PROCTORED RETAKE EXAM
/. 1. A nurse is assessing newborn following forceps assisted birth. Which of the
following clinical
manifestations should the nurse identify as a complication of the birth method?
A. Hypoglycemia
B. Polycythemia
C. Facial Palsy
D. Bronchopulmonary dysplasia - Answer-✅C
/.Which of the following statements by client indicates an understanding of the
teaching?
A. "The medication could cause me to experience heart palpitations"
B. "This medication could cause me to experience blurred vision"
C. "This medication could cause me to experience ringing in my ears"
D. "This medication could cause me to experience frequent ..." - Answer-✅A
/.A nurse is caring for a client who has hyperemesis gravidarum. Which of the following
laboratory tests should the nurse anticipate?
A. Urine Ketones
B. Rapid plasma regains
C. Prothrombin time
D. Urine culture - Answer-✅A
/.A nurse is caring for a client who is in labor and requests nonpharmacological pain
management. Which of the following nursing actions promotes client comfort? (SATA)
A. Assisting the client into squatting position
B. Having the client lie in a supine position
C. Applying fundal pressure during contractions
D. Encouraging the client to void every 6 hr - Answer-✅A D
/.A nurse caring for a client who is at 20 weeks of gestation and has trichomoniasis.
Which of
the following findings should the nurse expect?
A. Thick, White Vaginal Discharge
B. Urinary Frequency
C. Vulva Lesions
D. Malodorous Discharge - Answer-✅D
/.A nurse is caring for a client who is 14 weeks of gestation. At which the following
locations
,should the nurse place the Doppler device when assessing the fetal heart rate?
A. Midline 2 to 3 cm (0.8 to 1.2 in) above the symphysis pubis
B. Left Upper Abdomen
C. Two fingerbreadths above the umbilicus
D. Lateral at the Xiphoid Process - Answer-✅A
/.A nurse is assessing a client who is at 27 weeks of gestation and has preeclampsia.
Which of the following findings should the nurse report to the provider?
A. Urine protein contraction 200mg/24 hours
B. Creatine 0.8
C. Hemoglobin 14.8
D. Platelet 60,000 - Answer-✅D
/.A nurse is teaching about clomiphene citrate to a client who is experiencing infertility.
Which of the following adverse effects should the nurse include?
A. Tinnitus
B. Urinary Frequency
C. Breast Tenderness
D. Chills - Answer-✅C (vision disturbances).
/.A nurse is assessing a newborn upon admission to the nursery. Which of the following
should the nurse expect?
A. Bulging fontanelles
B. Nasal flaring
C. Length from head to heel of 40cm
D. Chest circumference 2c (smaller than the head circumference - Answer-✅D
/.A nurse is planning care for a newborn who has necrotizing abstinence syndrome.
Which of the following interventions should the nurse include in the plan of care?
A.Increase the newborn visual stimulation
B. Weigh the newborn everyday
C. Discourage parental interaction after a social evaluation
D. Swaddle the newborn in a flexed position - Answer-✅D
/.A nurse is caring for a newborn who his 6 hours old had has a bedside glucometer
reading of 65mg/dl. The newborns mother has type 2 diabetes mellitus. Which of the
following actions should the nurse take.
A. obtain a blood sampling for a serum glucose level.
B. Feed the newborn immediately
C. Administer 50ml of dextrose
D. Reassess the blood glucose reading prior to the next feeding - Answer-✅D
/.A nurse is providing teaching to a client about exercise safety during pregnancy.
Which of the folioing statements by the client indicates an understanding of the teaching
(SATA)?
A. I will limit my time in the hot tub to 30 miniutes after exercise
, B. I should consume three 8 ounce glasses of water after I exercise
C. I will check my heart rate every 15 minutes during
D. I should limit exercise sessions to 30 minutes when the weather is humid
E. I should rest by lying on my side for 10 minutes following exercise. - Answer-✅B D E
/.A charge nurse is teaching a group of staff nurses about fetal monitoring during labor.
Which of the following findings should the charge nurse instruct the staff members to
report to the provider?
A. Contractions duration 95 seconds to 100 seconds
B. Contraction frequency 2-3 minutes
C. Absent early decelerations of fetal heart rate - Answer-✅C
/.A nurse in a woman's health clinic is obtaining a health history from a client. Which of
the
following findings should the nurse identify as increasing the client's risk for developing
pelvic
inflammatory disease (PID)?
A. Recurrent Cystitis
B. Frequent Alcohol Use
C. Use of Oral Contraceptives
D. Chlamydia Infection - Answer-✅D
/.A nurse is teaching a prenatal class about immunizations that newborns receive
following
birth. Which of the following immunizations should the nurse include in the teaching?
A. Hepatitis B
B. Rotavirus
C. Pneumococcal
D. Varicella - Answer-✅A
/.A nurse is providing nutritional guidance to a client who is pregnant and follows a
vegan
diet. The client asks the nurse which foods she should eat to ensure adequate calcium
intake. The
nurse should instruct the client that which of the following foods has the highest amount
of
calcium?
A. ½ cup cubed avocado
B. 1 large banana
C. 1 medium potato
D. 1 cup cooked broccoli - Answer-✅D
/.A nurse in a provider's office is assessing a client at her first antepartum visit. The
client
states that the first day of her last menstrual period was March 8. - Answer-✅December
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