CORRECT WELL DETAILED
ANSWERS|LATEST!!!!2025/2026|GUARANTEED
At 10-weeks gestation, a high-risk multiparous client with a family history of Down syndrome
is admitted for observation following a chorionic villi sampling (CVS) procedure. What
assessment finding requires immediate intervention? - ANSWER A. Uterine cramping
A client states, "During the three months I've been pregnant, it seems like I have had to go to
the bathroom every five minutes." Which explanation should the nurse provide to this
client? - ANSWER D. The growing uterus is putting pressure on the bladder.
The nurse assesses a male newborn and determines that he has the following vital signs:
axillary temperature 95.1 F, heart rate 136 beats/minute, and a respiratory rate 48
breaths/minute. Based on these findings, which action should the nurse take first? -
ANSWER C. Assess the infant's blood glucose level
An infant in respiratory distress is placed on pulse ox. The O2 sat is 85%. What is the priority
nursing intervention? - ANSWER B. Begin humidified oxygen via hood
When assessing a newborn infant's heart rate, which technique is most important for the
nurse to use? - ANSWER C. Count the heart rate for at least one full minute
The nurse prepares to administer an injection of vitamin K to a newborn infant. The mother
tells the nurse, "Wait! I don't want my baby to have a shot." Which response would be best
for the nurse to make? - ANSWER B. Explore the mother's concerns about the infant
receiving an injection of vitamin K
1
, The nurse is teaching a new mother about diet and breastfeeding. Which instruction is most
important to include in the teaching plan? - ANSWER A. Avoid alcohol because it is
excreted in breast milk
Which nursing intervention best enhances maternal-infant bonding during the fourth stage
of labor? - ANSWER D. Encourage early initiation of breast of formula feeding
A client at 8-weeks gestation asks the nurse about the risk fora congenital heart defect (CHD)
in her baby. Which response best explains when a CHD may occur? - ANSWER D. The
heart develops in the third to fifth weeks after conception
A client at 8-months gestation tells the nurse that she knows her baby listens to her, but her
husband thinks she is imagining things. What information should the nurse provide? -
ANSWER B. The fetus in utero is capable of hearing and does respond to the mother's
voice
A client at 25-weeks gestation tells the nurse that she dropped a cooking utensil last week
and her baby jumped in response to the noise. What information should the nurse provide?
- ANSWER B. The fetus can respond to sound by 24-weeks gestation
A woman whose pregnancy is confirmed asks the nurse what the function of the placenta is
in early pregnancy. What information supports the explanation that the nurse should
provide? - ANSWER C. Secretes both estrogen and progesterone
Which cardiovascular findings should the nurse assess further in a client who is at 20-weeks
gestation? - ANSWER A. Decrease in pulse rate
A 31-year-old woman uses an over-the-counter (OTC) pregnancy test that is positive one
week after a missed period. At the clinic, the client tells the nurse she takes phenytoin
(Dilantin) for epilepsy, has a history of irregular periods, is under stress at work, and is not
sleeping well. The client's physical examination and ultrasound do not indicate that she is
pregnant. How should the nurse explain the most likely cause for obtaining false-positive
pregnancy test results? - ANSWER B. Using an anticonvulsant for epilepsy
2
ANSWERS|LATEST!!!!2025/2026|GUARANTEED
At 10-weeks gestation, a high-risk multiparous client with a family history of Down syndrome
is admitted for observation following a chorionic villi sampling (CVS) procedure. What
assessment finding requires immediate intervention? - ANSWER A. Uterine cramping
A client states, "During the three months I've been pregnant, it seems like I have had to go to
the bathroom every five minutes." Which explanation should the nurse provide to this
client? - ANSWER D. The growing uterus is putting pressure on the bladder.
The nurse assesses a male newborn and determines that he has the following vital signs:
axillary temperature 95.1 F, heart rate 136 beats/minute, and a respiratory rate 48
breaths/minute. Based on these findings, which action should the nurse take first? -
ANSWER C. Assess the infant's blood glucose level
An infant in respiratory distress is placed on pulse ox. The O2 sat is 85%. What is the priority
nursing intervention? - ANSWER B. Begin humidified oxygen via hood
When assessing a newborn infant's heart rate, which technique is most important for the
nurse to use? - ANSWER C. Count the heart rate for at least one full minute
The nurse prepares to administer an injection of vitamin K to a newborn infant. The mother
tells the nurse, "Wait! I don't want my baby to have a shot." Which response would be best
for the nurse to make? - ANSWER B. Explore the mother's concerns about the infant
receiving an injection of vitamin K
1
, The nurse is teaching a new mother about diet and breastfeeding. Which instruction is most
important to include in the teaching plan? - ANSWER A. Avoid alcohol because it is
excreted in breast milk
Which nursing intervention best enhances maternal-infant bonding during the fourth stage
of labor? - ANSWER D. Encourage early initiation of breast of formula feeding
A client at 8-weeks gestation asks the nurse about the risk fora congenital heart defect (CHD)
in her baby. Which response best explains when a CHD may occur? - ANSWER D. The
heart develops in the third to fifth weeks after conception
A client at 8-months gestation tells the nurse that she knows her baby listens to her, but her
husband thinks she is imagining things. What information should the nurse provide? -
ANSWER B. The fetus in utero is capable of hearing and does respond to the mother's
voice
A client at 25-weeks gestation tells the nurse that she dropped a cooking utensil last week
and her baby jumped in response to the noise. What information should the nurse provide?
- ANSWER B. The fetus can respond to sound by 24-weeks gestation
A woman whose pregnancy is confirmed asks the nurse what the function of the placenta is
in early pregnancy. What information supports the explanation that the nurse should
provide? - ANSWER C. Secretes both estrogen and progesterone
Which cardiovascular findings should the nurse assess further in a client who is at 20-weeks
gestation? - ANSWER A. Decrease in pulse rate
A 31-year-old woman uses an over-the-counter (OTC) pregnancy test that is positive one
week after a missed period. At the clinic, the client tells the nurse she takes phenytoin
(Dilantin) for epilepsy, has a history of irregular periods, is under stress at work, and is not
sleeping well. The client's physical examination and ultrasound do not indicate that she is
pregnant. How should the nurse explain the most likely cause for obtaining false-positive
pregnancy test results? - ANSWER B. Using an anticonvulsant for epilepsy
2
