A nurse is collecting data from a 28 year old client who is requesting a prescription for an oral
contraceptive. Which of the following information in the clients history should the nurse identify
as a contraindication for the use of oral contraceptives?
History of mononucleosis 1 year ago
Frequent headaches with visual changes
Reports of occasional heartburn in the evening
Irregular menstrual cycles with dysmenorrhea - ANS Frequent headaches with visual changes
A nurse is reinforcing teaching with a client who is trying to become pregnant. Which of the
following foods should the nurse recommend as the best source of folate?
1 cup cooked spinach
One medium apple
240 mL (8 oz) 2% milk
One large hard-boiled egg - ANS 1 cup cooked spinach
A nurse is contributing to the plan of care for a newborn following a vaginal birth. Which of the
following information should the nurse include when helping to develop the newborns plan of
care?
Maternal group B streptococcus (GBS) status
Apgar score
Maternal urinary output
Type of birth
Maternal weight - ANS GBS
Apgar score
Type of birth
A nurse is reinforcing teaching about preventing urinary tract infections with a client who is at 25
weeks of gestation. Which of the following instructions should the nurse include?
"You should perform Kegel exercises four times per day."
"You should empty your bladder before you go to bed at night."
"You should wipe from back to front after urinating."
"You should wear underwear made from nylon." - ANS You should empty your bladder before
you go to bed at night.
The nurse should instruct the client to urinate and empty the bladder completely before going to
bed at night to prevent stasis of urine. A full bladder provides an environment that fosters
bacterial growth.
A nurse is reinforcing teaching about home safety precautions with a group of guardians. Which
of the following instructions should the nurse include?
"You should be able to place three fingers between the mattress and the sides of the crib."
"You should ensure that crib slats are no more than 2.25 inches apart."
, "You should attach a pacifier to your baby's clothing."
"You should set your water heater at 130 degrees Fahrenheit." - ANS You should ensure that
crib slats are no more than 2.25 inches apart
A nurse on a postpartum unit is contributing to the discharge teaching plan for a client. Which of
the following instructions should the nurse suggest for the plan?
Apply powder to the newborn's skin after baths.
Use a firm mattress in the newborn's crib.
Cover the newborn with a crib comforter.
Place the newborn on their stomach to sleep. - ANS Use a firm mattress in the newborns crib
A nurse is assisting with the care of a client who is in the active phase of the first stage of labor.
Which of the following findings should the nurse report to the charge nurse?
FHR 155/min
Uterine contractions 70 seconds in duration
Green fluid from the vagina
Early decelerations - ANS Green fluid from the vagina
A nurse is caring for a client following a cesarean birth. Which of the following actions should
the nurse take to decrease the client's risk of developing thrombophlebitis?
Have the client ambulate several times each day.
Administer aspirin 80 mg orally once per day.
Tell the client to expect leg pain for 48 hr.
Apply warm compresses to the client's legs. - ANS have the client ambulate several times a
day
a nurse is collecting data from a client who is 38 weeks of gestation. Which of the following
findings should the nurse report to the provider?
Glycosuria
Leg cramps
Insomnia
Leukorrhea - ANS glycosuria
Glycosuria is a potential complication of gestational diabetes mellitus and the nurse should
report this finding to the provider.
a nurse is planning to reinforce discharge teaching about formula feeding with the guardian of a
newborn. Which of the following instructions should the nurse plan to include?
Provide the newborn with six to eight feedings during a 24-hr period.
Ensure that the newborn receives 45 to 60 mL of formula per feeding during the first 48 hr.
Offer water to the newborn between feedings.
contraceptive. Which of the following information in the clients history should the nurse identify
as a contraindication for the use of oral contraceptives?
History of mononucleosis 1 year ago
Frequent headaches with visual changes
Reports of occasional heartburn in the evening
Irregular menstrual cycles with dysmenorrhea - ANS Frequent headaches with visual changes
A nurse is reinforcing teaching with a client who is trying to become pregnant. Which of the
following foods should the nurse recommend as the best source of folate?
1 cup cooked spinach
One medium apple
240 mL (8 oz) 2% milk
One large hard-boiled egg - ANS 1 cup cooked spinach
A nurse is contributing to the plan of care for a newborn following a vaginal birth. Which of the
following information should the nurse include when helping to develop the newborns plan of
care?
Maternal group B streptococcus (GBS) status
Apgar score
Maternal urinary output
Type of birth
Maternal weight - ANS GBS
Apgar score
Type of birth
A nurse is reinforcing teaching about preventing urinary tract infections with a client who is at 25
weeks of gestation. Which of the following instructions should the nurse include?
"You should perform Kegel exercises four times per day."
"You should empty your bladder before you go to bed at night."
"You should wipe from back to front after urinating."
"You should wear underwear made from nylon." - ANS You should empty your bladder before
you go to bed at night.
The nurse should instruct the client to urinate and empty the bladder completely before going to
bed at night to prevent stasis of urine. A full bladder provides an environment that fosters
bacterial growth.
A nurse is reinforcing teaching about home safety precautions with a group of guardians. Which
of the following instructions should the nurse include?
"You should be able to place three fingers between the mattress and the sides of the crib."
"You should ensure that crib slats are no more than 2.25 inches apart."
, "You should attach a pacifier to your baby's clothing."
"You should set your water heater at 130 degrees Fahrenheit." - ANS You should ensure that
crib slats are no more than 2.25 inches apart
A nurse on a postpartum unit is contributing to the discharge teaching plan for a client. Which of
the following instructions should the nurse suggest for the plan?
Apply powder to the newborn's skin after baths.
Use a firm mattress in the newborn's crib.
Cover the newborn with a crib comforter.
Place the newborn on their stomach to sleep. - ANS Use a firm mattress in the newborns crib
A nurse is assisting with the care of a client who is in the active phase of the first stage of labor.
Which of the following findings should the nurse report to the charge nurse?
FHR 155/min
Uterine contractions 70 seconds in duration
Green fluid from the vagina
Early decelerations - ANS Green fluid from the vagina
A nurse is caring for a client following a cesarean birth. Which of the following actions should
the nurse take to decrease the client's risk of developing thrombophlebitis?
Have the client ambulate several times each day.
Administer aspirin 80 mg orally once per day.
Tell the client to expect leg pain for 48 hr.
Apply warm compresses to the client's legs. - ANS have the client ambulate several times a
day
a nurse is collecting data from a client who is 38 weeks of gestation. Which of the following
findings should the nurse report to the provider?
Glycosuria
Leg cramps
Insomnia
Leukorrhea - ANS glycosuria
Glycosuria is a potential complication of gestational diabetes mellitus and the nurse should
report this finding to the provider.
a nurse is planning to reinforce discharge teaching about formula feeding with the guardian of a
newborn. Which of the following instructions should the nurse plan to include?
Provide the newborn with six to eight feedings during a 24-hr period.
Ensure that the newborn receives 45 to 60 mL of formula per feeding during the first 48 hr.
Offer water to the newborn between feedings.
