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A nurse is assessing the results of a non-stress test for an antepartal
client at 35 weeks of gestation.Which of the following findings should
indicate to the nruse the need for further diagnostic testing?
a. An increase in fetal heart rate to 150/min above the baseline of
140/min lasting 10 seconds inresponse to fetal movement within a
40-min testing period
b. Irregular contractions of 10 to 20 seconds in duration that are not felt by
the client
c. No late decelerations in the fetal heart rate noted with three uterine
contractions of 60 seconds induration within a 10-min testing period
d. Three fetal movements perceived by the client in a 20-min testing period
A nurse is caring for a client who is receiving oxytocin to induce labor. The
nurse should discontinuethe oxytocin if which of the following occurs?
a. Six contractions in 10 min
b. Nonrepetitive early decelerations
c. Moderate variability of the fetal heart rate
d. Contractions last 60 seconds
A nurse is caring for a client who has had a pudendal nerve block. The
nurse should monitor forwhich of the following findings as an adverse
effect?
a. Decreased ability to bear down
b. Uterine hyper-stimulation
c. Fetal bradycardia
d. Maternal hypertension
A nurse is assessing a newborn following a vaginal delivery. Which of the
,following findings shouldthe nurse report to the provider?
a. Bulging fontanels
b. Subconjunctival hemorrhage
c. Milia
d. Caput succedaneum
A nurse is caring for a client who is 1 day postpartum following the
birth of her first baby. The client’s partner states, “I’ve been having
nightmares that we are homeless and the baby is starving.”Which of the
following is an appropriate response by the nurse?
a. This is just the beginning of the worrying you will do as a parent
b. I know you’re worried, but everything is going to be okay
c. What do you think it will be like to be responsible for a baby?
d. Why would you worry about being homeless when you have a good job?
A nurse is providing discharge instructions to a client who delivered a
newborn via cesarean birth 4 days ago. The nurse should instruct the client to
contact the provider for which of the following findings?
a. The newborn’s cord stump is still attached after 1 week
b. The newborn has fewer than four wet diapers in 24 hr
c. The newborn has loose stools
d. The newborn sleeps 16 hr a day
, A client and her partner ask the nurse for information about permanent
contraception.Which of the following statements should the nurse include
in the counseling?
a. Most sterilization procedures are considered irreversible
b. A woman should use contraception for 1-2 months after a tubal ligation
c. A man is usually sterile immediately after a vasectomy
d. The menstrual cycle is shorter after a tubal ligation
A nurse is planning care for a newborn who has neonatal abstinence
syndrome. Which ofthe following interventions should the nurse include in
the plan of care?
a. Swaddle the newborn in a flexed position
b. Weigh the newborn every other day
c. Increase the newborn’s visual stimulation
d. Discourage parental interaction until after a social service evaluation
A nurse is providing teaching about increasing dietary fiber to an
antepartum client who reports constipation. Which of the following food
selections has the highest fiber contentper cup?
a. Lentils
b. Oatmeal
c. Cabbage
d. Asparagus
A nurse is teaching a client who is pregnant about a new prescription for iron
supplements.Which of the following instructions should the nurse include in
the teaching?
a. Increase intake of foods rich in vitamin C
b. Take an extra pill if you miss a dose
c. Report black stools to the provider
d. Drink 8 ox of milk with each pill
A nurse is caring for a preterm newborn immediately after delivery. Which of
, the followingactions should the nurse take first?
a. Dry the infant under the radiant warmer
b. Take the infant’s temperature
c. Weigh the infant
d. Obtain the infant’s blood glucose
A nurse is discussing family planning with a client who has a history of DVT.
The nurse should inform the client that this condition is a contraindication
for which of the followingbirth control methods?
a. Oral contraceptive
b. Cervical cap
c. Diaphragm
d. Intrauterine device
A nurse is teaching a client who is postpartum about car seat safety. Which of
the following