EXAM FORM A & B 2019 GUIDE UPDATED FOR
2024/2025 GRADED A+
Question 1:
A nurse is caring for a client who is at 12 weeks of gestation and has been
prescribed iron supplements. Which of the following instructions should the
nurse provide?
A. Take the iron supplement with orange juice to enhance absorption.
B. Take the iron supplement with milk to prevent stomach upset.
C. Take the iron supplement right before bed.
D. Take the iron supplement on an empty stomach in the morning.
Question 2:
A client who is 38 weeks pregnant comes to the clinic reporting no fetal
movement for the past 24 hours. Which of the following actions should the
nurse take first?
A. Schedule the client for an ultrasound examination.
B. Auscultate for a fetal heart rate.
C. Reassure the client that this is normal at the end of pregnancy.
D. Instruct the client to count fetal movements over the next hour.
Question 3:
A nurse is teaching a postpartum client about breastfeeding. Which of the
following instructions should the nurse include?
A. Feed the baby every 2 to 3 hours on demand.
B. Give the baby water between feedings.
C. Limit feeding sessions to 10 minutes on each breast.
D. Use a pacifier between feedings to soothe the baby.
Question 4:
,A nurse is assessing a newborn who was born at 39 weeks of gestation. Which
of the following findings should the nurse report to the provider?
A. Heart rate of 150 beats/minute
B. Axillary temperature of 36.0°C (96.8°F)
C. Respiratory rate of 40 breaths/minute
D. Weight of 3,200 grams (7 lb 1 oz)
Question 5:
A nurse is caring for a client in active labor who is receiving oxytocin. The
nurse notes that the client is experiencing contractions every 2 minutes, each
lasting 90 seconds. Which of the following actions should the nurse take?
A. Stop the oxytocin infusion.
B. Increase the rate of the oxytocin infusion.
C. Continue to monitor the contractions.
D. Apply oxygen at 2 L/min via nasal cannula.
Question 6:
A nurse is providing discharge teaching to a client who had a cesarean birth 2
days ago. Which of the following instructions should the nurse include?
A. Avoid lifting anything heavier than the baby for at least 2 weeks.
B. Begin abdominal exercises immediately to strengthen the muscles.
C. Take baths instead of showers for the first week.
D. Resume sexual activity as soon as the lochia has stopped.
Question 7:
A nurse is assessing a client who is 6 hours postpartum and has saturated a
perineal pad in 15 minutes. Which of the following actions should the nurse
take first?
A. Check the client's vital signs.
B. Massage the client’s fundus.
C. Increase the client’s IV fluid rate.
D. Apply an ice pack to the client’s perineum.
Question 8:
,A nurse is planning care for a newborn who is large for gestational age
(LGA). Which of the following is the priority action for the nurse to take?
A. Monitor the newborn’s temperature.
B. Assess the newborn’s blood glucose levels.
C. Observe the newborn for jaundice.
D. Initiate early and frequent feedings.
Question 9:
A nurse is providing prenatal education to a group of clients. Which of the
following statements should the nurse include when teaching about managing
nausea and vomiting during pregnancy?
A. Drink a glass of water before getting out of bed in the morning.
B. Eat small, frequent meals throughout the day.
C. Consume high-fat foods to settle the stomach.
D. Avoid eating any snacks between meals.
Question 10:
A nurse is caring for a client who is in preterm labor and receiving
magnesium sulfate. Which of the following findings should the nurse report to
the provider?
A. Client reports feeling warm
B. Client has a respiratory rate of 10 breaths/minute
C. Client has a urinary output of 20 mL/hour
D. Client reports nausea
Question 11:
A nurse is assessing a newborn 1 hour after birth. Which of the following
findings should the nurse report to the provider?
A. Heart rate of 160 beats/minute
B. Nasal flaring and grunting
C. Acrocyanosis
D. Moro reflex
Question 12:
, A nurse is providing discharge teaching to a client who is breastfeeding her
newborn. Which of the following statements by the client indicates an
understanding of the teaching?
A. "I should feed my baby for 5 minutes on each breast."
B. "I should wake my baby to feed if he sleeps for more than 3 hours during
the day."
C. "I should offer my baby formula if he seems fussy after breastfeeding."
D. "I should supplement breastfeeding with water between feedings."
Question 13:
A nurse is caring for a client in labor who is scheduled for an epidural
anesthesia. Which of the following actions should the nurse take prior to the
procedure?
A. Administer a bolus of IV fluids.
B. Place the client in a high-Fowler's position.
C. Have the client void.
D. Apply a fetal scalp electrode.
Question 14:
A nurse is providing care to a client who is in the first stage of labor and has
received an epidural. Which of the following findings should the nurse report
to the provider?
A. Maternal blood pressure of 110/70 mm Hg
B. Fetal heart rate of 140 beats/minute
C. Maternal temperature of 38.5°C (101.3°F)
D. Fetal heart rate variability
Question 15:
A nurse is teaching a client who is 10 weeks of gestation about nutritional
needs during pregnancy. Which of the following statements by the client
indicates a need for further teaching?
A. "I should increase my intake of protein."
B. "I should increase my intake of caffeine."