EXAM QUESTIONS AND ANSWERS 100%
CORRECT!
A nurse is developing a plan of care for a newborn who is to undergo phototherapy for
hyperbillirubinemia. Which of the following actions should the nurse include in the plan?
- ANSWER Remove all clothing form the newborn except the diaper
A nurse is caring for a client who is at 15 weeks gestation, is Rh-negative, and has just
had an amniocentesis. Which of the following interventions is the nurse's priority
following the procedure? - ANSWER Monitor the FHR
A nurse in an antepartum clinic is assessing a client who is at 32 weeks of gestation.
Which of the following findings should the nurse report to the provider? - ANSWER
Reports of decreased fetal movement
A nurse is admitting a client to the labor and delivery unit when the client states, "My
water just broke". Which of the following interventions is the nurse's priority? - ANSWER
Begin FHR monitoring
A nurse is caring for a client who is at 36 weeks of gestation and has a positive
contraction stress test. The nurse should plan to prepare the client for which of the
following diagnostic test? - ANSWER Biophysicial profile
A nurse is preparing to administer magnesium sulfate 2g/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? -
ANSWER 50 ml/hr
A nurse is caring for a client who has hyperemesis gravidarum and is receiving IV fluid
replacement. Which of the following findings should the nurse report to the provider? -
ANSWER BUN 25 mg/dL
A nurse is assessing a late preterm newborn. Which of the following manifestations is
an indication of hypoglycemia? - ANSWER Respiratory distress
, 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 should the nurse identify as a risk factor
for the development of preeclampsia - ANSWER Pregestational Diabetes Mellitus
A nurse is providing teaching about nonpharmological pain management to a client who
is breastfeeding and has engorgement. The nurse should recommend the application of
which of the following items? - ANSWER Cold cabbage leaves
A nurse is assessing a client who is 1 day postpartum and has a vaginal hematoma.
Which of the following manifestations should the nurse expect? - ANSWER Vaginal
pressure
A nurse is assessing a newborn who was born at 26 weeks of gestation using the New
Ballard Score. Which of the following findings should the nurse expect? - ANSWER
Minimal arm recoil
A nurse is providing teaching for a client who have birth 2 hr ago about the facility policy
for newborn safety. Which of the following client statements indicates an understanding
of the teaching? - ANSWER the person who comes to take my baby's pictures will be
wearing a photo identification badge
A nurse is assessing a client who is at 36 weeks of gestation. Which of the following
findings should the nurse report to the provider? - ANSWER Report of visual
disturbances
A nurse is providing teaching to a client about the physiological changes that occur
during pregnancy. The client is at 10 weeks of gestation and has a BMI within the
expected reference range. Which of the following client statements indicates an
understanding of the teaching? - ANSWER "I will likely need to use alternative positions
for sexual intercourse".
A nurse is caring for a client who is anemic at 32 weeks of gestation and is in preterm
labor. The provider prescribed bethamethasone 12 mg IM. Which of the following
outcomes should the nurse expect? - ANSWER A reduction in respiratory distress in the
newborn
A nurse is caring for a client who is experiencing preeclampsia and has a new
prescription for IV magnesium sulfate. Which of the following medications should the
nurse anticipate administering if the client develops magnesium toxicity? - ANSWER
Calcium Gluconate