Exam-Latest Update
labor and has no cervical change in the last 4 hrs. Which statement should the nurse
make?
a. let me help you into a comfortable pushing position so you can begin bearing down
b. going to call the doc to get a script for meds to ripen your cervix
c. i will give you some IV pain med to strengthen your contractions
d. your provider will insert an intrauterine pressure cath to monitor the strength of your
contractions
a. get a 2hr oral glucose tolerance test in 6-12 weeks - CORRECT ANSWERS-A nurse
is providing discharge teaching to a client who is postpartum and was taking insulin for
gestational diabetes mellitus. What instructions should the nurse include in the
teaching?
a. get a 2hr oral glucose tolerance test in 6-12 weeks
b. avoid using low-dose oral contraceptives for bc
c. need to monitor glucose levels daily at home for 2-3 wks
d. take a lower dose of insulin than you took during your pregnancy
c. reduction in resp distress in newborn - CORRECT ANSWERS-A nurse is caring for a
client who is anemic at 32 wks gestation and is in preterm labor. The provider
prescribed betamethasone 12 mg IM. What outcomes should the nurse expect?
a. decrease uterine contractions
b. increase in client's hemoglobin levels
c. reduction in resp distress in newborn
d. increase production of antibodies in newborn
d. take 600 mcg of folic acid each day - CORRECT ANSWERS-A nurse is teaching a
client who is 10 wks gestation about nutrition during pregnancy. What statement by the
client indicates an understanding of the teaching?
a. increase my protein to 60 g/day
b. i should drink 2 L of water/day
c. increase my overall caloric intake by 300 calories
d. take 600 mcg of folic acid each day
c. i will have blood tests because my potassium might decrease - CORRECT
ANSWERS-A nurse is teaching a client who is in preterm labor about terbutaline. What
statement by the client indicates an understanding of the teaching?
a. i will get injections of the med once daily until my labor stops
b. my blood sugar may be low while I am on this med
c. i will have blood tests because my potassium might decrease
d. my blood pressure may increase while I'm on this med
, a. protect the client's head and feet from cold air - CORRECT ANSWERS-A nurse is
creating a plan of care for a client who is postpartum and adheres to traditional Hispanic
cultural beliefs. What cultural practices should the nurse include?
a. protect the client's head and feet from cold air
b. bathe the client within 12 hr following delivery
c. ambulate the client within 24 hr of delivery
d. offer the client a glass of milk with her first meal
a. massage the client's fundus - CORRECT ANSWERS-A nurse on a postpartum unit is
caring for a client who is experiencing hypovolemic shock. After notifying the provider,
what action should the nurse take next?
a. massage the client's fundus
b. insert an indwelling urinary catheter
c. administer O2 at 10L/min
d. elevate the clients right hip
b. locate pocket of fluid - CORRECT ANSWERS-A nurse is caring for a client who is at
36 wks gestation and has a prescription for amniocentesis. FOr which reason should
the nurse prepare the client for an ultrasound?
a. estimate fetal weight
b. locate pocket of fluid
c. determine multiparity
d. prescreen for fetal anomalies
c. wipe the newborn's eyes from the inner canthus outward
b. wash the newborn's neck by lifting the newborn's chin
d. cleanse the skin around the newborn's umbilical cord stump
e. wash the newborn's legs and feet
a. clean the newborn's diaper area - CORRECT ANSWERS-A nurse is demonstrating to
a client how to bathe her newborn. What order should the nurse perform the following
actions?
a. clean the newborn's diaper area
b. wash the newborn's neck by lifting the newborn's chin
c. wipe the newborn's eyes from the inner canthus outward
d. cleanse the skin around the newborn's umbilical cord stump
e. wash the newborn's legs and feet
c. jaundice - CORRECT ANSWERS-A nurse is assessing a newborn 12hrs after birth.
What manifestation should the nurse report to the provider?
a. acrocyanosis
b. transient strabismus
c. jaundice
d. caput succedaneum