1. A nurse is performing an initial assessment of a newborn who was delivered with a nuchal cord. Which of the following clinical findings should the
... [Show More] nurse expect?
a. Telangiectatic nevi
b. Periauricular papillomas
c. Erythema toxicum
d. Facial petechiae
2. A nurse is monitoring a newborn whose mother reports recent opiate use for neonatal abstinence syndrome. Which of the following finding indicates narcotic withdrawal?
a. Respiratory rate 50/min
b. Unequal pupils
c. Hypotonia
d. Excessive Crying
3. A nurse is caring for a client who is in the second stage of labor. The nurse observes the fetal head retract against the client’s perineum immediately following emergence. Which of the following actions should the nurse take?
a. Assess fetal position using leopold maneuvers.
b. Reposition the client in a left lateral position.
c. Apply pressure to the client’s suprapubic area.
d. Empty the client’s bladder using Crede’s maneuver.
4. A client and her partner ask the nurse for information about permanent contraception. Which of the following statements should the nurse include in the counseling?
a. “A man is usually sterile immediately after vasectomy”
b. “The menstrual cycle is shorter after tubal ligation”
c. “Most sterilization procedures are considered irreversible”
d. “A woman should use contraception for 1 to 2 months after tubal ligation”
5. A nurse is providing education to a client who is to receive misoprostol for induction of labor. Which of the following instructions should the nurse include in the teaching?
a. “I will insert a urinary catheter before i administer the medication.”
b. “I will begin an oxytocin infusion within 2 hours of your last dose of medications.”
c. “You will lie on your side for 40 minutes after i administer the medication.”
d. “You will receive an antacid containing magnesium before the medication.”
6. A nurse is assessing a client's who is in her second trimester for common physiological changes during pregnancy. The nurse notes a blotchy discoloration on the client’s forehead, nose, and cheeks. Which of the following changes should the nurse document?
a. Linea nigra
b. Epulis
c. Striae Gravidarum
d. Choloasma (brown patches on skin)
7. A charge nurse is discussing STIs with a newly licensed nurse. Which of the following infections should the nurse include in the teaching as an indication for a cesarean birth?
a. Gonorrhea
b. Chlamydia
c. HIV
d. Syphilis
8. 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. Swaddle the newborn in a flexed position.
c. Weigh the newborn every other day.
d. Discourage parental interaction until after a social service evaluation.
9. A nurse is providing discharge instructions to a client who is breastfeeding her newborn. Which of the following instructions should the nurse include?
a. Offer the newborn 30 mL (1 oz) of water between feedings.
b. Allow the baby to feed at least every 3 hr.
c. Feed the newborn 5 to 10 min per breast.
d. Expect two to four wet diapers every 24 hr. [Show Less]