Exam Review Q&A with Definitive
_____________Quiz____________?
A nurse is assessing a client on the first postpartum day. Findings include fundus firm and
one fingerbreadth above and to the right of the umbilicus, moderate lochia rubra with small
clots, temperature 37.3 C (99.2 F), and pulse rate 52/min. Which of the following actions
should the nurse take? -
Answer✓✓
Ask the client when she last voided
_____________Quiz____________?
A nurse is preparing to administer naloxone to a newborn. Which of the following
conditions can require administration of this medication? -
Answer✓✓
IV narcotics administered to the mother during labor
The nurse should administer naloxone to reverse respiratory depression due to acute
narcotic toxicity, which can result from IV narcotics administration during labor.
_____________Quiz____________?
A nurse is discussing epidural anesthesia with a client who is receiving oxytocin for
induction of labor. Which of the following statements should the nurse make? -
Answer✓✓
1
, An epidural given too early can prolong labor
Clients who receive anesthesia before the active phase of labor usually find the progression
of their labor to slow. The medication depresses the central nervous system. Therefore, it
will take longer for the cervix to dilate and efface.
_____________Quiz____________?
A nurse is caring for a client who is pregnant and reports nausea and vomiting. Which of the
following instructions should the nurse provide the client? -
Answer✓✓
You should eat some crackers before rising from bed in the morning
_____________Quiz____________?
A nurse is planning care for a client who is pregnant and is Rh-negative. In which of the
following situations should the nurse administer Rh(D) Immune Globulin? -
Answer✓✓
At 28 weeks of gestation
The nurse should administer Rh(D) Immune Globulin to a client who is pregnant and has
Rh-negative blood at 28 weeks of gestation. Rh(D) Immune Globulin consists of passive
antibodies against the Rh factor, which will destroy any fetal RBCs in the maternal
circulation and block maternal antibody production.
_____________Quiz____________?
A nurse is caring for a newborn whose mother received magnesium sulfate to treat preterm
labor. Which of the following clinical manifestations in the newborn indicates toxicity due to
the magnesium sulfate therapy? -
Answer✓✓
Respiratory depression
_____________Quiz____________?
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