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A 4 week old premature infant has been receiving epoetin alfa for the last three
weeks. Which assessment finding indicates to the nurse that the drug is
effective?
a. slowly increasing urine output over the last week
b. respiratory rate changes from the 40s to the 60s
c. changes in apical heart rate from the 180 to the 140s
d. change in indirect bilirubin from 12 mg/dl to 8 mg/dl
c. changes in apical rate from the 180s to the 140s
A pregnant client tells the nurse that the first day of her last menstrual period
was August 2, 2006. Based on Nagele's rule, what is the estimated date of
delivery?
a. April 25, 2007
b. May 9, 2007
c. May 29, 2007
d. June 2, 2007
b. May 9, 2007
,The nurse is performing a AGA on a full-term newborn during the first hour of
transition using the Dubowitz scale. Based on this assessment, the nurse
determines that the
neonate has a maturity rating of 40 weeks. Which findings should the nurse
identify to determine if the neonate is SGA? (Select all that apply.)
a. admission weight of 4 lbs 15 oz
b. head to heel length of 17 in
c. frontal occipital circumference of 12.5 in
d. skin smooth with visible veins and abundant vernix
e. anterior plantar crease and smooth heel surfaces
f. full flexion of all extremities in resting supine position
a, b, c
The nurse assess a client admitted to the labor and delivery unit and obtains the
following data: BP 110/68, FHR 110 bpm, cervix 1 cm dilated and uneffaced.
Based on these assessment findings, what intervention should the nurse
implement?
a. insert a fetal monitor
b. assess for cervical changes q1H
c. monitor bleeding from IV sites
d. perform Leopold's maneuvers
c. monitor for bleeding from IV sites
Immediately after birth a newborn infant is suctioned, dried, and placed under
a radiant warmer. The infant has spontaneous respirations and the nurse
assess an apical heart rate of 80 bpm and respirations 20. What action should
the nurse perform next?
a. initiate positive pressure ventilation
b. intervene after one minute APGAR is assessed
c. initiate CPR on the infant
d. assess the infant's blood glucose level
a. initiate positive pressure ventilation
,A client with no prenatal care arrives at the labor unit screaming, "The baby is
coming!" The nurse performs a vaginal examination that reveals the cervix is 3
cm dilated and 75% effaced. What additional information is most important for
the nurse to obtain?
a. gravidity and parity
b. time and amount of last oral intake
c. date of last normal menstrual period
d. frequency and intensity of contractions
c. date of last normal menstrual period
A mutigravida client at 41 weeks gestation present in the labor and delivery
unit after a non-stress test indicated that the fetus is experiencing some
difficulties in utero. Which diagnostic test should the nurse prepare the client
for additional information about fetal status?
a. biophysical profile
b. ultrasound for fetal abnormalities
c. maternal serum alpha-fetoprotein screening
d. percutaneous umbilical blood sampling
a. biophysical profile
A client receiving epidural anesthesia begins to experience nausea and
becomes pale and clammy. What intervention should the nurse implement
first?
a. raise the foot of the bed
b. assess for vaginal bleeding
c. evaluate the fetal heart rate
d. take the client's blood pressure
a. raise the foot of the bed
, A client at 28 weeks gestation calls the antepartal clinic and states that she is
experiencing a small amount of vaginal bleeding which she describes as bright
red. She further states that she is not experiencing any uterine contractions or
abdominal pain.
What instruction should the nurse provide?
a. come to the clinic today for an ultrasound
b. go immediately to the emergency room
c. lie on your left side for about one hour and see if the bleeding stops
d. bring a urine specimen to the lab tomorrow to determine if you have a UTI
a. come to the clinic today for an ultrasound
Which nursing intervention is helpful in relieving "afterpains"?
a. using relaxation breathing techniques
b. using a breast pump
c. massaging the abdomen
d. giving oxytocic medications
a. using relaxation breathing techniques
The nurse is counseling a couple who has sought information about conceiving.
For teaching purposes, the nurses should know that ovulation usually occurs
a. two weeks before menstruation
b. immediately after menstruation
c. immediately before menstruation
d. three weeks before menstruation
a. two weeks before menstruation