1. A nurse is caring for a postpartum client who delivered via cesarean section.
The client’s hemoglobin is 10 g/dL. Which of the following actions should the
nurse take?
A. Administer iron supplements.
B. Notify the provider for a blood transfusion.
C. Document the result and continue monitoring.
D. Prepare to administer a stool softener.
Answer: A. Administer iron supplements.
Rationale: An iron level of 10 g/dL is slightly low for a postpartum client. The nurse should
administer iron supplements to support increased red blood cell production and help correct the
anemia.
2. A nurse is assessing a newborn immediately after delivery. Which of the
following findings is a priority?
A. The newborn’s heart rate is 110 beats per minute.
B. The newborn is crying loudly.
C. The newborn’s respirations are 28 breaths per minute.
D. The newborn has acrocyanosis.
Answer: D. The newborn has acrocyanosis.
Rationale: Acrocyanosis (blueness of the hands and feet) is a common finding in the first few
hours after birth. However, it should be monitored as it could indicate a respiratory issue if it
persists.
3. A nurse is teaching a group of new parents about infant care. Which of the
following statements by a parent indicates a need for further teaching?
A. "I will dress my baby in one more layer than what I wear."
B. "I will place my baby on their stomach to sleep."
C. "I will always place my baby on their back to sleep."
D. "I will ensure my baby’s room is at a comfortable temperature."
Answer: B. "I will place my baby on their stomach to sleep."
Rationale: The American Academy of Pediatrics recommends placing infants on their back to
sleep to reduce the risk of sudden infant death syndrome (SIDS).
,4. A nurse is caring for a postpartum client who is breastfeeding. The client
reports nipple pain. Which of the following is an appropriate nursing
intervention?
A. Suggest the client try using soap on the nipples before breastfeeding.
B. Recommend the client apply a cold compress to the nipples after breastfeeding.
C. Teach the client to ensure proper latch during breastfeeding.
D. Instruct the client to decrease the frequency of breastfeeding.
Answer: C. Teach the client to ensure proper latch during breastfeeding.
Rationale: Proper latch is essential to prevent nipple pain and damage. The nurse should educate
the client on techniques to improve latch.
5. A nurse is caring for a pregnant client who is at 28 weeks of gestation. The
client reports blurry vision and swelling of the hands and face. Which of the
following is the nurse's priority action?
A. Obtain the client’s blood pressure.
B. Prepare the client for an ultrasound.
C. Encourage the client to rest.
D. Ask the client about their diet.
Answer: A. Obtain the client’s blood pressure.
Rationale: Blurry vision and swelling could be signs of preeclampsia, a hypertensive disorder in
pregnancy. The nurse’s priority is to assess the client’s blood pressure.
6. A nurse is teaching a postpartum client about how to care for an episiotomy
incision. Which of the following statements by the client indicates an
understanding of the teaching?
A. "I will avoid sitting for long periods of time."
B. "I will apply a hot compress to the incision site to reduce swelling."
C. "I will clean the area with soap and water after each bathroom visit."
D. "I will use a vaginal spray to keep the area clean and dry."
Answer: C. "I will clean the area with soap and water after each bathroom visit."
Rationale: The nurse should instruct the client to clean the area gently with soap and water.
Applying a hot compress is not recommended unless specified by the provider.
, 7. A nurse is caring for a newborn who is receiving phototherapy for jaundice.
Which of the following actions should the nurse take to promote the newborn’s
safety?
A. Cover the newborn’s eyes with a patch.
B. Place the newborn in a warmer.
C. Monitor the newborn’s temperature frequently.
D. Keep the newborn wrapped in a blanket.
Answer: C. Monitor the newborn’s temperature frequently.
Rationale: Phototherapy can increase the newborn's body temperature, so it is important to
monitor the temperature to avoid overheating or cooling.
8. A nurse is caring for a pregnant client at 36 weeks of gestation. The client
reports a sudden loss of fetal movement. Which of the following is the nurse’s
priority action?
A. Encourage the client to drink a sugary beverage.
B. Assess the fetal heart rate using a Doppler device.
C. Perform a nonstress test.
D. Notify the healthcare provider immediately.
Answer: B. Assess the fetal heart rate using a Doppler device.
Rationale: A sudden loss of fetal movement requires immediate assessment of fetal heart tones
to determine the well-being of the fetus.
9. A nurse is caring for a postpartum client who is breastfeeding. Which of the
following actions should the nurse take to help prevent engorgement?
A. Recommend breastfeeding every 3 hours.
B. Instruct the client to skip one breastfeeding session daily.
C. Suggest the client apply cold compresses after breastfeeding.
D. Encourage the client to breastfeed on demand.
Answer: D. Encourage the client to breastfeed on demand.
Rationale: Breastfeeding on demand helps to prevent engorgement by ensuring that the breasts
are emptied regularly.
The client’s hemoglobin is 10 g/dL. Which of the following actions should the
nurse take?
A. Administer iron supplements.
B. Notify the provider for a blood transfusion.
C. Document the result and continue monitoring.
D. Prepare to administer a stool softener.
Answer: A. Administer iron supplements.
Rationale: An iron level of 10 g/dL is slightly low for a postpartum client. The nurse should
administer iron supplements to support increased red blood cell production and help correct the
anemia.
2. A nurse is assessing a newborn immediately after delivery. Which of the
following findings is a priority?
A. The newborn’s heart rate is 110 beats per minute.
B. The newborn is crying loudly.
C. The newborn’s respirations are 28 breaths per minute.
D. The newborn has acrocyanosis.
Answer: D. The newborn has acrocyanosis.
Rationale: Acrocyanosis (blueness of the hands and feet) is a common finding in the first few
hours after birth. However, it should be monitored as it could indicate a respiratory issue if it
persists.
3. A nurse is teaching a group of new parents about infant care. Which of the
following statements by a parent indicates a need for further teaching?
A. "I will dress my baby in one more layer than what I wear."
B. "I will place my baby on their stomach to sleep."
C. "I will always place my baby on their back to sleep."
D. "I will ensure my baby’s room is at a comfortable temperature."
Answer: B. "I will place my baby on their stomach to sleep."
Rationale: The American Academy of Pediatrics recommends placing infants on their back to
sleep to reduce the risk of sudden infant death syndrome (SIDS).
,4. A nurse is caring for a postpartum client who is breastfeeding. The client
reports nipple pain. Which of the following is an appropriate nursing
intervention?
A. Suggest the client try using soap on the nipples before breastfeeding.
B. Recommend the client apply a cold compress to the nipples after breastfeeding.
C. Teach the client to ensure proper latch during breastfeeding.
D. Instruct the client to decrease the frequency of breastfeeding.
Answer: C. Teach the client to ensure proper latch during breastfeeding.
Rationale: Proper latch is essential to prevent nipple pain and damage. The nurse should educate
the client on techniques to improve latch.
5. A nurse is caring for a pregnant client who is at 28 weeks of gestation. The
client reports blurry vision and swelling of the hands and face. Which of the
following is the nurse's priority action?
A. Obtain the client’s blood pressure.
B. Prepare the client for an ultrasound.
C. Encourage the client to rest.
D. Ask the client about their diet.
Answer: A. Obtain the client’s blood pressure.
Rationale: Blurry vision and swelling could be signs of preeclampsia, a hypertensive disorder in
pregnancy. The nurse’s priority is to assess the client’s blood pressure.
6. A nurse is teaching a postpartum client about how to care for an episiotomy
incision. Which of the following statements by the client indicates an
understanding of the teaching?
A. "I will avoid sitting for long periods of time."
B. "I will apply a hot compress to the incision site to reduce swelling."
C. "I will clean the area with soap and water after each bathroom visit."
D. "I will use a vaginal spray to keep the area clean and dry."
Answer: C. "I will clean the area with soap and water after each bathroom visit."
Rationale: The nurse should instruct the client to clean the area gently with soap and water.
Applying a hot compress is not recommended unless specified by the provider.
, 7. A nurse is caring for a newborn who is receiving phototherapy for jaundice.
Which of the following actions should the nurse take to promote the newborn’s
safety?
A. Cover the newborn’s eyes with a patch.
B. Place the newborn in a warmer.
C. Monitor the newborn’s temperature frequently.
D. Keep the newborn wrapped in a blanket.
Answer: C. Monitor the newborn’s temperature frequently.
Rationale: Phototherapy can increase the newborn's body temperature, so it is important to
monitor the temperature to avoid overheating or cooling.
8. A nurse is caring for a pregnant client at 36 weeks of gestation. The client
reports a sudden loss of fetal movement. Which of the following is the nurse’s
priority action?
A. Encourage the client to drink a sugary beverage.
B. Assess the fetal heart rate using a Doppler device.
C. Perform a nonstress test.
D. Notify the healthcare provider immediately.
Answer: B. Assess the fetal heart rate using a Doppler device.
Rationale: A sudden loss of fetal movement requires immediate assessment of fetal heart tones
to determine the well-being of the fetus.
9. A nurse is caring for a postpartum client who is breastfeeding. Which of the
following actions should the nurse take to help prevent engorgement?
A. Recommend breastfeeding every 3 hours.
B. Instruct the client to skip one breastfeeding session daily.
C. Suggest the client apply cold compresses after breastfeeding.
D. Encourage the client to breastfeed on demand.
Answer: D. Encourage the client to breastfeed on demand.
Rationale: Breastfeeding on demand helps to prevent engorgement by ensuring that the breasts
are emptied regularly.
