Week 2 Practice Questions

1) A nurse is caring for a client who is breastfeeding and states that her nipples are sore. Which of the following interventions should the nurse suggest? a) apply mineral oil to the nipples between feedings b) keep the nipples covered between breastfeeding sessions c) change the newborn’s position on the nipples with each feeding d) increase the length of time between feedings 2) A nurse is caring for a client who is 4 hr postpartum following a vaginal birth. The client has saturated ka perineal pad within 10 min. Which of the following actions should the nurse take first? a) massage the client’s fundus b) assess the bladder for distention c) prepare to administer a prescribed oxytocic preparation d) Assess client’s blood pressure 3) A nurse on the obstetric unit is caring for a client who experienced abruptio placentae. The nurse observes petechiae and bleeding around the IV access site. The nurse should recognize that this client is at risk for which of the following complications? a) preeclampsia b) disseminated intravascular coagulation c) anaphylactoid syndrome of pregnancy d) puerperal infection 4) A nurse in a prenatal clinic is teaching a group of clients about nutrition requirements during lactation. Which of the following statements should the nurse make? a) zinc intake should be at least 12 mg per day b) calcium intake should be at least 2,000 mg per day c) the recommended intake of iron increases d) the recommended intake of folic acid remains the same as for pregnant women 5) A nurse in the newborn nursery is caring for a group of newborns. Which of the following newborns requires immediate intervention? a) a newborn who is 18hr post-delivery and has acrocyanosis b) a newborn who is 24hr post-delivery and has not voided c) a newborn who is 12hr post-delivery and has a temperature of 37.5C(99.5F) d) a newborn who is 24hr post delivery and has not passed meconium 6) A nurse observes that a newborn has a pink trunk and head, bluish hands and feet, and flexed extremities 5 min after delivery. He has a weak and slow cry, a heart rate of 130/min, and cries in response to suctioning. The nurse should document what Apgar score for this infant? **Apgar scoring is an assessment of five areas of newborn well-being: respiratory effort, heart rate, muscle tone, reflex irritability and color. This newborn scores 2 each for heart rate, muscle tone and reflex irritability. The weak cry and acrocyanosis of the hands and feet score 1 each, for a total of 8 7) A nurse is caring for a client during a nonstress test (NST). At the end of a 30-min period of observation the nurse notes the following findings: The fetal heart rate baseline is 120/min with minimal variability and no accelerations. There are two decelerations of 15/min in the fetal heart rate during a period of fetal movement, each lasting 20 seconds. Which of the following interpretations of these findings should the nurse make? a) a reactive test