Title RECALLS 7 - NP2 - SC ✅

cervix and effacement is 100 percent. The patient is in true labor pains. 31. The nurse is caring for Danica with a precipitous labor. What information would the nurse provide to the client regarding this type of labor? A. Induction may be necessary. B. The onset of contractions is gradual. C. The labor may last less than 3 hours. D. A lengthy period of pushing may be necessary. 32. Patient Josephine was referred to the physician, routine blood examinations were taken. After reviewing the serum electrolyte levels, an order of isotonic intravenous (IV) infusion was prescribed. Which IV solution should the nurse prepare? A. 5 percent dextrose in water B. 0.45 percent sodium chloride solution C. 10 percent dextrose in water D. 3 percent sodium chloride solution 33. Nurse Jordyn reads the physician's prescription to administer methylergonovine maleate (Methergin) intramuscularly after delivery. The rationale for giving this medication is which of the following? A. Reduces the amount of lochia drainage. B. Prevents postpartum hemorrhage C. Decreases uterine contractions. D. Maintains normal blood pressure. 34. Patient Danica asks why her labor is much shorter compared to previous deliveries. Which of the following is the BEST RESPONSE? A. Onset of contraction was gradual. B. Multigravida patients have shorter labor. C. Cervical lengthening was longer. D. Induction of labor was done. 35. The mechanisms involved in fetal delivery is: A. Descent, extension, flexion, external rotation B. Descent, flexion, internal rotation, extension, external rotation C. Flexion, internal rotation, external rotation, extension D. Internal rotation, extension, external rotation, flexion Situation: Nurse Josephine is educating a postpartum mother about the concept of lochia and puerperium. 36. For uterine assessment after delivery, position the patient supine so that the height of the uterus is not influenced by an elevated position. Observe the abdomen for contour, to detect distention, and for the appearance of striae or a diastasis. Where will you begin to place your hand? A. fundus of the uterus B. just above the symphysis pubis C. at the umbilicus D. side of the abdomen 37. The nurse is performing an assessment on a mother who just delivered a healthy newborn. When checking the uterine fundus the nurse should expect to note that the fundus is positioned at which location? A. To the right of the abdomen B. At the level of the umbilicus C. Above the level of the umbilicus D. One fingerbreadth above the symphysis pubis 38. A postpartum nurse caring for a client who delivered vaginally 2 hours ago palpates the fundus and notes the character of the lochia. Which characteristic of the lochia would indicate to the nurse that the client's recovery is normal? A. Pink-colored lochia B. White-colored lochia C. Serosanguineous lochia D. Dark red-colored lochia 39. Which statement by the patient indicates a need for further teaching? A. "I should expect to see lochia for up to 6 weeks after delivery." B. "Lochia should be a yellowish color after the first few days." C. "The color of lochia should progress from red to pink to white." D. "If the lochia reverses in color, I should contact my doctor." 40. A 28-year-old primiparous woman, 2 days postpartum, is exhibiting passive behavior, expressing fatigue and stating, "I can't seem to do anything right." Which phase of puerperium is most likely being exhibited? A. Taking-in phase B. Taking-hold phase C. Letting-go phase D. Giving-up phase Situation: Gestational Trophoblastic disease or abnormal proliferation of the trophoblastic villi tend to occur most often to women who have a low protein intake, women older than 35 years old, and in women of Asian heritage. 41. The characteristic manifestation of gestational trophoblastic disease is: A. Uterus tends to expand slower than a normal pregnancy B. Lower abdominal quadrant pain C. Hyperemesis Gravidarum D. An HCG level of 400,000 IU 42. Assessment of client diagnosed to have hydatidiform mole would include: A. Falling blood pressure with increased cardiac rate B. Absence of fetal heart sounds C. Diaphoresis D. Delusions 43. Which of the following is NOT an expected assessment for a client with H-mole? A. Rapid increase in uterine size B. Excessive nausea and vomiting C. Slow abdominal enlargement D. Vaginal bleeding 44. A common drug given to stop the rapid growth of a hydatidiform mole is: A. Methotrexate B. Meperidine C. Mifepristone D. Misoprostol 45. Which of the following discharge instructions must be given to a woman who has just undergone suction and curettage for gestational trophoblastic disease? A. “Visit your physician after one year for a follow-up examination to find out if there is still a possibility that get pregnant.” B. “Women who have had a molar pregnancy must avoid sexual intercourse for a year or two.” C. “HCG levels usually return to normal 48 hours after evacuation.” D. “Use a reliable contraceptive method for 12 months.” Situation: Placenta Previa and Abruptio Placentae are two serious obstetric conditions involving abnormalities in placental location or separation. 46. A client at 36 weeks gestation arrives at the emergency department with painless, bright red vaginal bleeding. The nurse suspects which complication? A. Placenta previa B. Abruptio placentae C. Uterine rupture D. Vasa previa 47. The nurse is assessing a patient with placenta previa who has experienced vaginal bleeding. Which of the following findings requires immediate intervention? A. Blood color is bright red B. Fetal heart rate is 130 bpm C. The patient reports no pain D. Blood pressure decreases from 120/80 to 80/60 mmHg 48. A pregnant woman is admitted with a tentative diagnosis of placenta previa. The nurse implements orders to start an IV infusion, administer oxygen, and draw blood for laboratory tests. The client’s apprehension is increasing, and she asks the nurse what is happening. The nurse tells her not to worry, that she is going to be all right, and that everything is under control. What is the best interpretation of the nurse’s statement? 3 | Page
A. Adequate, because the preparations are routine and need no explanation B. Effective, because the client’s anxieties would increase if she knew the danger involved C. Questionable, because the client has the right to know what treatment is being given and why D. Incorrect, because only the healthcare provider should offer assurances about management of care 49. A perinatal home care nurse has just assessed the fetal status of a client with a diagnosis of partial placental abruption of 20 weeks' gestation. The client is experiencing new bleeding and reports less fetal movement. The nurse informs the client that the obstetrician will be contacted for possible hospital admission. The client begins to cry quietly while holding her abdomen with her hands. She murmurs, "No, no, you can't go, my little man." The nurse would recognize the client's behavior as an indication of which psychosocial reaction? A. Fear of hospitalization B. Fear of loss and the death of the fetus C. Grief due to potential loss of the fetus D. Cognitive confusion as a result of shock 50. The bleeding in placenta previa is contrasted to that of abruption placenta is such a way that: A. Bleeding in abruptio placenta is painful while bleeding in placenta previa is painless B. Bleeding in abruptio placenta is internal while bleeding in placenta previa external C. There is more blood loss in abruption placenta D. There is more blood loss in placenta previa Situation: Nurse Ember Lily is conducting a developmental assessment on various pediatric patients. She is reviewing their growth and developmental milestones to ensure they are on track and providing guidance to their parents. 51. Nurse Ember Lily is assessing a 6-month-old infant. Which finding is not typical for an infant of this age? A. Height increases by 1 inch per month B. Birth weight has tripled C. Posterior fontanel has closed D. Nocturnal sleep pattern lasts 9 to 11 hours 52. During a well-child visit, Nurse Ember Lily notes that a 2-year-old toddler has a head circumference of 19 inches. What other physical characteristics are expected in a child of this age? A. Weight doubled from birth weight B. Height increase of 1 inch per month C. Anterior fontanel closed D. No need for daytime naps 53. Nurse Ember Lily is reviewing the growth of a 2-year-old toddler. Which statement is not accurate for this age? A. Weight gain slows down compared to infancy B. Head circumference increases about 1 inch C. Anterior fontanel is still open D. Height increase is about 3 inches per year 54. Nurse Ember Lily is monitoring a 10-year-old child's growth and development. What physical growth pattern is expected for this age group? A. Growth spurts of 6 inches per year B. Weight gain of 10 pounds per year C. Height increase of 2 inches per year D. Loss of all primary teeth by age 10 55. Nurse Ember Lily is discussing puberty with a group of adolescents. Which statement about puberty is not true? A. Menstrual periods occur about 2.5 years after the onset of puberty B. Body mass reaches adult size C. Puberty starts at the same age for everyone D. Sebaceous and sweat glands become fully functional Situation: Nurse Aliyah is reviewing pediatric clients with gastrointestinal disorders. 56. During assessment, the mother of a 5-year-old reports that her daughter is experiencing constipation and ribbon-like stools. The nurse recognizes this as a symptom of which condition? A. Aganglionic Megacolon B. Volvulus C. Intussusception D. Hernia 57. Which dietary recommendation is most appropriate for a child post-operatively for Hirschsprung’s disease? A. High-fiber, low-calorie diet B. Gluten-free, low-fat diet C. Low-fiber, high-calorie, high-protein diet D. Dairy-free, high-fiber diet 58. During health teaching of a patient with celiac disease, which statement indicates a correct understanding of gluten sources? A. "Oats are always safe as they do not contain gluten." B. "Small amounts of rye are safe in a gluten-free diet." C. “All dairy products must be eliminated to control symptoms." D. "Rice and quinoa are excellent gluten-free alternatives." 59. Nurse Aliyah is providing health teaching for the parents of a child diagnosed with intussusception. During the session, one parent asks about nursing interventions. Which of the following is inappropriate for the nurse to perform? A. Monitor for the passage of normal, brown stool, indicating the condition has resolved. B. Monitor for signs of perforation or shock (fever, tachycardia, changes in level of consciousness, respiratory distress). C. Explain the surgical procedure and obtain informed consent. D. Provide guidance and emotional support. 60. A friend of the parents of a newborn with a diagnosis of congenital tracheoesophageal fistula contacts the home health nurse with an offer to help. Which is the best nursing action at this time to address the needs and rights of the family? A. Inform the friend to directly contact the family and offer assistance to them. B. Request that the friend come to the client's home during the next home health visit. C. Report the friend's call to the nurse manager for referral to the client's social worker. D. Assure the friend that there is no need for assistance since the nurse is visiting daily. Situation: Nurse Bud is assigned in caring for patients with cleft lip and palate. 61. Nurse Bud is assessing a newborn with an orofacial defect. He notes that the maxillary and median nasal processes have failed to fuse. This condition is identified as: A. Cleft palate B. Cleft lip C. Palatine tonsil D. Maxillary fusion 62. A client has just given birth to a newborn who has a cleft lip and palate. When planning to talk with the client, Nurse Bud recognizes that the client needs to first work through which emotion before maternal bonding can occur? A. Guilt B. Grief C. Anger D. Depression 63. What is the MOST APPROPRIATE response of the nurse to the mother’s question as to when the child will be ready for a cleft palate repair? Cleft palate repair is usually done ____ A. When a large-holed feeding bottle is ineffective for his feeding B. When the child is completely weaned from bottle feeding C. Prior to the development of speech D. After the child has been toilet trained 64. Nurse Bud 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 4 | Page