pg. 1 NR 327 Exam 2 Latest 2025 With 150 Questions And Correct Detailed Answers/ NR 327 Maternal Child Nursing Exam 2 2025 (Brand New!)
A nurse is caring for a client who is pregnant and states that their last menstrual period was April 1st. Which of the following is the client's estimated date of delivery?
- January 8
- January 15
- February 8
- February 15
Answer: A
(Subtract 3 months and add 7 days) A nurse is reviewing the health record of a client who is pregnant. The provider indicated the client exhibits probable signs of pregnancy. Which of the following findings should the nurse expect? (SATA)
- Montgomery's glands
- Goodell's sign
- Ballottement
- Chadwick's sign
- Quickening
Answer: B, C, D
A and E are presumptive signs of pregnancy.A nurse is caring for a newborn who was born at 38 weeks of gestations, weighs 3,200 g, and is in the 60th percentile for weight. Based on the weight and gestational age, the nurse should classify this neonate as which of the following? 1 / 4
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- Low birth weight
- Appropriate for gestational age
- Small for gestational age
- Large for gestational age
Answer: B
Appropriate because the weight is between the 10th and 90th percentile.Low birth weight is less than 2,500 g.Small for gestational age is less than 10th percentile.Large for gestational age weighs greater than 90th percentile.A nurse is completing a newborn assessment and observes small pearly white nodules on the roof of the newborn's mouth. This finding is a characteristic of which of the following conditions?
- Mongolian spots
- Milia spots
- Erythema toxicum
- Epstein's pearls
Answer: D - Epstein's pearls
Mongolian spots are areas of darkened pigmentation that occur on the back of the sacrum.Milia spots are small pearly white bumps that occur on the nose due to clogged sebaceous glands.Erythema toxicum is a transient maculopapular rash seen in newborns.A nurse is caring for a client who is to receive a continuous IV infusion of oxytocin following a vaginal birth. Which of the following assessment findings should the nurse monitor to evaluate the effectiveness of the medication?
- Urinary output
- BP
- Fundal consistency
- Pulse rate 2 / 4
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Answer: C
Oxytocin is a smooth muscle relaxant that causes contraction of the uterus. The nurse should palpate the uterine fundus to determine consistency or tone to determine if the med is effective.Water intoxication, hypertension, and cardiac dysrhythmias are adverse effects of oxytocin.A nurse is assessing a 2-day-old newborn and notes an egg-shaped, edematous, bluish discoloration that does not cross the suture line. Which of the following pieces of information should the nurse provide to the mother when she inquires about the finding?
- "This will resolve within 3-6 weeks without treatment"
- "This will resolve on its own within 3-4 days"
- "The provider might drain this area with a syringe'
- "This is expected at birth so you don't need to worry about it"
Answer: A
This is a cephalohematoma and will resolve within 2-6 weeks. A caput succedaneum is present at birth and extends across suture lines - this will resolve within 3-4 days.A nurse is planning care for a newborn who is receiving phototherapy for an elevated bilirubin level. Which of the following actions should the nurse take?
- Offer the newborn glucose water between feedings
- Keep the newborn's eye patches on during feedings
- Apply barrier ointment to the newborn's perineal region
- Use a photometer to monitor the lamp's energy
Answer: D
This ensures that the newborn is receiving the appropriate amount to be effective.A nurse is caring for a client who reports intestinal gas pain following a cesarean section. Which of the following actions should the nurse take?
- Assist the client to ambulate in the hallway
- Instruct the client to splint the incision with a pillow
- Have the client drink fluids through a straw 3 / 4
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- Encourage the client to drink carbonated beverages
Answer: A
Walking can help stimulate peristalsis.With the basal body temp method, which is true regarding temp monitoring?
- Monitor at bedtime
- Monitor first thing in the morning
- Take a vaginal temperature
- During a temperature plateau is when fertility is most likely
Answer: B
A nurse is assessing the reflexes of a newborn. In checking for the Moro reflex, the nurse should perform which of the following?
- Hold the newborn vertically under arms and allow one foot to touch table
- Stimulate the pads of the newborn's hands with stroking or massage
- Stimulate the soles of the newborn's feet on the outer lateral surface of each foot
- Hold the newborn in a semi-sitting position, then allow the newborn's head and
trunk to fall forward
Answer: D
A elicits the stepping reflex.B elicits the grasping reflex C elicits the Babinski reflex The nurse is developing a teaching plan for a patient who is 8 weeks pregnant.The nurse should tell the patient that she can expect to feel the fetus move at which time?
- Between 10 and 12 weeks gestation
- Between 16 and 20 weeks gestation
- Between 21 and 23 weeks gestation
- Between 24 and 26 weeks gestation
Answer: A; between 10 and 12 weeks gestation.
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