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A nurse is assessing a two-day-old newborn and notes an egg-shaped edematous
bluish discoloration that does not cross the suture line. Which of the following
pieces of information should the nurse provide to the mother when she asks
about this finding?
A) This will resolve in 3 to 6 weeks without treatment.
B) This will resolve on its own within 3 to 4 days.
C) The provider might drain this area with the syringe.
D) This appearance is expected at birth so you don't need to worry.
A
A nurse is caring for a client who has pre-eclampsia and just had a tonic chronic
seizure. After turning the client's head to the side, which of the following actions
should the nurse take next?
A) Administer magnesium sulfate 4 g IV bonus
B) Insert an indwelling urinary catheter
C) Give oxygen at 10 L per minute via face mask
D) Keep the environment quiet and the lights dimmed
C
, A nurse is assisting a client who is 4 hr postpartum to get out of bed for the first
time. The client becomes frightened by a gush of dark red blood from her vagina.
Which of the following statements should the nurse make in response?
A) You might have retained placental fragments in your uterus.
B) Blood pools in the vagina when you are lying in bed.
C) You might have a damaged blood vessel.
D) Your blood flow will increase during the first few days after giving birth.
B
A nurse is providing teaching to a client who is planning to breastfeed her
newborn. Which of the following statements by the client indicates an
understanding of the teaching?
A) I must drink milk every day in order to assure good-quality breast milk.
B) Drinking lots of fluids will increase my breast milk production.
C) After the first few weeks, my nipples will toughen, and breastfeeding won't
hurt anymore.
D) My baby may sometimes feed every hour for several hours in a row.
D
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