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1. A nurse is assisting with the care of a preterm newborn who is receiving
oxygen therapy. Which of the following findings should the nurse identify as
a potential complication from the oxygen therapy? - CORRECT ANSWER
Retinopathy
2. a nurse is reinforcing teaching with a client who is postpartum and
breastfeeding. which of the following nutrients should the nurse include in
the teaching as a nutrient for the client to increase the intake of while
breastfeeding? - CORRECT ANSWER Vitamin C
3. A nurse is caring for a client who is pregnant and reports N/V. Which of
following instructions should the nurse provide to the client? - CORRECT
ANSWER "You should eat some crackers before rising from bed in the
morning"
4. A nurse is reinforcing teaching with a client who has active genital herpes
simplex virus type 2. which of the following statements by the nurse should
be included in the teaching? - CORRECT ANSWER you will have a cesarean
birth prior to onset of labor
,5. A nurse is caring for a newborn who has irregular respirations of 52/min
with several periods of apnea lasting approximately 5 seconds. the newborn
is pink with acrocyanosis. Which of the following actions should the nurse
take? - CORRECT ANSWER continue to routinely monitor the newborn
6. A nurse is caring for a newborn who has neonatal abstinence syndrome.
which of the following clinical findings should the nurse expect? - CORRECT
ANSWER exaggerated reflexes
7. A nurse is collecting data for a newborn who is 12 hr old and notes mild
jaundice of the face and trunk. which of the following actions should the
nurse take? - CORRECT ANSWER obtain a stat prescription for bilirubin level
8. A nurse is caring for a client who is at 16 weeks gestation and have 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? - CORRECT ANSWER use a 20-gauge needle and administer the
medication using the z-tract method.
9. A nurse is reinforcing teaching about oxytocin with a client who is in the 3rd
trimester of pregnancy and has pre-eclampsia. Which of the following is a
contraindication for use of this medication? - CORRECT ANSWER active
genital herpes
10.A nurse is discussing diaphragm use with a client. which of the following
statements by the client indicates an understanding of the teaching? -
CORRECT ANSWER I should replace my diaphragm every 2 years
,11.A nurse is assisting with the care of a newborn who has myelomeningocele.
which of the following actions should the nurse take? - CORRECT ANSWER
initiate a latex free environment
12.A nurse is caring for a client who desires an intrauterine device (IUD) for
contraception. which of the following findings is a contraindication for use
of this device - CORRECT ANSWER menorrhagia
13.A nurse is assisting with caring for a client who is at 36 weeks of gestation
and has preeclampsia. which of the following findings should the nurse
identify as the priority. - CORRECT ANSWER nonreactive non stress test
14.A nurse is speaking with an expectant father who says that he feels
resentful of the added attention others are giving his wife since the
pregnancy was announced several weeks ago. which of the following
responses should the nurse make - CORRECT ANSWER these feelings are
common for expectant fathers in early pregnancy
15.A nurse is assisting In the plan of care for a newborn who requires
phototherapy for hyperbilirubinemia. which of the following actions should
the nurse include in the plan of care? - CORRECT ANSWER ensure the
newborns eyes are closed before applying the eye shield
16.A nurse is preparing to elicit the fencing reflex from a newborn. which of
the following actions should the nurse take? - CORRECT ANSWER turn the
newborns head quickly to one side
, 17.A nurse is assisting with the plan of care for a client who is at 35 weeks of
gestation. which of the following laboratory tests should the nurse obtain? -
CORRECT ANSWER Group B streptococcus B-hemolytic culture
18.A nurse administers betamethasone to a client who is at 33 weeks of
gestation to stimulate fetal lung maturity. When assisting with the plan of
care for the newborn, which of the following conditions should the nurse
identify as an adverse effect of the medication? - CORRECT ANSWER
decreased blood glucose
19.A nurse is preparing a client who is pregnant for an ultrasound. which of the
following information is the most important for the nurse to collect? -
CORRECT ANSWER the time of the clients last void
20.A nurse is reinforcing teaching with a client about a non stress test. which of
the following statement by the client indicates an understanding of the
teaching? - CORRECT ANSWER I should press the button on the hand held
marker when my baby moves
21.a nurse is reinforcing teaching with a client who is breastfeeding. which of
the following information should the nurse include? - CORRECT ANSWER
your baby should have burst of 15 sucks of swallows at a time
a nurse is caring for four newborns. which of the following newborns is at
greatest risk for hypoglycemia - CORRECT ANSWER a newborn who is large for
gestational age