Latest Version | 2025/2026 | Correct &
Verified
A postpartum client experiences dizziness when standing after delivery. What is the best initial
action by the nurse?
A. Document the finding only
✔✔B. Assist the client to rise slowly and provide support
C. Encourage immediate ambulation without help
D. Restrict oral fluids
A nurse is assessing a newborn with nasal flaring and grunting. What is the priority action?
A. Delay feeding until symptoms resolve
✔✔B. Notify the healthcare provider immediately
C. Place the newborn flat in crib
D. Swaddle tightly
A client at 32 weeks reports sudden painless vaginal bleeding. What condition is suspected?
A. Placental abruption
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,✔✔B. Placenta previa
C. Preterm labor
D. Uterine rupture
A woman in labor reports severe back pain with contractions. What nursing intervention is most
helpful?
A. Place client in supine position
✔✔B. Apply counterpressure to the sacrum
C. Encourage shallow chest breathing
D. Restrict movement
A nurse is caring for a client receiving magnesium sulfate for preeclampsia. Which finding
requires immediate action?
A. 2+ reflexes
B. Urine output of 45 mL/hr
✔✔C. Respiratory rate of 10/min
D. Mild headache
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,A postpartum client has saturated one peripad in 15 minutes. What is the nurse’s first action?
✔✔A. Massage the uterus firmly
B. Encourage fluids
C. Document blood loss
D. Apply a warm blanket
A nurse observes variable decelerations on the fetal monitor. What is the priority intervention?
A. Notify the provider immediately
B. Increase oxytocin infusion
✔✔C. Reposition the client to side-lying
D. Apply fundal pressure
A client asks about the purpose of Rho(D) immune globulin after delivery. Which response is
correct?
A. "It increases your milk supply."
✔✔B. "It prevents Rh incompatibility in future pregnancies."
C. "It helps your uterus contract faster."
D. "It prevents postpartum depression."
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, A nurse notes a boggy uterus that is displaced to the right. What should the nurse do first?
✔✔A. Assist the client to empty her bladder
B. Notify the healthcare provider
C. Document the finding only
D. Apply a warm compress
A newborn is placed under a radiant warmer. What assessment is most important?
A. Skin color
✔✔B. Axillary temperature
C. Weight
D. Reflexes
A postpartum mother is hesitant to touch or hold her newborn. What is the best nursing
intervention?
A. Take the newborn to the nursery
✔✔B. Encourage skin-to-skin contact when ready
C. Insist she feeds the baby immediately
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