A nurse is assessing a client who has gestational diabetes A) Reports increased urinary output
mellitus and is experiencing hyperglycemia. Which of the
following findings should the nurse expect? Increased urinary output, nausea and vomiting, reports of thirst, abdominal pain,
A) Reports increased urinary output constipation, drowsiness, and headaches are manifestations of hyperglycemia. Other
B) Diaphoresis manifestations include weak rapid pulse, fruity breath odor, urine positive for sugar
C) Reports blurred vision and acetone, and a blood glucose level greater than 200 mg/dL.
D) Shallow respirations
A nurse is caring for a client who is at 22 weeks gestation D) Report the client's condition to the local health department.
and is HIV positive. Which of the following actions should
the nurse take? The nurse should report the condition to the local health department. HIV is one of
A) Administer penicillin G 2.4 million units IM to the client. the conditions on the list of Nationally Notifiable Infectious Conditions that is
B) Instruct the client to schedule an annual pelvic required to be reported.
examination.
C) Tell the client she will start medication for HIV
immediately after delivery.
D) Report the client's condition to the local health
department.
,A nurse is providing teaching for a client who has a new A) Depression
prescription for combined oral contraceptives. Which of
the following findings should the nurse include as an The nurse should instruct the client that depression is a common adverse effect of
adverse effect of this medication? combined oral contraceptives. Other common adverse effects of the medication
A) Depression include amenorrhea, weight gain, headache, nausea, breakthrough bleeding, and
B) Polyuria breast tenderness.
C) Hypotension
D) Urticaria
A nurse is providing teaching to a client who is at 40 weeks A) "I can administer oxytocin 4 hours after the insertion of the medication."
og gestation and has a new prescription for mistoprostol.
Which of the following instructions should a nurse include The nurse can administer oxytocin no sooner than 4 hr after the last dose of
in the teaching? misoprostol. Oxytocin can be administered following misoprostol for clients who
A) "I can administer oxytocin 4 hours after the insertion of have cervical ripening and have not begun labor.
the medication."
B) "You will need a full bladder prior to the insertion of the
medication."
C) "Remain in a side-lying position for 15 minutes after the
medication is inserted."
D) "An antacid will be given 20 minutes prior to the
insertion of the medication."
,A nurse is caring for a prenatal cleint who has parvovirus B) Schedule an ultrasound examination.
(5th's disease). Which of the following actions should the
nurse take? The nurse should schedule serial ultrasound examinations to monitor the fetus
A) Administer antiviral medication. during the pregnancy to detect the possible development of fetal hydrops. Also, the
B) Schedule an ultrasound examination. virus can cause miscarriage, intrauterine growth restriction, fetal anemia, or stillbirth.
C) Administer Haemophilus influenzae type b vaccine.
D) Schedule an indirect Coombs' test.
A nurse is preparing to collect a blood specimen from a D) Place the newborn skin to skin on the mother's chest.
newborn via a heel stick. Which of the following techniques
should the nurse use to help minimize the pain of the Placing the newborn skin to skin on the mother's chest is an effective technique to
procedure on the newborn? significantly decrease the newborn's pain level and anxiety. The nurse should
A) Apply a cool pack for 10 min to the heel prior to the implement this technique before, during, and after the procedure.
puncture.
B) Request a prescription for IM analgesic.
C) Use a manual lance blade to pierce the skin.
D) Place the newborn skin to skin on the mother's chest.
, A nurse is performing a vaginal assessment on a client who A) Insert two gloved fingers into the vagina and apply upward pressure to the
is in labor and observes the umbilical cord protruding from presenting part.
the vagina . After calling for assistance, which of the
following actions should the nurse take? The nurse should quickly apply gloves and insert two fingers into the vagina toward
A) Insert two gloved fingers into the vagina and apply the cervix, exerting upward pressure onto the presenting part to relieve umbilical
upward pressure to the presenting part. cord compression and increase oxygenation to the fetus.
B) Wrap the visible cord tightly with sterile, dry gauze.
C) Apply oxygen to the client at 2 L/min via nasal cannula.
D) Place the client in the lithotomy position and apply
fundal pressure.
A nurse is caring for a client who is at 24 weeks of A) Kleihauer-Betke test
gestation and has a suspected placental aburption. Which
of the following laboratory tests should the nurse expect The nurse should expect the provider to prescribe a Kleihauer-Betke test for a client
the provider to prescribe? who has suspected placental abruption to determine if fetal blood is in maternal
A) Kleihauer-Betke test circulation. This test is useful to determine if Rho-(D) immune globulin therapy should
B) Progesterone serum level be administered to a client who is Rh-negative.
C) Lecithin/sphingomyelin (L/S) ratio
D) Maternal Alpha-fetoprotein (AFP)
mellitus and is experiencing hyperglycemia. Which of the
following findings should the nurse expect? Increased urinary output, nausea and vomiting, reports of thirst, abdominal pain,
A) Reports increased urinary output constipation, drowsiness, and headaches are manifestations of hyperglycemia. Other
B) Diaphoresis manifestations include weak rapid pulse, fruity breath odor, urine positive for sugar
C) Reports blurred vision and acetone, and a blood glucose level greater than 200 mg/dL.
D) Shallow respirations
A nurse is caring for a client who is at 22 weeks gestation D) Report the client's condition to the local health department.
and is HIV positive. Which of the following actions should
the nurse take? The nurse should report the condition to the local health department. HIV is one of
A) Administer penicillin G 2.4 million units IM to the client. the conditions on the list of Nationally Notifiable Infectious Conditions that is
B) Instruct the client to schedule an annual pelvic required to be reported.
examination.
C) Tell the client she will start medication for HIV
immediately after delivery.
D) Report the client's condition to the local health
department.
,A nurse is providing teaching for a client who has a new A) Depression
prescription for combined oral contraceptives. Which of
the following findings should the nurse include as an The nurse should instruct the client that depression is a common adverse effect of
adverse effect of this medication? combined oral contraceptives. Other common adverse effects of the medication
A) Depression include amenorrhea, weight gain, headache, nausea, breakthrough bleeding, and
B) Polyuria breast tenderness.
C) Hypotension
D) Urticaria
A nurse is providing teaching to a client who is at 40 weeks A) "I can administer oxytocin 4 hours after the insertion of the medication."
og gestation and has a new prescription for mistoprostol.
Which of the following instructions should a nurse include The nurse can administer oxytocin no sooner than 4 hr after the last dose of
in the teaching? misoprostol. Oxytocin can be administered following misoprostol for clients who
A) "I can administer oxytocin 4 hours after the insertion of have cervical ripening and have not begun labor.
the medication."
B) "You will need a full bladder prior to the insertion of the
medication."
C) "Remain in a side-lying position for 15 minutes after the
medication is inserted."
D) "An antacid will be given 20 minutes prior to the
insertion of the medication."
,A nurse is caring for a prenatal cleint who has parvovirus B) Schedule an ultrasound examination.
(5th's disease). Which of the following actions should the
nurse take? The nurse should schedule serial ultrasound examinations to monitor the fetus
A) Administer antiviral medication. during the pregnancy to detect the possible development of fetal hydrops. Also, the
B) Schedule an ultrasound examination. virus can cause miscarriage, intrauterine growth restriction, fetal anemia, or stillbirth.
C) Administer Haemophilus influenzae type b vaccine.
D) Schedule an indirect Coombs' test.
A nurse is preparing to collect a blood specimen from a D) Place the newborn skin to skin on the mother's chest.
newborn via a heel stick. Which of the following techniques
should the nurse use to help minimize the pain of the Placing the newborn skin to skin on the mother's chest is an effective technique to
procedure on the newborn? significantly decrease the newborn's pain level and anxiety. The nurse should
A) Apply a cool pack for 10 min to the heel prior to the implement this technique before, during, and after the procedure.
puncture.
B) Request a prescription for IM analgesic.
C) Use a manual lance blade to pierce the skin.
D) Place the newborn skin to skin on the mother's chest.
, A nurse is performing a vaginal assessment on a client who A) Insert two gloved fingers into the vagina and apply upward pressure to the
is in labor and observes the umbilical cord protruding from presenting part.
the vagina . After calling for assistance, which of the
following actions should the nurse take? The nurse should quickly apply gloves and insert two fingers into the vagina toward
A) Insert two gloved fingers into the vagina and apply the cervix, exerting upward pressure onto the presenting part to relieve umbilical
upward pressure to the presenting part. cord compression and increase oxygenation to the fetus.
B) Wrap the visible cord tightly with sterile, dry gauze.
C) Apply oxygen to the client at 2 L/min via nasal cannula.
D) Place the client in the lithotomy position and apply
fundal pressure.
A nurse is caring for a client who is at 24 weeks of A) Kleihauer-Betke test
gestation and has a suspected placental aburption. Which
of the following laboratory tests should the nurse expect The nurse should expect the provider to prescribe a Kleihauer-Betke test for a client
the provider to prescribe? who has suspected placental abruption to determine if fetal blood is in maternal
A) Kleihauer-Betke test circulation. This test is useful to determine if Rho-(D) immune globulin therapy should
B) Progesterone serum level be administered to a client who is Rh-negative.
C) Lecithin/sphingomyelin (L/S) ratio
D) Maternal Alpha-fetoprotein (AFP)
