1. The charge nurse is teaching a group of staff nurses about fetal monitoring during labor which of the following findings should the charge nurse
... [Show More] instruct the staff nurse to report to the provider?
A. Contraction frequency of 2 to 3 minutes apart
B. Fetal heart rate is 140 per minute
C. Absent early deceleration of fetal heart rate D. Contraction duration of 95 to 100 seconds
2. A nurse is assisting a provider to administer a Dinaprostone and start to induce labor for a client. Which of the following actions should the nurse take?
A. Verify got informed consent is obtained prior to administration
B. Instruct the client avoid urinary elimination on till after administration
C. Play the client in a semi Fowler positions for one hour after administration A lot of medication to reach room temperature prior to administration
3. A nurse is planning to teach a group of clients who are pregnant about breast-feeding after returning to work. Which of the following information should the nurse include in the teaching?
A. breastmilk can be stored in the deep freezer for 12 months
B. Thawed breastmilk that is unused can be refrozen
C. breastmilk can be stored at room temperature for up to 12 hours
D. Thawed breast milk can be refrigerated for up to 72 hours
4. A nurse is caring for a two day old newborn who was born at 35 weeks of gestation which of the following actions should the nurse take? (Click on the exhibit button for additional information about the newborn there are three tabs that contains separate categories of data)
A. Provide the newborn with an iron rich formula contains vitamin B12 every two hours
B. administer nitric oxide inhalation therapy to the newborn
C. insert an orogastric decompression tube with low wall suction
D. Measure the abdominal circumference at the level of the newborns umbilicus every 12 hours
5. A nurse is providing teaching about terbutaline to a client who is experiencing preterm labor. Which of the following statements by the client indicates an understanding of the teaching?
A. This medication could cause me to experience frequent urination
B. this medication could cause me to experience heart palpitations
C. this medication could cause me to experience ringing in my ears
D. this medication could cause me to experience blurred vision
6. A nurse is caring for a newborn who is six hour old and has a bedside glucometer reading of 65 mg/DL. The newborns mother has type two diabetes mellitus which of the following action should the nurse take?
A. Reassess the blood glucose level prior to the next feeding
B. administer 50 ML of dextrose solution IV
C. feed the newborn immediately
D. obtain a blood sample for a serum glucose level
7. A nurse is teaching a prenatal class regarding false labor. Which of the following information should the nurse include?
A. Your contractions will become temporary regular
B. your contractions will become more intense when you walk
C. you will have dilation and effacement of the cervix
D. you will have a bloody show
8. A nurse is assessing a client who is at 37 weeks gestation. Which of the following statements by the client requires immediate intervention by the nurse?
A. It burns when I urinate
B. my feet are really swollen today
C. I did not have lunch today but I had breakfast this morning D. I have been seeing spots this morning
9. A nurse is providing teaching about expected changes during pregnancy to a client who is 24 weeks of gestation which of the following information should the nurse include?
A. Your nipples will become lighter in color
B. you should expect your uterus to double in size C. you should anticipate nasal stuffiness
D. your stomach will empty rapidly
10. A nurse is assessing a preterm newborn who is at 32 weeks of gestation. Which of the following findings should the nurse expect?
A. Sparse lanugo
B. Crease over the entire soul C. minimal arm recoil
D. popliteal angle of lesson 80°
11. a nurse is reviewing the electronic medical record of a postpartum client. The nurse should identify that which of the following factors places the client at risk for an infection?
A. Meconium- stained fluid B. Midline episiotomy
C. Gestational hypertension
D. Placenta Previa
12. A nurse in a provider’s office is assessing a client at her first antepartum visit. The client states that the first day of her last menstrual period was March 8. Use Nagele’s rule to calculate the estimate date of delivery. (Use the MMDD format with four numerals and no spaces or punctuation.) 1215 .
13. A nurse is planning care for a full- term newborn who is receiving phototherapy. Which of the following actions should the nurse include in the plan of care?
A. Avoid using lotion or ointment on the newborn’s skin.
B. Dress the newborn in lightweight clothing.
C. Measure the newborn’s temperature every 8 hr.
D. Keep the newborn supine throughout treatment.
14. A nurse is caring for a client who is experiencing preterm labor and has a prescription for 4 dose of dexamethasone 6 mg IM every 12 hr. Available is dexamethasone 10mg/ml. How many ML of dexamethasone should the nurse administer per dose? (Round the answer to the nearest tenth. Use a leading zero if it applies. Do not use a trailing
zero.) 0.6 .
15. A nurse is caring for a client who is in labor and requests nonpharmacological pain management. Which of the following nursing actions promotes client comfort?
A. Assessing the client into a squatting position
B. Having the client lie in a supine position
C. Applying fundal pressure during contractions
D. Encourage the client to void every 6 hr
16. A nurse is performing an initial assessment of a newborn who was delivered with a nuchal cord. Which of the following clinical finding should the nurse expect?
A. Facial petechiae
B. Telangiectatic nevi
C. Periauricular papilloma
D. Erythema toxicum
17. A nurse is caring for a client who is receiving prenatal care and is at her 24- week appointment. Which of the following laboratory tests should the nurse plan to conduct?
A. Rubella titer
B. Blood type and RH
C. Group B strep culture
D. 1- hr glucose tolerance test
18. A nurse is assessing a newborn upon admission to the nursery. Which of the following should the nurse expect?
A. Length from head to heel of 40 cm (15.7 in)
B. Nasal flaring
C. Chest circumference 2 cm ( 0.8 in) smaller than the head circumference
D. Bulging fontanels
19. A nurse is reviewing laboratory results for a client who is pregnant. The nurse should expect which of the following laboratory values to increase?
A. Bun
B. Fasting blood glucose C. RBC count
D. Bilirubin
20. A nurse is teaching about clomiphene citrate to a client who is experiencing infertility. Which of the following adverse effects should the nurse include?
A. Tinnitus
B. Breast tenderness
C. Chills
D. Urinary frequency
21. A nurse in a provider’s office is caring for a 20-year-old client who is at 12 weeks of gestation and requests an amniocentesis to determine the sex of the fetus. Which of the following responses should the nurse make?
A. “We can schedule the procedure for later today if you like”
B. “Your provider will schedule a chronic villus sampling to determine the sex of your baby
C. “This procedure determines if your baby has genetic or congenital disorders.” D.
E. “You cannot have an amniocentesis until you are at least 35 years of age” [Show Less]