Answers | Latest Version | 2025/2026 |
Correct & Verified
A newborn is jittery, irritable, and has a high-pitched cry. What condition should the nurse
suspect?
✔✔ Neonatal withdrawal syndrome.
A client in the third trimester reports sudden swelling of hands and face. What complication
should be suspected?
✔✔ Preeclampsia.
A postpartum woman has a firm fundus but continues to have heavy vaginal bleeding. What is
the likely cause?
✔✔ Vaginal or cervical laceration.
A client who delivered 2 hours ago has saturated a perineal pad in 15 minutes. What should the
nurse do first?
✔✔ Massage the fundus and assess uterine tone.
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,A client at 34 weeks reports severe right upper quadrant pain and visual disturbances. What is
this most concerning for?
✔✔ HELLP syndrome.
A newborn has a soft, swollen area on the scalp that crosses suture lines. What condition is this?
✔✔ Caput succedaneum.
A postpartum client with mastitis asks if she should stop breastfeeding. What is the best advice?
✔✔ Continue breastfeeding on both breasts unless an abscess is present.
A woman in labor is receiving oxytocin. The nurse notes contractions lasting 120 seconds. What
should the nurse do?
✔✔ Stop oxytocin infusion immediately.
A postpartum client with an episiotomy reports severe pain unrelieved by medication. What
should the nurse assess for?
✔✔ Presence of a hematoma.
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, A newborn has yellow skin at 36 hours of life. What should the nurse suspect?
✔✔ Physiologic jaundice.
A client at 28 weeks reports painless, bright red vaginal bleeding. What should the nurse suspect?
✔✔ Placenta previa.
A newborn has retractions, nasal flaring, and grunting. What is the likely problem?
✔✔ Respiratory distress syndrome.
A woman in labor reports feeling a sudden gush of fluid from the vagina. What is the priority
action?
✔✔ Assess fetal heart rate.
A postpartum woman reports burning with urination, frequency, and urgency. What complication
is suspected?
✔✔ Urinary tract infection.
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