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A nurse is providing teaching about danger signs during pregnancy to a client who
is at 20 weeks of gestation. The nurse should instruct the client to report
headaches, blurred vision, and epigastric pain because these are indications of
which of the following complications of pregnancy?
A. Gestational Diabetes
B. Preeclampsia
C. Hyperemesis Gravidarium
D. Abruptio Placentae - B. Preeclampsia
(Manifestations of Preeclampsia include: headache, vision changes, epigastric or
abdominal pain, and edema, especially of the face and hands.
A nurse is caring for a client who is in early labor and has a fetus in the
occipitoposterior presentation. The client reports pain in their lower back with
contractions. Which of the following pain management techniques is most likely
to be effective in relieving low back pain caused by this type of fetal presentation?
A. Counterpressure
B. Effleurage
C. Therapeutic Touch
D. Breathing Techniques - A. Counterpressure
(Counterpressure is steady pressure that a support person applies to the sacral
area of the client's back during contractions. The client's support person, or the
nurse, uses the heel of the hand, a tennis ball, or a fist to apply firm pressure to
, the sacral area during contractions. This pressure can lift the fetal head off of the
nerves in the sacral area, decreasing pain).
A nurse is assessing the fundal height for a client who is at 28 weeks of gestation.
The nurse should measure the distance in centimeters between which two
anatomical landmarks?
A. The mons pubis and the diploid process
B. The top of the fundus and the umbilicus
C. The symphysis pubis and the top of the fundus
D. The mons pubis and the umbilicus - C. The symphysis pubis and the top
of the fundus
(The nurse should measure the height of the client's fundus between the upper
boarder of the symphysis pubis and the top of the fundus. This measurement, in
cm, should correspond with the week of gestation the client is at when they are
between the 18th and 30th week of pregnancy, plus or minus 2 cm).
A nurse is teaching the parents of a newborn about bathing techniques. Which of
the following instructions should the nurse include?
A. Bathe the newborn once per day
B. Bathe the newborn after a feeding
C. Clean the newborn's face first using plain water
D. Clean the newborn's ears and nose with cotton swabs - C. Clean the
newborn's face first using plain water
A nurse is providing teaching about breastfeeding to a client who gave birth 8 hr
ago. Which of the following information should the nurse include?