Maternal And Child Health Review Test- Www.Rnpedia.Com
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- 1.A. A term neonate is to be released from hospital at 2 days of age. The nurse performs a physical examination before discharge.Nurse Valerie examines the neonate’s hands and palms. Which of the following findings requires further assessment?
- A.
Many crease across the palm.
- B.
Absence of creases on the palm.
- C.
A single crease on the palm.
- D.
Two large creases across the palm.
- 2.The mother asks when the “soft spots” close? The nurse explains that the neonate’s anterior fontanel will normally close by age…
- A.
2 to 3 months.
- B.
6 to 8 months.
- C.
12 to 18 months.
- D.
20 to 24 months.
- 3.When performing the physical assessment, the nurse explains to the mother that in a term neonate, sole creases are…
- A.
Absent near the heels.
- B.
Evident under the heels only,
- C.
Spread over the entire foot.
- D.
Evident only towards the transverse arch.
- 4.When assessing the neonate’s eyes, the nurse notes the following: absence of tears, corneas of unequal size, constriction of the pupils in response to bright light, and the presence of red circles on the pupils on ophthalmic examination. Which of these findings needs further assessment?
- A.
The absence of tears.
- B.
Corneas of unequal size.
- C.
Constriction of the pupils.
- D.
The presence of red circles on the pupils.
- 5.After teaching the mother about the neonate’s positive Babinski reflex, the nurse determines that the mother understands the instructions when she says that a positive Babinski reflex indicates….
- A.
Immature muscle coordination.
- B.
Immature central nervous system.
- C.
Possible lower spinal cord defect.
- D.
Possible injury to nerves that innervate the feet.
- 6.Nurse Kris is responsible for assessing a male neonate approximately 24 hours old. The neonate was delivered vaginally. The nurse should plan to assess the neonate’s physical condition….
- A.
Midway between feedings.
- B.
Immediately after a feeding.
- C.
After the neonate has been NPO for three hours.
- D.
Immediately before a feeding.
- 7.The nurse notes a swelling on the neonate’s scalp that crosses the suture line. The nurse documents this condition as…
- A.
Cephallic hematoma.
- B.
Caput succedaneum
- C.
Hemorrhage edema.
- D.
Perinatal caput.
- 8.The nurse measures the circumference of the neonate’s heads and chest, and then explains to the mother that when the two measurements are compared, the head is normally about…
- A.
The same size as the chest.
- B.
2 centimeter larger than the chest.
- C.
2 centimeter smaller than the chest.
- D.
4 centimeter larger than chest.
- 9.After explaining the neonate’s cranial molding, the nurse determines that the mother needs further instructions from which statement?
- A.
“The molding is caused by an overriding of the cranial bones.”
- B.
“The degree of molding is related to the amount of pressure on the head.”
- C.
“The molding will disappear in a few days.”
- D.
“The fontanels maybe damaged if the molding does not resolved quickly.”
- 10.When instructing the mother about the neonate’s need for sensory and visual stimulation, the nurse should plan to explain that the most highly develop sense in the neonate is…
- A.
Task
- B.
Smell
- C.
Touch
- D.
Hearing
- 11.Nurse Joan works in a children’s clinic and helps with the care for well and ill children of various ages. A mother brings her 4 month old infant to the clinic. The mother asks the nurse when she should wean the infant from breastfeeding and begin using a cup. Nurse Joan should explain that the infant will show readiness to be weaned by…
- A.
Taking solid foods well.
- B.
Sleeping through the night.
- C.
Shortening the nursing time.
- D.
Eating on a regular schedule.
- 12.Mother Arlene says the infant’s physician recommends certain foods but the infant refuses to eat them after breastfeeding. The nurse should suggest that the mother alter the feeding plan by…
- A.
Offering desert followed by vegetable and meat.
- B.
Offering breast milk as long as the infant refuses to eat solid food.
- C.
Mixing minced food with cow’s milk and feeding it to the infant through a large hole nipple.
- D.
Giving the infant a few minutes of breast and then offering solid food.
- 13.Which of the following abilities would a nurse expect a 4 month old infant to perform?
- A.
Sitting up without support.
- B.
Responding to pleasure with smiles.
- C.
Grasping a rattle when it is offered.
- D.
Turning from either side to the back.
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