1. A nurse is performing a vaginal examination on a client who is in labor
and observes the umbilical cord protruding from the vagina after calling
for assistance which of the following actions should the nurse take next
ANS Apply internal upward pressure to the presenting part using two
gloved fingers
2. A nurse is planning care for a client who is two hours postpartum which
of the following intervention should the nurse plan to implement during
the taking hold phase of postpartum behavioral adjustment ANS
Demonstrate to the client how to perform a newborn bath
3. A nurse is teaching a client who is at 36 weeks of gestation and has a
prescription for a nonstress test which of the following statements should
the nurse include in the teaching ANS You will be offered orange juice to
drink during a test
,4. A nurse in a women's health clinic is providing teaching about
nutritional intake to a client who is it eight weeks of gestation the nurse
should instruct the client to increase her daily intake of which of the
following nutrients ANS Iron
5. A nurse is caring for a client who is at 35 weeks of gestation and has
placenta previa which of the following actions should the nurse take ANS
Initiate continuous external fetal monitoring
6. A nurse is assessing fetal heart tones for a client who is pregnant the
nurse is determined the fetal position as left occipital anterior to which of
the following areas of the clients abdomen sure the nurse apply the
ultrasound transducer to assess the point of maximum intensity to the
fetal heart ANS Left lower quadrant
7. A nurse is preparing to administer azithromycin to a client who is at 16
weeks of gestation and has a positive chlamydia culture the prescription
states administer is it from ice in 1 g Orly now available is 250 mg tablets
how many tablets for the nurse administer round the answer to the
nearest whole number using leading zero if it applies do not use a trailing
zero ANS 4 tablets
, 8. A nurse is caring for a newborn who is undergoing photo therapy to
treat hyperbilirubinemia which of the following actions should the
nurse take ANS Cover the newborns eyes while under the photo
therapy light
9. A school nurse is providing teaching to an adolescent about lev-
onorgestrel contraception which of the following information should the
nurse include in the teaching ANS You should take the medication
within 72 hours following unprotected sexual intercourse
10.A nurse is providing teaching about family planning to a client who has
a new prescription for a diaphragm which of the following statement
should the nurse include in the teaching ANS You should leave the
diaphragm in place for at least six hours after intercourse
11.A nurse is caring for a client who is at 22 weeks of gestation and
reports concern about blotchy hyperpigmentation on her forehead which
of the following actions should the nurse take ANS Explain to the client
that this is an expected occurrence
12.A nurse is teaching a client who is in preterm labor about terbutaline
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