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Exam (elaborations)

Study OB CMS Exam with precise detailed answers

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Study OB CMS Exam with precise detailed answers

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Study OB CMS Exam with precise detailed || || || || || || ||




answers


A nurse is providing discharge instructions to a client who is breast-
|| || || || || || || || || || ||




feeding her newborn. Which of the following statements should the
|| || || || || || || || || ||




nurse include? ||




A. Notify your provider if you notice cracking on your nipples
|| || || || || || || || || ||




B. Notify your provider if you have not had a bowel movement within
|| || || || || || || || || || || || ||




5 days
||




C. Notify your provider if your breast leak when you shower
|| || || || || || || || || ||




D. Notify your provider if your vaginal discharge is brownish-red color
|| || || || || || || || || || ||




- ✔✔A
||




A nurse is providing teaching to a client who is planning to breastfeed
|| || || || || || || || || || || || ||




her newborn. Which of the following statements made by the client
|| || || || || || || || || || ||




indicates an understanding of the teaching? || || || || ||




A. I must drink milk everyday in order to assure good quality breast
|| || || || || || || || || || || || ||




milk
B. Drinking lots of fluids will increase my breast milk production
|| || || || || || || || || ||

,2



C. After the first few weeks, my nipples will toughen, and
|| || || || || || || || || || ||




breastfeeding won't hurt anymore || || || ||




D. My baby may sometimes feed every hour for several hours in a row -
|| || || || || || || || || || || || || ||




✔✔D
||




A nurse is planning care for a client who has a prescription for
|| || || || || || || || || || || || ||




oxytocin. Which of the following is a contraindication to the use of
|| || || || || || || || || || || ||




this medication? ||




A. Prolonged rupture of membranes at 38 weeks gestation
|| || || || || || || ||




B. Intrauterine growth restriction
|| || ||




C. Post-term pregnancy
|| ||




D. Active genital herpes - ✔✔D
|| || || || ||




A nurse is providing teaching to a client who is postpartum and does
|| || || || || || || || || || || || ||




not plan to breastfeed her newborn. Which of the following
|| || || || || || || || || ||




instructions should the nurse include in the teaching? || || || || || || ||




A. Stand under a hot shower with your breast exposed
|| || || || || || || || ||




B. Place ice packs on your breast
|| || || || || ||




C. Wear loose fitting, comfortable bra
|| || || || ||




D. Limit fluid intake to 1L per day - ✔✔B
|| || || || || || || || ||

,2




A nurse is providing care for a client who is in the second stage of
|| || || || || || || || || || || || || || ||




labor. The fetal heart tracing indicates multiple variable decelerations.
|| || || || || || || || ||




Which of the following actions should the nurse take?
|| || || || || || || ||




A. Prepare an amnioinfusion
|| || ||




B. Place the client in a supine position
|| || || || || || ||




C. Administer oxygen 2 L/min via nasal cannula
|| || || || || || || ||




D. Give a glucocorticoid steroid - ✔✔A
|| || || || || ||




A nurse is caring for a client who is at 39 weeks gestation and in active
|| || || || || || || || || || || || || || || ||




labor. Which of the following actions should the nurse include in the
|| || || || || || || || || || || ||




plan of care? || ||




A. Keep all 4 side rails up while the patient is in bed
|| || || || || || || || || || || ||




B. Monitor the fetal heart rate every hour
|| || || || || || ||




C. Insert an indwelling urinary catheter
|| || || || ||




D. Check the cervix prior to analgesic administration - ✔✔D
|| || || || || || || || ||




A nurse is assessing a client who is at 35 weeks gestation and has
|| || || || || || || || || || || || || ||




preeclampsia without severe features. Which of the following findings || || || || || || || ||




should the nurse identify as the priority?
|| || || || || || ||

, 2




A. 480 mL urine output in 24 hours
|| || || || || || ||




B. Blood pressure 144/92 mmHg
|| || || ||




C. +2 edema of the feet
|| || || || ||




D. 1+ protein in urine - ✔✔A
|| || || || || ||




A nurse is caring for a client who is at 16 weeks gestation and has
|| || || || || || || || || || || || || || ||




severe iron-deficiency anemia. The provider prescribes an injection of
|| || || || || || || || ||




iron dextran IM. Which of the following methods should the nurse use
|| || || || || || || || || || ||




to administer the medication?
|| || || ||




A. Use a 20-gauge needle and administer the medication using the Z-
|| || || || || || || || || || ||




track method ||




B. Use a 22-gauge needle and administer the medication deep into the
|| || || || || || || || || || || ||




thigh
C. Use a 25-gauge needle and administer the medication into the
|| || || || || || || || || || ||




deltoid muscle || ||




D. Use an 18-gauge needle and administer the medication into the
|| || || || || || || || || || ||




rectus femoris muscle - ✔✔A || || || ||




A nurse is preparing a client who is in labor for the insertion of an
|| || || || || || || || || || || || || || ||




intrauterine pressure catheter. The client asks why this type of || || || || || || || || || ||

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