Exam
a. BUN 25 mg/dL - ANSWER A nurse is caring for a client who has hyperememis gravidarum and is
receiving IV fluid replacement. Which of the following findings should the nurse report to the provider?
a. BUN 25 mg/dL
b. serum creatinine 0.8 mg/dL
c. urine output of 280 mL within 8 hour
d. urine negative for ketones
b. leave the diaphragm in place for at least 6 hours after intercourse - ANSWER A nurse is providing
teaching about family planning to a client who has a new prescription for a diaphragm. Which statement
should the nurse include in the teaching?
a. replace the diaphragm every 5 years
b. leave the diaphragm in place for at least 6 hours after intercourse
c. use an oil-based product as a lubricant when inserting the diaphragm
d. insert the diaphragm when you bladder is full
d. platelets 50,000/mm3 - ANSWER A nurse is reviewing the med record of a client who is postpartum
and has preeclampsia. Which lab results should the nurse report to the provider?
a. Hct 39%
b. serum albumin 4.5g/dL
c. WBC 9000/mm3
d. platelets 50,000/mm3
,d. I will need this med if I have an amniocentesis - ANSWER A nurse is teaching a client about Rho(D)
immune globulin. Which statement by the client indicates an understanding of the teaching?
a. I will receive this med if my baby is Rh-negative
b. I will receive this med when I'm in labor
c. I will need a second dose of this med when my baby is 6 weeks old
d. I will need this med if I have an amniocentesis
a. swelling of the face - ANSWER A nurse is assessing a client who is 30 weeks gestation during a routine
prenatal visit. Which findings should the nurse report to the provider?
a. swelling of the face
b. varicose veins in the calves
c. nonpitting 1+ ankle edema
d. hyperpigmentation of the cheeks
d. eat high-carb foods - ANSWER A nurse is teaching a client who is pregnant about managing nausea
and vomiting. Which instructions should the nurse include in the teaching?
a. brush your teeth immediately after eating
b. eat foods served at a warm temp
c. drink a glass of water with each meal
d. eat high-carb foods
c. remove all clothing from newborn except diaper - ANSWER A nurse is developing a plan of care for a
newborn who is to undergo phototherapy for hyperbilirubinemia. Which actions should the nurse
include in the plan?
a. feed the newborn 1oz of water q4hrs
b. apply lotion to newborns skin 3x/day
c. remove all clothing from newborn except diaper
, d. discontinue therapy if the newborn develops a rash
a. take photos of the newborn to give to the parents - ANSWER A nurse is caring for a client and her
partner who experienced a fetal death. What action should the nurse take?
a. take photos of the newborn to give to the parents
b. tell the parents the can consider organ donation
c. encourage the parents to avoid allowing older children to visit them in the hospital
d. explain to the parents the need to name the newborn
c. have the client change positions - ANSWER A nurse is caring for a client who is 35 weeks gestation and
is undergoing nonstress test that reveals a variable deceleration in the FHR. What action should the
nurse take?
a. give the client oj
b. elevate the client's legs
c. have the client change positions
d. establish IV access
c. assist the client to empty her bladder - ANSWER A nurse is assessing a client who gave birth vaginally
12hrs ago and palpates her uterus to the right above the umbilicus. What interventions should the nurse
perform?
a. reassess the client in 2 hrs
b. administer simethiconde
c. assist the client to empty her bladder
d. instruct the client to lie on her right side
d. FHR 152/min - ANSWER A nurse is performing a routine assessment on a client who is 18 weeks
gestation. What findings should the nurse expect?
a. deep tendon reflexes 4+