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A nurse is providing teaching for a client who has a new prescription for combined oral
contraceptives, which of the following findings should the nurse include as an adverse
effect of this medication
A) Depression
B) Polyuria
C) Hypotension
D) Urticaria - ANS>> A) Depression
A nurse is providing teaching to a client who is at 40 weeks of gestation and has a new
prescription for misoprostol. Which of the following instructions should the nurse include
in the teaching?
A) I can administer oxytocin 4 hours after the insertion of the medication
B) You will need a full bladder prior to the insertion of the medication
C) Remain in a side lying position for 15 minutes after the medication is inserted
D) An antacid will be given 20 minutes prior to the insertion of the medication - ANS>>
A) I can administer oxytocin 4 hours after the insertion of the medication
A nurse is caring for a prenatal client who has parvovirus B19 (fifth disease). Which of
the following actions should the nurse take?
A) Administer antiviral medication
B) Schedule an ultrasound examination
C) Administer Haemophilus influenza type B vaccine
D) Schedule an indirect coombs test - ANS>> B) Schedule an ultrasound examination
To monitor the fetus during pregnancy to detect the possible development of fetal
hydrops. The virus can cause miscarriage, IUGR, fetal anemia, or stillbirth. There is no
antiviral medication available.
A nurse is caring for a client who is at 14 weeks of gestation and has a suspected
placental abruption. Which of the following laboratory tests should the nurse expect the
provider to prescribe?
A) Kleihauer-Betke test
B) Progesterone serum level
C) Lecithin/sphingomyelin ratio
D) Maternal Alpha-fetoprotein - ANS>> A) Kleihauer-Betke test
To determine if their is fetal blood in maternal circulation
, A nurse is assessing a client who has severe preeclampsia. Which of the following
manifestations should the nurse expect?
A) 2+ dtr
B) Proteinuria of 200 mg in a 24 hr specimen
C) Polyuria
D) Blurred vision - ANS>> D) Blurred vision
A nurse is teaching a newly licensed nurse about collecting a specimen for the universal
newborn screening. Which of the following statements should the nurse include in the
teaching?
A) Obtain informed consent
B) Collect at least 1 milliliter of urine for the test
C) Ensure the newborn has been receiving feedings for 24 hours prior to obtaining the
specimen
D) Premature newborns may have false negative tests due to immature development of
liver enzymes - ANS>> C) Ensure the newborn has been receiving feedings for 24
hours prior to obtaining the specimen
A nurse is performing a physical assessment of a newborn upon admission into the
nursery. Which of the following manifestations should the nurse expect? SATA
A) Yellow sclera
B) Acrocyanosis
C) Posterior fontanel larger than the anterior fontanel
D) Positive babinski
E) Two umbilical arteries - ANS>> B, D, E
A nurse is admitting a client who is in labor. The client admits to recent cocaine use. For
which of the following complications should the nurse assess?
A) Abruptio placenta
B) Placenta previa
C) Preeclampsia
D) Maternal bradycardia - ANS>> A) Abruptio placenta
A nurse is performing a routine assessment on a client who is at 18 weeks of gestation.
Which of the following findings should the nurse expect?
A) DTR 4+
B) Fundal height 14 cm
C) Urine protein 2+
D) FHR 152/min - ANS>> D
A nurse is caring for a client who is at 15 weeks of gestation, is RH negative and has
just had an amniocentesis. Which of the following interventions is the nurses priority?
A) Check the clients temperature
B) Observe for uterine contractions
C) Administer RH immune globin