1. A nurse is speaking with a client who is trying to make a
decision about tubal ligation. The client ask, "What effects
will this procedure have on my sex life?" Which of the
following responses should the nurse make?: "This procedure
should have no effect on your sexual performance or adequacy."
2. A nurse is reviewing the laboratory report of a newborn
who is 24 hr old. Which of the following results should the
nurse report to the provider?: Blood glucose 30 mg/dL
3. A nurse is providing discharge teaching to a client who
is postpartum. For which of the following manifestations
should the nurse instruct the client to monitor and report to
the provider?: Unilateral breast pain
4. A nurse is caring for a client who is at 35 weeks of
gestation and has placenta previa. Which of the following
actions should the nurse take?: Initiate continuous external
fetal monitoring.
5. A nurse is performing a vaginal examination on a client
who is in labor and observes the umbilical cord protruding
from the vagina. After calling for assistance, which of the
following actions should the nurse take next?: Apply internal
upward pressure to the presenting part using two gloved fingers.
, 6. A nurse is assessing a client who gave birth vaginally 12
hr ago and palpates her uterus to the right above the
umbilicus. Which of the following interventions should the
nurse perform?: Assist the client to empty her bladder. 7. A
nurse is assessing a newborn who is 12 hr old. Which of the
following manifestations requires intervention by the nurse?:
Substernal chest retractions while sleeping.
8. A nurse is planning care for a client who is in labor and
is to have an amniotomy. Which of the following
assessments should the nurse identify as the priority?:
Temperature.
9. A nurse is caring for a client who is experiencing
preterm labor at 29 weeks of gestation and has a prescription
for betamethasone. Which of the following statements
should the nurse make about the indication for medication
administration?: "This medication stimulates fetal lung maturity."
10. A school nurse is providing teaching to an adolescent
about levonorgestrel contraception. Which of the following
information should the nurse include in the teaching?: "You
should take the medication within 72 hours following unprotected
sexual intercourse."
11. A nurse is caring for a client who is in active labor and
has had no cervical change in the last 4 hr. Which of the