Version | 2025/2026 | Correct & Verified
A client in active labor reports intense back pain. What position can best relieve this discomfort?
✔✔Hands-and-knees position.
A newborn is noted to have nasal flaring and grunting. What is the priority nursing action?
✔✔Notify the healthcare provider immediately for respiratory distress.
A client at 38 weeks reports sudden gush of fluid from the vagina. What should the nurse assess
first?
✔✔Fetal heart rate.
A postpartum client has saturated one peripad within 15 minutes. What should the nurse do first?
✔✔Massage the uterus firmly.
A pregnant client at 28 weeks reports dizziness when lying on her back. What should the nurse
advise?
✔✔Turn to the left side to relieve vena cava compression.
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,A newborn is small for gestational age. What is the priority complication to monitor for?
✔✔Hypoglycemia.
A client in labor is receiving oxytocin infusion. What is the nurse’s priority if contractions occur
every 90 seconds without rest?
✔✔Stop the oxytocin infusion immediately.
A client at 32 weeks reports painless bright red vaginal bleeding. What condition should the
nurse suspect?
✔✔Placenta previa.
A nurse is caring for a client with preeclampsia. What is the priority assessment?
✔✔Blood pressure and signs of seizure activity.
A client at 36 weeks reports headache and blurred vision. What complication should the nurse
monitor for?
✔✔Severe preeclampsia.
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, A postpartum client is unable to void 6 hours after delivery. What intervention should the nurse
try first?
✔✔Assist the client to the bathroom and provide privacy.
A client asks why vitamin K is given to newborns. What is the best response?
✔✔It helps prevent bleeding because newborns lack intestinal bacteria to produce vitamin K.
A newborn is jittery, irritable, and has a high-pitched cry. What condition should the nurse
suspect?
✔✔Neonatal withdrawal.
A nurse notices late decelerations on the fetal monitor. What is the priority action?
✔✔Reposition the mother to her side and apply oxygen.
A client at 40 weeks reports contractions that increase with walking. What should the nurse
explain?
✔✔This is a sign of true labor.
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