A client is admitted with a diagnosis of stage 0 cervical cancer (carcinoma in situ). What does the
nurse emphasize while helping the client understand her diagnosis and prognosis?
Five-year survival rates for this cancer are nearly 100% with early treatment.
A primigravida in her seventh week of gestation asks the nurse when she can expect to feel her baby
move. The nurse replies that quickening usually occurs in the:
20th week
A woman who was discharged recently from the hospital after undergoing a hysterectomy calls the
clinic and states that she has tenderness, redness, and swelling in her right calf. What should the
nurse instruct the client to do?
Call an ambulance to go to the emergency department.
Which statements by a client with hyperemesis gravidarum would confirm that the client needs
further teaching? (Select all that apply.)
"I'll start limiting my carbohydrates."
"I'll lie down for at least 2 hours after I eat."
A nurse is planning a childbirth education class about maternal psychological and physiological
changes as pregnancy nears term. Which problems and concerns should the nurse include in the
presentation? (Select all that apply.)
Nesting needs increase.
Anxiety about childbirth increases.
Gastrointestinal motility decreases.
,During the postpartum period a client with heart disease and type 2 diabetes asks a nurse, "Which
contraceptives will I be able to use to prevent pregnancy in the near future?" How should the nurse
respond?
"You should use foam with a condom to prevent pregnancy — this is the safest method for women
with your illnesses."
The husband of a woman who had her fourth child 3 weeks ago states she has been irritable and
crying frequently since bringing her newborn home. He asks the nurse whether this is normal. The
nurse tries to help him understand the situation by stating that:
Having four children is tiring and assistance may be needed.
Twenty-four hours after an uncomplicated labor and birth a client's complete blood count reveals a
white blood cell (WBC) count of 17,000/mm3. How should the nurse interpret this WBC count?
An expected response to the process of labor and birth
Which factor in a client's history increases the risk for osteoporosis?
Prolonged immobility
A client who is pregnant for the first time and carrying twins is scheduled for a cesarean birth. What
should preoperative teaching include?
Frequent ambulation is begun within 24 hours.
A nurse evaluates that a client who is taking oral contraceptives understands the related dietary
teaching when the client states, "While I'm taking birth control pills I should increase my intake of
foods containing:
Folic acid."
, After 2 weeks of radiation therapy for cancer of the breast a client experiences some erythema over
the area being radiated. The area is sensitive but not painful. She states that she has been using tepid
water and a soft washcloth when cleansing the area and applying an ice pack three times a day. What
does the nurse conclude from this information?
Further teaching on skin care is necessary.
A nurse is discussing immunizations needed to confer active immunity with a pregnant client during
her first visit to the prenatal clinic. What information should the nurse consider including that the
client will understand with regard to active immunity?
Protein substances are formed by the body to destroy or neutralize antigens.
The nurse presents a program on breast self-examination. After a return demonstration the nurse
concludes that she needs to review certain aspects of the teaching program. Which behavior by one of
the students supports this conclusion?
Palpating each breast while in the sitting position
As the nurse helps a postpartum client change her perineal pad, the client comments, "I wish you
didn't have to look at the pad it's embarrassing for me." What is the best nursing response?
"This seems to be uncomfortable for you, but I have to estimate the amount of blood loss to prevent
any problems."
During a childbirth class, several participants have questions about the elective induction of labor.
One participant states that it is more convenient for a woman with a busy schedule. What evidenced-
based information should the nurse provide to the participant?
"The widespread use of elective induction increases the risk of unfavorable outcomes."
nurse emphasize while helping the client understand her diagnosis and prognosis?
Five-year survival rates for this cancer are nearly 100% with early treatment.
A primigravida in her seventh week of gestation asks the nurse when she can expect to feel her baby
move. The nurse replies that quickening usually occurs in the:
20th week
A woman who was discharged recently from the hospital after undergoing a hysterectomy calls the
clinic and states that she has tenderness, redness, and swelling in her right calf. What should the
nurse instruct the client to do?
Call an ambulance to go to the emergency department.
Which statements by a client with hyperemesis gravidarum would confirm that the client needs
further teaching? (Select all that apply.)
"I'll start limiting my carbohydrates."
"I'll lie down for at least 2 hours after I eat."
A nurse is planning a childbirth education class about maternal psychological and physiological
changes as pregnancy nears term. Which problems and concerns should the nurse include in the
presentation? (Select all that apply.)
Nesting needs increase.
Anxiety about childbirth increases.
Gastrointestinal motility decreases.
,During the postpartum period a client with heart disease and type 2 diabetes asks a nurse, "Which
contraceptives will I be able to use to prevent pregnancy in the near future?" How should the nurse
respond?
"You should use foam with a condom to prevent pregnancy — this is the safest method for women
with your illnesses."
The husband of a woman who had her fourth child 3 weeks ago states she has been irritable and
crying frequently since bringing her newborn home. He asks the nurse whether this is normal. The
nurse tries to help him understand the situation by stating that:
Having four children is tiring and assistance may be needed.
Twenty-four hours after an uncomplicated labor and birth a client's complete blood count reveals a
white blood cell (WBC) count of 17,000/mm3. How should the nurse interpret this WBC count?
An expected response to the process of labor and birth
Which factor in a client's history increases the risk for osteoporosis?
Prolonged immobility
A client who is pregnant for the first time and carrying twins is scheduled for a cesarean birth. What
should preoperative teaching include?
Frequent ambulation is begun within 24 hours.
A nurse evaluates that a client who is taking oral contraceptives understands the related dietary
teaching when the client states, "While I'm taking birth control pills I should increase my intake of
foods containing:
Folic acid."
, After 2 weeks of radiation therapy for cancer of the breast a client experiences some erythema over
the area being radiated. The area is sensitive but not painful. She states that she has been using tepid
water and a soft washcloth when cleansing the area and applying an ice pack three times a day. What
does the nurse conclude from this information?
Further teaching on skin care is necessary.
A nurse is discussing immunizations needed to confer active immunity with a pregnant client during
her first visit to the prenatal clinic. What information should the nurse consider including that the
client will understand with regard to active immunity?
Protein substances are formed by the body to destroy or neutralize antigens.
The nurse presents a program on breast self-examination. After a return demonstration the nurse
concludes that she needs to review certain aspects of the teaching program. Which behavior by one of
the students supports this conclusion?
Palpating each breast while in the sitting position
As the nurse helps a postpartum client change her perineal pad, the client comments, "I wish you
didn't have to look at the pad it's embarrassing for me." What is the best nursing response?
"This seems to be uncomfortable for you, but I have to estimate the amount of blood loss to prevent
any problems."
During a childbirth class, several participants have questions about the elective induction of labor.
One participant states that it is more convenient for a woman with a busy schedule. What evidenced-
based information should the nurse provide to the participant?
"The widespread use of elective induction increases the risk of unfavorable outcomes."
