Week 3 EAQ/HESIs Flashcards
Diminished movement in an extremity may indicate _______ damage.
nerve
The nurse performs a newborn assessment and evaluates the infant’s reflexes. How does the nurse perform the Moro reflex?
Hold the infant upright with his feet touching a solid surface.
Place a finger in the infant’s palm and assess whether the infant’s hand closes in a fist.
Slightly raise the infant’s head and trunk and allow the infant to drop back 30 degrees.
Stroke the lateral side of the sole of the infant’s foot from the heel to the ball of the foot.
Slightly raise the infant’s head and trunk and allow the infant to drop back 30 degrees.
This would elicit the infant’s arms and legs to extend and abduct, with fingers fanning open.
While administering the vitamin K to the infant, which action should the nurse take?
Select the middle third of the vastus lateralis for use.
Place the infant on the abdomen for better visualization.
Use the V technique after cleaning the ventral gluteal area.
Administer the medication using a 22 gauge, ½ inch needle.
Select the middle third of the vastus lateralis for use.
The nurse next prepares to administer the erythromycin ointment. Which approach should the nurse use to administer the ointment?
Apply ointment across the closed eyelids and rub the eye gently.
Open the eye using two fingers and apply ointment to the upper lid.
Apply gentle pressure to the inner canthus after applying ointment to eyes.
Cover entire lower conjunctiva with ointment after gently retracting the lid.
Cover entire lower conjunctiva with ointment after gently retracting the lid.
The infant rash, erythema toxicum, is very common and usually disappears by the _____ day of life.
third
The loose _______ stools are a typical response to phototherapy
green
The client asks how she will know the phototherapy is working. How should the nurse respond?
Stools are loose and bright green.
Formula feedings increase.
Serum bilirubin level decreases.
Skin is resilient with no indications of jaundice.
Serum bilirubin level decreases.
Which intervention would the nurse recommend for post-cesarean gas pain?
Lying on the right side
Walking around the room
Using a straw when drinking water
Supporting the incision when moving
Walking around the room
A client at 36 weeks’ gestation has a blood pressure of 140/90. Which additional sign of preeclampsia would the nurse assess for?
Urine dipstick positive for protein
Mild ankle edema
Episodes of dizziness on arising
Weight gain of 2 lb (907 g) in 2 weeks
Urine dipstick positive for protein
Which test is used to confirm breech presentation?
Ultrasound
Fetal scalp pH
Amniocentesis
Digital pelvimetry
Ultrasound
Which is a neonatal effect of maternal smoking during pregnancy?
Low birth weight
Facial abnormalities
Chronic lung problems
Hyperglycemic reactions
Low birth weight
Why is a multiple-gestation pregnancy considered a high risk?
Postpartum hemorrhage is an expected complication.
Perinatal mortality is two to three times more likely in multiple than in single births.
Optimal psychological adjustment after a multiple birth requires 6 months to 1 year.
Maternal mortality is higher during the prenatal period in the setting of multiple gestation.
Perinatal mortality is two to three times more likely in multiple than in single births.
Which position increases cardiac output in the obstetrical client with cardiac disease?
Trendelenburg
Low semi-Fowler
Lateral positioning
Supine with legs elevated
Lateral positioning
A pregnant client is admitted with abdominal pain and heavy vaginal bleeding. Which is the immediate nursing action?
Establish intravenous access
Elevate the head of the bed
Position the client laterally to the left
Administer an intramuscular analgesic
Establish intravenous access
Which factor contraindicates sexual intercourse during pregnancy?
Fetal tachycardia
Presence of leukorrhea
Premature rupture of membranes
Imminence of the estimated date of birth
Premature rupture of membranes
