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Shortness of breath
A. Shortness of breath
The nurse should instruct the client to
notify the provider immediately of any
A nurse is teaching a client who has a shortness of breath. Shortness of breath
new prescription for combined oral con- and chest pain can indicate a pulmonary
traceptives about potential adverse ef- embolus or myocardial infarction. Also,
fects of the medication. For which of the the nurse should instruct the client to no-
following findings should the nurse in- tify the provider of other adverse effects
struct the client to notify the provider? that can indicate potential complications,
including abdominal pain, sudden or per-
sistent headaches, blurred vision, and
severe leg pain.
Leakage of fluid from the vagina
A nurse is caring for a client following an B. Leakage of fluid from the vagina
amniocentesis at 18 weeks of gestation. Leakage of fluid from the vagina could
Which of the following findings should indicate premature leakage of amniot-
the nurse report to the provider as a ic fluid and should be reported to the
potential complication? provider.
Answer: September 3rd
A. September 3rd
When using Nägele's rule to calculate
A nurse is calculating a client's expect-
the estimated date of birth for a client,
ed date of birth using Nagele's rule.
the nurse should subtract 3 months from
The client tells the nurse that her last
the first day of the client's last menstru-
menstrual cycle started on November
al cycle and then add 7 days. Novem-
27th. Which of the following dates is the
ber 27th minus 3 months equals August
client's expected date of birth?
27th. August 27th plus 7 days equals
September 3rd.
Answer: Biophysical profile (BPP)
C. Biophysical profile (BPP)
A nurse is caring for a client who is at The nurse should prepare the client for a
41 weeks of gestation and has a posi- BPP to further assess fetal well-being. A
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positive
2023contraction
A stress test indicates
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2023 A
there is potential uteroplacental insuffi-
ciency. A BPP uses a real time ultra-
tive contraction stress test. For which of
sound to visualize physical and physio-
the following diagnostic tests should the
logical characteristics of the fetus and
nurse prepare the client?
observe for fetal biophysical responses
to stimuli.
Answer: "You can share your room with
your baby for the next few weeks."
A. "You can share your room with your
baby for the next few weeks."
A nurse is teaching a new parent about
The nurse should recommend
newborn safety. Which of the following
room-sharing during the first few weeks.
instructions should the nurse include in
This allows the parent to be readily avail-
the teaching?
able to the newborn and learn the new-
born's cues. However, the nurse should
instruct the parent to avoid placing the
newborn in their bed as it increases the
risk for sudden infant death syndrome.
A nurse is caring for a client who is in Answer: Apply sacral counterpressure.
labor and whose fetus is in the right
occiput posterior position. The client is A. Apply sacral counterpressure.
dilated to 8 cm and reports back pain. The nurse should apply sacral counter-
Which of the following actions should the pressure to assist in relieving back labor
nurse take? pain related to fetal posterior position.
Answer: Cover the newborn's eyes while
under the phototherapy light.
A nurse is caring for a newborn who
is undergoing phototherapy to treat hy- A. Cover the newborn's eyes while under
perbilirubinemia. Which of the following the phototherapy light.
actions should the nurse take? Applying an opaque eye mask prevents
damage to the newborn's retinas and
corneas from the phototherapy light.
Answer: Apply internal upward pressure
to the presenting part using two gloved
fingers.
B. Apply internal upward pressure to the