,1. (NGN) A nurse is caring for a client who is experiencing a postpartum hemorrhage and has a new
prescription for misoprostol.
Exhibit 1 (not shown)
Exhibit 2:
Medical History
Preeclampsia
Cesarean birth of viable twin male newborn
Exhibit 3 (not shown
Exhibit 4 (not shown)
The nurse is assessing the client 30 min later. How should the nurse interpret the finding?
For each finding, click to specify whether the finding is unrelated to the diagnose, an indication of potential
improvement, or an indication of potential worsening condition.
b
2. (NGN) A nurse is assessing a postpartum client during a follow-up visit
Exhibit 1 (not shown)
Exhibit 2 (not shown)
Exhibit:
Vital Signs:
0930:
Temperature 37 C (98.6F)
Pulse rate 78/min
Respiratory Rate 12/min
Blood pressure 124/80mm Hg
Pulse oximetry 100%
Complete the following sentence by using the list of options.
, Eat a well-balanced diet
3. (NGN)
Yellow= mine
*it says IMMEDIATE
FOLLOW UP**
4. Lateral deviation of
the uterus
5. Large amount of
lochia rubra
6. Uterine tone soft
4. A nurse is caring for a client who is receiving an epidural block with opioid analgesic. The nurse should
monitor for which of the following findings as an adverse effect of the medication?
a. Hyperglycemia
b. Bilateral crackles
c. Hypotension
d. Polyuria
5. A nurse is providing teaching to a client who is at 35 weeks of gestation and has a prescription for an
amniocentesis. Which of the following client statements indicates an understanding of the teaching?
a. “I should empty my bladder before the procedure”
b. “I will be laying on my side during the procedure”
c. “I will be asleep during the procedure”
d. “I should start fasting 24 hours before the procedure”
, 6. A nurse is caring for an infant who has signs of neonatal abstinence syndrome. Which of the following
actions should the nurse take?
a. Monitor blood glucose level every hr
b. Place the infant on his back with legs extended
c. Initiate seizure precautions
d. Provide a stimulating environment
7. A nurse is administering a hepatitis B vaccine to a newborn. Which of the following actions should the
nurse take?
a. Administer the injection into the vastus lateralis muscle
b. Vigorously massage the site following the injection
c. Insert the needle at a 45degree angle for injection
d. Use a 21-gauge needle for the injection
8. A nurse is caring for a client who delivered by cesarean birth 6 hr ago. The nurse notes a steady trickle of
vaginal bleeding that does not stop with fundal massage. Which of the following actions should the nurse
take?
a. Surgical dressing.
b. Evaluate urinary output.
c. Apply an ice pack to the incision site
d. Administer 500 ml lactated ringer’s IV bolus.
9. This is assessing a newborn whose mother had gestational diabetes meilitus. The nurse monitor for which
of the following finding as a manifestation of hypoglycemia.
a. Abdominal distention.
b. Petechiae
c. increase muscle tone
d. Jitteriness
10. A nurse is collecting data from a client who is at 30 weeks of gestation period which of the following
findings should the nurse identify as a manifestation of pyelonephritis?
a. Epigastric discomfort
b. Flank pain
c. Temperature 37.7 C (99.9F)
d. Abdominal cramping
11. A nurse is providing teaching to the parents of a newborn about the Plastibell circumcision technique.
Which of the following information should the nurse include?
a. The Plastibell we removed 4 hours after the procedure
b. Make sure the newborns diaper is snug
c. Yellow exudate will form at the surgical site in 24 hours (naxlex and other stuff said this)
d. Notify the provider if the end of your baby's penis appears dark red
12. A nurse is providing discharge teaching to a client following tubal ligation. Which of the following
statements by the client indicates an understanding of the teaching?
a. Premenstrual tension will no longer be present
b. My monthly menstrual period will be shorter
c. Hormone replacements will be needed following this procedure
d. Ovulation will remain the same
13. A nurse is caring for a client who is 1 hour postpartum and has uterine atony. The client is exhibiting a large
amount of vaginal bleeding. Which of the following actions should the nurse take?
a. Administer betamethasone IM
b. Avoid performing sterile vaginal examination
c. Anticipate a prescription for misoprostol
d. Obtain a specimen for a Kleihauer-Betke test
prescription for misoprostol.
Exhibit 1 (not shown)
Exhibit 2:
Medical History
Preeclampsia
Cesarean birth of viable twin male newborn
Exhibit 3 (not shown
Exhibit 4 (not shown)
The nurse is assessing the client 30 min later. How should the nurse interpret the finding?
For each finding, click to specify whether the finding is unrelated to the diagnose, an indication of potential
improvement, or an indication of potential worsening condition.
b
2. (NGN) A nurse is assessing a postpartum client during a follow-up visit
Exhibit 1 (not shown)
Exhibit 2 (not shown)
Exhibit:
Vital Signs:
0930:
Temperature 37 C (98.6F)
Pulse rate 78/min
Respiratory Rate 12/min
Blood pressure 124/80mm Hg
Pulse oximetry 100%
Complete the following sentence by using the list of options.
, Eat a well-balanced diet
3. (NGN)
Yellow= mine
*it says IMMEDIATE
FOLLOW UP**
4. Lateral deviation of
the uterus
5. Large amount of
lochia rubra
6. Uterine tone soft
4. A nurse is caring for a client who is receiving an epidural block with opioid analgesic. The nurse should
monitor for which of the following findings as an adverse effect of the medication?
a. Hyperglycemia
b. Bilateral crackles
c. Hypotension
d. Polyuria
5. A nurse is providing teaching to a client who is at 35 weeks of gestation and has a prescription for an
amniocentesis. Which of the following client statements indicates an understanding of the teaching?
a. “I should empty my bladder before the procedure”
b. “I will be laying on my side during the procedure”
c. “I will be asleep during the procedure”
d. “I should start fasting 24 hours before the procedure”
, 6. A nurse is caring for an infant who has signs of neonatal abstinence syndrome. Which of the following
actions should the nurse take?
a. Monitor blood glucose level every hr
b. Place the infant on his back with legs extended
c. Initiate seizure precautions
d. Provide a stimulating environment
7. A nurse is administering a hepatitis B vaccine to a newborn. Which of the following actions should the
nurse take?
a. Administer the injection into the vastus lateralis muscle
b. Vigorously massage the site following the injection
c. Insert the needle at a 45degree angle for injection
d. Use a 21-gauge needle for the injection
8. A nurse is caring for a client who delivered by cesarean birth 6 hr ago. The nurse notes a steady trickle of
vaginal bleeding that does not stop with fundal massage. Which of the following actions should the nurse
take?
a. Surgical dressing.
b. Evaluate urinary output.
c. Apply an ice pack to the incision site
d. Administer 500 ml lactated ringer’s IV bolus.
9. This is assessing a newborn whose mother had gestational diabetes meilitus. The nurse monitor for which
of the following finding as a manifestation of hypoglycemia.
a. Abdominal distention.
b. Petechiae
c. increase muscle tone
d. Jitteriness
10. A nurse is collecting data from a client who is at 30 weeks of gestation period which of the following
findings should the nurse identify as a manifestation of pyelonephritis?
a. Epigastric discomfort
b. Flank pain
c. Temperature 37.7 C (99.9F)
d. Abdominal cramping
11. A nurse is providing teaching to the parents of a newborn about the Plastibell circumcision technique.
Which of the following information should the nurse include?
a. The Plastibell we removed 4 hours after the procedure
b. Make sure the newborns diaper is snug
c. Yellow exudate will form at the surgical site in 24 hours (naxlex and other stuff said this)
d. Notify the provider if the end of your baby's penis appears dark red
12. A nurse is providing discharge teaching to a client following tubal ligation. Which of the following
statements by the client indicates an understanding of the teaching?
a. Premenstrual tension will no longer be present
b. My monthly menstrual period will be shorter
c. Hormone replacements will be needed following this procedure
d. Ovulation will remain the same
13. A nurse is caring for a client who is 1 hour postpartum and has uterine atony. The client is exhibiting a large
amount of vaginal bleeding. Which of the following actions should the nurse take?
a. Administer betamethasone IM
b. Avoid performing sterile vaginal examination
c. Anticipate a prescription for misoprostol
d. Obtain a specimen for a Kleihauer-Betke test
