Questions With Accurate Answers
A home health nurse is teaching a client who is breastfeeding about managing
breast engorgement. Which of the following client statements indicates
understanding of the teaching? correct answer I will feed my baby every 2 hours
A nurse in a clinic is caring for a client who is 3 weeks postpartum following the
birth of a healthy newborn. The client reports feeling "down" and sad, having no
energy, and wanting to cry. Which of the following is an action by the nurse?
correct answer Ask the client if she has considered harming her newborn baby
A nurse in a hospital is caring for a client who is at 38w gestation and has a large
amount of painless, bright red vaginal bleeding. The client is placed on a fetal
monitor indicating a regular fetal heart rate of 138/min and no uterine
contractions. BP 98/52 + HR 118 Which of the following is the priority nursing
action? correct answer Initiate IV access
A nurse in a prenatal clinic is caring for a client who is suspected of having a
complete hydatidiform mole. Which of the following findings should the nurse
expect to observe in the client? correct answer Excessive uterine enlargement
A nurse in the ambulatory surgery center is providing discharge teaching to a
client who had a D+C following a spontaneous miscarriage. Which of the following
should be included in the teaching? correct answer Vaginal intercourse can be
resumed after 2 weeks.
A nurse in the antepartum unit is caring for a client who is at 36 weeks of
gestation and has preeclampsia. Suddenly she reports continuous abdominal pain
and vaginal bleeding. The nurse should identify that the client is likely
, experiencing which of the following complications? correct answer Abruptio
placentae
A nurse in the nursery is caring for a newborn. The grandmother of the newborn
asks if she can take the baby to the mothers room. Which of the following is an
appropriate response by the nurse? correct answer Have the mother call and I will
take the baby to the room.
A nurse is admitting a client who is at 37 weeks gestation and has severe
preeclampsia. Which of the following actions should the nurse expect to
implement? correct answer -Administer IV mag sulfate
-Provide a dark + quiet environment
-Frequent assessments of deep tendon reflexes and clonus
-Ensure that calcium gluconate is readily available
A nurse is assessing a client who is 8hr postpartum and multiparous. Which of the
following should alert the nurse to the clients need to urinate? correct answer
Fundus 3 fingerbreadths above the umbilicus
A nurse is assessing a newborn immediately following a scheduled C-section
delivery. Which of the following assessments is the nurses priority? correct
answer Respiratory distress
A nurse is assessing a newborn the day after delivery. The nurse notes a raised,
bruised area of the left side of the scalp that does not cross the suture lines. How
should the nurse document this finding? correct answer Cephalohematoma