1. Which of the following assessment findings in an infant should indicate
to a nurse that suctioning of the nasopharynx
is needed?
A) The infant is beginning to cough
B) The newborns pulse oximetry is 91
C) The infant's respiratory rate is 32/min.
D) The infant's respiratory rate is irregular: The infant is beginning to cough
2. A nurse is providing teaching to a postpartum client who has type 1
diabetes and is breastfeeding her newborn. Which of the following
instructions should the nurse give to the client?
A) Take more insulin with each meal that you did prior to pre pregnancy
B) Maintain scheduled mealtimes for yourself
C) Check your blood glucose levels every 8 hours
D) Limit your carbohydrate intake to 30 grams per day: Maintain
scheduled mealtimes for yourself
3. A nurse is assessing the reflexes of a term newborn. After placing the
,newborn in a supine position, which of the following would the nurse use
to elicit the Moro reflex
A) Turn the newborn's head to one side
B) Make a loud noise above the newborn
C) Tap the newborns forehead with a finger
D) Touch the newborns cheek with a finger: Make a loud noise above the
newborn
4. A nurse is planning care for a newborn who is scheduled to start
photother- apy using a lamp. Which of the following actions should the
nurse include in the plan?
A) Give the newborn 1 oz of glucose water every 4 hours
B) Apply a thin layer of lotion to the newborns skin every 8 hours
C) Dress the newborn in a thin layer of clothing during the therapy
D) Ensure the newborns eyes are closed beneath the shield: Ensure the
new- borns eyes are closed beneath the shield
5. A nurse on an antepartum unit is reviewing the medical records for
four clients. Which of the following clients should the nurse asses first?
,A) A client who has hyperemesis gravidarum and a sodium level of 110
B) A client who has preeclampsia and a creatine level of 1.1
, C) A client who has diabetes mellitus and an HbA1c of 5.8
D) A client who has placenta previa a hematocrit of 36: A client who
has hyperemesis gravidarum and a sodium level of 110
6. A nurse is performing a nonstress test on a client who is at 35 weeks of
gestation and has diabetes. The test reveals no accelerations of the fetal
heart rate for 20 minutes. Which of the following actions should the nurse
take?
A) Perform vibroacoustic stimulation
B) Collect a specimen for an indirect Coomb's test
C) Conduct a vaginal exam
D) Place the client in the Trendelenburg position: Perform vibroacoustic
stimula- tion
7. A nurse is preparing to administer gentamycin 2 mg/kg Im to a client who
has pelvic inflammatory disease and weighs 132 lb. Available is
gentamycin injection 40 mg/ml. How many ml should the nurse
administer?: 3 mL
8. A nurse is caring for a client who is 1-day post-partum and
breastfeeding her newborn. The client reports sore nipples. Which of the
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