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SmartPrep Examinations
, Real exam 2023[70 out of 70]
This Material Is Aimed at Helping You Revise and Prepare Better for the Test
Question 1: A nurse is caring for a client who is 2 weeks postpartum following a cesarean birth.
Which of the following clinical findings should the nurse identify as an indication of postpartum
infection?
A: Unilateral breast pain
B: Persistent abdominal striae
C: Lochia alba
D: WBC count 12,000/mm3
Answer: A: Unilateral breast pain
Question 2: A nurse is assessing client who has preeclampsia during a prenatal visit. Which of
the following findings should the nurse report to the provider?
A: Blood glucose 110 mg/Dl
B: Deep tendon reflexes of 2+
C: Urine protein of 3+
D: Hemoglobin 13 g/Dl
Answer: C: Urine protein of 3+
Question 3: A nurse is providing teaching about the expected effects of magnesium sulfate to a
client who is at 28 weeks of gestation and has preeclampsia. Which of the following responses
by the nurse is appropriate?
A: “This medication improves tissue perfusion.”
B: “This medication increases cardiac output.”
C: “This medication stabilizes the fetal heart rate.”
D: “This medication prevents seizures.”
Answer: D: “This medication prevents seizures.”
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, Question 4: A nurse is teaching a prenatal class regarding false labor. Which of the following
information should the nurse include?
A: “You will have a dilation and effacement of the
cervix.”B: “Your contractions will become temporarily
regular.” C: “You will have a bloody show.”
D: “Your contractions will become more intense when walking.”
Answer: B: “Your contractions will become temporarily regular.”
Question 5: A nurse manager is revising a maternal unit policy to ensure the proper
identification ofnewborns. Which of the following should the nurse include in the policy?
A: Check the newborn’s identification using the crib card.
B: Replace the infant’s identification band after his name has been recorded.
C: Require visitors to wear an identification band.
D: Obtain an imprint of the infant’s feet prior to taking him to the nursery.
Answer: D: Obtain an imprint of the infant’s feet prior to taking him to the nursery.
Question 6: A nurse is caring for a client who delivered by cesarean birth 6 hr ago. The nurse
notes a steady trickle of vaginal bleeding that does not stop with a fundal massage. Which of
thefollowing actions should the nurse take?
A: Apply an ice pack to the incision site.
B: Replace the surgical dressing.
C: Administer 500 mL lactated Ringer’s IV bolus.
D: Evaluate urinary output.
Answer: D: Evaluate urinary output. (Please note option C is for cases of hydration. The
correct answer is option D, and the nurse ought to encourage the client to empty her
bladder frequently (every 2 to 3 hr) to prevent possible displacement of the uterus and
atony)
Question 7: A nurse is providing discharge instructions to a client who is postpartum and has
engorged breasts. Which of the following nonpharmacological comfort measures should the
nurse include in the teaching?
A: Wear nipple shields during feeding.B:
Use a breast binder for 2 days.
C: Use plastic-lined breast pads.
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