QUESTIONS WITH 100% SOLVED -GRADED
A+ VERIFIED 2025; 2026 UPDATE
A charge nurse is providing teaching to a newly hired nurse about the potential side
effects of an epidural anesthetic for a laboring client. Which of the following effects
should the charge nurse include in the teaching?
Newborn respiratory depression at birth
Impaired ability of the neonate to maintain body temperature
Impaired placental perfusion
Decreased fetal heart rate (FHR) variability - ANS-Impaired placental perfusion
A nurse is teaching a postpartum client how to swaddle her newborn. Which of the
following statements by the parent demonstrates an understanding of the teaching?
"I should stop swaddling my baby once she is able to roll over by herself"
"My baby's legs should be extended straight out when I swaddle her"
"I should be able to slide just 1 finger between my baby's chest and the swaddled
blanket"
"After swaddling, I should place my baby on her side in her crib or bassinet" - ANS-"I
should stop swaddling my baby once she is able to roll over by herself"
Rolling over can tighten swaddle and make it hard to baby to breathe
A nurse is performing a physical assessment of a newborn. Which of the following
actions should the nurse take?
Measure the newborn's length from the anterior fontanel to the heel
Measure the newborn's weight while he is wearing a clean diaper
Measure the circumference of the newborn's head with a tape measure just above the
eyebrows
Measure the circumference on the newborn's chest with a tape measure 2 cm below the
nipple line - ANS-Measure the circumference of the newborn's head with a tape
measure just above the eyebrows
, A nurse is discussing diaphragm use with a client. Which of the following statements by
the client indicates an understanding of the teaching?
"I should clean my diaphragm with alcohol each time I use it"
"I should leave the diaphragm in for 4 hours after intercourse"
"I should replace my diaphragm every 2 years"
"I should use a vaginal lubricant to insert my diaphragm" - ANS-"I should replace my
diaphragm every 2 years"
A nurse is providing teaching about the selection of commercial formula to the guardian
of a newborn. Which of the following pieces of information should the nurse include?
Soy-based formula is recommended to decrease colic
Amino acid formula is recommended to increase the newborn's protein intake
Cow's milk-based formula is recommended for healthy newborns
Low-iron formula is recommended to prevent excess iron intake - ANS-Cow's milk-
based formula is recommended for health newborns
A nurse is providing care to a client who is in labor and experienced SROM. Which of
the following findings require intervention by the nurse?
Intense contractions lasting less than 30 seconds
Rest periods between contractions lasting longer than 90 seconds
Fetal heart rate decreased by 15/min
Maternal temperature of 37.8C (100F) after ruptured membrane - ANS-Fetal heart rate
decreased by 15/min
Indicative of variable decelerations
A nurse in labor & delivery is teaching a newly licensed nurse about performing the
McRoberts maneuver to relieve shoulder dystocia. Which of the following pieces of
information should the nurse include?
Position the client on her hands & knees while in bed
Flex the client's legs apart & raise her knees to her abdomen
Apply gentle pressure on the clients fundus while she is lying supine
Push the fetus's anterior shoulder under the symphysis pubis externally - ANS-Flex the
client's legs apart and raise her knees to her abdomen
A nurse is caring for a client who is nulliparous and experiencing hypertonic uterine
dysfunction. An assessment indicates 3 cm dilation. Which of the following actions
should the nurse take?
Encourage the client to bear down with contractions
Request a prescription to initiate oxytocin
Offer the client hydrotherapy