QUESTIONS AND CORRECT ANSWERS (VERIFIED
ANSWERS) PLUS RATIONALES 2025 Q&A |
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1. A nurse is teaching a client who is pregnant about warning signs to report
to her provider. Which of the following findings should the nurse include?
a. Leg cramps
b. Increased vaginal discharge
c. Vaginal bleeding
d. Mild nausea
Vaginal bleeding is a potential sign of miscarriage or placental problems and
should be reported immediately.
2. A nurse is caring for a newborn immediately after delivery. Which of the
following actions should the nurse take first?
a. Dry the newborn
b. Apply identification bands
c. Perform a brief physical assessment
d. Administer vitamin K
,According to the ABCs and neonatal resuscitation guidelines, drying the
newborn stimulates breathing and helps prevent heat loss.
3. A nurse is providing education to a client who is 10 weeks pregnant and
experiencing nausea. Which of the following statements by the client
indicates an understanding of the teaching?
a. "I will eat three large meals a day."
b. "I should drink fluids with my meals."
c. "I should eat dry crackers before getting out of bed."
d. "I will lie down after eating."
Eating dry crackers before rising can help reduce nausea related to pregnancy.
4. A nurse is caring for a postpartum client who is experiencing uterine atony
and bleeding. Which of the following actions should the nurse take first?
a. Massage the fundus
b. Administer oxytocin IV
c. Check vital signs
d. Insert a urinary catheter
The priority is to massage the fundus to stimulate contraction and reduce
bleeding.
5. A nurse is teaching a client about breastfeeding. Which of the following
instructions should the nurse include?
,a. Offer both breasts at every other feeding
b. Limit feedings to 5 minutes per breast
c. Feed the newborn at least every 2 to 3 hours
d. Wait to feed until the newborn cries
Frequent feedings help establish milk supply and ensure the newborn is
nourished.
6. A nurse is caring for a newborn with a blood glucose of 35 mg/dL. Which of
the following actions should the nurse take first?
a. Notify the provider
b. Feed the newborn
c. Recheck blood glucose
d. Administer IV glucose
Feeding is the first intervention for mild neonatal hypoglycemia.
7. A nurse is assessing a newborn who was delivered by vacuum extraction.
Which of the following findings should the nurse report?
a. Poor feeding
b. Caput succedaneum
c. Overriding sutures
d. Ecchymosis on scalp
Poor feeding may indicate neurologic complications and should be reported.
, 8. A nurse is teaching a pregnant client about iron supplements. Which of the
following statements indicates understanding?
a. "I will take my iron with milk."
b. "Iron can cause diarrhea."
c. "I should take iron with orange juice."
d. "I can skip doses when I feel better."
Vitamin C enhances iron absorption, so orange juice is recommended.
9. A nurse is preparing to administer erythromycin ointment to a newborn’s
eyes. Which of the following is the purpose of this medication?
a. To prevent conjunctivitis from HSV
b. To prevent ophthalmia neonatorum
c. To promote eye lubrication
d. To enhance bonding
Erythromycin prevents eye infections caused by gonorrhea and chlamydia.
10.A nurse is caring for a postpartum client who is bottle-feeding her newborn.
Which of the following instructions should the nurse give to suppress
lactation?
a. Use warm compresses
b. Manually express milk
c. Breastfeed less frequently
d. Wear a supportive bra continuously