1. A nurse is assessing a newborn following a forceps assisted birth. Which of the following clinical manifestations should the nurse identify as a
... [Show More] complication of the birth method? - ✔✔Facial Palsy
2. A nurse is providing teaching about terbutaline to a client who is experiencing preterm labor. Which of the following statement by client indicates an understanding of the teaching? - ✔✔"The medication could cause me to experience heart palpitation"
3. A nurse is caring for a client who has hyperemesis gravidarum. Which of the following laboratory tests should the nurse anticipate? - ✔✔Urine Ketones
4. A nurse is caring for a client who is in labor and requests non-pharmacological pain management. Which of the following nursing actions promotes client comfort? - ✔✔Assisting the client into squatting position
5. A nurse caring for a client who is at 20 weeks of gestation and has trichomoniasis. Which of the following findings should the nurse expect? - ✔✔Thick, White Vaginal 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? - ✔✔Midline 2 to 3 cm (0.8 to 1.2 in) above the symphysis pubis
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? - ✔✔Platelet Count 60.000/ mm3
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? - ✔✔Breast Tenderness
9. A nurse is assessing a newborn upon admission to the nursery. Which of the following should the nurse expect? - ✔✔Bulging Fontanels
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. - ✔✔Swaddle the newborn in the flexed position
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? - ✔✔reassess the BG level prior to next feeding
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). - ✔✔"I should consume three 8-ounce glasses of water after I exercise."
"I should limit exercise sessions to 30 minutes when the weather is humid."
"I should rest by lying on my side for 10 minutes following exercise."
13. A charge nurse is teaching a group of staff nurses about fetal monitoring during labor. Which of the following findings should the charge nurse instruct the staff members to report to the provider? - ✔✔Absent early deceleration of fetal heart rate
14. A nurse in a woman's health clinic is obtaining a health history from a client. Which of the following findings should the nurse identify as increasing the client's risk for developing pelvic inflammatory disease (PID)? - ✔✔Chlamydia Infection
15. A nurse is teaching a prenatal class about immunizations that newborns receive following birth. Which of the following immunizations should the nurse include in the teaching? - ✔✔Hep B
16. A nurse is providing nutritional guidance to a client who is pregnant and follows a vegan diet. The client asks the nurse which foods she should eat to ensure adequate calcium intake. The nurse should instruct the client that which of the following foods has the highest amount of calcium? - ✔✔1 cup cooked broccoli
17. 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 estimated date of delivery. (Use the MMDD format with four numerals and no spaces or punctuation.) - ✔✔12/15 (+7D-3M+1Y)
18. A nurse is caring for a client who is in the second stage of labor. Which of the following manifestations should the nurse expect? - ✔✔The client delivers the newborn
19. A nurse is assessing a client who is at 37 weeks of gestation. Which of the following statement by the client requires immediate intervention by the nurse? - ✔✔"It burns when I urinate"
20. A nurse is providing discharge teaching to a new parent about car seat safety. Which of the following statements by the parent indicates an understanding of the teaching? - ✔✔"I should place the car seat rear facing until my baby is 12 months old"
21. A nurse is developing an educational program about hermolytic diseases in newborns for a group of newly licensed nurses. Which of the following genetic information should the nurse include in the program as a cause of hermolytic disease? - ✔✔The mother is Rh negative and the father is Rh positive
22. A nurse on an antepartum unit is reviewing the medical records for four clients. Which of the following clients should the nurse assess first? - ✔✔"I have been seeing spots this morning"
23. A nurse is assessing a newborn immediately following a vaginal birth. For which of the following findings should the nurse intervene? - ✔✔Sternal Retractions
24. A nurse on the postpartum unit is caring for four clients. For which of the following clients should the nurse notify the provider? - ✔✔A client who reports abdominal cramping during breastfeeding
25. A nurse is caring for a client who has active genital herpes simplex virus type 2. Which of the following medications should the nurse plan to administer? - ✔✔Acyclovir
26. A nurse is caring for a client following an amniocentesis. The nurse should observe the client for which of the following complications? - ✔✔Hemorrhage
27. A nurse is planning care for a client who is receiving oxytocin by continuous IV infusion for labor induction. Which of the following interventions should the nurse include in the plan? - ✔✔Limit IV intake to 4 L per 24 hr.
28. A nurse is caring for a 2-day-old newborn who was born at 35 weeks of gestation. Which of the following actions should the nurse the nurse takes? (Click on the "Exhibit" Button for additional information about the newborn. There are three tabs that contain separate categories of date.) - ✔✔Measure the abdominal circumference at the level of the newborns umbilicus every 2 hours
29. A nurse is caring for a client who is receiving oxytocin for induction of labor and notes late decelerations of the fetal heart rate on the monitor Tracing. Which of the following action should the nurse take? - ✔✔Administer oxygen via face mask at 2 L/min
30. A nurse is planning care for a client who is pregnant and has HIV. Which of the following actions should the nurse include in the plan of care? - ✔✔Administer a pneumococcal immunization to the newborn within 4 hr following birth.
31. A nurse is preparing to administer methylergonovine 0.2 mg orally to a client who is 2 hr postpartum and has a boggy uterus. For which of the following assessment findings should the nurse withhold the medication? - ✔✔Blood pressure 142/92 mm Hg
32. A nurse is reviewing laboratory results for client who is pregnant. The Nurse should expect which of the following laboratory values to increase? - ✔✔Fasting blood glucose
33. A nurse is caring for a client who is experiencing preterm labor and has a prescription for 4 doses of dexamethasone 6 mg IM 12 hr. Available in dexamethasome 10 mg/mL. How mane mL of dexamethasome should the nurse administer per dose? (Round the answer to the nearest tenth. Use a leading zero if it applies. Do not use trailing zero.) - ✔✔0.6 mL
34. A nurse is caring for four clients. For which of the following clients should the nurse auscultate the fetal heart rate during the prenatal visit? - ✔✔A client who has felt quickening for the first time
35. 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? - ✔✔Avoid using lotion or ointment on the newborn skin.
36. A nurse is receiving laboratory results for a term newborn who is 24 hr old. Which of the following results require intervention by the nurse? - ✔✔Glucose 20mg/dL
37. A nurse is assessing a client following an amniocentesis. Which of the following findings should the nurse recognize as complications? ( select all that apply). - ✔✔Amnionitis
Leakage of amniotic fluid
Preterm Labor
38. A nurse on a labor and delivery unit is receiving infection control standards with a newly licensed nurse. The nurse should instruct the newly licensed nurse to don gloves for which of the following procedures? - ✔✔Perform umbilical cord card
39. A nurse is providing teaching to a client who has mild preeclampsia and will be caring for herself at home during the last 2months of pregnancy . This of the following statements by the client indicates an understanding of the teaching. - ✔✔"I will alternate the arm use to check my blood pressure.
40. A nurse is caring for four newborns. Which of the following newborns should the nurse assess first? - ✔✔Nasal Flaring
41. A nurse is reviewing the electronic medical record of a postpartum client. The nurse should identify that which of the following factors paces the client at risk for infection. - ✔✔Midline episiotomy
42. A nurse is caring for a client who is 4hr postpartum and is experiencing hypovolemic shock. Which of the following actions should the nurse take? - ✔✔Insert a second using a 22 gauge IV catheter,
43. A nurse is teaching a client who is 28 weeks of gestation and not up-to date on current immunization. Which of the following immunizations should the nurse inform the client to anticipate receiving following birth. - ✔✔Rubella
44. A nurse is caring for a newborn who is 24 hr old. Which of the following Laboratory findings should the nurse report to the provider? - ✔✔Platelets 200 .000/mm3
45. A nurse is caring for newborn who is 1 hr old and has a respiratory rate of 50/min, a heart rate of 130/min, and an auxiliary temperature of 36.1*C (97F). Which of the following actions should the nurse take? - ✔✔Apply cap
46. A nurse is planning care for a newborn who is scheduled to start phototherapy using a lamp. Which of the following actions should the nurse include in the plan? - ✔✔Give the newborn 1oz of glucose water every 4 hrs
47. A nurse is caring for a client following a vaginal delivery of a term fetal demise. Which of the following statement should the nurse make? - ✔✔You can bathe and dress your baby if you'd like to."
48. A nurse is providing teaching to a client who is at 38 weeks of gestation and has a prescription to receive misoprostol intravaginally. Which of the following statement should the nurse make? - ✔✔You will receive an IV infusion of oxytocin 1 hour after your last dose."
49. A nurse is assessing a newborn who was born Postterm. Which of the following findings should the nurse expect? - ✔✔nails extending
50. A nurse is planning to teach a group of clients who are about breastfeeding after returning to work .Which of the following infection should the nurse include in the teaching? - ✔✔Breast milk can be stored in a deep freezer for 12 months."
51. A nurse on postpartum unit caring for four clients. Which of the following clients should receive Rh,(D) Immune globulin to prevent Rh- is immunization? - ✔✔An Rh negative mother who has an Rh- positive infant
52. A nurse is caring for an infant who has signs of neonatal abstinence syndrome. Which of the following actions should the nurse take? - ✔✔Monitor blood glucose level every hr. [Show Less]