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A nurse is assisting with the preparation of a laboring client who is scheduled to
receive an intrauterine pressure catheter. The client asks why this type of
monitoring is needed. Which of the following responses should the nurse make?
A. "This type of monitoring is necessary for timing of the frequency of your
contractions."
B. "This type of monitoring is noninvasive, so it is the best to monitor your labor
contractions."
C. "This type of monitor allows us to evaluate your baby's heart rate while you are
in labor."
D. "This type of monitoring will allow us to measure the intensity of your
contractions." - "This type of monitoring will allow us to measure the
intensity of your contractions."
A nurse is assisting with the care of client who is pospartum and reports
abdominal cramping. Which of the following actions should the nurse take?
A. Advise the client to lie on her side
B. Request a prescription for an opioid analgesic
C. Offer a sitz bath to the client
D. Encourage the client to interact with the newborn - Encourage the client
to interact with the newborn
,A nurse is assisting with the care of a client who is labor and is receiving an
infusion of oxytocin. The nurse should monitor the client for which of the
following potential adverse effects?
A. Diarrhea
B. Thromboembolism
C. Fetal asphyxia
D. Oliguria - Fetal asphyxia
A nurse is reinforcing nutritional teaching with a pregnant client who has a BMI of
32. Which of the following statements should the nurse make?
A. "You should have considered losing weight before getting pregnant."
B. "You baby has a higher chance of low birth weight duse to your BMI."
C. "You might want to consider a weight-reduction diet."
D. "You might be at risk for a longer stay than planned." - "You might be at
risk for a longer stay than planned."
A nurse is reinforcing teaching with a client who asks about using essential oils for
her labor and delivery expected to occur next month. Which of the following
responses should the nurse make?
A. "Studies show that jasmine has an antidepressant effect during labor."
B. "Studies show that the use of lavender is effective for strengthening
contractions."
C. "Studies do not promote diffusing essential oils during labor due to the
possibility of respiratory compromise."
,D. "Studies show no evidence that essential oils improve labor outcomes." -
"Studies show no evidence that essential oils improve labor outcomes."
A nurse is calculating is calculating a 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?
A. October 13
B. November 13
C. October 27
D. November 27 - October 27
A nurse is teaching the guardian of a newborn about caring for the newborn's
umbilical cord. For which of the following reasons should the nurse instruct the
guardian to avoid using antimicrobial agents on the cord?
A. They can cause increased pain from the cord
B. They can cause delayed cord separation
C. They can cause swelling of the surrounding tissue
D. They can cause skin discoloration - They can cause delayed cord
separation
A nurse is collecting data from a newborn. Which of the following findings should
the nurse report to the provider?
A. Respiratory rate 52/min
, B. Weight 2500 grams (5.5 lb)
C. Head circumference 28 cm (11 in)
D. Blood glucose 48 mg/dL - Head circumference 28 cm (11 in)
A nurse is assisting with the care of a client in active labor who is experiencing
hypotension following epidural placement. Which of the following actions should
the nurse take?
A. Decrease IV fluids
B. Give oxygen at 2 L/min via nasal cannula
C. Place the client in a lateral position
D. Administer indomethacin - Place the client in a lateral position
A nurse is assisitng with the plan of care for a client who is postpartum and has a
history of a pulmonary embolus. The provider has prescribed heparin therapy
prophylactically. Which if the following interventions should the nurse
recommend to include in the plan?
A. Monitor aPTT and platelet count
B. Perform fundal massage every 1 to 2 hours
C. Assist the client with using a breast pump until therapy is discontinued
D. Maintain strict bedrest - Monitor aPTT and platelet count
A nurse is reinforcing teaching about breastfeeding with a client. Which of the
following client statements indicates an understanding of the teaching?