Questions and Correct Answers 2025-2026
GRADED A+
A ,multiparous ,client ,has ,been ,in ,labor ,for ,8 ,hours ,when ,her ,membranes ,rupture.
,Which ,action ,should ,the ,nurse ,implement ,first?
Prepare ,the ,client ,for ,imminent ,birth.
Assess ,the ,fetal ,heart ,rate ,and ,pattern.
Document ,the ,characteristics ,of ,the ,fluid.
Notify ,the ,client's ,primary ,healthcare ,provider. ,- ,CORRECT ,ANSWER-Assess ,the
,fetal ,heart ,rate ,and ,pattern.
A ,primigravida ,at ,37 ,weeks ,gestation ,tells ,the ,nurse ,that ,her ,"bag ,of ,water" ,has
,broken. ,While ,inspecting ,the ,client's ,perineum, ,the ,nurse ,notes ,the ,umbilical ,cord
,protruding ,from ,the ,vagina. ,Which ,action ,should ,the ,nurse ,implement ,first?
Administer ,10 ,L ,of ,oxygen ,via ,face ,mask.
Give ,the ,healthcare ,provider ,a ,status ,report.
Place ,the ,client ,in ,the ,knee-chest ,position.
Wrap ,the ,cord ,with ,gauze ,soaked ,in ,saline. ,- ,CORRECT ,ANSWER-Place ,the ,client ,in
,the ,knee-chest ,position.
The ,nurse ,observes ,a ,new ,mother ,avoiding ,eye ,contact ,with ,her ,newborn. ,Which
,action ,should ,the ,nurse ,take?
Ask ,the ,mother ,why ,she ,won't ,look ,at ,the ,infant.
Observe ,the ,mother ,for ,other ,bonding ,behaviors.
Examine ,the ,newborn's ,eyes ,for ,the ,ability ,to ,focus.
,Recognize ,this ,as ,a ,common ,reaction ,in ,new ,mothers. ,- ,CORRECT ,ANSWER-
Observe ,the ,mother ,for ,other ,bonding ,behaviors.
A ,client ,states, ,"During ,the ,three ,months ,I've ,been ,pregnant, ,it ,seems ,like ,I ,have ,had
,to ,go ,to ,the ,bathroom ,every ,five ,minutes." ,Which ,explanation ,should ,the ,nurse
,provide ,to ,this ,client?
The ,client ,may ,have ,a ,bladder ,or ,kidney ,infection.
Bladder ,capacity ,increases ,during ,pregnancy.
During ,pregnancy, ,a ,woman ,is ,especially ,sensitive ,to ,body ,functions.
The ,growing ,uterus ,is ,putting ,pressure ,on ,the ,bladder. ,- ,CORRECT ,ANSWER-The
,growing ,uterus ,is ,putting ,pressure ,on ,the ,bladder.
Which ,nursing ,action ,should ,be ,implemented ,when ,intermittently ,gavage-feeding ,a
,preterm ,infant?
Allow ,the ,formula ,to ,flow ,by ,gravity.
Avoid ,letting ,the ,infant ,suck ,on ,the ,tube.
Insert ,feeding ,tube ,through ,nares.
Apply ,steady ,pressure ,to ,the ,syringe. ,- ,CORRECT ,ANSWER-Allow ,the ,formula ,to
,flow ,by ,gravity.
A ,client ,in ,her ,second ,trimester ,of ,pregnancy ,asks ,if ,it ,is ,safe ,for ,her ,to ,have ,a ,drink
,with ,dinner. ,How ,should ,the ,nurse ,respond ,to ,the ,client?
During ,the ,second ,trimester ,beer ,can ,be ,consumed ,without ,harm ,to ,the ,fetus.
Wine ,can ,be ,consumed ,several ,times ,a ,week ,after ,the ,first ,trimester.
Only ,one ,drink ,with ,the ,evening ,meal ,is ,not ,harmful ,to ,the ,fetus.
Abstinence ,is ,strongly ,recommended ,throughout ,the ,pregnancy. ,- ,CORRECT
,ANSWER-Abstinence ,is ,strongly ,recommended ,throughout ,the ,pregnancy.
The ,nurse ,is ,teaching ,a ,new ,mother ,about ,diet ,and ,breastfeeding. ,Which ,instruction
,is ,most ,important ,to ,include ,in ,the ,teaching ,plan?
Avoid ,alcohol ,because ,it ,is ,excreted ,in ,breast ,milk.
Avoid ,spicy ,foods ,to ,prevent ,infant ,colic.
Increase ,caloric ,intake ,by ,approximately ,500 ,calories/day.
Double ,prenatal ,milk ,intake ,to ,improve ,Vitamin ,D ,transfer ,to ,the ,- ,CORRECT
,ANSWER-Avoid ,alcohol ,because ,it ,is ,excreted ,in ,breast ,milk.
A ,preterm ,infant ,with ,an ,apnea ,monitor ,experiences ,an ,episode ,of ,apnea. ,Which
,action ,should ,the ,nurse ,implement ,first?
Ventilate ,with ,an ,Ambu ,bag.
Perform ,nasal ,and ,airway ,suctioning.
Administer ,supplemental ,oxygen.
, Gently ,rub ,the ,infant's ,feet ,or ,back ,to ,stimulate ,respirations ,and ,place ,in ,the ,radiant
,warmer. ,- ,CORRECT ,ANSWER-Gently ,rub ,the ,infant's ,feet ,or ,back ,to ,stimulate
,respirations ,and ,place ,in ,the ,radiant ,warmer.
A ,client ,delivers ,twins, ,one ,is ,stillborn ,and ,the ,other ,is ,recovering ,in ,an ,intensive ,care
,nursery. ,As ,the ,nurse ,provides ,assistance ,to ,the ,bathroom, ,the ,client, ,softly ,crying,
,states, ,"I ,wish ,my ,baby ,could ,have ,lived." ,Which ,response ,is ,best ,for ,the ,nurse ,to
,provide?
"Don't ,be ,sad. ,You'll ,need ,to ,be ,strong ,to ,care ,for ,your ,healthy ,baby."
"Do ,you ,want ,to ,go ,to ,the ,nursery ,and ,see ,your ,baby?"
"I ,am ,sorry ,for ,your ,loss. ,Do ,you ,want ,to ,talk ,about ,it?"
"It ,is ,always ,sad ,to ,lose ,a ,baby. ,Would ,you ,like ,me ,to ,call ,your ,minister?" ,-
,CORRECT ,ANSWER-"I ,am ,sorry ,for ,your ,loss. ,Do ,you ,want ,to ,talk ,about ,it?"
A ,client ,in ,the ,first ,stage ,of ,active ,labor ,is ,using ,a ,shallow ,pattern ,of ,rapid ,breaths
,that ,is ,twice ,the ,normal ,adult ,breathing ,rate. ,The ,client ,reports ,feeling ,light-headed
,and ,dizzy, ,and ,she ,states ,that ,her ,fingers ,are ,tingling. ,Which ,action ,should ,the ,nurse
,implement?
Notify ,the ,healthcare ,provider.
Help ,her ,breathe ,into ,a ,paper ,bag.
Administer ,oxygen ,via ,nasal ,cannula.
Tell ,the ,client ,to ,slow ,her ,breathing. ,- ,CORRECT ,ANSWER-Help ,her ,breathe ,into ,a
,paper ,bag.
A ,client ,is ,receiving ,an ,oxytocin ,infusion ,for ,induction ,of ,labor. ,When ,the ,client ,begins
,active ,labor, ,the ,fetal ,heart ,rate ,(FHR) ,slows ,at ,the ,onset ,of ,several ,contractions ,with
,subsequent ,return ,to ,baseline ,before ,each ,contraction ,ends. ,Which ,action ,should ,the
,nurse ,implement?
Insert ,an ,internal ,monitor ,device.
Change ,the ,client's ,position.
Discontinue ,the ,oxytocin ,infusion.
Document ,the ,finding ,in ,the ,client ,record. ,- ,CORRECT ,ANSWER-Document ,the
,finding ,in ,the ,client ,record.
A ,gravid ,client ,develops ,maternal ,hypotension ,following ,regional ,anesthesia. ,Which
,intervention(s) ,should ,the ,nurse ,implement? ,(Select ,all ,that ,apply.)
Administer ,oxygen.
Increase ,IV ,fluids.
Perform ,a ,vaginal ,examination.
Assist ,the ,client ,to ,a ,sitting ,position.
Place ,the ,client ,in ,a ,lateral ,position.
Monitor ,fetal ,status. ,- ,CORRECT ,ANSWER-Administer ,oxygen.