ANSWERS|LATEST!!!!2025/2026|GUARANTEED
The home care nurse is instructing a client with hyperemesis gravidarum about measures to
ease the nausea and vomiting. What does the nurse tell the client to do?
- Eat foods high in calories and fat
- Lie down for at least 20 minutes after meals
- Eat carbohydrates such as cereals, rice, and pasta
- Consume primarily soups and liquids at mealtimes - ANSWER - Eat carbohydrates
such as cereals, rice, and pasta
The nurse is caring for a client with preeclampsia who is receiving a magnesium sulfate
infusion to prevent eclampsia. Which finding indicates to the nurse that the medication is
effective?
- Clonus is present.
- Magnesium level is 10 mg/dL (4.11 mmol/L).
- Deep tendon reflexes are absent.
- The client experiences diuresis within 24 to 48 hours. - ANSWER - The client
experiences diuresis within 24 to 48 hours.
A client with preeclampsia who is receiving magnesium sulfate in an intravenous infusion
exhibits signs of magnesium toxicity. The nurse immediately prepares for the administration
of:
- Vitamin K
- Protamine sulfate
- Calcium gluconate
- Naloxone hydrochloride - ANSWER - Calcium gluconate
1
,The maternity nurse is caring for a pregnant client with no history of preeclampsia who is
receiving a magnesium sulfate infusion. Why is this client receiving this infusion?
- To contract the uterus
- To treat hypotension
- To reverse extreme muscle weakness
- To halt preterm labor contractions - ANSWER - To halt preterm labor contractions
The nurse instructs a pregnant client about foods that are high in folic acid. Which item does
the nurse tell the client is the best source of folic acid?
- Milk
- Steak
- Chicken
- Lima beans - ANSWER - Lima beans
The nurse is providing instructions to a mother of an infant with seborrheic dermatitis
(cradle cap) about treatment of the condition. What does the nurse tell the mother to do?
- Avoid the use of shampoo on the infant's scalp
- Apply oil to the affected area on the infant's scalp
- Wash the infant's scalp daily, using only tepid water
- Shampoo the infant's scalp, avoiding the anterior fontanel area - ANSWER - Apply oil
to the affected area on the infant's scalp
The nurse is monitoring a client who was given an epidural opioid for a cesarean birth. The
nurse notes that the client's oxygen saturation on pulse oximetry (Spo2) is 92%. What should
the nurse do first?
- Documents the findings
- Contacts the primary health care provider
- Administers 100% oxygen by way of face mask
2
,- Instructs the client to take several deep breaths - ANSWER - Instructs the client to
take several deep breaths
A client who delivered a healthy newborn 11 days ago calls the clinic and tells the nurse that
she is experiencing a white vaginal discharge. What does the nurse tell the client?
- To perform a vaginal douche
- To come to the clinic for a checkup
- That this is an indication of an infection
- That this is a normal postpartum occurrence - ANSWER - That this is a normal
postpartum occurrence
A rubella antibody screen is performed on a pregnant client, and the results indicate that the
client is not immune to rubella. What does the nurse tell the client to do?
- A rubella vaccine must be administered immediately
- A rubella vaccine must be administered after childbirth
- She will not contract rubella if she is exposed to the disease
- She does not need to be concerned about being exposed to rubella - ANSWER -A
rubella vaccine must be administered after childbirth
The nurse is monitoring a client who delivered a healthy newborn 12 hours ago. The nurse
takes the client's temperature and notes that it is 38° C (100.4° F). What is the most
appropriate nursing action?
- Contact the primary health care provider
- Recheck the temperature in 1 hour
- Encourage the intake of oral fluids
- Tell the client that antibiotics will be prescribed - ANSWER - Encourage the intake of
oral fluids
The nurse is assessing the uterine fundus of a client who has just delivered a baby and notes
that the fundus is boggy. The nurse massages the fundus, and then presses to expel clots
3
, from the uterus. To prevent uterine inversion during this procedure, what should the nurse
do?
- Have the client void before the uterine assessment
- Tell the woman to bear down during fundal message
- Simultaneously provide pressure over the lower uterine segment
- Ask the client to take slow, deep breaths during fundal assessment - ANSWER -
Simultaneously provide pressure over the lower uterine segment
A nonstress test is performed, and the primary health care provider documents
"accelerations lasting less than 15 seconds throughout fetal movement." How does the
nurse interpret these findings?
- Normal
- Reactive
- Nonreactive
- Inconclusive - ANSWER - Nonreactive
A stillborn infant was delivered a few hours ago. After the birth, the family remains together,
holding and touching the baby. Which statement by the nurse is appropriate?
- "I know how you feel."
- "This must be hard for you."
- "Now you have an angel in heaven."
- "You're young. You can have other children." - ANSWER - "This must be hard for you."
The nurse is providing nutritional counseling to pregnant client with a history of cardiac
disease. What does the nurse advise the client to eat?
- Water and pretzels
- Low-fat cheese omelet
- Nachos and fried chicken
- Apple and whole-grain toast - ANSWER - Apple and whole-grain toast
4
The home care nurse is instructing a client with hyperemesis gravidarum about measures to
ease the nausea and vomiting. What does the nurse tell the client to do?
- Eat foods high in calories and fat
- Lie down for at least 20 minutes after meals
- Eat carbohydrates such as cereals, rice, and pasta
- Consume primarily soups and liquids at mealtimes - ANSWER - Eat carbohydrates
such as cereals, rice, and pasta
The nurse is caring for a client with preeclampsia who is receiving a magnesium sulfate
infusion to prevent eclampsia. Which finding indicates to the nurse that the medication is
effective?
- Clonus is present.
- Magnesium level is 10 mg/dL (4.11 mmol/L).
- Deep tendon reflexes are absent.
- The client experiences diuresis within 24 to 48 hours. - ANSWER - The client
experiences diuresis within 24 to 48 hours.
A client with preeclampsia who is receiving magnesium sulfate in an intravenous infusion
exhibits signs of magnesium toxicity. The nurse immediately prepares for the administration
of:
- Vitamin K
- Protamine sulfate
- Calcium gluconate
- Naloxone hydrochloride - ANSWER - Calcium gluconate
1
,The maternity nurse is caring for a pregnant client with no history of preeclampsia who is
receiving a magnesium sulfate infusion. Why is this client receiving this infusion?
- To contract the uterus
- To treat hypotension
- To reverse extreme muscle weakness
- To halt preterm labor contractions - ANSWER - To halt preterm labor contractions
The nurse instructs a pregnant client about foods that are high in folic acid. Which item does
the nurse tell the client is the best source of folic acid?
- Milk
- Steak
- Chicken
- Lima beans - ANSWER - Lima beans
The nurse is providing instructions to a mother of an infant with seborrheic dermatitis
(cradle cap) about treatment of the condition. What does the nurse tell the mother to do?
- Avoid the use of shampoo on the infant's scalp
- Apply oil to the affected area on the infant's scalp
- Wash the infant's scalp daily, using only tepid water
- Shampoo the infant's scalp, avoiding the anterior fontanel area - ANSWER - Apply oil
to the affected area on the infant's scalp
The nurse is monitoring a client who was given an epidural opioid for a cesarean birth. The
nurse notes that the client's oxygen saturation on pulse oximetry (Spo2) is 92%. What should
the nurse do first?
- Documents the findings
- Contacts the primary health care provider
- Administers 100% oxygen by way of face mask
2
,- Instructs the client to take several deep breaths - ANSWER - Instructs the client to
take several deep breaths
A client who delivered a healthy newborn 11 days ago calls the clinic and tells the nurse that
she is experiencing a white vaginal discharge. What does the nurse tell the client?
- To perform a vaginal douche
- To come to the clinic for a checkup
- That this is an indication of an infection
- That this is a normal postpartum occurrence - ANSWER - That this is a normal
postpartum occurrence
A rubella antibody screen is performed on a pregnant client, and the results indicate that the
client is not immune to rubella. What does the nurse tell the client to do?
- A rubella vaccine must be administered immediately
- A rubella vaccine must be administered after childbirth
- She will not contract rubella if she is exposed to the disease
- She does not need to be concerned about being exposed to rubella - ANSWER -A
rubella vaccine must be administered after childbirth
The nurse is monitoring a client who delivered a healthy newborn 12 hours ago. The nurse
takes the client's temperature and notes that it is 38° C (100.4° F). What is the most
appropriate nursing action?
- Contact the primary health care provider
- Recheck the temperature in 1 hour
- Encourage the intake of oral fluids
- Tell the client that antibiotics will be prescribed - ANSWER - Encourage the intake of
oral fluids
The nurse is assessing the uterine fundus of a client who has just delivered a baby and notes
that the fundus is boggy. The nurse massages the fundus, and then presses to expel clots
3
, from the uterus. To prevent uterine inversion during this procedure, what should the nurse
do?
- Have the client void before the uterine assessment
- Tell the woman to bear down during fundal message
- Simultaneously provide pressure over the lower uterine segment
- Ask the client to take slow, deep breaths during fundal assessment - ANSWER -
Simultaneously provide pressure over the lower uterine segment
A nonstress test is performed, and the primary health care provider documents
"accelerations lasting less than 15 seconds throughout fetal movement." How does the
nurse interpret these findings?
- Normal
- Reactive
- Nonreactive
- Inconclusive - ANSWER - Nonreactive
A stillborn infant was delivered a few hours ago. After the birth, the family remains together,
holding and touching the baby. Which statement by the nurse is appropriate?
- "I know how you feel."
- "This must be hard for you."
- "Now you have an angel in heaven."
- "You're young. You can have other children." - ANSWER - "This must be hard for you."
The nurse is providing nutritional counseling to pregnant client with a history of cardiac
disease. What does the nurse advise the client to eat?
- Water and pretzels
- Low-fat cheese omelet
- Nachos and fried chicken
- Apple and whole-grain toast - ANSWER - Apple and whole-grain toast
4
