CORRECT ANSWERS (VERIFIED ANSWERS) |
LATEST UPDATE 2026/2027 | GRADED A+ | 100%
PASS.
The nurse instructs a client in the second trimester at the prenatal clinic about
nutrition during pregnancy. The nurse determines teaching is successful if the
client makes which statement? "I will add one nutrient dense 300 calorie
snack per day."
During auscultation of the fetal heart rate (FHR) during labor, the nurse assesses a
rate of 50 beats/minute. Which actions does the nurse take first?
Turns the client on the left side, administers oxygen by nasal cannula, and
verifies IV access.
The nurse teaches a class about gonorrhea. Which client statement indicates the
teaching is successful?
"I've heard that having gonorrhea can make you unable to have children."
The nurse provides instruction to a new parent on how to care for the newborn's
umbilical cord. The nurse determines teaching is effective is the parent makes
which statement?
,"I will clean the cord and the skin around it with water." "I will allow the cord to
fall off on its own."
The nurse provides postnatal care for a client diagnosed with gestational diabetes
who delivered by cesarean delivery at 37 weeks gestation about 3 hours ago. The
infant's Apgar scores were 6 and 8 and birth weight 10lbs (4535.9g). The client
tells the nurse, "I can't believe how big my baby is, and I even delivered early."
Which response by the nurse is best?
"The baby's large size is due to the amount of glucose received in utero."
The nurse provides care for a client receiving an oxytocin infusion to induce labor.
The nurse stops the infusion if which occurs?
Contractions are at 2 minute intervals and last 90 to 120 seconds.
The nurse counsels clients in the prenatal clinic. The nurse is most concerned of a
client makes which statement?
"I clean the cat's litter box daily."
The home health care nurse makes a visit to the pregnant clinic diagnosed with
type 1 diabetes mellitus. The client states, "I have been nauseated for 24 hours." It
is most important for the nurse to ask which question?
"Have you taken your insulin today?"
,The nurse assesses a client in the family planning clinic. Which client statement
suggests the client has been exposed to gonorrhea?
"My partner has the drip."
The nurse assesses the fundus of a client 12 hours after delivery of a 7lb 2oz
(3,240g) newborn. Which action should the nurse take if the fundus is noted to be
approximately 1cm above the the umbilicus?
Document the results in the client's record.
The nurse provides care for a newborn delivered by a client addicted to narcotics.
At which time is the nurse most likely to observe symptoms of narcotic
withdrawal?
Within 24-72 hours after birth.
The nurse provides care for a primigravida client who is 34 weeks pregnant. Which
client is of most concern to the nurse?
"This is not a good time for me to have a baby."
, A client admitted to the hospital and is scheduled to have a modified radical
mastectomy. The client asks the nurse about the surgical procedure. Which
explanation does the nurse give?
"The breast, axillary nodes, and superior apical nodes are removed, but the
muscles are preserved."
While in active labor, the multigravid client received magnesium sulfate for
treatment of gestational hypertension. Due to the effects of magnesium sulfate,
which newborn symptom is expected? Hypotonia
The nurse provides care for a client in labor. The nurse is most concerned the fetus
is experiencing distress if which heart rate pattern is observed?
Late decelerations
By the fifth month of pregnancy, a 32-year-old multipara client of average prenatal
height and weight has gained 14 pounds. Which action by the nurse is most
important?
Inform the client the weight gain is appropriate and the present diet should be
maintained.