Version | 2025/2026 | Correct & Verified
A laboring client reports constant back pain. What is the most likely fetal position?
✔✔ Occiput posterior position
A client at 38 weeks presents with painless vaginal bleeding. What condition is suspected?
✔✔ Placenta previa
Which assessment finding in a postpartum client requires immediate intervention?
✔✔ Saturating one peripad in less than 1 hour with clots
What is the priority nursing action for a newborn with grunting respirations?
✔✔ Place the newborn under a radiant warmer and notify the provider
A client in labor suddenly complains of chest pain and dyspnea. What complication is suspected?
✔✔ Amniotic fluid embolism
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,What is the first nursing action after spontaneous rupture of membranes?
✔✔ Assess fetal heart rate
A mother with mastitis is breastfeeding. What advice should the nurse provide?
✔✔ Continue breastfeeding and apply warm compresses
A client at 32 weeks reports a severe headache and visual disturbances. What complication is
suspected?
✔✔ Preeclampsia
What is the priority nursing action after delivery of the placenta?
✔✔ Massage the uterine fundus to prevent hemorrhage
Which newborn assessment finding requires immediate intervention?
✔✔ Retractions and nasal flaring
What is the most reliable indicator of true labor?
✔✔ Cervical dilation and effacement
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, A client asks why folic acid is prescribed during pregnancy. What is the correct response?
✔✔ To prevent neural tube defects
What is the nurse’s priority when caring for a client with placenta abruption?
✔✔ Monitor fetal heart rate and maternal vital signs
What is the purpose of giving Rho(D) immune globulin to an Rh-negative mother?
✔✔ To prevent isoimmunization against Rh-positive fetal blood
What is the most important nursing action immediately after a cesarean birth?
✔✔ Assess airway, breathing, and circulation
A client with gestational diabetes delivers. What is the priority assessment for the newborn?
✔✔ Monitor for hypoglycemia
What is the best position for a client with umbilical cord prolapse?
✔✔ Knee-chest position or Trendelenburg
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