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1. A nurse is assessing a client who is at 33 weeks of D. Epigastric pain
gestation.
Which of the following findings should the nurse
report to the provider?
A. Leukorrhea.
B. Excessive salivation.
C. Darkening of the skin on the face.
D. Epigastric pain.
2. A nurse is teaching a class to clients who are preg- C. The need for an indwelling
nant. urinary catheter
Which of the following topics should the nurse in-
clude in the discussion about cesarean birth? (Select
all that apply.)
A. Delay in initiating breastfeeding.
B. Routine use of intubation equipment during
birth.
C. The need for an indwelling urinary catheter.
D. Management of postpartum pain.
3. A nurse is caring for a 2-day-old newborn who has C. Monitor intake and output.
a bilirubin level of 14 mg/dL (1 to 12 mg/dL) and is
to begin phototherapy.
Which of the following actions should the nurse
take?
A. Give glucose water after feedings.
B. Instruct the client to avoid breastfeeding during
treatment.
C. Monitor intake and output.
D. Apply lotions and ointments throughout the
treatment.
, VATI Maternal newborn
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4. A nurse is caring for an adolescent client who is at C. It would be helpful for us
24 weeks of gestation. to meet with the dietitian to
The client's prepregnancy weight was within the see how they can help you
recommended range for their height and they have meet and assess your nutri-
gained 2.7 kg (6 lb) during the pregnancy. tional needs
Which of the following statements should the nurse
make?
A. It is important to gain 2 pounds per week
throughout the rest of your pregnancy.
B. You can cause problems for your baby if you try
to diet while pregnant.
C. It would be helpful for us to meet with the dietit-
ian to see how they can help you meet and assess
your nutritional needs. (Your Answer)
D. You should eat an additional 700 calories per day
while you are pregnant.
5. A nurse is caring for a group of clients who are A. A client who has an in-
postpartum. dwelling urinary catheter.
Which of the following clients is at an increased risk
for a fall?
A. A client who has an indwelling urinary catheter.
B. A client who has a second-degree perineal lacer-
ation.
C. A client who is saturating a perineal pad every 5
to 6 hr.
D. A client who is experiencing breast engorge-
ment.
6. A nurse is teaching a prenatal class to a group of
parents and is discussing facilitation of sibling ac-
, VATI Maternal newborn
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ceptance of the newborn. B. The parent should plan to
Which of the following instructions should the spend individual time with the
nurse include in the teaching? older sibling.
A. The parent should hold the newborn during the
initial visit with the older sibling.
B. The parent should plan to spend individual time
with the older sibling.
C. The parent should have the older sibling pur-
chase a gift for the newborn.
D. The parent should postpone introducing the old-
er sibling to the newborn until discharge.
7. A nurse is caring for a newborn immediately follow- A. Determine if the newborn's
ing birth. mouth and nose require bulb
The newborn has meconium-stained amniotic flu- suctioning.
id.
Which of the following actions should the nurse
take first?
A. Determine if the newborn's mouth and nose re-
quire bulb suctioning.
B. Initiate skin-to-skin contact between parent and
newborn.
C. Place the newborn under a radiant warmer.
D. Provide tactile stimulation for the newborn.
8. A nurse is assessing a newborn. D. Hypotonia
Which of the following findings indicates a need to
check the newborn's blood glucose level for hypo-
glycemia?
A. Shrill cry.