1) 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. Most sterilization procedures are considered irreversible
b. A woman should use contraception for 1-2 months after a tubal ligation
c. A man is usually sterile immediately after a vasectomy
d. The menstrual cycle is shorter after a tubal ligation
2) 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. Swaddle the newborn in a flexed position
b. Weigh the newborn every other day
c. Increase the newborn’s visual stimulation
d. Discourage parental interaction until after a social service evaluation
3) A nurse is providing teaching about increasing dietary fiber to an antepartum client who
reports constipation. Which of the following food selections has the highest fiber content per
cup?
a. Lentils
b. Oatmeal
c. Cabbage
d. Asparagus
4) A nurse is teaching a client who is pregnant about a new prescription for iron supplements.
Which of the following instructions should the nurse include in the teaching?
a. Increase intake of foods rich in vitamin C
b. Take an extra pill if you miss a dose
c. Report black stools to the provider
d. Drink 8 ox of milk with each pill
5) A nurse is caring for a preterm newborn immediately after delivery. Which of the following
actions should the nurse take first?
a. Dry the infant under the radiant warmer
b. Take the infant’s temperature
c. Weigh the infant
d. Obtain the infant’s blood glucose
,6) A nurse is discussing family planning with a client who has a history of DVT. The nurse should
inform the client that this condition is a contraindication for which of the following birth
control methods?
a. Oral contraceptive
2 b. Cervical cap
c. Diaphragm
d. Intrauterine device
7) A nurse is teaching a client who is postpartum about car seat safety. Which of the following
statements indicates and understanding of the instructions?
, 3
a. I will make sure the retainer clip is at the level of my baby’s abdomen
b. I will position the car seat in the front passenger seat facing the font of the car
c. I will adjust the angle of the car seat so that my baby sits at a 90-degre angle
d. I will place the shoulder harness slightly below my baby’s shoulders
8) A nurse is monitoring a newborn whose mother reports recent opiate use for neonatal
abstinence syndrome. Which of the following findings indicates narcotic withdrawl? a.
Excessive Crying
b. Unequal pupils
c. Respiratory rate of 50/min
d. Hypotonia
9) A nurse is assessing the reflexes of a term newborn. After placing the newborn in the supine
position, which of the following methods should the nurse use to elicit the Moro reflex?
a. Make a loud noise above the newborn
b. Touch the newborn’s cheek with a finger
c. Turn the newborn’s head to one side
d. Tap the newborn’s forehead with a finger
10) A nurse is providing teaching to a client who is postpartum about her car seat safety. Which
of the following statements by the client indicates an understanding of the teaching?
a. I will ensure that my baby is at a 45-degree angle in the car seat
b. I will put my baby facing forward in the middle of the back seat of the car
c. I will fasten the harness clip 1 inch above my baby’s underarms
d. I will swaddle my baby in a blanket before placing her in the car seat
11) A nurse is teaching a client who is breastfeeding and has mastitis. Which of the following
statements by the client indicates an understanding of the teaching?
a. I should apply a warm compress after feeding
b. I should apply lanolin to the infection site daily
c. I should use a nipple shield while breastfeeding
d. I should stop breastfeeding until the infection has healed
12) A nurse is caring for a client following a vaginal delivery of a term fetal demise. Which of the
following statements should the nurse make?
a. You can bathe and dress your baby if you’d like to
b. You should name the baby so he can have an identity
c. If you don’t hold the baby, it will make letting go much harder
d. Im sure you will be able to have another baby when you’re ready
13) 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 nurse expect?
a. Facial petechiae
b. Erythema toxicum
c. Periauricular papillomas
d. Telangilectatic nevi
14) 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.
HIV
b. Chlamydia
, 4
c. Gonorrhea
d. Syphilis
15) A nurse is reviewing the medication prescriptions for a newborn who is 6 hours old and whose
mother is HBsAg-positive. The nurse should anticipate administering which of the following
medications?
a. Hepatitis B Immune Globulin
b. Hepatitis A immune globulin
c. Haemophilus inflenzae type B vaccine
d. Hepatitis A vaccine
16) A nurse is assessing a client immediately following the placement of an epidural. The nurse
obtains a maternal blood pressure of 96/54 and a fetal HR of 102/min. Which of the following
actions should the nurse take?
a. Position the client in a lateral position
b. OR administer naloxone to the client???
c. Prepare the client for an amnioinfusion
d. Place the client in knee-chest position
17) 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. Keep the newborn supine throughout treatment
d. Measure the newborn’s temperature every 8 hours
18) A nurse on the labor and delivery unit is caring for a client who is at 33 weeks of gestation and
was admitted with placenta previa. Which of the following interventions should the nruse
include in the client’s plan of care?
a. Administration of magnesium sulfate
b. Routine vaginal exams
c. Ambulation as tolerated
d. Nonstress test twice weekly
19) A nurse is admitting a client who is in preterm labor to the labor and delivery unit. The nurse
should anticipate which of the following tests to assess for fetal lung maturity? a. L/S ratio
b. Direct coombs test
c. Biophysical prophile
d. Chorionic villus sampling
20) A nurse is caring for a client who is in labor and prescribed an amnioinfusion. Which of the
following findings is an indication for this?
a. Variable decelerations
b. Early decelerations
c. Fetal macrosomia
d. Increased uterine tone
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