Answers|Agrade 2025
One day after vaginal delivery of a full-term baby, a post-partum client's white blood cell
count is 15,000/mm3. What action should the nurse take first? - CORRECT ANSWER -
Check the differential, since WBC is normal for this client.
In preparing a gravid client for a triple screen analysis, which action should the nurse
take? - CORRECT ANSWER - Prepare to draw blood for analysis.
During a routine first trimester prenatal exam, a pregnant client tells the nurse that she
has noticed an increase in vaginal discharge that is white, thin, and watery. What action
should the nurse implement? - CORRECT ANSWER - Inform her that this is a normal
physiological change.
Following a precipitous labor, a postpartum client has a continuous trickling of bright red
blood from her vagina. Her uterus is firm and her vital signs are within normal limits. The
nurse determines that this sign may indicate which condition? - CORRECT ANSWER -
*Laceration on the cervix*
A new mother asks the nurse about an area of swelling on her baby's head near the
posterior fontanel that lies across the suture line. How should the nurse respond? -
CORRECT ANSWER - A. "This is called caput succedaneum. It will absorb and cause
no problems."
The parents of a male newborn have signed an informed consent for circumcision. What
priority intervention should the nurse implement upon completion of the circumcision? -
CORRECT ANSWER - Place petrolatum gauze dressing on the site
A 34 week primigravida with preeclampsia is receiving Ringer's Lactate 500 ml with
magnesium sulfate 20 grams at the rate of 3 grams/hour. How many ml/hour should the
nurse program the infusion pump? (Enter numeric value only) - CORRECT ANSWER -
75
The nurse is caring for a newborn who is 18 inches long, weighs 4 pounds, 14 ounces,
has a head circumference of 13 inches, and a chest circumference of 10 inches. Based
on these physical findings, assessment for which condition has the highest priority? -
CORRECT ANSWER - Hypoglycemia
A primipara at 20-weeks gestation is scheduled for an ultrasound. In preparing the client
for the procedure, the nurse should explain that the primary reason for conducting this
diagnostic study is to obtain which information? - CORRECT ANSWER - Fetal growth
and gestational age.