LATEST 2025 ACTUAL EXAM
a nurse is providing discharge teaching to a client who had a c section birth 3 days ago. which of
the following instructions should the nurse include? correct answer
"You can still become pregnant if you are breastfeeding."
The nurse should instruct the client that breastfeeding does not prevent ovulation. Therefore, the
client can become pregnant. The nurse should discuss contraception that is safe to use while
breastfeeding.
a nurse is caring for a client who is 22 weeks of gestation and is HIV positive. which of the
following actions should the nurse take? correct answer
Report the client's condition to the local health department.
The nurse should report the condition to the local health department. HIV is one of the conditions
on the list of Nationally Notifiable Infectious Conditions that is required to be reported.
a nurse is providing teaching for a client who has a new prescription for combined oral
contraceptives. which of the following findings should the nurse include as an adverse effect of
this medication? correct answer
depression
The nurse should instruct the client that depression is a common adverse effect of combined oral
contraceptives. Other common adverse effects of the medication include amenorrhea, weight gain,
headache, nausea, breakthrough bleeding, and breast tenderness.
a nurse is providing teaching to a client who is at 40 weeks of gestation and has a new prescription
for misoprostol. Which of the following instructions should the nurse include in the teaching?
correct answer
"I can administer oxytocin 4 hours after the insertion of the medication."
The nurse can administer oxytocin no sooner than 4 hr after the last dose of misoprostol. Oxytocin
can be administered following misoprostol for clients who have cervical ripening and have not
begun labor.
, a nurse is caring for a prenatal client who has parvovirus b19(fifth disease) which of the following
actions should the nurse take? correct answer
schedule an ultrasound examination
The nurse should schedule serial ultrasound examinations to monitor the fetus during the
pregnancy to detect the possible development of fetal hydrops. Also, the virus can cause
miscarriage, intrauterine growth restriction, fetal anemia, or stillbirth.
a nurse is preparing to collect a blood specimen from a newborn via a heel stick. which of the
following techniques should the nurse use to help minimize the pain of the procedure for the
newborn? correct answer
place the newborn skin to skin on the mother's chest.
Placing the newborn skin to skin on the mother's chest is an effective technique to significantly
decrease the newborn's pain level and anxiety. The nurse should implement this technique before,
during, and after the procedure.
a nurse is performing a vag examination on a client who is in labor and observes the umbilical cord
protruding from the vagina. after calling for assistance, which of the following actions should the
nurse take? correct answer
Insert two gloved fingers into the vagina and apply upward pressure to the presenting part.
The nurse should quickly apply gloves and insert two fingers into the vagina toward the cervix,
exerting upward pressure onto the presenting part to relieve umbilical cord compression and
increase oxygenation to the fetus.
a nurse is caring for a client who is at 24 weeks of gestation and has a suspected placental
abruption. which of the following lab tests should the nurse expect the provider to prescribe?
correct answer
kleihauer-betke test
The nurse should expect the provider to prescribe a Kleihauer-Betke test for a client who has
suspected placental abruption to determine if fetal blood is in maternal circulation. This test is
useful to determine if Rho-(D) immune globulin therapy should be administered to a client who is
Rh-negative.