Questions and Correct Answers 2025-2026
GRADED A+
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? ,- ,CORRECT
,ANSWER-A. ,Uterine ,cramping
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? ,- ,CORRECT ,ANSWER-D. ,The ,growing ,uterus ,is ,putting
,pressure ,on ,the ,bladder.
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?
,- ,CORRECT ,ANSWER-C. ,Assess ,the ,infant's ,blood ,glucose ,level
An ,infant ,in ,respiratory ,distress ,is ,placed ,on ,pulse ,ox. ,The ,O2 ,sat ,is ,85%. ,What ,is
,the ,priority ,nursing ,intervention? ,- ,CORRECT ,ANSWER-B. ,Begin ,humidified ,oxygen
,via ,hood
When ,assessing ,a ,newborn ,infant's ,heart ,rate, ,which ,technique ,is ,most ,important ,for
,the ,nurse ,to ,use? ,- ,CORRECT ,ANSWER-C. ,Count ,the ,heart ,rate ,for ,at ,least ,one ,full
,minute
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? ,- ,CORRECT ,ANSWER-B. ,Explore ,the
,mother's ,concerns ,about ,the ,infant ,receiving ,an ,injection ,of ,vitamin ,K
The ,nurse ,is ,teaching ,a ,new ,mother ,about ,diet ,and ,breastfeeding. ,Which ,instruction
,is ,most ,important ,to ,include ,in ,the ,teaching ,plan? ,- ,CORRECT ,ANSWER-A. ,Avoid
,alcohol ,because ,it ,is ,excreted ,in ,breast ,milk
Which ,nursing ,intervention ,best ,enhances ,maternal-infant ,bonding ,during ,the ,fourth
,stage ,of ,labor? ,- ,CORRECT ,ANSWER-D. ,Encourage ,early ,initiation ,of ,breast ,of
,formula ,feeding
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? ,-
,CORRECT ,ANSWER-D. ,The ,heart ,develops ,in ,the ,third ,to ,fifth ,weeks ,after
,conception
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? ,- ,CORRECT ,ANSWER-B. ,The ,fetus ,in ,utero ,is ,capable ,of ,hearing ,and ,does
,respond ,to ,the ,mother's ,voice
A ,client ,at ,25-weeks ,gestation ,tells ,the ,nurse ,that ,she ,dropped ,a ,cooking ,utensil ,last
,week ,and ,her ,baby ,jumped ,in ,response ,to ,the ,noise. ,What ,information ,should ,the
,nurse ,provide? ,- ,CORRECT ,ANSWER-B. ,The ,fetus ,can ,respond ,to ,sound ,by ,24-
weeks ,gestation
A ,woman ,whose ,pregnancy ,is ,confirmed ,asks ,the ,nurse ,what ,the ,function ,of ,the
,placenta ,is ,in ,early ,pregnancy. ,What ,information ,supports ,the ,explanation ,that ,the
,nurse ,should ,provide? ,- ,CORRECT ,ANSWER-C. ,Secretes ,both ,estrogen ,and
,progesterone
Which ,cardiovascular ,findings ,should ,the ,nurse ,assess ,further ,in ,a ,client ,who ,is ,at
,20-weeks ,gestation? ,- ,CORRECT ,ANSWER-A. ,Decrease ,in ,pulse ,rate
A ,31-year-old ,woman ,uses ,an ,over-the-counter ,(OTC) ,pregnancy ,test ,that ,is ,positive
,one ,week ,after ,a ,missed ,period. ,At ,the ,clinic, ,the ,client ,tells ,the ,nurse ,she ,takes
,phenytoin ,(Dilantin) ,for ,epilepsy, ,has ,a ,history ,of ,irregular ,periods, ,is ,under ,stress ,at
,work, ,and ,is ,not ,sleeping ,well. ,The ,client's ,physical ,examination ,and ,ultrasound ,do
,not ,indicate ,that ,she ,is ,pregnant. ,How ,should ,the ,nurse ,explain ,the ,most ,likely ,cause
,for ,obtaining ,false-positive ,pregnancy ,test ,results? ,- ,CORRECT ,ANSWER-B. ,Using
,an ,anticonvulsant ,for ,epilepsy
Which ,gastrointestinal ,findings ,should ,the ,nurse ,be ,concerned ,about ,in ,a ,client ,at ,28-
weeks ,gestation? ,- ,CORRECT ,ANSWER-A. ,PICA