ANSWERS
A nurse is teaching a newly licensed nurse about collecting a specimen for the universal
newborn screening. Which of the following statements should the nurse include in the
teaching?
"Ensure that the newborn has been receiving feedings for 24 hours prior to obtaining the
specimen."
A nurse is creating a plan of care for a client who is postpartum and adheres to traditional
Hispanic cultural beliefs. Which of the following cultural practices should the nurse include in
the plan of care?
Protect the client's head and feet from cold air.
A nurse is caring for a client who is at 36 weeks of gestation and has a positive contraction stress
test. The nurse should plan to prepare the client for which of the following diagnostic tests?
Biophysical profile
A nurse is preparing to administer magnesium sulfate 2 g/hr IV to a client who is in preterm
labor. Available is 20 g magnesium sulfate in 500 mL of dextrose 5% in water (D5W). The nurse
should set the IV infusion pump to administer how many mL/hr? (Round the answer to the
nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)
50 mL/hr
, A nurse is developing a plan of care for a client who has preeclampsia and is recieving
magnesium sulfate via continuous IV infusion. Which of the following interventions should the
nurse include in the plan?
Monitor the FHR continuously.
A nurse is assessing a newborn who is 12 hr old. Which of the following manifestations requires
intervention by the nurse?
Substernal chest retractions while sleeping
A nurse is assessing a client who is at 38 weeks of gestation during a weekly prenatal visit.
Which of the following findings should the nurse report to the provider?
Weight gain of 2.2 kg (4.8 lb)
A nurse is providing teaching about nonpharmacological pain management to a client who is
breastfeeding and has engorgement. The nurse should recommend which of the following
strategies?
A warm shower
A nurse is caring for a client who is pregnant and is at the end of their first trimester. The nurse
should place the Doppler ultrasound stethoscope in which of the following locations to begin
assessing for the fetal heart tones (FHT)?
Just above the symphysis pubis