PROCTORED EXAM∶STUDY
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A nurse is caring for a client who is in labor and experiences abruptio
placenta.
Which of the following findings should the nurse expect?
A. Hypertension.
B. Uterine tenderness.
C. Fetal tachycardia.
D. Leukorrhea. - CORRECT-ANSWER-Uterine tenderness
,Uterine tenderness is a common symptom of abruptio placentae
A nurse is caring for a client who is at 28 weeks of gestation and
received no immunizations during childhood.
Which of the following vaccines should the nurse plan to administer?
A. Human papillomavirus.
B. Rubella.
C. Tetanus.
D. Varicella. - CORRECT-ANSWER-Tetanus
Tetanus vaccine is safe and recommended during pregnancy
A nurse is assessing a newborn who was born via a forceps-assisted
birth.
Which of the following findings should the nurse identify as an injury
caused by the forceps?
,A. Depressed anterior fontanel.
B. Uneven gluteal skinfolds.
C. Epicanthal folds.
D. Facial asymmetry. - CORRECT-ANSWER-Facial asymmetry
Facial asymmetry can occur due to pressure from the forceps on the
facial nerves during delivery.
A nurse is caring for a client who is taking an oral contraceptive.
The nurse should instruct the client to report which of the following
findings to the provider immediately?
A. Breast tenderness.
B. Persistent headaches.
C. Vaginal itching.
D. Painful intercourse. - CORRECT-ANSWER-Persistent headaches
, Persistent headaches can be a sign of a serious side effect such as a
stroke or blood clot and should be reported immediately.
A nurse is caring for a client who is postpartum and just delivered a
newborn who weighs 4.5 kg (10 lb). Which of the following
manifestations should the nurse recognize as a potential sign of
hemorrhage?
A. Blood pressure 88/40 mm Hg.
B. Urinary output 40 mL/hr.
C. Moderate rubra lochia.
D. Heart rate 90/min. - CORRECT-ANSWER-Blood pressure 88/40 mm
Hg
A blood pressure of 88/40 mm Hg is lower than the normal range
(90/60 to 120/80 mm Hg) and could indicate hemorrhage.
A nurse is caring for a client who is in labor. Which of the following
findings should prompt the nurse to reassess the client?