NURSING NU 278 / NU278 MCH Quizzes 1-6, Latest Complete solutions, Verified 100% all correct.

NU278 MCH Quizzes 1-6. Quiz1 Question 1 The clinic nurse knows that providing an influenza vaccination clinic for patients aged 65 years and older is best described as an example of: Question 2 One goal of the Hea ...

NU278 MCH Quizzes 1-6. Quiz1 Question 1 The clinic nurse knows that providing an influenza vaccination clinic for patients aged 65 years and older is best described as an example of: Question 2 One goal of the Healthy People 2020 initiative is to increase the number of people who have some form of health insurance. What percentage of the population is the target? Question 3 A nursing student wishes to investigate national health goals. Where should the student research this information? Question 4 The clinic nurse is working with a mother and her 3-year-old child who have arrived for the child’s routine checkup. The nurse encourages the mother to return for her child’s measles-mumps-rubella immunization prior to the child's entering school. This intervention is an example of what type of care? Question 5 A nurse is working with a woman who is 4 months pregnant. The woman has had a series of temporary housing, has no job, and is wearing clothing that is obviously way too big for her. What action can the nurse take to most improve the health of this woman and child? Question 6 A mother brings her 6-month-old child and 18-month-old infant to the health clinic for a routine visit. The nurse counsels the mother about lead exposure testing and includes the following appropriate comments: (Select all answers that apply.) A. “About one-fourth of all homes where kids under 6 live are contaminated by lead.” B. “Both of your children should have testing for lead at this time.” C. “Lead exposure may cause anemia, seizures, and mental retardation if not treated.” D. “Lead testing for children is recommended by the American Academy of Pediatrics.” E. “We can test your older child for lead exposure, but it is too early for the 6-month- old.” Question 7 A nurse working in a women’s health clinic has several patients who are from a minority culture, live in the inner city, lack employment that offers benefits, have large families, and often lack transportation to health care. Which of these factors are considered broad determinants of health? (Select all that apply.) A. Access to health care B. Employment C. Environment D. Family size E. Race Question 8 The family clinic nurse encourages a patient to continue breastfeeding her 8-month-old infant to facilitate maturation of the infant’s immune system that normally occurs at about: Question 9 A nurse is interested in providing tertiary prevention activities. Which of the following activities would this nurse choose to do? Question 10 2 out of 2 points A nurse is interested in primary prevention programs. Which of the following activities would this nurse choose to do? . Question 11 The community health nurse is aware that the goals of Healthy People 2020 include which of the following? (Select all that apply.) A. Creating physical environments that promote health B. Developing healthy behaviors in children and teens C. Eliminating health disparities and increasing equity D. Improving the health of all groups in the country E. Increasing the average life span for all adults Question 12 A nurse wants to work in the community providing secondary prevention activities. Which action would this nurse choose to do? Question 13 A mother brings her 6-month-old infant and 18-month-old child to the health clinic for a routine visit. The nurse counsels the mother about lead exposure testing. Which information should the nurse include? (Select all that apply.) A. “About one-fourth of all homes where kids under 6 live are contaminated by lead.” B. “Both of your children should have testing for lead at this time.” C. “Lead exposure may cause anemia, seizures, and mental retardation if not treated.” D. “Lead testing for children is recommended by the American Academy of Pediatrics.” E. “We can test your older child for lead exposure, but it is too early for the 6-month- old.” Quiz2 A nurse is assessing a 52-year-old primigravida woman who presents complaining of moderate dark-brown vaginal bleeding. On physical exam, her uterus is large for dates. Which action by the nurse is most appropriate? A. Assess the womans diet for folic acid intake. B. Facilitate an ultrasound examination. C. Instruct the woman on a fetal kick count. D. Prepare the woman for pelvic cultures A patient has had a screening test for gestational diabetes and the 1 hour results is 250 mg/dL. What does the nurse conclude about this patient? A Results are high: the patient has gestational diabetes. B. Results are inconclusive: will repeat test in one month C. Results are lower than expected; seek endocrine consult D. Results are normal: no gestational diabetes A nursing instructor informs the class of the many benefits of prenatal care. What benefits does the instructor include? (Select all that apply.) A. Allows women informed decision making B. Decreased pregnancy-related maternal death C. Improved pregnancy outcomes D. Increased cost associated with more frequent visits E. Increased early identification of abnormal findings A woman in her 26th week of pregnancy is in preterm labor. What can the nurse conclude about this baby’s ability to survive? A. Cannot survive, as all organ systems are too immature B. Might survive, as lungs can breathe air with rhythmic breathing C. Probably will not survive, as all organ systems have not formed D. Will survive, because all body systems are completely mature A woman in her second trimester of pregnancy presents to the perinatal clinic with complaints of scant vaginal bleeding, abdominal pain, and shoulder pain. What action should the nurse perform first? A. Assess her for a history of preterm labor. B. Obtain a blood sample for a β-hCG test. C. Prepare the woman for a pelvic exam. D. Request an order for methotrexate (Rheumatrex). A patient who is 28 weeks pregnant calls the obstetrical clinic and complains of irregular, painless contractions that last for 10 to 15 seconds. What response by the nurse is best? A. If they last more than 60 seconds or become regular, come in. B. Oh, you are just having what are called Braxton Hicks contractions. C. Pregnant women often experience this type of contraction. D. You should come in to the clinic as soon as possible today. The nurse is teaching a group of women about hormonal emergency contraception. Which of the following is not a benefit of this type of contraception? A. Available in some forms over the counter B. Can be taken up to 120 hours after intercourse C. Over-the-counter version has only two pills D. Typically has no side effects A nurse in an emergency pregnancy clinic is evaluating women for the IUD method of emergency contraception. Which woman would not be considered a good candidate for this method of emergency contraception? A. Does not wish to have an abortion B. Had sexual intercourse 4 days ago C. Took over-the-counter morning-after pill today D. Was raped by a stranger A nurse is assessing a woman for TORCH infections. What diseases are included in this acronym? (Select all that apply.) A Cytomegalovirus B. Hepatitis B C. Roseola D. Toxoplasmosis E. Varicella-Zoster A nurse is assessing a pregnant woman who says she drinks 5 to 7 alcoholic drinks per week. What action by the nurse is best? A. Advise the woman to decrease her drinking to 3 to 4 drinks per week. B. Explain that during pregnancy, alcohol in any amount can harm the fetus C. Teach her that for women, the safe alcohol limit is 1 drink in an hour. D. Tell the woman to substitute caffeinated beverages for the alcohol. A 26-year-old woman has come for preconception counseling and asks about caring for her cat, because she has heard that she “should not touch the cat during pregnancy.” Which of the following is the nurse’s best response? A. If someone else changes the litter box you should be okay. B. It is more important to avoid eating raw vegetables now. C. That is correct; in fact, you should give the cat away. D. You probably already have had toxoplasmosis from the cat. A nurse has admitted a woman pregnant in her third trimester with moderate vaginal bleeding and severe abdominal pain. After assessing maternal vital signs, obtaining the fetal heart rate, and starting an IV line, which action should the nurse do next? A. Administer betamethasone (Celestone) just prior to delivery. B. Discuss pros and cons of continuous fetal monitoring. C. Facilitate laboratory work, including blood type and screen. D. Obtain informed consent for emergent delivery. The perinatal nurse is educating a group of women on common causes of miscarriage, or spontaneous abortion. Which of the following does the nurse describe? (Select all that apply.) A. Cervical anatomic defects B. Chromosomal abnormalities C. Maternal Infections D. Recreational drug use E. Working during pregnant Quiz3 1. When calling the primary health-care provider regarding a woman’s admission, the perinatal nurse includes which of the following information? (Select all that apply.) A. Gestational age and estimated date of birth B. Maternal and fetal vital signs C. Presence of support person(s) D. Status of other children E. Status of the fetal membranes 2. A nurse assesses fetal heart tones at 100 beats/minute. Which action by the nurse takes priority? A. Administer 100% oxygen. B. Assess the maternal heart rate. C. Notify the primary care provider. D. Turn the woman on her left side. 3. A nurse is caring for a pregnant woman scheduled to have an epidural block. The nurse reviews the woman’s admission laboratory results and finds the following: white blood count (WBC) 6,500/ mm3, hemoglobin 14 mg/dL, hematocrit 38%, platelet count 98,000, and international normalized ratio (INR) 4.2. What action by the nurse is best? A. Document the findings in the woman's chart. B. Ensure a signed consent form is in the chart. C. Notify the health-care provider immediately. D. Start a peripheral IV of normal saline (NS). 4. A nurse notes fetal heart rate decelerations that appear to start just prior to a uterine contraction with the fetal heart rate returning to normal by the end of the contraction. How does the nurse document this finding? 5. A nurse assessing a fetal heart monitor notes minimal baseline variability not associated with a fetal sleep cycle. There is no change after fetal scalp stimulation. What action by the nurse is most important? A. Administer a bolus of IV fluids. B. Administer oxygen at 8-10 L/min per mask. C. Offer support to the patient and her partner. D. Prepare to assist with internal fetal monitoring. 6. A nurse is caring for a new mother during the fourth stage of labor and assesses the following: patient has soaked two peri-pads in 45 minutes, pulse is 118 beats/minute, and blood pressure is 90/62 mm Hg. Which action by the nurse is most important? A. Assess the firmness of the patient's uterus. B. Document the findings and reassess in 15 minutes. C. Encourage the woman to attempt breastfeeding. D. Escort the woman to the bathroom to void. . 7. A nulliparous woman in labor is 3 cm dilated at 10:00 a.m. Based on knowledge of the average nulliparous woman's progression, when would the nurse expect her to be fully dilated? A. 12:00 p.m. B. 2:00 p.m. C. 5:00 p.m. D. D. 10:00 p.m. 8. The perinatal nurse explains to the student nurse that which of the following may increase labor discomfort? A. Amniotomy B. Correct use of breathing method. C. Fetus in an occiput anterior position D. Positional changes during active labor 9. A woman is 1 hour postpartum with an epidural block and wishes to get up to go to the bathroom. What action by the nurse is most appropriate? A. Assess sensation in the lower extremities. B. Check the maternal vital signs. C. Confer with the health-care provider. D. Offer the woman the bedpan first. 10. The OB nurse assesses moderate baseline variability on the fetal heart monitor. What action by the nurse is best? A. Administer a bolus of IV fluids. B. Discontinue oxytocin, if it is being delivered. C. Document the findings in the woman's chart. D. Perform fetal scalp or vibroacoustic stimulation. 11. A woman is in the early latent phase of labor and is frustrated by the length of time this stage is taking. What action by the nurse is best? A. Administer 100% oxygen by face mask. B. Encourage frequent position changes or walking. C. Have the woman rest between contractions. D. Place the woman in a left side-lying position. 12. A woman with a history of two stillbirths is in the active phase of the first stage of labor in the high-risk OB unit. How often should the nurse anticipate monitoring fetal heart tones (FHTs)? A. Continuously B. Every 5 minutes C. Every 15 minutes D. Every 30 minutes 13. The nurse assesses a woman in labor and finds that her cervix is dilated to 9 cm. The nurse documents the woman to be in what phase of labor? A. First stage B. Second stage C. Third stage D. Fourth stage Quiz4 1. A husband calls the perinatal clinic because he is worried about his wife’s emotional state after giving birth 2 weeks ago. Which question by the nurse would be most helpful? A. "Can you explain specifically what you are worried about?" B. "How is your wife's appetite? Is she eating enough?" C. "Is your wife still able to care for herself and the baby?" D. "When did all the symptoms start, before or after the birth? 2. A woman is 10 hours postpartum after an uncomplicated vaginal birth. She has voided four times, and each time the volume is less than 100 mL. What action by the nurse is best? A. Ask the woman to keep a voiding log for 24 hours. B. Palpate the fundus and assess the amount of lochia present. C. Request an order for a straight catheterization. D. Run the water in the bathroom faucet during voiding attempts. 3. A nurse assessing a postpartum woman 12 hours after uncomplicated vaginal birth finds her pulse to be 110 beats/minute. What action by the nurse is best? A. Assess the patient for causes of tachycardia. B. Document the findings and notify the provider. C. Facilitate a blood draw for laboratory studies. D. Place the patient on a 1,000-mL fluid restriction. 4. A woman complains of perineal pain. The nurse assesses swelling, but sees no other abnormalities. The woman does not wish pharmacological treatment. What suggestion by the nurse is most appropriate? A. Applying a covered ice pack to the perineum every 2 to 4 hours for 20 minutes B. Placing cool cabbage leaves on the woman's peri-pad C. Sitting on a donut-type pillow when out of bed D. Immersing in a sitz bath with a water temperature of 120 °F (48.9 °C) 5. A woman is 1 day post-cesarean birth. The nurse auscultates crackles in her lung bases. Which action by the nurse is best? A. Call respiratory therapy for a breathing treatment. B. Facilitate the woman having a chest x-ray. C. Have the woman use her incentive spirometer. D. Notify the provider and document the findings. 6. A woman gave birth 12 hours ago. The patient complains of severe abdominal cramping when she breastfeeds her infant. The perinatal nurse should document this condition as which of the following? A. Afterpains B. Bladder hypertonia C. Rectus abdominis diastasis D. Uterine hypertonia . 7. The perinatal nurse is teaching the patient about breastfeeding and explains that which of the following is the most appropriate time to breastfeed? A. Four to 5 hours after the last feeding B. Only when her infant exhibits hunger-related crying C. When her infant is in a quiet alert state D. When her infant is in an active alert state 8. Two days after an uncomplicated vaginal birth, the nurse notes that the patient's hemoglobin is 13 mg/dL and the hematocrit is 48%. What does the nurse conclude about these values? A. Patient is dehydrated B. Needs further assessment C. Normal for this situation D. Serious anemia 9. A postpartum woman is complaining of a headache that is worsening despite having taken Tylenol (acetaminophen) an hour ago. She delivered yesterday with epidural anesthesia. What action by the nurse is best? A. Assess if the pain is worse when she sits upright. B. Call the provider and ask for stronger analgesics. C. Document the findings in the patient's chart. D. Notify the health-care provider immediately. 10. A diabetic patient is 1 day postpartum after an uncomplicated vaginal birth. She wants to know why her blood sugar levels are so much lower than usual. What explanation by the nurse is best? A. "Because you are dehydrated, your blood sugar decreases for a few days." B. "I will call the dietician to see if you are getting enough calories." C. "The levels of hormones that cause an anti-insulin effect are decreased." D. "The exertion from childbirth is like a massive workout for your body." . 11. A patient is receiving methylergonovine (Methergine) after a vaginal birth. What assessment finding by the nurse warrants immediate intervention? A. Headache B. Nausea C. Palpitations D. Uterine cramping 12. A nurse is assisting a postpartum woman to get up for the first time after an unmedicated vaginal birth. What action by the nurse is best? A. Apply a properly fitting gait belt before assisting the woman. B. Take the patient's blood pressure lying down and then in a standing position. C. Instruct the woman to sit on the edge of the bed prior to standing. D. Determine if the woman has normal sensation to her lower extremities 13. The perinatal nurse describes the need for an assessment for deep vein thrombosis (DVT) in the postpartum patient. Which of the following is one test that can be used as a screening measure for DVT? A. Chadwick's sign B. Homans' sign C. Grey Turner's sign D. McBurney's sign Quiz6 1.) A parent is frustrated that her toddler cannot button a shirt on his own. Which teaching point is most appropriate for the nurse to provide to this parent? A. A toddler is incapable of buttoning his own shirt, and the parent should stop pushing. B. Developing large muscle groups has to occur before developing small muscle groups. C. The parent should select toys and games that will help the child develop and master this skill. D. The child has not met a major milestone and needs a developmental consultation. 2.) A new nurse in the emergency department is examining a 4-year-old child who is sitting upright, is drooling, and is restless. Which action by the new nurse causes an experienced nurse to intervene? A. Attaches a cardiac monitor and oximeter B. Attempts to assess throat with a tongue blade C. Permits child to remain in an upright position D. Prepares to administer racemic epinephrine 3.) Four children are in the pediatric clinic waiting to be seen. Which patient should the nurse see first? A. Afebrile, parent reports harsh barky cough B. Pulling on ear, temperature 103 °F (39.5 °C) C. Salty-tasting sweat, poor weight gain D. Wheezing, retracting, no wet diapers today 4.) A child is being released from the hospital after surgical correction of an atrioventricular canal defect (AVC). What referral by the nurse is most appropriate? A. Down syndrome support group B. Hospice services team C. Lions eye bank D. Transplant team . 5.) A mother brings a child to the clinic with concerns about attention deficit-hyperactivity disorder (ADHD). Which behavioral assessment findings support this diagnosis? (Select all that apply.) A. Compulsive "collecting" B. Inability to stay in chair for a meal C. Nonstop talking D. Refusal to complete homework E. Sleeping whenever possible 6.) A student nurse asks the faculty why a child with patent ductus arteriosus (PDA) is taking a nonsteroidal anti-inflammatory drug (NSAID). Which response by the faculty is the most appropriate? A. Decreases venous stasis, lowering risks of clotting B. Inhibits prostaglandin, which helps close the PDA C. Provides long-lasting pain and inflammation control D. Reduces swelling around the PDA, making surgery easier 7.) An infant is being discharged from the hospital after treatment for respiratory syncytial virus (RSV). The infant still has some mild respiratory distress at times. Which discharge instruction is the priority for this infant? A. "Bring the child back if she runs a temperature." B. "Feed baby small amounts while she is sitting up." C. "Give her antibiotics right after feeding her." D. "If you need to use the bulb suction, bring her back." 8.) The parents of a child with transposition of the great vessels ask the nurse why the child looks blue. Which response by the nurse is the most appropriate? A. "Her body gets blood that doesn't have much oxygen." B. "Her lungs are underdeveloped and under perfused." C. "She is not able to regulate her temperature and is cold." D. "This is very unusual for this condition, so I'll ask the doctor." 9.) A student nurse asks a pediatric nurse what cephalocaudal development means. Which response by the nurse is most accurate? A. Growth that occurs from bottom to top B. Growth that occurs from midline outward C. Growth that occurs from outside to midline D. Growth that occurs from top to bottom 10.) A child with Down’s syndrome has been admitted to the hospital with a respiratory condition and is producing thick, tenacious mucus. Which nursing action is the priority? A. Ensuring a patent airway B. Involving child-life therapy C. Preventing nosocomial infection D. Relieving stress at hospitalization 11.) A father brings his 10-month-old infant to the well-baby clinic and expresses frustration that his child "puts everything in her mouth" and "gets into everything," then cries when objects are taken away. In providing anticipatory guidance, what action by the nurse is the most appropriate? A. Advise the father that crying indicates fatigue and the child should rest. B. Explain that objects may be dirty and should not be put in the mouth. C. Give the father written material on effective disciplinary techniques. D. Teach the father that this behavior is normal and not misbehaving. 12.) A child is admitted to the pediatric unit with respiratory syncytial virus (RSV). Which action by the nurse is best for infection control? A. Adhere to policy on hand hygiene. B. Do not assign pregnant caregivers. C. Place the child in contact isolation. D. Use meticulous standard precautions. 13.) A nurse is providing anticipatory guidance to the parents of a toddler. Which information is most important for the nurse to include regarding typical toddler behaviors? A. Children at this age rarely lie about misbehaving and want to please their parents. B. Competing and winning are important, so "rewards" for good behavior are great tools. C. Toddlers need constant supervision, because they don't understand what consequences can occur. D. Time-out for misbehavior works well if the child is placed quietly in his or her own room.