1. A nurse is assessing a newborn following a forceps assisted birth. Which
of the following clinical
manifestations should the nurse identify as a complication of the birth method?
A. Hypoglycemia
B. Polycythemia
C. Facial Palsy
D. Bronchopulmonary dysplasia: C. Facial Palsy
2. A nurse is providing teaching about terbutaline to a client who is experienc-
ing preterm labor. Which
of the following statement by client indicates an understanding of the teach-
ing?
A." The medication could cause me to experience heart palpitation"
B. "This medication could cause me to experience blurred vision"
C. "This medication could cause me to experience ringing in my
ears"
D. "This medication could cause me to experience frequent ...": A." The med-
ication could cause me to experience heart palpitation" - This is a serious side effect
of terbutaline and must be notifies to the physician immediately
3. A nurse is caring for a client who has hyperemesis gravidarum. Which of the
following laboratory
tests should the nurse anticipate? A .
Urine Ketones.
B. Rapid plasma regain
C.Prothrombin time
D.Urine culture: A . Urine Ketones - Hyperemesis gravidarum is a severe form of
this 'morning sickness', experience by
less than 1% of pregnant women. It can cause dehydration and starvation and the
production of
compounds called ketones that can be found in the blood and urine.
4. A nurse is caring for a client who is in labor and requests nonpharmacolog-
ical pain management.
Which of the following nursing actions promotes client comfort?
A. Assisting the client into squatting position
B. Having the client lie in a supine position
C. Applying fundal pressure during contractions
D. Encouraging the client to void every 6 hr: A
5. A nurse caring for a client who is at 20 weeks of gestation and has trichomo-
niasis. Which of the
,following findings should the nurse expect?
A. Thick, White Vaginal Discharge
B. Urinary Frequency
C. Vulva Lesions
D. Malodorous Discharge: D. Malodorous Discharge
6. A nurse is caring for a client who is 14 weeks of gestation. At which the
following locations should
the nurse place the Doppler device when assessing the fetal heart rate? A .
Midline 2 to 3 cm (0.8 to 1.2 in) above the symphysis pubis
B. Left Upper Abdomen
C. Two fingerbreadths above the umbilicus
D. Lateral at the Xiphoid Process: A . Midline 2 to 3 cm (0.8 to 1.2 in) above the
symphysis pubis - at 14 weeks AOG this is where to place
the doppler probe to note FHT
7. A nurse is assessing a client who is at 27 weeks of gestation and has
preeclampsia. Which of the
following findings should the nurse report to the provider?
A. Urine protein concentration 200 mg/ 24 hr
B. Creatinine 0.8 mg/ dL
C. Hemoglobin 14.8 g/ dL
D. Platelet Count 60.000/ mm3: D. Platelet Count 60.000/ mm3 - platelet count of
less than 100,000 correlates with how severe the
condition is.
8. A nurse is teaching about clomiphene citrate to a client who is experiencing
infertility. Which of the
following adverse effect should the nurse include?
A. Tinnitus
B. Urinary Frequency
C. Breast Tenderness
D. Chills: C. Breast TendernessThe adverse effects of clomiphene citrate are stom-
ach upset, bloating, abdominal/pelvic fullness, flushing ("hot flashes"), breast ten-
derness, headache, or dizziness may occur. If any of these effects last or get worse,
tell your doctor or pharmacist promptly.
9. A nurse is assessing a newborn upon admission to the nursery. Which of the
following should the
nurse expect?
A. Bulging Fontanels
B. Nasal Flaring
C. Length from head to heel of 40 cm (15.7 in)
, D. Chest circumference 2 cm (0.8 in) smaller than the head circumference: D.
Chest circumference 2 cm (0.8 in) smaller than the head circumference - head
circumference is
always 2cm more than the chest in normal term babies
10. A nurse is planning care for a newborn who has neonatal abstinence
syndrome. Which of the
following interventions should the nurse include in the plan of care.
A. Increase the newborn's visual stimulation
B. Weigh the newborn every other day
C. Discourage parental interaction until after a social
evaluation
D. Swaddle the newborn in a flexed position: D. Swaddle the newborn in a flexed
position - to increase comfort that newborn is receiving
11. A nurse is caring for a newborn who is 6 hr old and has a bedside
glucometer reading of 65 mg/ dL.
The newborn's mother has type 2 diabetes mellitus. Which of the following
actions should the nurse
take?
A. Obtain a blood sample for a serum glucose level
B. Feed the newborn immediately
C. Administer 50 mL of dextrose solution IV
D. Reassess the blood glucose level prior to the next feeding: D. Reassess the
blood glucose level prior to the next feeding - newborn blood glucose is normal
because it has separated from it's source of energy which is the mother. Blood
glucose for newborn to be
considered hypoglycemic is 45mg/dl and below.
When babies are just 1 hour to 2 hours old, the normal level is just under 2
mmol/L (36 mg/dL), but it will rise to adult levels (over 3 mmol/L or 54 mg/dL)
within two to three days. In babies who need treatment for low blood glucose or
are at risk for low blood glucose, a level over 2.5 mmol/L (45 mg/dL) is preferred.
12. A nurse is providing teaching to a client about exercise safety during
pregnancy. Which of the
following statements by the client indicates an understanding of the teaching?
(Select all that apply).
A. "I will limit my time in the hot tub to 30 minutes after exercise."
B. "I should consume three 8-ounce glasses of water after I exercise."
C. "I will check my heart rate every 15 minutes during exercise sessions."
D. "I should limit exercise sessions to 30 minutes when the
of the following clinical
manifestations should the nurse identify as a complication of the birth method?
A. Hypoglycemia
B. Polycythemia
C. Facial Palsy
D. Bronchopulmonary dysplasia: C. Facial Palsy
2. A nurse is providing teaching about terbutaline to a client who is experienc-
ing preterm labor. Which
of the following statement by client indicates an understanding of the teach-
ing?
A." The medication could cause me to experience heart palpitation"
B. "This medication could cause me to experience blurred vision"
C. "This medication could cause me to experience ringing in my
ears"
D. "This medication could cause me to experience frequent ...": A." The med-
ication could cause me to experience heart palpitation" - This is a serious side effect
of terbutaline and must be notifies to the physician immediately
3. A nurse is caring for a client who has hyperemesis gravidarum. Which of the
following laboratory
tests should the nurse anticipate? A .
Urine Ketones.
B. Rapid plasma regain
C.Prothrombin time
D.Urine culture: A . Urine Ketones - Hyperemesis gravidarum is a severe form of
this 'morning sickness', experience by
less than 1% of pregnant women. It can cause dehydration and starvation and the
production of
compounds called ketones that can be found in the blood and urine.
4. A nurse is caring for a client who is in labor and requests nonpharmacolog-
ical pain management.
Which of the following nursing actions promotes client comfort?
A. Assisting the client into squatting position
B. Having the client lie in a supine position
C. Applying fundal pressure during contractions
D. Encouraging the client to void every 6 hr: A
5. A nurse caring for a client who is at 20 weeks of gestation and has trichomo-
niasis. Which of the
,following findings should the nurse expect?
A. Thick, White Vaginal Discharge
B. Urinary Frequency
C. Vulva Lesions
D. Malodorous Discharge: D. Malodorous Discharge
6. A nurse is caring for a client who is 14 weeks of gestation. At which the
following locations should
the nurse place the Doppler device when assessing the fetal heart rate? A .
Midline 2 to 3 cm (0.8 to 1.2 in) above the symphysis pubis
B. Left Upper Abdomen
C. Two fingerbreadths above the umbilicus
D. Lateral at the Xiphoid Process: A . Midline 2 to 3 cm (0.8 to 1.2 in) above the
symphysis pubis - at 14 weeks AOG this is where to place
the doppler probe to note FHT
7. A nurse is assessing a client who is at 27 weeks of gestation and has
preeclampsia. Which of the
following findings should the nurse report to the provider?
A. Urine protein concentration 200 mg/ 24 hr
B. Creatinine 0.8 mg/ dL
C. Hemoglobin 14.8 g/ dL
D. Platelet Count 60.000/ mm3: D. Platelet Count 60.000/ mm3 - platelet count of
less than 100,000 correlates with how severe the
condition is.
8. A nurse is teaching about clomiphene citrate to a client who is experiencing
infertility. Which of the
following adverse effect should the nurse include?
A. Tinnitus
B. Urinary Frequency
C. Breast Tenderness
D. Chills: C. Breast TendernessThe adverse effects of clomiphene citrate are stom-
ach upset, bloating, abdominal/pelvic fullness, flushing ("hot flashes"), breast ten-
derness, headache, or dizziness may occur. If any of these effects last or get worse,
tell your doctor or pharmacist promptly.
9. A nurse is assessing a newborn upon admission to the nursery. Which of the
following should the
nurse expect?
A. Bulging Fontanels
B. Nasal Flaring
C. Length from head to heel of 40 cm (15.7 in)
, D. Chest circumference 2 cm (0.8 in) smaller than the head circumference: D.
Chest circumference 2 cm (0.8 in) smaller than the head circumference - head
circumference is
always 2cm more than the chest in normal term babies
10. A nurse is planning care for a newborn who has neonatal abstinence
syndrome. Which of the
following interventions should the nurse include in the plan of care.
A. Increase the newborn's visual stimulation
B. Weigh the newborn every other day
C. Discourage parental interaction until after a social
evaluation
D. Swaddle the newborn in a flexed position: D. Swaddle the newborn in a flexed
position - to increase comfort that newborn is receiving
11. A nurse is caring for a newborn who is 6 hr old and has a bedside
glucometer reading of 65 mg/ dL.
The newborn's mother has type 2 diabetes mellitus. Which of the following
actions should the nurse
take?
A. Obtain a blood sample for a serum glucose level
B. Feed the newborn immediately
C. Administer 50 mL of dextrose solution IV
D. Reassess the blood glucose level prior to the next feeding: D. Reassess the
blood glucose level prior to the next feeding - newborn blood glucose is normal
because it has separated from it's source of energy which is the mother. Blood
glucose for newborn to be
considered hypoglycemic is 45mg/dl and below.
When babies are just 1 hour to 2 hours old, the normal level is just under 2
mmol/L (36 mg/dL), but it will rise to adult levels (over 3 mmol/L or 54 mg/dL)
within two to three days. In babies who need treatment for low blood glucose or
are at risk for low blood glucose, a level over 2.5 mmol/L (45 mg/dL) is preferred.
12. A nurse is providing teaching to a client about exercise safety during
pregnancy. Which of the
following statements by the client indicates an understanding of the teaching?
(Select all that apply).
A. "I will limit my time in the hot tub to 30 minutes after exercise."
B. "I should consume three 8-ounce glasses of water after I exercise."
C. "I will check my heart rate every 15 minutes during exercise sessions."
D. "I should limit exercise sessions to 30 minutes when the
