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A nurse and a prenatal clinic is caring for a client who reports that her menstrual period
is two weeks late client appears anxious and asked the nurse if she's pregnant which of
the following responses to the nurse make - ANSWER You can miss your period for
several other reasons describe your typical menstrual cycle
A nurse is caring for a client who is pregnant and is at the end of her first trimester the
nursing place the Doppler ultrasound stethoscope in which of the following locations to
begin assessing the fetal heart tones - ANSWER Just above the symphysis pubis
A nurse is preparing to perform Leopold's Maneuvers for a client identify the sequence
the nurse should follow - ANSWER Palpate the funds to identify the fetal part
Determine the location of the fetal back
Palpate for the fetal part presenting at the inlet
Identify the altitude of the head
A nurse is performing a newborn assessment which of the following images should the
nurse identify as an indication of spina bifida occulta - ANSWER Caucasian baby with
small bruise-like/birthmark at the base of the back above buttocks
A nurse is caring for a client who is experiencing preterm labor at 29 weeks of gestation
and has a prescription for betamethasone which of the following statements for the
nurse make about the indication for the medication and administration - ANSWER This
medication stimulates fetal lung maturity
A nurse is caring for a client who is in labor and reports increasing rectal pressure she's
experiencing contractions 2 to 3 minutes apart each lasting 80 to 90 seconds in a
vaginal examination reveals in her cervix is dilated to 9 cm the nurse should identify that
the client is in which of the following phases of labor - ANSWER Transition
A nurse is teaching a new parent about Nyborg safety which of the following instructions
to the nurse include in the teaching - ANSWER You can share your room with your
baby for the next few weeks
A nurse is providing dietary teaching to a client who has hyper emesis gravidarum which
of the following statements by the client indicates understanding of the teaching -
ANSWER I will eat foods that taste good instead of balancing my meals
A nurse is caring for a client following an amniocentesis at 18 weeks of gestation which
of the following findings should the nurse report to the provider is a potential
, complication - ANSWER Leakage of fluid from the vagina
A nurse is assessing a client who is postpartum and has idiopathic thrombocytopenia
purpura which of the following findings should the nurse expect - ANSWER Decrease
platelet count
A nurse is planning discharge for a client who is three days post partum which of the
following non-pharmacological intervention should the nurse include in the plan of care
for lactation suppression - ANSWER Apply cabbage leaves to the breasts
A nurse is preparing to administer oxytocin to a client who is post partum which of the
following findings as an indication for the administration of the medication select all that
apply - ANSWER Flaccid uterus
Excess vaginal bleeding
A nurse is planning care for a client who is in labor and is requesting epidural
anesthesia for pain control which of the following actions should the nurse include in the
plan of care - ANSWER Monitor the clients blood pressure every five minutes following
the first dose of the anesthetic solution
A nurse on postpartum unit is caring for a client who is expecting hypovolemic shock
after notifying the provider which of the following actions should the nurse take next -
ANSWER Massage clients fundus
A nurse is planning care for a client who is in labor and is to have an amniotomy which
of the following assessments for the nurse identify as a priority - ANSWER
Temperature
A nurse is reviewing the laboratory report of a newborn he was 24 hours old which of
the following results should the nurse expect to report to the provider - ANSWER Blood
glucose 30 mg/dL
A nurse is speaking with a client who is trying to make a decision about tubal ligation the
client asks what effect will this procedure have on my sex life which of the following
responses should the nurse make - ANSWER This procedure should have no effect on
your sexual performance or adequacy
A nurse is reviewing the medical record of a client who has postpartum and has
preeclampsia which of the following laboratory results should the nurse report to the
provider - ANSWER Platelets 50,000/mm3
A nurse is teaching a client who is Rh negative about Rh0(D) immune globulin which of
the following statements by the client indicated understanding of the teaching -
ANSWER I will need this medication if I have an amniocentesis