A client who is 16 weeks of gestation asks the nurse how to prepare her father to a
younger sibling. Statements should the nurse make?
a. You should hold your newborn in your arms when you introduce him to your
toddler
b. you should move your toddler out of her crib 2 weeks prior to your due date
c. you should give your toddler a gift from the baby when she visit you in the facility
d. You should place your toddler in timeout if she exhibits regressive Behavior after
the
baby is born - c.you should give your toddler a gift from the baby when she visit you
in the facility
A nurse is observing an adolescent client who is offering her newborn a bottle while
he is laying in the bassinet. When the nurse offers to pick the newborn up and place
them in the client's arms, the mother States " No, the baby is too tired to be held".
Which of the following actions should the nurse take?
a. Insist that the mother pick up the newborn to feed him
b. demonstrate how to hold a newborn and allow the client to practice
c. persuade the client to breastfeed the newborn to promote bonding
d. offer to take the newborn to the nursery to finish his feeding - b. demonstrate how
to hold a newborn and allow the client to practice
3. A nurse is assessing a client who is in preterm labor and has a new prescription or
terbutaline 0.25 mg subcutaneous. For which of the following findings should the
nurse Withhold the medication and Report to the provider?
a. fasting blood glucose 75 mg / DL
b. blood pressure 88/58 mmhg
c. urinary output 40 ml /hr
d. FHR 120/min - b. blood pressure 88/58 mmhg
4. A nurse is providing teaching to the parents of a newborn about the plastibell
circumcision technique. Which of the following? - p170-171 - postprocedure bottom
of 170 and goes into top of 171.
a. the plastibell will be removed 4 hours after the procedure
b. notify the provider is the end of your penis appears dark red c. make sure the
newborn's diaper is snug
d. yellow exudate will form at the surgical site in 24 hours - d. yellow exudate will
form at the surgical site in 24 hours
5. A nurse is planning care immediately following birth for a newborn who has
Myelomeningocele that is cerebrospinal fluid. Which of the following actions should
the nurse include in the plan of care?
a. Administer broad-spectrum antibiotics
b. cleanse the site with Povidone iodine
c. monitor the rectal temperature every 4 hours d. prepare for surgical closure after
72 hours - a. Administer broad-spectrum antibiotics
, 6. A nurse is caring for a newborn Boys 6 hours old and has a bedside glucose
meter reading of 65 mg / DL. The New Orleans mother has Type 2 diabetes mellitus.
Which of the following actions should the nurse take?
a. Administer 50 mL of dextrose solution IV
b. obtain a blood sample of serum glucose level
c. reassess the blood glucose level prior to the next feeding
d. Feed the newborn immediately - c. reassess the blood glucose level prior to the
next feeding
7. A nurse is caring for four enter-partum clients. Which of the following clients
should the nurse assess first?
a. A client who is at 7 weeks of gestation and reports urinary frequency
b. a client who is at 32 weeks of gestation and reports seeing floating spots
c. a client who is 38 weeks of gestation and reports leg cramps
d. a client who is at 20 weeks of gestation and reports periodic numbness in her
fingers - b. a client who is at 32 weeks of gestation and reports seeing floating spots
8. A nurse is planning care for a client who is pregnant and has HIV. Which of the
following actions Should the nurse include in the plan of care?
a. Use a fetal scalp electrode during labor and delivery
b. Bathe the newborn before initiating skin to skin contact
c. instruct the client to stop taking the antiretroviral medication at 32 weeks of
gestation
d. administer pneumococcal immunization to the newborn within 4 hours following
birth - d. administer pneumococcal immunization to the newborn within 4 hours
following birth
9. A nurse is caring for a client who has placenta previa. Which of the following
findings should the nurse expect?
a. Firm rigid abdomen
b. painless, vaginal bleeding
c. uterine hypertonicity
d. persistent headache - b. painless, vaginal bleeding
10. A nurse is planning care for a newborn who is scheduled to start phototherapy
using a lap. Which of the following actions should the nurse include?
a. Apply a thin layer lotion to the newborn skin every 8 hours
b. trust in you born in a thin layer clothing during the therapy
c. ensure the newborn's eyes are closed beneath the shield
d. give the newborn 1 oz of glucose water every 4 hours - c. ensure the newborn's
eyes are closed beneath the shield
11. A nurse is providing discharge instructions to a client who is breastfeeding her
newborn. Which of the following instructions should the nurse include?
a. Expect 2 to 4 wet diapers every 24 hours
b. allow the baby to feed at least every 3 hours
c. offer the newborn 30 ml (1 oz.) a water between feedings
d. feed the newborn 5 to 10 minutes per breast - b. allow the baby to feed at least
every 3 hours