ATI RN MATERNAL NEWBORN CMS PROCTORED LATEST EXAM
Amnursemismcaringmformamnewborn.mThemnursemshouldmobtainminformedmconsentmbefore
mtakingmwhichmofmthemfollowingmactions?
a)madministeringmerythromycinmophthalmicmointment
b)mconductingmamnewbornmhearingmscreening
c)mgivingmthemhepatitismBmvaccine
d)mscreeningmformcriticalmcongenitalmheartmdiseasem-
m"ACCURATEmANSWER"mmmmc)mgivingmthemhepatitismBmvaccine
Amnursemismcaringmformanmadolescentmwhomisminmthemsecondmtrimestermofmpregnancy.m
Themclientmstates,m"I'vemgottenmusedmtomthemideamofmthismpregnancy.mItmwillmbemfunmt
omhavemamlittlembabymaroundmthemhouse."mWhichmofmthemfollowingmismthemappropriatem
responsembymthemnurse.m
a)m"Babiesmaremnotmfun.mThey'remamlotmofmwork"
b)m"I'mmsomgladmtomseemyou'remhappymaboutmthembaby"
c)m"Howmaremyourmparentsmreactingmtomthempregnancy?"
d)m"Tellmmemhowmyoumthinkmyourmlifemwillmbemaftermthembabymismborn"m-
m"ACCURATEmANSWER"mmmmd)m"Tellmmemhowmyoumthinkmyourmlifemwillmbemaftermthem
babymismborn"
Ampostpartummnursemismcaringmformamclientmwhomism4mhoursmpostpartummandmhasmamp
ainfulmthird-
degreemperinealmlaceration.mWhichmofmthemfollowingminterventionsmshouldmthemnursemtake
?
a)mpreparemtominitiatemamwarmmwatermsitzmbathmformthemclient'smperineumm
b)mencouragemthemclientmtomsitmonmamsoftmpillow
c)mapplymcoldmicempacksmtomthemclient'smperineum
d)madministermanmacetaminophenmsuppositorymrectallym-
m"ACCURATEmANSWER"mmmmc)mapplymcoldmicempacksmtomthemclient'smperineum
Amnursemismassessingmampregnantmclientmatm26mweeksmofmgestationmwhomreportsmanmep
isodemofmdizzinessmaftermlyingmonmhermbackmonmthemcouch.mWhichmofmthemfollowingmac
tionsmshouldmthemnursemtake?
a)mrequestmamprescriptionmformpreeclampsiamlaboratorymstudiesm
b)madvisemthemclientmtomliemonmhermside
c)mrequestmanmultrasoundmtomevaluatemfetalmwellbeing
d)madvisemthemclientmtomaddmamcalciummsupplementmtomhermdietm-
m"ACCURATEmANSWER"mmmmb)madvisemthemclientmtomliemonmhermside
Amnursemismcaringmformamclientmwhomisminmlabormandmismreceivingmanminfusionmofmoxyt
ocin.mThemnursemshouldmmonitormthemclientmformwhichmofmthemfollowingmpotentialmadver
semeffects?
a)mdiarrhea
b)mthromboembolism
c)mfetalmasphyxia
d)moliguriam-m"ACCURATEmANSWER"mmmmc)mfetalmasphyxia
Amnursemismprovidingmeducationmtomamclientmwhomism4mweeksmpostpartummandmismbrea
stfeeding.mThemclientmasksmaboutmexpectedmweightmloss.mWhichmofmthemfollowingmrespons
esmshouldmthemnursemmake?
a)m"Losingm2.2mpoundsmeachmmonthmwouldmbemacceptable"
b)m"Losingm4.4mpoundsmeachmmonthmwouldmbemacceptable"
c)m"Losingm5.5mpoundsmeachmmonthmwouldmbemacceptable"
,d)m"Losingm6.6mpoundsmeachmmonthmwouldmbemacceptable"m-
m"ACCURATEmANSWER"mmmma)m"Losingm2.2mpoundsmeachmmonthmwouldmbemacceptable"
Amnursemismtalkingmwithmamclientmatm20mweeksmofmgestationmwhomismscheduledmformam
sonogram.mThemclientmstates,m"Imammheremtomhavemmymregularmprenatalmcheckup,mbutmI
mdomnotmwantmanympicturesmtakenmofmmymbaby."mWhichmofmthemfollowingmresponsesms
houldmthemnursemmake?
a)m"Domnotmworry.mWemcanmdomthemsonogrammwithoutmshowingmyoumthemsexmofmthem
baby"
b)m"Imwouldmlikemtomhearmmoremaboutmwhymyoumdomnotmwantmthemsonogram,mincludin
gmanymculturalmreasons"
c)m"Imthinkmyoumshouldmreconsidermbecausemthemsonogrammismanmimportantmpartmofmth
embaby'smcheckup"
d)m"Youmhavemthemrightmtomtellmthemdoctormthatmyoumdomnotmwantmthemsonogram"m-
m"ACCURATEmANSWER"mmmmb)m"Imwouldmlikemtomhearmmoremaboutmwhymyoumdomnotm
wantmthemsonogram,mincludingmanymculturalmreasons"
Amnursemismassessingmampregnantmclientmwhomismatm38mweeksmgestation.mThemclientmre
portsmthatmhermbreathingmhasmbecomemeasiermbutmnotesmanmincreasedmfrequencymofmuri
nation.mThemnursemshouldmdocumentmthismoccurrencemasmwhichmofmthemfollowing?
a)meffacementm
b)mdilation
c)mlightening
d)mquickeningm-m"ACCURATEmANSWER"mmmmc)mlightening
Amnursemismprovidingmteachingmaboutmweightmgainmduringmpregnancymformamclientmwhom
ismprimigravidamofmnormalmpre-
pregnancymweight.mWhichmofmthemfollowingmstatementsmshouldmthemnurseminclude?
a)m"Youmshouldmplanmtomgainm25mtom35mpoundsmduringmyourmpregnancy"
b)m"Youmshouldmplanmtomgainm11mtom20mpoundsmduringmyourmpregnancy"
c)m"BecausemyoumstartedmpregnancymatmamnormalmBMImandmweight,myourmweightmgainmi
smnotmlimitedmasmlongmasmyoumfollowmamhealthy,mbalancedmdiet"
d)m"Becausemyoumaremofmnormalmweightmpriormtompregnancy,myoumaremencouragedmtomg
ainm28mtom40mpoundsmduringmpregnancy"m-
m"ACCURATEmANSWER"mmmma)m"Youmshouldmplanmtomgainm25mtom35mpoundsmduringmy
ourmpregnancy"
Amnursemismteachingmamclientmwhomismpostpartummaboutmkeepingmthemnewbornmsafe.mW
hichmofmthemfollowingmstatementsmshouldmthemnursemidentifymasmanmindicationmthatmthe
mclientmunderstandsmtheminstructions?
a)m"Imwillmputmbumpermpadsminmthemcrib"
b)m"Imwillmwarmmmymbaby'smformulaminmthemmicrowavemonmamlowmsetting"
c)m"Imwillmplacemmymbabymonmhismstomachmtomsleep"
d)m"Imwillmpurchasemamfirmmmattressmformthemcrib"m-
m"ACCURATEmANSWER"mmmmd)m"Imwillmpurchasemamfirmmmattressmformthemcrib"
Amnursemismcaringmformamclientmwhomreportsmintestinalmgasmpainmfollowingmamcesareanm
section.mWhichmofmthemfollowingmactionsmshouldmthemnursemtake?
a)massistmthemclientmtomambulateminmthemhallway
b)minstructmthemclientmtomsplintmthemincisionmwithmampillow
c)mhavemthemclientmdrinkmfluidsmthroughmamstraw
d)mencouragemthemclientmtomdrinkmcarbonatedmbeveragesm-
m"ACCURATEmANSWER"mmmma)massistmthemclientmtomambulateminmthemhallway
Amnursemismassessingmamclientmwhomisminmthemfourthmstagemofmlabor.mWhichmofmthemf
ollowingmfindingsmshouldmthemnursemexpect?
a)mbreastmengorgementm
,b)mhypothermia
c)murinarymretention
d)mrupturemofmmembranesm-m"ACCURATEmANSWER"mmmmc)murinarymretention
Amnursemismteachingmamclientmwhomismatm30mweeksmgestationmaboutmwarningmsignsmof
mcomplicationsmthatmshemshouldmreportmtomhermprovider.mWhichmofmthemfollowingmfindin
gsmshouldmthemnursemincludeminmthemteaching?
a)mmildmconstipation
b)mnasalmcongestion
c)mvaginalmbleeding
d)m10mfetalmmovementsmpermhourm-m"ACCURATEmANSWER"mmmmc)mvaginalmbleeding
Themguardianmofmam3-day-
oldmfemalemnewbornmtellsmthemnursemthatmhemnoticedmamsmallmamountmofmblood-
tingedmmucusmdischargemonmthemnewborn'smlabia.mWhichmofmthemfollowingmresponsesmsh
ouldmthemnursemmake?
a)m"Themblood-tingedmmucusmismamresultmofmpseudomenstruation"
b)m"Themblood-tingedmmucusmindicatesmamurinarymtractminfection"
c)m"Themblood-tingedmmucusmismduemtomuricmacidmcrystals"
d)m"Themblood-tingedmmucusmismamresultmofmtheminitialmgenitalmexamination"m-
m"ACCURATEmANSWER"mmmma)m"Themblood-
tingedmmucusmismamresultmofmpseudomenstruation"
Amnursemismcaringmformamclientmwhomismatm26mweeksmgestationmandmreportsmconstipatio
n.mWhichmofmthemfollowingmresponsesmbymthemnursemismappropriate?
a)m"Youmshouldmdrinkm1mozmofmmineralmoilmeverymmorning"
b)m"Youmshouldmwalkmformatmleastm30mminutesmeverymday"
c)m"Youmshouldmeatmatmleastm3mozmofmredmmeatmpermday"
d)m"Youmshouldmstopmtakingmyourmprenatalmvitamin"m-
m"ACCURATEmANSWER"mmmmb)m"Youmshouldmwalkmformatmleastm30mminutesmeverymday"
Amnursemismassessingmamnewbornmwhomism2mhrmold.mWhichmofmthemfollowingmfindingsm
shouldmthemnursemreportmtomthemprovider?
a)moverlappingmsuturemlines
b)mgeneralizedmpetechiae
c)macrocyanosis
d)mtransientmstrabismusm-m"ACCURATEmANSWER"mmmmb)mgeneralizedmpetechiae
Amnursemismteachingmamprenatalmclassmformamgroupmofmantepartummclients.mWhichmofmt
hemfollowingmpiecesmofminformationmshouldmthemnursemincludemaboutmthemhepatitismBmi
mmunization?
a)m"Themfirstmdosemshouldmbemadministeredmatm3mmonthsmofmage"
b)m"Yourmbabymwillmreceivemthismimmunizationmsubcutaneously,mwhichmmeansmundermthe
mskin"
c)m"Wemwillmneedmyourmconsentmpriormtomadministeringmthemvaccine"
d)m"Yourmbabymwillmreceivemthismvaccineminmamseriesmofm5mdoses"m-
m"ACCURATEmANSWER"mmmmc)m"Wemwillmneedmyourmconsentmpriormtomadministeringmth
emvaccine"
Amnursemismcaringmformamclientmatm35mweeksmgestationmwhomhasmseverempre-
eclampsia.mWhichmofmthemfollowingmassessmentsmprovidesmthemmostmaccurateminformation
mregardingmthemclient'smfluidmandmelectrolytemstatus?
a)mbloodmpressure
b)mintakemandmoutput
c)mdailymweight
d)mseveritymofmedemam-m"ACCURATEmANSWER"mmmmc)mdailymweight
, Amnursemismteachingmamclientmaboutmamnonstressmtest.mWhichmofmthemfollowingmstateme
ntsmbymthemclientmindicatesmanmunderstandingmofmthemteaching?
a)m"Imknowmnotmtomeatmanythingmaftermmidnight"
b)m"Imwillmhavemmedicationmgivenmtommemtomcausemcontractions"
c)m"Imshouldmpressmthembuttonmonmthemhandheldmmarkermwhenmmymbabymmoves"
d)m"Imwillmhavemtomstimulatemmymbreastmtomcausemcontractions"m-
m"ACCURATEmANSWER"mmmmc)m"Imshouldmpressmthembuttonmonmthemhandheldmmarkerm
whenmmymbabymmoves"
Amnursemismprovidingmeducationmformampregnantmclientmaboutmsymptomsmthatmshouldmbe
mreportedmimmediatelymtomthemprovider.mWhichmofmthemfollowingmclientmresponsesmindica
tesmanmunderstandingmofmthemteaching?
a)m"ImshouldmcallmmymprovidermifmImdevelopmmelasma"
b)m"IfmImnoticemthatmmymeyesmarempuffy,mImshouldmcallmmymprovider"
c)m"ImshouldmcallmmymprovidermifmImnoticemthatmmymfeetmandmanklesmaremswollen"
d)m"IfmImnoticemperiodicmnumbnessmandmtinglingminmmymfingers,mImshouldmcallmmymprovi
der"m-
m"ACCURATEmANSWER"mmmmb)m"IfmImnoticemthatmmymeyesmarempuffy,mImshouldmcallmm
ymprovider"
Amnursemismcaringmformamclientmwhomismusingmpatterned-
pacedmbreathingmduringmthemfirstmstagemofmlabor.mThemclientmreportsmamlightheadedmfeel
ingmandmtinglingmofmthemfingers.mWhichmofmthemfollowingmactionsmshouldmthemnursemtak
e?
a)minstructmthemclientmtomholdmhermbreathmandmbearmdown
b)mensuremthatmthemclient'smbreathingmratemismmoremthanmtwicemhermnormalmrate
c)mapplymcounter-pressuremtomthemclient'smlowermback
d)mhavemthemclientmbreathemintomampapermbagm-
m"ACCURATEmANSWER"mmmmd)mhavemthemclientmbreathemintomampapermbag
Amnursemismteachingmamparentmofmamnewbornmhowmtomcaremformthemnewborn'smumbilic
almcordmstump.mWhichmofmthemfollowingminstructionsmshouldmthemnurseminclude?
a)m"Covermthemcordmwithmthemedgemofmthemdiaper"
b)m"Cleanmthemcordmstumpmwithmtapmwater"
c)m"Applymamdampmclothmovermthemcordmstumpmoncemeachmday"
d)m"Youmshouldmgentlymtugmonmthemcordmstumpminm5mdaysmifmitmhasmnotmyetmfallenm
off"m-m"ACCURATEmANSWER"mmmmb)m"Cleanmthemcordmstumpmwithmtapmwater"
Amnurseminmamprenatalmclinicmismreviewingmthemlaboratorymresultsmofmamclientmwhomism
atm33mweeksmofmgestation.mFormwhichmofmthemfollowingmresultsmshouldmthemnursemnotif
ymthemprovider?
a)mHgbm11.3mg/dL
b)mPlateletmcountm135,000/mm^3
c)mWBCmcountm10,500/mm^3
d)mHctm38%m-m"ACCURATEmANSWER"mmmmb)mPlateletmcountm135,000/mm^3
Amnursemismassessingmamnewborn.mWhichmofmthemfollowingmfindingsmsuggestsmthemnewbo
rnmismpost-mature?
a)mpale,mtranslucentmskin
b)mnailsmextendingmovermfingers
c)mweakmgagmreflex
d)mthinmcoveringmofmfinemhairmonmshouldersmandmbackm-
m"ACCURATEmANSWER"mmmmb)mnailsmextendingmovermfingers
Amnursemismteachingmamclientmwhomismatm10mweeksmgestationmaboutmanmabdominalmultr
asoundminmthemfirstmtrimester.mWhichmofmthemfollowingmpiecesmofminformationmshouldmth
emnursemincludeminmthemteaching?
Amnursemismcaringmformamnewborn.mThemnursemshouldmobtainminformedmconsentmbefore
mtakingmwhichmofmthemfollowingmactions?
a)madministeringmerythromycinmophthalmicmointment
b)mconductingmamnewbornmhearingmscreening
c)mgivingmthemhepatitismBmvaccine
d)mscreeningmformcriticalmcongenitalmheartmdiseasem-
m"ACCURATEmANSWER"mmmmc)mgivingmthemhepatitismBmvaccine
Amnursemismcaringmformanmadolescentmwhomisminmthemsecondmtrimestermofmpregnancy.m
Themclientmstates,m"I'vemgottenmusedmtomthemideamofmthismpregnancy.mItmwillmbemfunmt
omhavemamlittlembabymaroundmthemhouse."mWhichmofmthemfollowingmismthemappropriatem
responsembymthemnurse.m
a)m"Babiesmaremnotmfun.mThey'remamlotmofmwork"
b)m"I'mmsomgladmtomseemyou'remhappymaboutmthembaby"
c)m"Howmaremyourmparentsmreactingmtomthempregnancy?"
d)m"Tellmmemhowmyoumthinkmyourmlifemwillmbemaftermthembabymismborn"m-
m"ACCURATEmANSWER"mmmmd)m"Tellmmemhowmyoumthinkmyourmlifemwillmbemaftermthem
babymismborn"
Ampostpartummnursemismcaringmformamclientmwhomism4mhoursmpostpartummandmhasmamp
ainfulmthird-
degreemperinealmlaceration.mWhichmofmthemfollowingminterventionsmshouldmthemnursemtake
?
a)mpreparemtominitiatemamwarmmwatermsitzmbathmformthemclient'smperineumm
b)mencouragemthemclientmtomsitmonmamsoftmpillow
c)mapplymcoldmicempacksmtomthemclient'smperineum
d)madministermanmacetaminophenmsuppositorymrectallym-
m"ACCURATEmANSWER"mmmmc)mapplymcoldmicempacksmtomthemclient'smperineum
Amnursemismassessingmampregnantmclientmatm26mweeksmofmgestationmwhomreportsmanmep
isodemofmdizzinessmaftermlyingmonmhermbackmonmthemcouch.mWhichmofmthemfollowingmac
tionsmshouldmthemnursemtake?
a)mrequestmamprescriptionmformpreeclampsiamlaboratorymstudiesm
b)madvisemthemclientmtomliemonmhermside
c)mrequestmanmultrasoundmtomevaluatemfetalmwellbeing
d)madvisemthemclientmtomaddmamcalciummsupplementmtomhermdietm-
m"ACCURATEmANSWER"mmmmb)madvisemthemclientmtomliemonmhermside
Amnursemismcaringmformamclientmwhomisminmlabormandmismreceivingmanminfusionmofmoxyt
ocin.mThemnursemshouldmmonitormthemclientmformwhichmofmthemfollowingmpotentialmadver
semeffects?
a)mdiarrhea
b)mthromboembolism
c)mfetalmasphyxia
d)moliguriam-m"ACCURATEmANSWER"mmmmc)mfetalmasphyxia
Amnursemismprovidingmeducationmtomamclientmwhomism4mweeksmpostpartummandmismbrea
stfeeding.mThemclientmasksmaboutmexpectedmweightmloss.mWhichmofmthemfollowingmrespons
esmshouldmthemnursemmake?
a)m"Losingm2.2mpoundsmeachmmonthmwouldmbemacceptable"
b)m"Losingm4.4mpoundsmeachmmonthmwouldmbemacceptable"
c)m"Losingm5.5mpoundsmeachmmonthmwouldmbemacceptable"
,d)m"Losingm6.6mpoundsmeachmmonthmwouldmbemacceptable"m-
m"ACCURATEmANSWER"mmmma)m"Losingm2.2mpoundsmeachmmonthmwouldmbemacceptable"
Amnursemismtalkingmwithmamclientmatm20mweeksmofmgestationmwhomismscheduledmformam
sonogram.mThemclientmstates,m"Imammheremtomhavemmymregularmprenatalmcheckup,mbutmI
mdomnotmwantmanympicturesmtakenmofmmymbaby."mWhichmofmthemfollowingmresponsesms
houldmthemnursemmake?
a)m"Domnotmworry.mWemcanmdomthemsonogrammwithoutmshowingmyoumthemsexmofmthem
baby"
b)m"Imwouldmlikemtomhearmmoremaboutmwhymyoumdomnotmwantmthemsonogram,mincludin
gmanymculturalmreasons"
c)m"Imthinkmyoumshouldmreconsidermbecausemthemsonogrammismanmimportantmpartmofmth
embaby'smcheckup"
d)m"Youmhavemthemrightmtomtellmthemdoctormthatmyoumdomnotmwantmthemsonogram"m-
m"ACCURATEmANSWER"mmmmb)m"Imwouldmlikemtomhearmmoremaboutmwhymyoumdomnotm
wantmthemsonogram,mincludingmanymculturalmreasons"
Amnursemismassessingmampregnantmclientmwhomismatm38mweeksmgestation.mThemclientmre
portsmthatmhermbreathingmhasmbecomemeasiermbutmnotesmanmincreasedmfrequencymofmuri
nation.mThemnursemshouldmdocumentmthismoccurrencemasmwhichmofmthemfollowing?
a)meffacementm
b)mdilation
c)mlightening
d)mquickeningm-m"ACCURATEmANSWER"mmmmc)mlightening
Amnursemismprovidingmteachingmaboutmweightmgainmduringmpregnancymformamclientmwhom
ismprimigravidamofmnormalmpre-
pregnancymweight.mWhichmofmthemfollowingmstatementsmshouldmthemnurseminclude?
a)m"Youmshouldmplanmtomgainm25mtom35mpoundsmduringmyourmpregnancy"
b)m"Youmshouldmplanmtomgainm11mtom20mpoundsmduringmyourmpregnancy"
c)m"BecausemyoumstartedmpregnancymatmamnormalmBMImandmweight,myourmweightmgainmi
smnotmlimitedmasmlongmasmyoumfollowmamhealthy,mbalancedmdiet"
d)m"Becausemyoumaremofmnormalmweightmpriormtompregnancy,myoumaremencouragedmtomg
ainm28mtom40mpoundsmduringmpregnancy"m-
m"ACCURATEmANSWER"mmmma)m"Youmshouldmplanmtomgainm25mtom35mpoundsmduringmy
ourmpregnancy"
Amnursemismteachingmamclientmwhomismpostpartummaboutmkeepingmthemnewbornmsafe.mW
hichmofmthemfollowingmstatementsmshouldmthemnursemidentifymasmanmindicationmthatmthe
mclientmunderstandsmtheminstructions?
a)m"Imwillmputmbumpermpadsminmthemcrib"
b)m"Imwillmwarmmmymbaby'smformulaminmthemmicrowavemonmamlowmsetting"
c)m"Imwillmplacemmymbabymonmhismstomachmtomsleep"
d)m"Imwillmpurchasemamfirmmmattressmformthemcrib"m-
m"ACCURATEmANSWER"mmmmd)m"Imwillmpurchasemamfirmmmattressmformthemcrib"
Amnursemismcaringmformamclientmwhomreportsmintestinalmgasmpainmfollowingmamcesareanm
section.mWhichmofmthemfollowingmactionsmshouldmthemnursemtake?
a)massistmthemclientmtomambulateminmthemhallway
b)minstructmthemclientmtomsplintmthemincisionmwithmampillow
c)mhavemthemclientmdrinkmfluidsmthroughmamstraw
d)mencouragemthemclientmtomdrinkmcarbonatedmbeveragesm-
m"ACCURATEmANSWER"mmmma)massistmthemclientmtomambulateminmthemhallway
Amnursemismassessingmamclientmwhomisminmthemfourthmstagemofmlabor.mWhichmofmthemf
ollowingmfindingsmshouldmthemnursemexpect?
a)mbreastmengorgementm
,b)mhypothermia
c)murinarymretention
d)mrupturemofmmembranesm-m"ACCURATEmANSWER"mmmmc)murinarymretention
Amnursemismteachingmamclientmwhomismatm30mweeksmgestationmaboutmwarningmsignsmof
mcomplicationsmthatmshemshouldmreportmtomhermprovider.mWhichmofmthemfollowingmfindin
gsmshouldmthemnursemincludeminmthemteaching?
a)mmildmconstipation
b)mnasalmcongestion
c)mvaginalmbleeding
d)m10mfetalmmovementsmpermhourm-m"ACCURATEmANSWER"mmmmc)mvaginalmbleeding
Themguardianmofmam3-day-
oldmfemalemnewbornmtellsmthemnursemthatmhemnoticedmamsmallmamountmofmblood-
tingedmmucusmdischargemonmthemnewborn'smlabia.mWhichmofmthemfollowingmresponsesmsh
ouldmthemnursemmake?
a)m"Themblood-tingedmmucusmismamresultmofmpseudomenstruation"
b)m"Themblood-tingedmmucusmindicatesmamurinarymtractminfection"
c)m"Themblood-tingedmmucusmismduemtomuricmacidmcrystals"
d)m"Themblood-tingedmmucusmismamresultmofmtheminitialmgenitalmexamination"m-
m"ACCURATEmANSWER"mmmma)m"Themblood-
tingedmmucusmismamresultmofmpseudomenstruation"
Amnursemismcaringmformamclientmwhomismatm26mweeksmgestationmandmreportsmconstipatio
n.mWhichmofmthemfollowingmresponsesmbymthemnursemismappropriate?
a)m"Youmshouldmdrinkm1mozmofmmineralmoilmeverymmorning"
b)m"Youmshouldmwalkmformatmleastm30mminutesmeverymday"
c)m"Youmshouldmeatmatmleastm3mozmofmredmmeatmpermday"
d)m"Youmshouldmstopmtakingmyourmprenatalmvitamin"m-
m"ACCURATEmANSWER"mmmmb)m"Youmshouldmwalkmformatmleastm30mminutesmeverymday"
Amnursemismassessingmamnewbornmwhomism2mhrmold.mWhichmofmthemfollowingmfindingsm
shouldmthemnursemreportmtomthemprovider?
a)moverlappingmsuturemlines
b)mgeneralizedmpetechiae
c)macrocyanosis
d)mtransientmstrabismusm-m"ACCURATEmANSWER"mmmmb)mgeneralizedmpetechiae
Amnursemismteachingmamprenatalmclassmformamgroupmofmantepartummclients.mWhichmofmt
hemfollowingmpiecesmofminformationmshouldmthemnursemincludemaboutmthemhepatitismBmi
mmunization?
a)m"Themfirstmdosemshouldmbemadministeredmatm3mmonthsmofmage"
b)m"Yourmbabymwillmreceivemthismimmunizationmsubcutaneously,mwhichmmeansmundermthe
mskin"
c)m"Wemwillmneedmyourmconsentmpriormtomadministeringmthemvaccine"
d)m"Yourmbabymwillmreceivemthismvaccineminmamseriesmofm5mdoses"m-
m"ACCURATEmANSWER"mmmmc)m"Wemwillmneedmyourmconsentmpriormtomadministeringmth
emvaccine"
Amnursemismcaringmformamclientmatm35mweeksmgestationmwhomhasmseverempre-
eclampsia.mWhichmofmthemfollowingmassessmentsmprovidesmthemmostmaccurateminformation
mregardingmthemclient'smfluidmandmelectrolytemstatus?
a)mbloodmpressure
b)mintakemandmoutput
c)mdailymweight
d)mseveritymofmedemam-m"ACCURATEmANSWER"mmmmc)mdailymweight
, Amnursemismteachingmamclientmaboutmamnonstressmtest.mWhichmofmthemfollowingmstateme
ntsmbymthemclientmindicatesmanmunderstandingmofmthemteaching?
a)m"Imknowmnotmtomeatmanythingmaftermmidnight"
b)m"Imwillmhavemmedicationmgivenmtommemtomcausemcontractions"
c)m"Imshouldmpressmthembuttonmonmthemhandheldmmarkermwhenmmymbabymmoves"
d)m"Imwillmhavemtomstimulatemmymbreastmtomcausemcontractions"m-
m"ACCURATEmANSWER"mmmmc)m"Imshouldmpressmthembuttonmonmthemhandheldmmarkerm
whenmmymbabymmoves"
Amnursemismprovidingmeducationmformampregnantmclientmaboutmsymptomsmthatmshouldmbe
mreportedmimmediatelymtomthemprovider.mWhichmofmthemfollowingmclientmresponsesmindica
tesmanmunderstandingmofmthemteaching?
a)m"ImshouldmcallmmymprovidermifmImdevelopmmelasma"
b)m"IfmImnoticemthatmmymeyesmarempuffy,mImshouldmcallmmymprovider"
c)m"ImshouldmcallmmymprovidermifmImnoticemthatmmymfeetmandmanklesmaremswollen"
d)m"IfmImnoticemperiodicmnumbnessmandmtinglingminmmymfingers,mImshouldmcallmmymprovi
der"m-
m"ACCURATEmANSWER"mmmmb)m"IfmImnoticemthatmmymeyesmarempuffy,mImshouldmcallmm
ymprovider"
Amnursemismcaringmformamclientmwhomismusingmpatterned-
pacedmbreathingmduringmthemfirstmstagemofmlabor.mThemclientmreportsmamlightheadedmfeel
ingmandmtinglingmofmthemfingers.mWhichmofmthemfollowingmactionsmshouldmthemnursemtak
e?
a)minstructmthemclientmtomholdmhermbreathmandmbearmdown
b)mensuremthatmthemclient'smbreathingmratemismmoremthanmtwicemhermnormalmrate
c)mapplymcounter-pressuremtomthemclient'smlowermback
d)mhavemthemclientmbreathemintomampapermbagm-
m"ACCURATEmANSWER"mmmmd)mhavemthemclientmbreathemintomampapermbag
Amnursemismteachingmamparentmofmamnewbornmhowmtomcaremformthemnewborn'smumbilic
almcordmstump.mWhichmofmthemfollowingminstructionsmshouldmthemnurseminclude?
a)m"Covermthemcordmwithmthemedgemofmthemdiaper"
b)m"Cleanmthemcordmstumpmwithmtapmwater"
c)m"Applymamdampmclothmovermthemcordmstumpmoncemeachmday"
d)m"Youmshouldmgentlymtugmonmthemcordmstumpminm5mdaysmifmitmhasmnotmyetmfallenm
off"m-m"ACCURATEmANSWER"mmmmb)m"Cleanmthemcordmstumpmwithmtapmwater"
Amnurseminmamprenatalmclinicmismreviewingmthemlaboratorymresultsmofmamclientmwhomism
atm33mweeksmofmgestation.mFormwhichmofmthemfollowingmresultsmshouldmthemnursemnotif
ymthemprovider?
a)mHgbm11.3mg/dL
b)mPlateletmcountm135,000/mm^3
c)mWBCmcountm10,500/mm^3
d)mHctm38%m-m"ACCURATEmANSWER"mmmmb)mPlateletmcountm135,000/mm^3
Amnursemismassessingmamnewborn.mWhichmofmthemfollowingmfindingsmsuggestsmthemnewbo
rnmismpost-mature?
a)mpale,mtranslucentmskin
b)mnailsmextendingmovermfingers
c)mweakmgagmreflex
d)mthinmcoveringmofmfinemhairmonmshouldersmandmbackm-
m"ACCURATEmANSWER"mmmmb)mnailsmextendingmovermfingers
Amnursemismteachingmamclientmwhomismatm10mweeksmgestationmaboutmanmabdominalmultr
asoundminmthemfirstmtrimester.mWhichmofmthemfollowingmpiecesmofminformationmshouldmth
emnursemincludeminmthemteaching?
