B Questions and Answers | Latest
Version | 2025/2026 | Correct & Verified
What is the priority nursing action for a newborn with a respiratory rate of 72/min and nasal
flaring?
✔✔ Notify the provider immediately
What is the expected location of the fundus 12 hours postpartum?
✔✔ At or 1 cm above the umbilicus, firm and midline
What is the correct intervention when a postpartum client reports painful urination and foul-
smelling lochia?
✔✔ Notify the provider and obtain a urine specimen
What should the nurse do if a client at 38 weeks reports decreased fetal movement for the past 12
hours?
✔✔ Instruct the client to perform a kick count and notify the provider
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,What is a common indication of hypoglycemia in a newborn?
✔✔ Jitteriness
What action should the nurse take before administering methylergonovine to a postpartum
client?
✔✔ Check the client's blood pressure
What is the purpose of administering vitamin K to a newborn?
✔✔ To promote clotting and prevent bleeding
How should the nurse respond to a client who plans to bottle-feed and asks how to suppress
lactation?
✔✔ Instruct the client to wear a tight, supportive bra and avoid breast stimulation
What is the first nursing action for a client in labor whose fetal heart rate drops to 90 beats/min?
✔✔ Reposition the client to the left side
What is the correct technique for collecting a heel stick blood sample from a newborn?
2
, ✔✔ Warm the heel and use the lateral or medial side
What should the nurse do if a postpartum client saturates a peripad in 15 minutes?
✔✔ Massage the fundus and notify the provider
What finding indicates effective breastfeeding in a newborn?
✔✔ Audible swallowing while nursing
What instruction should the nurse give a client to prevent sudden infant death syndrome (SIDS)?
✔✔ Place the newborn on their back to sleep
What is the nurse's next action when a newborn has central cyanosis?
✔✔ Initiate oxygen therapy and notify the provider
What maternal condition requires administration of Rho(D) immune globulin postpartum?
✔✔ Rh-negative mother with an Rh-positive newborn
How should a nurse instruct a client to care for the umbilical cord stump?
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