HEALTHMEDSURGEEXAMQUESTIONS&ANS
GRANTEEDA+PASS
Anurseiscaringforaclientwhodeliveredbycesareanbirth6hrago.The
nursenotesasteadytrickleofvaginalbleedingthatdoesnotstopwithfundal
massage.Whichofthefollowingactionsshouldthenursetake?ATIPAGE136
a.Replacethesurgicaldressing
b.Administer500mLlactatedringer’sIVbolus
c.Applyanicepacktotheincisionsite
d.Evaluateurinaryoutput
Anurseisprovidingdischargeinstructionstoaclientwhoispostpartumand
hasengorgedbreasts.Whichofthefollowingnonpharmacologicalcomfort
measuresshouldthenurseincludeintheteaching?
a.Wearnippleshieldsduringthefeeding
b.Applycabbageleavesafterfeedings
c.Useabreastbinderfor2days
d.Useplastic-linedbreastpads
AnurseiscalculatingtheestimateddateofbirthusingNagele’sruleforaclient
whoispregnantandwhoselastmenstrualcyclestartedJune21.Whichofthe
followingistheestimateddateofdeliveryinthenextyear? a.March14
b.March28
c.March21
d.April4
Anurseiscaringforaclientimmediatelyfollowingthedeliveryofa
stillbornfetus.Whichofthefollowingactionsshouldthenursetake?ATI
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a.Preparetheclientforwhattoexpectthefetustolooklike
b.Instructtheclientthatanautopsyshouldbeperformedwithin24hr
c.Informtheclientthatthelawrequireshertonamethefetus
d.Limittheamountoftimethefetusisintheclient’sroom
Anurseisobservinganadolescentclientwhoisofferinghernewbornabottle
whileheislyinginthebassinet.Whenthenurseofferstopickthenewbornupand
placehimintheclient’sarms,themotherstates,“No,thebabyistootiredtobe
held.”Whichofthefollowingactionsshouldthenursetake?
a.Offertotakethenewborntothenurserytofinishhisfeeding
b.Persuadetheclienttobreastfeedthenewborntopromotebonding
c.Insistthatthemotherpickupthenewborntofeedhim
d.Demonstratehowtoholdthenewbornandallowtheclienttopractice
Anurseiscaringforaclientwhoisinlabor.Whichofthefollowingfindings
shouldpromptthenursetoreassesstheclient? a.Asenseofexcitementandwarm,flushedskin
b.Anurgetohaveabowelmovementduringcontractions
c.Intensecontractionslasting45to60seconds
d.Progressivesacraldiscomfortduringcontractions
Anurseisassessingaclientwhoisat27weeksofgestationandhas
preeclampsia.Whichofthefollowingfindingsshouldthenursereporttothe
provider?
a.Hemoglobin14.8g/dL
b.Plateletcount60,000/mm^3
c.Urineproteinconcentration200mg/24hr
d.Creatinine0.8mg/dL
Anurseinaclinicispreparingtomeasurethefundalheightofaclientwhois
pregnant.Whichofthefollowingactionsshouldthenursetake?ATIPAGE15
a.Placetheclientinaleft-lateralpositiontoobtainthemeasurement
b.Measurefromtheupperborderofthesymphysispubistotheupper
borderofthefundus
c.Ensurethattheclienthasafullbladderbeforetakingthemeasurement
d.Laythetapemeasurehorizontallyoverthemiddleoftheclient’sabdomen
Anurseiscaringforaclientwhoisat20weeksofgestationandreports
constipation.Whichofthefollowingrecommendationsshouldthenursemaketo
helprelievethiscommondiscomfortofpregnancy?
a.Take60mLofmagnesiumhydroxideoncedaily