EXAM QUESTIONS AND ANSWERS |FALL 2025/2026 UPDATE |
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Question 1
A nurse is caring for a client who is at 38 weeks gestation and in the active phase of the first stage of labor. The nurse notes
2 late
decelerations of the fetal heart rate during the last 5 contractions. Which of the following actions should the nurse take?
A. Slow the IV infusion rate
B. Assist the client to a lateral position
C. Assess the bladder for urinary retention
D. Initiate an oxytocin infusion
Correct Answer
B. Assist the client to a lateral position
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,Question 2
A nurse is caring for a client who has clinical manifestations of an ectopic pregnancy. Which of the following
findings is a risk factor for an ectopic pregnancy?
A. Anemia
B. Frequent urinary tract infections
C. Previous cesarean birth
D. Pelvic inflammatory disease (PID)
Correct Answer
D. Pelvic inflammatory disease (PID)
Question 3
A nurse is assessing a client who is postpartum following a vacuum-assisted birth. For which of the following
findings should the nurse monitor to identify a cervical laceration?
A. Continuous lochia flow and a flaccid uterus
B. Report of increasing pain and pressure in the perineal area
C. Slow trickle of bright vaginal bleeding and a firm fundus
D. Gush of rubra lochia when the uterus is massaged
Correct Answer
C. Slow trickle of bright vaginal bleeding and a firm fundus
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,Question 4
A nurse is providing discharge teaching about circumcision care to the parent of a newborn who has undergone a
Gomco clamp procedure. Which of the following statements should the nurse identify as an indication that the
client understands the instructions?
A. "I will apply petroleum jelly to my baby's penis for the first few days."
B. "I will use pre-moistened towelettes to clean my baby's penis."
C. "I will remove any yellow crusts when I clean my baby's penis."
D. "I will wrap my baby's penis in dry gauze until it heals."
Correct Answer
A. "I will apply petroleum jelly to my baby's penis for the first few days."
Question 5
A nurse is caring for a client who is scheduled to receive intravenous oxytocin for the induction of labor. The client
has a Bishop score of 10. Which of the following findings should the nurse expect?
A. The client will require dinoprostone for ripening of the cervix.
B. The client will experience lower back pain during labor.
C. The client will experience a successful induction of labor.
D. The client will require a vacuum- or forceps-assisted delivery
Correct Answer
C. The client will experience a successful induction of labor.
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, Question 6
A nurse is caring for a client who reports intestinal gas pain following a cesarean section. Which of the following
actions should the nurse take?
A. Assist the client to ambulate in the hallway
B. Instruct the client to splint the incision with a pillow
C. Have the client drink fluids through a straw
D. Encourage the client to drink carbonated beverages
Correct Answer
A. Assist the client to ambulate in the hallway
Question 7
A nurse is caring for a newborn who is experiencing opioid withdrawal. Which of the following manifestations
should the nurse expect and report to the provider?
A. Weak cry
B. Absent Moro reflex
C. Constipation
D. Tremors
Correct Answer
D. Tremors
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