2026 B
A nurse is preparing to administer magnesium sulfate 2 g/hr IV to a client who is
in preterm labor. Available is 20 g magnesium sulfate in 500 mL of dextrose 5% in
water (D5W). The nurse should set the IV infusion pump to administer how many
mL/hr? (Round the answer to the nearest whole number. Use a leading zero if it
applies. Do not use a trailing zero.) - ANSWER 50 mL/hr
A nurse is developing a plan of care for a client who has preeclampsia and is
recieving magnesium sulfate via continuous IV infusion. Which of the following
interventions should the nurse include in the plan? - ANSWER Monitor
the FHR continuously.
A nurse is assessing a newborn who is 12 hr old. Which of the following
manifestations requires intervention by the nurse? - ANSWER Substernal
chest retractions while sleeping
A nurse is assessing a client who is at 38 weeks of gestation during a weekly
prenatal visit. Which of the following findings should the nurse report to the
provider? - ANSWER Weight gain of 2.2 kg (4.8 lb)
,A nurse is providing teaching about nonpharmacological pain management to a
client who is breastfeeding and has engorgement. The nurse should recommend
which of the following strategies? - ANSWER A warm shower
A nurse is caring for a client who is pregnant and is at the end of their first
trimester. The nurse should place the Doppler ultrasound stethesoscope in which of
the following locations to begin assessing for the fetal heart tones (FHT)? -
ANSWER Just above the symphysis pubis
A nurse in a provider's office is reviewing the medical record of a client who is in
the first trimester of pregnancy. Which of the following findings should the nurse
identify as a risk factor for the development of preeclampsia? - ANSWER
Pregestational diabetes mellitus
A nurse is caring for a client who is at 22 weeks of gestation and reports concern
about the blotchy hyperpigmentation on their forehead. Which of the following
actions should the nurse take? - ANSWER Explain to the client this is an
expected occurrence.
, A nurse is demonstrating to a client how to pathe their newborn. In which order
should the nurse perform the following actions? - ANSWER Wipe the
newborn's eyes from inner canthus outward.
Wash the newborn's neck by lifting the newborn's chin.
Cleanse the skin around the newborn's umbilical cord stump.
Wash the newborn's legs and feet.
Clean the newborn's diaper area.
A nurse is performing a newborn assessment. Which of the following images
should the nurse identify as an indication of spina bifida occulta? - ANSWER
External indications of this neural tube defect include a dimpled area ofer the
defect and the presence of a birthmark or hairy patch above the area.
A nurse is caring for a client who is 3 days postpartum.
Complete the diagram by dragging from the choices below to specify what
conditions the client is most likely experienicng, 2 actions the nurse should take to
address that condition, and 2 parameters the nurse should monitor to assess the
client's progress. - ANSWER Action to Take:
Plan to adminsiter IV antibiotics.
Obtain a culture of vaginal fluid using a sterile swab.
Potential Condition:
Endometritis
Parameter to Monitor:
Lochia amount and odor