress
    Page 3 of 13

    Exam Review

    1. A nurse is caring for a client who experienced a vaginal birth 12 hr ago. The nurse recognizes the client is in the dependent, taking in phase of maternal postpartum adjustment. Which of the following findings should the nurse expect during this phase?
      A)Focus on the family unit and its members
      B)Eagerness to learn newborn care skills
      C)Lack of appetite
      D)Expressions of excitement
    2. After birth, the nurse quickly dries and wraps the newborn in a blanket. How does this action prevent heat loss?
      A)Conduction
      B)Radiation
      C)Evaporation
      D)Convection
    3. The nurse explains to a patient in preterm labor that what may be ordered by the physician to accelerate fetal lung maturity?
      A)Oxytocin
      B)Magnesium sulfate
      C)Prostaglandins
      D)Corticosteroids
    4. The nurse compared the birth weight of a 3-day-old with her current weight and determined the infant had lost weight. What is the most appropriate intervention by the nurse?
      A)Report the discrepancy to the pediatrician immediately.
      B)Decrease the interval between the infant's feedings.
      C)Do nothing because this is a normal occurrence.
      D)Try feeding the infant a different type of formula.
    Page 4 of 13

    Exam Review

    1. What would the nurse expect to find when assessing the fundus of the uterus immediately after delivery?
      A)Relaxed with its upper border two or three fingerbreadths below the umbilicus
      B)Well-contracted with its upper border at or just below the umbilicus
      C)Relaxed with its upper border level with the umbilicus
      D)Well-contracted with its upper border three or four fingerbreadths above the umbilicus
    2. A nurse is caring for a client who is 12 hr postpartum following a vaginal delivery. Which of the following findings should the nurse expect?
      A)Fundus soft, 1 cm to the right of the umbilicus
      B)Fundus firm, at the level of the umbilicus
      C)Fundus soft, 2 cm above the umbilicus
      D)Fundus present, to the left of the umbilicus
    3. The mother of a 2-week-old infant tells the nurse that she thinks he is sleeping too much. What is the most appropriate nursing response to this mother?
      A)“Tell me how many hours per day your baby sleeps."
      B)"Newborns generally sleep 12 to 15 hours per day."
      C)"It is normal for newborns to sleep most of the day."
      D)"You will find as the baby gets older, he sleeps less."
    4. The nurse is assessing a newborn. Which sign would indicate hypoglycemia?
      A)Increased nasal mucus
      B)High-pitched cry
      C)Increased temperature
      D)Active muscle movements
    Page 5 of 13

    Exam Review

    1. A nurse is preparing to administer clindamycin 300 mg by intermittent IV bolus over 30 min to a client who has a staphylococci infection. Available is clindamycin premixed in 50 ml 0.90% sodium chloride (NaCl). The nurse should set the IV pump to deliver how many mL/hr? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)
    2. A nurse is preparing to administer fluconazole 400 mg by intermittent IV bolus daily. Available is fluconazole 400 mg in 0.9% sodium chloride (NaCl) 200 mL to infuse over 2 hr. The nurse should set the IV pump to deliver how many mL/hr? (Round the answer to the nearest tenth/whole number. Use a leading zero if it applies. Do not use a trailing zero.)
    3. What will the nurse expect when assessing the anterior fontanelle of a healthy, full-term newborn?
      A)Smaller than the posterior fontanelle
      B)Triangular shaped
      C)Open and diamond shaped
      D)Depressed and sunken
    4. What should the nurse implement for security purposes when bringing the infant from the nursery to the mother?
      A)Ask the mother to identify herself verbally.
      B)Confirm room number of mother.
      C)Check the band number of the infant with that of the mother.
      D)Ask, "Is this your band number?"
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