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A nurse developing a nursing care plan for a client with
abruptio placentae
includes initial nursing measures to be implemented in
the event of the
development of shock. After contacting the physician, which
of the following
does the nurse specify as the first action in the
event of shock?
A. Checking the client's urine output
B. Inserting an intravenous (IV) line
C. Obtaining informed consent for a cesarean delivery
D. Placing the client in a lateral position with the bed flat -
ANSWER -D. Placing the client in a lateral position with the
bed flat
A postpartum nurse provides information to a client who has
delivered a healthy newborn about normal and abnormal
characteristics of lochia. Which of the following findings does
the nurse tells the client to report to the physician?
,A. Pink lochia on postpartum day 4
B. White lochia on postpartum day 11
C. Bloody lochia on postpartum day 2
D. Reddish lochia on postpartum day 8 - ANSWER -D. Reddish
lochia on postpartum day 8
A nurse in a physician's office is conducting a 2-week
postpartum assessment of a client. During abdominal
assessment, the nurse is unable to palpate the uterine fundus.
This finding would prompt the nurse to:
A. Document the findings
B. Ask the physician to see the client immediately
C. Ask another nurse to check for the uterine fundus
D. Place the client in the supine position for 5 minutes, then
recheck the abdome - ANSWER -A. Document the findings
A maternity nurse providing an education session to a group
of expectant mothers describes the purpose of the placenta.
Which statement by one of the women attending the session
indicates a need for further discussion of the purpose of the
placenta?
A. "Many of my antibodies are passed through the placenta."
B. "The placenta maintains the body temperature of my baby."
C. "Glucose, vitamins, and electrolytes pass through the
placenta."
,D. "It provides an exchange of oxygen and carbon dioxide
between me and my baby." - ANSWER -B. "The placenta
maintains the body temperature of my baby."
A client arrives at the clinic for her first prenatal assessment.
The client tells the nurse that the first day of her last menstrual
period (LMP) was September 25, 2012. Using Nagele's rule, the
nurse determines that the estimated date of delivery (EDD) is:
A. June 2, 2013
B. July 2, 2013
C. October 2, 2013
D. September 18, 2013 - ANSWER -B. July 2, 2013
A client has been given a prescription for lovastatin (Mevacor).
Which of the following foods does the nurse instruct the client
to limit consumption of while taking this medication?
A.
Steak
B.
Spinach
C.
Chicken
D. Oranges - ANSWER -A.
Steak
-A nurse is reviewing the laboratory results of a client with
ovarian cancer who is undergoing chemotherapy. Which
, finding indicates to the nurse that the client is experiencing an
adverse effect of the chemotherapy?
A. Sodium 140 mEq/L
B. Hemoglobin 12.5 g/dL
C. Blood urea nitrogen (BUN) 20 mg/dL
D. White blood cell count of 2500 cells/mm3 - ANSWER -D.
White blood cell count of 2500 cells/mm3
Which finding in a client's history indicates the greatest
risk of cervical
cancer to the
nurse?
A.
Nulliparity
B. Early
menarche
C. Multiple sexual partners
Correct
D. Hormone-replacement therapy - ANSWER -C. Multiple
sexual partners
A nurse caring for a woman in labor is reading the fetal
monitor tracing
(see figure). How does the nurse interpret
this finding?
A. Umbilical cord compression