1. A nurse is reinforcing
I will give my newborn a bath once daily."
teach- ing with a
guardian about how to The nurse should reinforce with the guardian to avoid
care for the umbili- cal
giving the newborn a daily bath because it can damage
cord of their newborn in-
the integrity of the newborn's skin.
fant. Which of the
following statements by
the guardian indicates
a need for further
teaching?
"After treatment, you will need another test in 3 weeks
2. A nurse is reinforcing and again between 35 and 37 weeks."
teach- ing with a client
who is at The nurse should reinforce with the client that they will
8 weeks of gestation need to be retested for chlamydia 3 weeks after
and has chlamydia. completing the pre-
Which of the following scribed regimen and again between 35 and 37 weeks
statements should the of gesta- tion. Most clients who have chlamydia are
nurse include? asymptomatic. There- fore, clients should be retested to
identify potential reinfection, which would allow for
additional treatment and decrease the risk for harm to
the fetus during delivery.
"Begin and end modified-breathing with a deep
3. A nurse is reinforcing cleansing
teach-
ing with a client who plans to breath.
use a modified-paced
ing technique to relieve laborbreath-
The nurse should instruct the client that all breathing
patterns
pain. Which of the begin
following con- with a deep, relaxing, cleansing breath to "greet the
instructions should the nurse
traction" and end with an exhaled deep breath to
"blow the
, VATI PN MN Assessment Exam.
include in the teaching?
contraction away." Deep breaths ensure suflcient
oxygenation for both the client and fetus.
4. A nurse is reviewing the Hgb 10 g/dL
lab- oratory reports of
four new-
borns. Which of the following A hemoglobin level of 10 g/dL is below the expected
reference
, VATI PN MN Assessment Exam.
laboratory results range of 14 to 24 g/dL for a newborn. The nurse should
should the nurse report report this finding to the provider.
to the provider?
Diarrhea
5. A nurse is collecting
data from an The nurse should report diarrhea to the provider because
antepartum client who it is a potential adverse ettect of the medication.
reports taking ferrous Diarrhea can lead to dehydration, which can cause
sulfate twice per day preterm labor. This finding should be reported to the
for the past month. The
provider.
nurse
should notify the
provider of which of the
following find- ings?
Saturated perineal pad within 15 min
6. A nurse is collecting
data from a client who
is 24 hr
postpartum. Which of the fol-
A saturated perineal pad within 15 min can indicate a
cervical or
lowing findings is the priority
vaginal tear. Therefore, the nurse should report this
finding to
for the nurse to report
to the provider? the provider immediately.
7. Anurse is collecting data from Rust-stained urine is correct. A newborn's first void
can contain
a newborn who is 6 hr old. uric acid crystals, which will give the urine a rust-stained appear-
Which of the following ance.
man- ifestations should
the nurse
expect? (Select all that apply.) Overlapping cranial sutures is correct. A newborn's
cranial su-
tures should be palpable without evidence of fusion.