EACH VERSION CONTAINS 55 QUESTIONS AND CORRECT
ANSWERS |ALREADY GRADED A+ (SCORE 1292)
Terms in this set (107)
At 10-weeks gestation, a A. Uterine cramping
high-risk multiparous client
with a family history of
Down syndrome is admitted
for observation following a
chorionic villi sampling (CVS)
procedure. What assessment
finding requires immediate
intervention?
The growing uterus is putting pressure on thebladder.
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 nurse assesses a male C. Assess the infant's blood glucose level
newborn and determines
that he has the following
vital signs: axillary
temperature 95.1 F, heart
rate 136 beats/minute, and a
respiratory rate 48
breaths/minute. Based on
these findings, which action
should the nurse take first?
An infant in respiratory B. Begin humidified oxygen via hood
distress is placed on pulse ox.
The O2 sat is 85%. What is
the priority nursing
intervention?
When assessing a C. Count the heart rate for at least one full minute
newborn infant's heart
rate, which technique is
most important for the
nurse to use?
B. Explore the mother's concerns about the infant receiving an
injection of vitamin K
The nurse prepares to
administer an injection of
vitamin K to a newborn
infant. The mother tells the
nurse, "Wait! I don't want my
baby to have a shot." Which
response would be best for
the nurse to make?
, The nurse is teaching a new A. Avoid alcohol because it is excreted in breast milk
mother about diet and
breastfeeding. Which
instruction is most important
to include in the teaching
plan?
Which nursing intervention D. Encourage early initiation of breast of formula feeding
best enhances
maternalinfant bonding
during the fourth stage of
labor?
A client at 8-weeks gestation D. The heart develops in the third to fifth weeks after conception
asks the nurse about the risk
fora congenital heart defect
(CHD) in her baby. Which
response best explains
when a CHD may occur?
A client at 8-months B. The fetus in utero is capable of hearing and does respond to the
gestation tells the nurse that mother's voice
she knows her baby listens to
her, but her husband thinks
she is imagining things. What
information should the nurse
provide?