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Quiz: At 10-weeks gestation, a high-risk multiparous client with a family
history of Down syndrome is admitted for observation following a chorionic
villi sampling (CVS) procedure. What assessment finding requires immediate
intervention?
Ans: A. Uterine cramping
Quiz: A client states, "During the three months I've been pregnant, it
seems like I have had to go to the bathroom every five minutes." Which
explanation should the nurse provide to this client?
Ans: D. The growing uterus is putting pressure on the bladder.
Quiz: The nurse assesses a male newborn and determines that he has the
following vital signs: axillary temperature 95.1 F, heart rate 136 beats/minute,
and a respiratory rate 48 breaths/minute. Based on these findings, which action
should the nurse take first?
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, Ans: C. Assess the infant's blood glucose level
Quiz: An infant in respiratory distress is placed on pulse ox. The O2 sat
is 85%. What is the priority nursing intervention?
Ans: B. Begin humidified oxygen via hood
Quiz: When assessing a newborn infant's heart rate, which technique is
most important for the nurse to use?
Ans: C. Count the heart rate for at least one full minute
Quiz: The nurse prepares to administer an injection of vitamin K to a
newborn infant. The mother tells the nurse, "Wait! I don't want my baby to
have a shot." Which response would be best for the nurse to make?
Ans: B. Explore the mother's concerns about the infant receiving an injection
of vitamin K
Quiz: The nurse is teaching a new mother about diet and breastfeeding.
Which instruction is most important to include in the teaching plan?
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, Ans: A. Avoid alcohol because it is excreted in breast milk
Quiz: Which nursing intervention best enhances maternal-infant bonding
during the fourth stage of labor?
Ans: D. Encourage early initiation of breast of formula feeding
Quiz: A client at 8-weeks gestation asks the nurse about the risk fora
congenital heart defect (CHD) in her baby. Which response best explains
when a CHD may occur?
Ans: D. The heart develops in the third to fifth weeks after conception
Quiz: A client at 8-months gestation tells the nurse that she knows her
baby listens to her, but her husband thinks she is imagining things. What
information should the nurse provide?
Ans: B. The fetus in utero is capable of hearing and does respond to the
mother's voice
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