Maternity A
1. The nurse instructs a client who recently had a modified radical mastectomy. The nurse tells the
patient it is very important for the
... [Show More] client to exercise the affected arm. What statement by the
nurse is the most important rational for the client to exercise the arm?
Prevents Lymphedema.
2. A client is in active labor when her membranes rupture. The client states, "I am afraid of having a
'dry labor'." What is the best response by the nurse?
"Amniotic fluid does not function as lube for the labor process."
3. The nurse monitors a client at 30 wks gestation, and the client reports having periodic
heartburn. It is most important for the nurse to make which recommendation?
Eat frequent small meals.
4. The nurse ambulates a postpartum client to the bathroom for the first time after the client gave
birth 3 hours ago. The client reports feeling a sudden "gush" of bleeding from the vagina while
walking. Which is the most likely cause of this?
Lochia has pooled in the client's vagina.
5. A primigravida diagnosed with Type 1 Diabetes mellitus reviews the insulin regimen with the
nurse. The nurse explains which changes with insulin needs will occur in pregnancy?
Insulin requirements increase during pregnancy and decrease after birth.
6. A pregnant client comes to the clinic. The client asks the nurse about the amount of exercise that
is acceptable during the pregnancy. What is the most important response by the nurse?
"What is your usual type of exercise?"
7. The nurse cares for a client after a breast biopsy. After the procedure, it is most important for the
nurse to take which action?
Observe for bleeding.
8. A client reports weight gain and muscle cramps during the menstrual period. The nurse suggests
which measures to the client to alleviate these symptoms?
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NSG 333 SG Kaplan
Use a mild analgesic, restrict caffeine, exercise moderately.
9. The nurse instructs the woman how to prevent conception using the BBT method. The nurse
explains that during ovulation, the woman's basal body temp will change in which direction?
Rises slightly
10. By the fifth month of pregnancy, a 32 year old multipara client of average prenatal height and a
weight gain of 14 lbs. What action is most important by the nurse?
Inform the client the weight gain is appropriate and the present diet should be maintained.
11. The nurse prepares a client for an abdominal hysterectomy. The client asks why she needs a
foley cath. What statement by the nurse is most appropriate?
"This will allow you to heal by keeping you bladder decompressed"
12. The nurse provides care for a client in labor. The fetus is displaying occasional cat. 3 FHR patters
on the monitor. What is the first action for the nurse to perform?
When the fetal heart rate is baseline perform fetal stimulation to assess for heart rate
acceleration.
13. A client in active labor shouts, "I HAVE TO PUSH!" The nurse determines the client is 8cm dilated.
What is the first action the nurse should take?
Encourage the client to pant with pursed lips.
14. A infant shows a tendency to bleed two days after birth. The nurse knows this is most likely
caused by what?
Absence of intestinal bacteria and Vit. K.
15. The nurse prepares the client for a total abd. hysterectomy with bilateral salpingo-oophorectomy
due to uterine cancer. The patient is talking continuously and has a hard time maintaining eye
contact. What is the best response by the nurse?
"What are your concerns about the surgery?"
16. When the nurse 'accidentally' bumps into the babies bassinet, the newborn jumps and pulls the
extremities into the trunk. Which reflex is the newborn demonstrating? [Show Less]