Title RECALLS 5 - NP2 - SC ✅

2 | Page shows a late deceleration. Based on this observation, which action would the nurse take immediately? A. Document the findings. B. Prepare for immediate birth. C. Increase the rate of an oxytocin infusion. D. Administer oxygen to the client via face mask. 13. A nonstress test is performed on a client who is pregnant, and the results of the test indicate non-reactive findings. The primary health care provider prescribes a contraction stress test, and the results are documented as negative. How would the nurse document this finding? A. A normal test result B. An abnormal test result C. A high risk for fetal demise D. The need for a cesarean section 14. The nurse is providing instructions to a pregnant client who is scheduled for an amniocentesis. What instruction would the nurse provide? A. Strict bed rest is required after the procedure. B. Hospitalization is necessary for 24 hours after the procedure. C. An informed consent needs to be signed before the procedure. D. A fever is expected after the procedure because of the trauma to the abdomen. ANTENATAL SITUATION: Nurse Madeleine is assisting an OB in the clinic. She encountered pregnant mothers with different concerns and health needs. 15. A pregnant client is seen for a regular prenatal visit and tells the nurse about experiencing irregular contractions. The nurse determines that the client is experiencing Braxton Hicks contractions. On the basis of this finding, which nursing action is appropriate? A. Contact the primary health care provider. B. Instruct the client to maintain bed rest for the remainder of the pregnancy. C. Inform the client that these contractions are common and may occur throughout the pregnancy. D. Call the maternity unit and inform them that the client will be admitted in a preterm labor condition. 16. The clinic nurse prepares to assess a client who is in the second trimester of pregnancy. When measuring the fundal height, what should the nurse expect to note with this measurement regarding gestational age? A. It is less than gestational age. B. It correlates with gestational age. C. It is greater than gestational age. D. It has no correlation with gestational age. 17. Nurse Madeliene is preparing to measure the fundal height of a client whose fetus is 28 weeks of gestation. In what position would the nurse place the client to perform the procedure? A. In a standing position B. In the Trendelenburg position C. Supine with the head of the bed elevated to 45 degrees D. Supine with her head on a pillow and knees slightly flexed 18. Nurse Madeliene is teaching a pregnant client about prenatal nutritional needs. The nurse would include which information in the client's teaching plan? A. All mothers are at high risk for nutritional deficiencies. B. Calcium intake is not necessary until the third trimester. C. Iron supplements are not necessary unless the mother has iron deficiency anemia. D. The nutritional status of the mother significantly influences fetal growth and development. 19. Nurse Madeleine observed that her patient who is 5 weeks pregnant is having a mixed emotions about her pregnancy. How does Nurse Madeleine define this normal psyche of the mother? A. Hallucination B. Panic C. Ambivalence D. Indifference 20. A clinic nurse is assessing a prenatal client who has been diagnosed with heart disease. The nurse carefully assesses the client's vital signs, weight, and fluid and nutritional status to detect complications caused by which pregnancy-related concern? A. Rh incompatibility B. Fetal cardiomegaly C. The increase in circulating blood volume D. Hypertrophy and increased contractility of the heart   CLEFT LIP/ PALATE  21. A preschooler with a history of cleft palate repair comes to the clinic for a routine well-child checkup. To determine whether this child is experiencing a long-term effect of cleft palate, which question would the nurse ask the parent? A. "Does the child play with an imaginary friend?" B. "Was the child recently treated for pneumonia?" C. "Does the child respond when called by name?" D. "Has the child had any difficulty swallowing food?"   22. The nurse is assigned to care for an infant on the first postoperative day after a surgical repair of a cleft lip. Which nursing intervention is appropriate when caring for this child's surgical incision? A. Rinsing the incision with sterile water after feeding B. Cleaning the incision only when serous exudate forms C. Rubbing the incision gently with a sterile cotton- tipped swab D. Replacing the Logan bar carefully after cleaning the incision 23. Baby Tina a 3 month old infant just had a cleft lip and palate repair. What should the nurse do to prevent trauma to operative site? A. Avoid touching the suture line, even when cleaning. B. Place the baby in prone position. C. Give the baby a pacifier. D. Place the infant’s arms in soft elbow restraints. 24. The student nurse is assigned to take the vital signs of the clients in the pediatric ward. The student nurse reports to the staff nurse that the parent of a toddler who is 2 days postoperative after a cleft palate repair has given the toddler a pacifier. What would be the best immediate action of the nurse? A. Notify the pediatrician of this finding B. Reassure the student that this is an acceptable action on the parent’s part C. Discuss this action with the parents D. Ask the student nurse to remove the pacifier from the toddler’s mouth 25. A priority nursing intervention for the infant with cleft lip is which of the following: A. Monitoring for adequate nutritional intake B. Teaching high-risk newborn care C. Assessing for respiratory distress D. Preventing injury RHEUMATIC HEART DISEASE 26. A child diagnosed with rheumatic fever is admitted to the hospital. The nurse prepares to manage which clinical manifestations of this disorder? Select all that apply. 1. Cardiac murmur 2. Cardiac enlargement 3. Cool pale skin over the joints 4. White painful skin lesions on the trunk 5. Small nontender lumps on bony prominences 6. Purposeless jerky movements of the extremities and face A. 1, 2, 3, 4 B. 4, 5, 6 C. 1, 3, 5, 6 D. 1, 2, 5, 6 27. A child is admitted to the hospital with a diagnosis of rheumatic fever. The nurse reviews the blood laboratory findings, knowing that which finding will confirm the likelihood of this disorder? A. Increased leukocyte count B. Decreased hemoglobin count C. Increased antistreptolysin-O (ASO titer) D. Decreased erythrocyte sedimentation rate
3 | Page 28. As part of cardiac assessment, to palpate the apical pulse, the nurse places the fingertips at which location? A. At the left midclavicular line at the fifth intercostal space B. At the left midclavicular line at the third intercostal space C. To the right of the left midclavicular line at the fifth intercostal space D. To the right of the left midclavicular line at the third intercostal space 29.  A 9-year-old boy is admitted to the hospital. The boy is being treated with salicylates for the migratory polyarthritis accompanying the diagnosis of rheumatic fever. Which of the following activities performed by the child would give a best sign that the medication is effective? A. Listening to story of his mother B. Listening to the music in the radio C. Playing mini piano D. Watching movie in the dvd mini player NEWBORN ASSESSMENTS 30. Parents of a newborn ask the nurse why their newborn’s head seems lopsided and not round, as they thought it should be. Which is the nurse’s best response? A. “I don’t think it looks unusual; actually, the head is beautifully shaped.” B. “Your baby’s head had to shape itself to the birth canal. It will look round in a few days.” C. “You’re right. We’ll make sure your doctor checks this out.” D. “Babies’ heads always look funny. Once his hair grows out, you’ll hardly notice it. 31. On assessment of a newborn being admitted to the nursery, the nurse palpates the anterior fontanel and notes that it feels soft. The nurse determines that this finding indicates which condition? A. Dehydration B. A normal finding C. Increased intracranial pressure D. Postterm by at least 2 weeks 32. The nurse is performing an assessment on a postterm infant. Which physical characteristic would the nurse expect to observe in this infant? A. Peeling of the skin B. Smooth soles without creases C. Lanugo covering the entire body D. Vernix that covers the body in a thick layer KOHLBERG’S MORAL DEVELOPMENT 33. The clinic nurse is preparing to explain the concepts of Kohlberg’s theory of moral development with a parent. The nurse would plan to tell the parent that which factor motivates good and bad actions for the child at the preconventional level? A. Peer pressure B. Social pressure C. Parents’ behavior D. Punishment and reward 34. The nurse educator is preparing to conduct a teaching session about school-age children regarding the theories of growth and development and plans to discuss Kohlberg’s theory of moral development. What information would the nurse should not include in the session?  A. Individuals move through all six stages in a sequential fashion. B. Moral development progresses in relationship to cognitive development. C. A person’s ability to make moral judgments develops over a period of time. D. The theory provides a framework for understanding how individuals determine a moral code to guide their behavior. 35. Based on Kohlberg’s theory,  what stage of moral development is experienced by Raphael who is a 6 year old child? A. Punishment-obedience B. “good boy-Nice girl” C. naive instrumental orientation D. social contact ERIK ERIKSON’S THEORY 36. The nurse is preparing to provide instructions to new parents regarding the psychosocial development of the newborn infant. Using Erikson’s psychosocial development theory, the nurse would instruct the parents to take which measure? A. Allow the newborn infant to signal a need. B. Anticipate all needs of the newborn infant. C. Attend to the newborn infant immediately when crying. D. Avoid the newborn infant during the first 10 minutes of crying. 37. The parent of an 8-year-old child tells the clinic nurse of a concern that the child seems to be more attentive to friends than anything else. Using Erikson’s psychosocial development theory, the nurse would plan to make which response? A. “You need to be concerned.” B. “You need to monitor the child’s behavior closely.” C. “At this age, children are developing their own personalities.” D. “You need to provide more praise to the child to stop this behavior.” 38. Which of the following information indicates that Raphael who is 6 years old, is normal for his age? A. Determine own sense self B. Develop sense of whether he can trust the world C. Has the ability to try new things D. Learn basic skills within his culture 39. Baby boy Lacson delivered at 36 weeks gestation weighs 3,400 gm and height of 59 cm. As described by Erikson, the major psychosexual conflict of the Baby Lacson is: A. Autonomy vs. Shame and doubt B. Industry vs. Inferiority C. Trust vs. mistrust D. Initiation vs. guilt 40. Imman who is a 3 year old boy is developing his own autonomy. In order to help the child, Nurse Eric should teach the mother to: A. Encourage the child to remove and put on own clothes. B. Listen attentively to reminiscent stories about their life’s accomplishments. C. Do not allow the child to make his own choices because he is still very young. D. NOTA 41. A 65-year-old man who recently retired from 40 years of work as an independent contractor is scheduled for a physical examination. The nurse should be concerned about which comment? A. “My wife and I are planning to drive to Nebraska in June to visit our grandkids.” B. “Every day, when I wake up, it’s hard to find a reason to get out of bed.” C. “I often take ibuprofen for the pain in my knees.” D. “People still call me for advice on building projects. I may never get to retire!” 42. A nurse decides that a review of which theorist would be helpful before teaching 4- and 5-year-olds in a preschool class how to brush their teeth? A. Fowler B. Erikson C. Gould D. Peck 43. A community health nurse is planning adult health education classes. According to Erikson’s stages of development, which task must the nurse address with this age group? A. Industry versus inferiority B. Identity versus role confusion C. Intimacy versus isolation D. Generativity versus stagnation HEAT LOSS 44. Which of the following exemplifies heat loss through Conduction? A. Placing an infant on a cool xray plate B. Air Drafts in the room C. Oxygen face mask D. Drying of an infant 45. Which of the following statements describes heat loss via Conduction?