2026-2027) Actual Exam Test Bank| 75 Actual
Exam Questions with Verified Answers &
Rationale | 100% Correct.
Question:
A nurse is preparing to collect a blood specimen from a newborn via a
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heel stick. Which of the following techniques should the nurse use to help
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minimize the pain of the procedure for the newborn??
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Answer:
Place the newborn skin to skin on the mother's chest.
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Placing the newborn skin to skin on the mother's chest is an effective
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technique to significantly decrease the newborn's pain level and anxiety.
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The nurse should implement this technique before, during, and after the
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procedure.
Question:
A nurse is performing a vag examination on a client who is in labor and
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observes the umbilical cord protruding from the vagina. After calling for
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assistance, which of the following actions should the nurse take??
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Answer:
,Insert two gloved fingers into the vagina and apply upward pressure to
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the presenting part.
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The nurse should quickly apply gloves and insert two fingers into the
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vagina toward the cervix, exerting upward pressure onto the presenting
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part to relieve umbilical cord compression and increase oxygenation to
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the fetus.
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Question:
A nurse is caring for a client who is at 24 weeks of gestation and has a
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suspected placental abruption. Which of the following lab tests should the
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nurse expect the provider to prescribe??
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Answer:
Kleihauer-betke test i,- i,-
The nurse should expect the provider to prescribe a Kleihauer-Betke test
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for a client who has suspected placental abruption to determine if fetal
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blood is in maternal circulation. This test is useful to determine if Rho-(D)
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immune globulin therapy should be administered to a client who is Rh-
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negative.
Question:
, A nurse is admitting a client who is in labor. The client admits to recent
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cocaine use. For which of the following complications should the nurse
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assess??
Answer:
Abruptio placenta i,- i,-
Cocaine use increases the risk for vasoconstriction and possible abruptio
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placenta.
Question:
A nurse is assessing a client who has severe preeclampsia. Which of the
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following manifestations should the nurse expect.?
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Answer:
Blurred vision i,- i,-
The nurse should identify that a client who has severe preeclampsia can
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have arteriolar vasospasms and decreased blood flow to the retina which
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can lead to visual disturbances, such as blurred vision, double vision, or
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dark spots in the visual field.
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Question:
A nurse is providing education about family bonding to parents who
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recently adopted a newborn. The nurse should make which of the
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