, The nurse in the newborn nursery has just received A
report. Which of the following infants should the nurse
see FIRST?
A. A 2 day old infant who is lying quietly alert with a heart
rate of 185
B. A 1 day old infant who is crying and has a bulging
anterior fontanel
C. A 12 hour old infant who is being held, with respirations
that are 45 breaths per minute and regular
D.A 5 hour old infant who is sleeping and whose hands
and feet are blue bilaterally
The nurse on a postpartum unit is preparing 4 clients for D
discharge. It would be MOST important for the nurse to
refer which of the following clients for home care?
A. A 15 year old primipara who delivered a 7 lb male 2
days ago
B. An 18 year old multipara who delivered a 9 lb female
by c-section 2 days ago
C. A 20 year old multipara who delivered 1 day ago and is
complaining of cramping
D. A 22 year old who delivered by c-section and is
complaining of burning on urination
The nurse teaches a primigravid woman how to measure C
the frequency of uterine contractions. The nurse should
explain to the client that the frequency of uterine
contractions is determined by which of the following?
A. By timing from the beginning of one contraction to the
end of the next contraction
B. By timing from the beginning of one contraction to the
end of the same contraction
C. By the number of contractions that occur within a
given period of time
D. By the strength of the contraction at its peak
Which of the following are presumptive signs of B, C, F
pregnancy? (Select all that apply)
A. Positive pregnancy test
B. Enlarged breasts
C. Urinary frequency
d. Braxton Hicks contractions
E. Fetal heart tones heard by the provider
F. Amenorrhea
Which of the following is the priority during the third D
stage of labor for the mother?
A. Educating the mother
B. Pain management
C. Skin to skin contact
D. Adequate tissue perfusion
report. Which of the following infants should the nurse
see FIRST?
A. A 2 day old infant who is lying quietly alert with a heart
rate of 185
B. A 1 day old infant who is crying and has a bulging
anterior fontanel
C. A 12 hour old infant who is being held, with respirations
that are 45 breaths per minute and regular
D.A 5 hour old infant who is sleeping and whose hands
and feet are blue bilaterally
The nurse on a postpartum unit is preparing 4 clients for D
discharge. It would be MOST important for the nurse to
refer which of the following clients for home care?
A. A 15 year old primipara who delivered a 7 lb male 2
days ago
B. An 18 year old multipara who delivered a 9 lb female
by c-section 2 days ago
C. A 20 year old multipara who delivered 1 day ago and is
complaining of cramping
D. A 22 year old who delivered by c-section and is
complaining of burning on urination
The nurse teaches a primigravid woman how to measure C
the frequency of uterine contractions. The nurse should
explain to the client that the frequency of uterine
contractions is determined by which of the following?
A. By timing from the beginning of one contraction to the
end of the next contraction
B. By timing from the beginning of one contraction to the
end of the same contraction
C. By the number of contractions that occur within a
given period of time
D. By the strength of the contraction at its peak
Which of the following are presumptive signs of B, C, F
pregnancy? (Select all that apply)
A. Positive pregnancy test
B. Enlarged breasts
C. Urinary frequency
d. Braxton Hicks contractions
E. Fetal heart tones heard by the provider
F. Amenorrhea
Which of the following is the priority during the third D
stage of labor for the mother?
A. Educating the mother
B. Pain management
C. Skin to skin contact
D. Adequate tissue perfusion
