A nurse is caring for a client who is at 35 weeks of gesta on and has placenta previa. Which of
the following ac ons should the nurse take? -correct answers ?
Perform a vaginal exam to determine cervical dila on every 2hr.
Fetal monitoring for fetal well-being assessment
A nurse is caring for a client who is pregnant and is at the end of her first trimester. The nurse
should place the Doppler ultrasound stethoscope in which of the following loca ons to begin
assessing for the fetal heart mes (FHT)? -correct answers Just above the symphysis pubis
A nurse is teaching a client who is at 36 weeks of gesta on and has a prescrip on for a
nonstress test. Which of the following statements should the nurse include in the teaching? -
correct answers ?
S
A
A
A nurse is reviewing the medical record of a newly admi ed client who is at 32 weeks of
gesta on. Which of the following condi ons is an indica on for fetal assessment using
electronic fetal monitoring? -correct answers Oligohydramnios
A nurse is caring for a newborn who is undergoing phototherapy to treat hyperbilirubinemia.
Which of the following ac ons should the nurse take? -correct answers Cover the newborn's
eyes while under the phototherapy light.
, A nurse is caring for a client who has preeclampsia and is receiving a con nuous infusion of
magnesium sulfate IV. Which of the following ac ons should the nurse take? -correct answers
Have calcium gluconate readily available.
A nurse is providing discharge teaching to the parents of a newborn about car seat safety.
Which of the following instruc ons should the nurse include? -correct answers ?
Rear-facing car seat ll the age of 2yrs
Use a car seat with a fit-point harness
A school nurse is providing teaching to an adolescent about levonorgestrel contracep on.
Which of the following informa on should the nurse include in the teaching? -correct answers
"You should take the medica on within 72 hours following unprotected sexual intercourse."
A nurse on a postpartum unit is caring for a client who is experiencing hypovolemic shock. A er
no fying the provider, which of the following ac ons should the nurse take next? -correct
answers Massage the client's fundus
A nurse is assessing a client who is at 30 weeks of gesta ons during a rou ne prenatal visit.
Which of the following findings should the nurse report to the provider? -correct answers
Swelling of the face
A nurse is caring for a client who is in labor and whose fetus is in the right occiput posterior
posi on. The client is dilated to 8cm and reports back pain. Which of the following ac ons
should the nurse take? -correct answers Apply sacral counterpressure
This relieves back labor pain related to fetal posterior posi on
A nurse is performing a vaginal examina on on a client who is in labor and observes the
umbilical cord protruding from the vagina. A er calling for assistance, which of the following
ac ons should the nurse take next? -correct answers Apply internal upward pressure to the
presen ng part using two gloved fingers
the following ac ons should the nurse take? -correct answers ?
Perform a vaginal exam to determine cervical dila on every 2hr.
Fetal monitoring for fetal well-being assessment
A nurse is caring for a client who is pregnant and is at the end of her first trimester. The nurse
should place the Doppler ultrasound stethoscope in which of the following loca ons to begin
assessing for the fetal heart mes (FHT)? -correct answers Just above the symphysis pubis
A nurse is teaching a client who is at 36 weeks of gesta on and has a prescrip on for a
nonstress test. Which of the following statements should the nurse include in the teaching? -
correct answers ?
S
A
A
A nurse is reviewing the medical record of a newly admi ed client who is at 32 weeks of
gesta on. Which of the following condi ons is an indica on for fetal assessment using
electronic fetal monitoring? -correct answers Oligohydramnios
A nurse is caring for a newborn who is undergoing phototherapy to treat hyperbilirubinemia.
Which of the following ac ons should the nurse take? -correct answers Cover the newborn's
eyes while under the phototherapy light.
, A nurse is caring for a client who has preeclampsia and is receiving a con nuous infusion of
magnesium sulfate IV. Which of the following ac ons should the nurse take? -correct answers
Have calcium gluconate readily available.
A nurse is providing discharge teaching to the parents of a newborn about car seat safety.
Which of the following instruc ons should the nurse include? -correct answers ?
Rear-facing car seat ll the age of 2yrs
Use a car seat with a fit-point harness
A school nurse is providing teaching to an adolescent about levonorgestrel contracep on.
Which of the following informa on should the nurse include in the teaching? -correct answers
"You should take the medica on within 72 hours following unprotected sexual intercourse."
A nurse on a postpartum unit is caring for a client who is experiencing hypovolemic shock. A er
no fying the provider, which of the following ac ons should the nurse take next? -correct
answers Massage the client's fundus
A nurse is assessing a client who is at 30 weeks of gesta ons during a rou ne prenatal visit.
Which of the following findings should the nurse report to the provider? -correct answers
Swelling of the face
A nurse is caring for a client who is in labor and whose fetus is in the right occiput posterior
posi on. The client is dilated to 8cm and reports back pain. Which of the following ac ons
should the nurse take? -correct answers Apply sacral counterpressure
This relieves back labor pain related to fetal posterior posi on
A nurse is performing a vaginal examina on on a client who is in labor and observes the
umbilical cord protruding from the vagina. A er calling for assistance, which of the following
ac ons should the nurse take next? -correct answers Apply internal upward pressure to the
presen ng part using two gloved fingers
