QUESTIONS AND CORRECT SOLUTIONS 100% A
GRADED/LATEST 2024
A nurse is developing a plan of care for a newborn who is to undergo
phototherapy for hyperbillirubinemia. Which of the following actions
should the nurse include in the plan? - correct Answers ✔✔ -Remove all
clothing form the newborn except the diaper
A nurse is caring for a client who is at 15 weeks gestation, is Rh-negative,
and has just had an amniocentesis. Which of the following interventions is
the nurse's priority following the procedure? - correct Answers ✔✔ -
Monitor the FHR
A nurse in an antepartum clinic is assessing a client who is at 32 weeks of
gestation. Which of the following findings should the nurse report to the
provider? - correct Answers ✔✔ -Reports of decreased fetal movement
A nurse is admitting a client to the labor and delivery unit when the client
states, "My water just broke". Which of the following interventions is the
nurse's priority? - correct Answers ✔✔ -Begin FHR monitoring
A nurse is caring for a client who is at 36 weeks of gestation and has a
positive contraction stress test. The nurse should plan to prepare the
client for which of the following diagnostic test? - correct Answers ✔✔ -
Biophysicial profile
A nurse is preparing to administer magnesium sulfate 2g/hr IV to a client
who is in preterm labor. Available is 20 g magnesium sulfate in 500 mL of
dextrose 5% in water (D5W). The nurse should set the IV infusion pump to
administer how many mL/hr? - correct Answers ✔✔ -50 ml/hr
A nurse is caring for a client who has hyperemesis gravidarum and is
receiving IV fluid replacement. Which of the following findings should the
nurse report to the provider? - correct Answers ✔✔ -BUN 25 mg/dL
A nurse is assessing a late preterm newborn. Which of the following
manifestations is an indication of hypoglycemia? - correct Answers ✔✔ -
Respiratory distress
,A nurse in a provider's office is reviewing the medical record of a client
who is in the first trimester of pregnancy. Which of the following should
the nurse identify as a risk factor for the development of preeclampsia -
correct Answers ✔✔ -Pregestational Diabetes Mellitus
A nurse in an antepartum clinic is providing care for a client who is at 26
weeks of gestation. Upon reviewing the client's medical record, which of
the following findings should the nurse report to the provider? - correct
Answers ✔✔ -Fundal Height Measurement
A nurse is assessing a newborn who is 16 hr old. Which of the following
findings should the nurse report to the provider? - correct Answers ✔✔ -
Substernal Retractions
A nurse is caring for a client who is at 26 weeks of gestation and has
epilepsy. The nurse enters the room and observes the client having a
seizure. After turning the client head to the side, which of the following
actions should the nurse take immediately after the seizure? - correct
Answers ✔✔ -Administer oxygen via a nonrebreather mask
A nurse is providing teaching about nonpharmological pain management
to a client who is breastfeeding and has engorgement. The nurse should
recommend the application of which of the following items? - correct
Answers ✔✔ -Cold cabbage leaves
A nurse is assessing a client who is 1 day postpartum and has a vaginal
hematoma. Which of the following manifestations should the nurse
expect? - correct Answers ✔✔ -Vaginal pressure
A nurse is assessing a newborn who was born at 26 weeks of gestation
using the New Ballard Score. Which of the following findings should the
nurse expect? - correct Answers ✔✔ -Minimal arm recoil
A nurse is providing teaching for a client who have birth 2 hr ago about
the facility policy for newborn safety. Which of the following client
statements indicates an understanding of the teaching? - correct Answers
✔✔ -the person who comes to take my baby's pictures will be wearing a
photo identification badge
A nurse is assessing a client who is at 36 weeks of gestation. Which of the
following findings should the nurse report to the provider? - correct
Answers ✔✔ -Report of visual disturbances
, A nurse is providing teaching to a client about the physiological changes
that occur during pregnancy. The client is at 10 weeks of gestation and
has a BMI within the expected reference range. Which of the following
client statements indicates an understanding of the teaching? - correct
Answers ✔✔ -"I will likely need to use alternative positions for sexual
intercourse".
A nurse is caring for a client who is anemic at 32 weeks of gestation and is
in preterm labor. The provider prescribed bethamethasone 12 mg IM.
Which of the following outcomes should the nurse expect? - correct
Answers ✔✔ -A reduction in respiratory distress in the newborn
A nurse is caring for a client who is experiencing preeclampsia and has a
new prescription for IV magnesium sulfate. Which of the following
medications should the nurse anticipate administering if the client
develops magnesium toxicity? - correct Answers ✔✔ -Calcium Gluconate
A nurse is caring for a client who is at 30 weeks of gestation and has a
prescription for magnesium sulfate IV to treat preterm labor. The nurse
should notify the provider of which of the following adverse effects? -
correct Answers ✔✔ -Respiratory rate 10/min
A nurse is caring for a client who is to receive oxytocin to augment her
labor. Which of the following findings contraindicates the infusion of the
oxytocin infusion and should be reported to the provider? - correct
Answers ✔✔ -Late Decelerations
A nurse is teaching a client who is at 37 weeks of gestation and has a
prescription for a non-stress test. Which of the following instructions
should the nurse include? - correct Answers ✔✔ -"You should press the
handheld button when you feel your baby move."
A nurse is assessing a newborn who was delivered vaginally and
experienced a tight nuchal cord. Which of the following findings should
the nurse expect? - correct Answers ✔✔ -Petechiae over the head
A nurse is transporting a newborn back to the parent's room following a
procedure. Which of the following actions should the nurse take? - correct
Answers ✔✔ -Verify that the parent's identification band matches the
newborn's identification band
A nurse is creating a plan of care who is postpartum and adheres to
traditional Hispanic cultural beliefs. Which of the following cultural