The nurse is assessing a child who has been diagnosed with mononucleosis for splenomegaly. Which area of the abdomen would be palpated to identify this abnormality?

Which action by the mother relays to the nurse that she is accepting her child?

The nurse is providing discharge teaching to the postpartum client regarding mood changes to report. In differentiating between the baby blues and postpartum depression, which of the following statements should be included in the education?

After delivery, a client is diagnosed with postpartum preeclampsia. What care will the nurse provide to this client? (Select all)

While assessing the newborn's 5 minute apgar score, the nurse notes the following: heart rate 154, respiratory effort lusty cry, muscle tone well flexed with active movement, reflex irritability crying vigorously with stimulation, color hands and feet are blue. What score would she assign to this newborn?

The nurse is preparing formula for a preterm newborn. Which type of formula will most likely be prescribed for this client?

When planning care for a postpartum client, the nurse is aware that which site is the most common for postpartum infection?

A newborn is jaundiced and receiving phototherapy. Which of the following is an appropriate intervention when caring for a newborn with hyperbilirubinemia and on phototherapy?

The nurse is assessing the fundus on a client on postpartum day 2. What should the nurse expect when palpating the fundus?

At birth the newborn has dry, cracked skin, absence of vernix, lack of subcutaneous fat, and fingernails extending beyond the fingertips. Based on these findings what would you categorize baby at?

By the time children reach their twelfth birthday, they should have learned to trust others and should have developed a sense of what?

During the assessment of a 7-year-old male the nurse notes an abnormal depression of the lower portion of the sternum. The child is alert and orientated and in no apparent distress.

The nurse is preparing a seminar on breastfeeding for a group of pregnant clients. Which information should the nurse include during the seminar?

A nurse is assessing a newborn for congenital hip dysplasia. Which signs or symptoms should be brought to the attention of the health care provider for further assessment? (select all that apply)

Which technique is used to palpate the fundal height on a postpartum client?

Why are postpartum women prone to urinary retention?

A nurse is helping her postpartum client up to the bathroom for the first time after delivery. Which finding indicates her lochia is normal or expected?

A newborn with has just returned from surgery to place a gastrostomy tube. Which nursing diagnosis will the nurse use?

A newborn was delivered 2 hours ago is being assessed in the nursery. Upon exam, the nurse notes a flattened nasal bridge, wide cat eyes. What would the nurse recommend?

According to erickson, which stage of development has the developmental task, trust vs mistrust?

According to erickson, which stage of development has the developmental task, autonomy vs shame?

When assessing a newborn, which of the following techniques should the nurse use to elicit the stepping reflex?

The nurse is assisting a new mother to begin breastfeeding. Which action is the most appropriate for the nurse to take?

The nurse is inspecting a male newborn genitalia. Which action should the nurse avoid?

A nurse is assessing a newborn that was admitted to the newborn nursery 28 hours ago. Mother’s history includes addiction to recreational drugs. Which finding would the nurse expect?

In providing care to the postpartum client, the nurse recognizes that women are hypercoagulable during the third trimester of pregnancy and that assessment of this client should include evaluation for the development of venous thromboembolism. Which of the following should be included in this evaluation? (select all that apply)

The nurse had instructed a mother on the importance of providing a toddler with a balanced diet. What observation during a home visit indicates that the mother is understanding of the education?

In caring for the postpartum client, the nurse will include assessment and observation for signs of postpartum hemorrhage. Which of the following would the nurse identify as risk factors?

Which assessment finding indicates to the nurse that a newborn has hip sublimation?

Which of the following is an advantage of breastfeeding for the newborn?

The nurse assesses a postpartum client's discharge as being moderate in amount and red in color. How should the nurse document the appearance of the lochia?

During a home visit, a postpartum client reports fullness and tenderness on the outer side of her right breast. With light palpation, the nurse feels a small lump with engorgement. What does the nurse suspect?

A new mother asks the nurse how soon she can try to breastfeed after delivery. Which of the following would be the nurse's best response?

The nurse is teaching new parents how to calculate the amount of formula to feed their newborn each day. The baby weighs 8 lbs. How Much formula should the nurse teach the parents to provide?

A postpartum woman is prescribed an antibiotic because of endometritis. Her breast-fed newborn should be observed particularly to which of the following?

A nurse is caring for a newborn with myelomeningocele. Which of the following actions should the nurse include in the plan of care?

A nurse at a well-baby clinic is collecting data about a nine-month-old infant. The nurse understands that what occurs at this Stage of development?

A nurse is caring for an adolescent whose mother expresses concern about the child sleeping such long hours. The nurse should inform the mother that additional sleep is needed during adolescence due to which of the following?

A new mother asks the nurse how to determine if the baby is receiving enough breast milk. How should the nurse respond to the mother?

Which of the following actions should the nurse take to prepare the preschool aged child for a physical examination

The nurse is concerned that a new mother is not showing interest in the newborn and does not participate in newborn care. What action should the nurse take to help both the mother and newborn at home?

According to piaget, which basic concept will the child learn during the first year of life?

A woman who delivered a term neonate 3 days ago is complaining of fever, fatigue, and heavy vaginal discharge. On assessment,the nurse notes that her fundus is tender on palpitation and heavy with foul smelling lochia what is the most likely cause of these symptoms.

The nurse in the pediatric clinic is recording anthropometric data in the 12-month-old child's chart. The father asks, "is my son growing the way that he should?” Which of the following nurses response is correct?

A newborn goes through many changes at the time of delivery when transitioning to extrauterine life. What changes are normal?

The nurse is assessing the breast of a woman who is 1 month postpartum. The woman reports a painful, inflamed area on one breast. Upon assessment, the nurse notes a wedged-shaped area on one breast to be red and warm to touch. Clients temperature is 101.8. What should the nurse consider is the potential diagnosis?

Hypoglycemia in a mature newborn is defined as a blood glucose level below which amount?

The nurse is called to the room of a client who had a term delivery of a 9 lb, 8 oz. newborn 24 hours ago. The client is noted to have lost consciousness on her way to the bathroom. What is the priority intervention?

While inspecting a newborn's head, the nurse identifies a swelling of the scalp on the right posterior side of the head that does not

cross the suture line. How would the nurse refer to this finding when documenting?

The nurse is caring to a postpartum woman 18 hours after a cesarean section for preeclampsia. The client is noted to have a boggy uterus and a moderate to large amount of vaginal bleeding. The nurse notifies the physician of these findings and expects an order for what?

The nurse observes a mother telling a toddler that pasta and potatoes will make the child fat. What should the nurse instruct the mother about these food items?

The nurse is assessing a term newborn. Which finding should the nurse expect when assessing the pattern of sole creases?

A nurse is caring for a 9-month-old with influenza. Which of the following might be a toy that could be used to interact, play, or distract them from the discomfort.

During a home visit, a new mother is concerned that after three meconium stools her newborn is now starting to have yellow seedy stools. What should the nurse explain to the new mother?

When caring for a newborn several hours after birth, what would the nurse assess as a normal newborns respiratory rate?

The parents of a newborn are concerned that something is wrong with their newborn eyesight. What should the nurse reassure the parents as being an expected finding in the newborn?

A newborn has loose, yellow stools. The newborn appears healthy, but his mother is concerned that this means he is allergic to breast milk. Which of the following is the best response to the mother?

The nurse is assessing a client at her 6-week postpartum appointment. The client states that she feels tired all the time, has trouble falling and staying asleep, feels very overwhelmed and forgetful and "just doesnt feel connected" to her baby. She denies thoughts of harming herself or her baby. These symptoms may indicate which of the following to the nurse?

An infant develops hydrocephalus at 2 weeks of age. Which finding would the nurse expect to assess?

A client recently delivered a newborn and her legs are still numb from the epidural . The nurse assessed the fundus and found it to be at 1 fingerbreadth above the umbilicus and deviated to the right. What is the priority nursing intervention?

The nurse on the postpartum unit is reviewing uterotonic (oxytocic) medications with a group of nursing students. Which of the following would be in this category?

A preterm newborn is placed in a radiant heat warmer immediately after birth. Which of the following nursing diagnoses is this?

A newborn is prescribed to receive vitamin k 0.5 mg intramuscularly. What should the nurse do to administer this medication to the newborn?

The nurse is called to the room of a client who had a term delivery of a 9 lb, 8 oz newborn 24 hours ago. The client is noted to have lost consciousness on her way to the bathroom. Upon assessment the fundus is noted to be boggy and deviated to the left with a moderate amount of vaginal bleeding. What is the priority nursing action?

A postpartum woman has a fourth-degree perineal laceration. Which of the following physician orders would the nurse question?

The nurse instructs the parents of a newborn on actions to prevent sudden infant death syndrome. Which observation indicates that teaching has been effective?

When assessing a newborn, the apgar score determines the ability of the newborn to transition to extrauterine life. Which of the following does the Apgar score assess?

During a home visit, the nurse determines that a toddler has a difficult temperament. What did the nurse observe in this visit? (select all that apply)

A nurse is caring for a 4-year-old female. Which of the following is expected of a preschool aged child?

The nurse provides discharge instructions to a postpartum client who had a vaginal birth. Which client statement indicates that teaching has been effective?

A nurse is caring for a client who has delivered her first newborn less than 24 hours ago. The newborn has been diagnosed with hyperbilirubinemia.While providing education to the client on this condition, the nurse should include which of the following has potential causes of this condition? (select all that apply)

A neonatal nurse is assessing a 2 hours old male newborn. She notes that the urethra meatus is not midline but is displaced on the dorsal surface (top side) of the penis. What is the medical term for this?

A parent is describing to the nurse activities that her 3 year old preschool child is achieving. The nurse knows that this child is experiencing which task of Erickson's psychosocial stage of development?