Answers.
,1. A nurse is performing a vaginal examination on a client who is in labor and observes the u mbilical cord
protruding from the vagina after calling for assistance which of the following act ions should the nurse take
next
d ANS Apply internal upward pressure to the presenting part using two gloved fingers
d
2. A nurse is planning care for a client who is two hours postpartum which of the following inte rvention
should the nurse plan to implement during the taking hold phase of postpartum beha vioral adjustment
d ANS Demonstrate to the client how to perform a newborn bath
d
3. A nurse is teaching a client who is at 36 weeks of gestation and has a prescriptionforanonstr
esstestwhichofthefollowingstatements shouldthe nurse include in the teaching
d ANS You will be offered orange juice to drink during a test
d
1/
, 4. A nurse in a women's health clinic is providing teaching about nutritional intake to a client wh o is it eight
weeks of gestation the nurse should instruct the client to increase her daily intake of which of the following
nutrients ANS Iron
d
5. A nurse is caring for a client who is at 35 weeks of gestation and has placenta previa which of the following
actions should the nurse take
d ANS Initiate continuous external fetal monitoring
d
6. A nurse is assessing fetal heart tones for a client who is pregnant the nurse is determined the f etal position as left
d
occipital anterior to which of the following areas of the clients abdomen sure the nurse apply the ultrasound
transducer to assess the point of maximum intensity to the fetal h eart
d ANS Left lower quadrant
d
7. A nurse is preparing to administer azithromycin to a client who is at 16 weeks of gestation an d has a positive
chlamydia culture the prescription states administer is it from ice in 1 g Orly now available is 250 mg tablets how
many tablets for the nurse administer round the answer to the n earest whole number using leading zero if it
applies do not use a trailing zero
d ANS 4 tablets
d
8. A nurse is caring for a newborn who is undergoing photo therapy to treat hyperbilirubinemia
2/