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A nurse is providing education for the parent of a premature infant on
interventions to promote optimal development. Which of the following actions
should the nurse instruct the parent to perform? - Provide kangaroo care for
the infant
A nurse is assessing a newborn who was born at 39 weeks gestation. Which of the
following findings should the nurse expect? - Symmetric rib cage
A nurse is calculating a pregnant client's estimated date of delivery using
Naegele's rule. The client's last menstrual period started on January 20. Which of
the following is the client's expected date of delivery? - October 27
A nurse is teaching a client who is pregnant about toxoplasmosis. Which of the
following instructions should the nurse include? - "You should avoid gardening
during your pregnancy to decrease your risk of contracting toxoplasmosis."
A nurse is caring for a client who is 2 hr postpartum. The nurse notes the client's
perineal pad has a large amount of lochia rubra with several clots. Which of the
following actions should the nurse perform first? - Massage the fundus
A nurse is monitoring a client who is receiving spinal anesthesia. The nurse should
identify which of the following findings as a complication of the infusion? -
Maternal hypotension
,A nurse is reviewing the medical record of a client at 33 weeks gestation who has
placenta previa and bleeding. Which of the following prescriptions should the
nurse clarify with the provider? - Perform a vaginal examination
A nurse is assisting with an amniocentesis for a client who is Rh-negative. Which
of the following actions should the nurse take following the procedure? -
Administer immune globulin to the client to prevent fetal isoimmunization
A provider tells a client at 12 weeks gestation who practices Hinduism that she
needs more protein in her diet and suggests eating more meat. After the provider
leaves the examination room, the client tells the nurse that eating animal
products will cause her to miscarry. Which of the following responses should the
nurse make? - "Let's discuss other foods that are also high in protein that you
could substitute for meat."
A nurse is teaching a client who is pregnant about nonstress testing. Which of the
following pieces of information should the nurse include? - "If the test is
reactive, that means your baby's heart rate is healthy."
A nurse is caring for a client who is pregnant and whose last menstrual period
(LMP) began on April 8. Using Naegele's rule, which of the following dates would
be the client's estimated date of birth (EDB)? - January 15
A nurse is caring for a client who is pregnant with a male child and expresses
concern to the nurse about the possibility of the child having hemophilia. The
client is a carrier of the gene mutation for this condition. Which of the following
percentages represents the chance that the child will have this disorder? - 50%
,A nurse is providing teaching for a client about hormonal changes during
pregnancy. The nurse identifies that which of the following hormones plays a key
role in preventing miscarriage? - Progesterone
A nurse is caring for a preterm infant in the NICU. Which of the following actions
by the nurse will promote the infant's optimal development? - Reducing
ambient noise and lighting
A nurse is providing care for a client who is in the second stage of labor. The fetal
heart tracing indicates multiple variable decelerations. Which of the following
actions should the nurse take? - Prepare an amnioinfusion
A nurse is providing postpartum discharge teaching about proper storage of
breast milk for a client who is breastfeeding. Which of the following client
statements indicates an understanding of the teaching? - "I will discard any
unused breastmilk that is left in the bottle."
A nurse is providing education to a female client of child-bearing age. The nurse
should state that which of the following structures expels the mature ovum? -
Graafian follicle
A nurse is caring for a client who is at 38 weeks gestation and reports no fetal
movement for the past 24 hr. Which of the following actions should the nurse
take? - Auscultate for a fetal heart rate
A nurse is monitoring a newborn who is receiving phototherapy. The nurse should
identify which of the following findings as requiring intervention? - Weight loss
12% of birth weight
, A nurse in a labor and delivery unit is preparing to teach a newly licensed nurse
about intermittent auscultation of the fetal heart rate. Which of the following
interventions should the nurse include? - Palpate and count the maternal
radial pulse while listening to the fetal heart rate
The nurse is teaching a client who is postpartum about the rubella vaccine. Which
of the followings statements should the nurse include? - "You must not
become pregnant for 28 days after receiving this immunization."
A nurse is caring for a client who is nulliparous and experiencing hypertonic
uterine dysfunction. An assessment indicates 3 cm dilation. Which of the
following actions should the nurse take? - Offer the client hydrotherapy
A nurse is providing teaching to the parents of a newborn about home safety.
Which of the following statements by the parents indicates an understanding of
the teaching? - "I will place my baby on his back when putting him to sleep."
A nurse is admitting a client who is in labor and experiencing moderate bright red
vaginal bleeding. Which of the following actions should the nurse take? -
Obtain blood samples for baseline laboratory values
The parents of a child with phenylketonuria (PKU) ask the nurse if their second
unborn child could have the same condition. The nurse should base the response
on which of the following inheritance patterns responsible for PKU? -
Autosomal recessive