A nurse is caring for a client who is in labor. Which of the following findings should prompt the nurse to reassess the client?
A) An urge to have a bowel movement during contractions
B) Progressive sacral discomfort during contractions
C) A sense of excitement and warm, flushed skin
D) Inten...
Retake maternity actual
exam complete & graded
A+
A nurse is caring for a client who is in labor. Which of the following findings
should prompt the nurse to reassess the client?
A) An urge to have a bowel movement during contractions
B) Progressive sacral discomfort during contractions
C) A sense of excitement and warm, flushed skin
D) Intense contractions lasting 45 to 60 seconds
An urge to have a bowel movement during contractions
.
A charge curse is teaching a newly licensed nurse about Rh immune globulin
administration. Which of the following should the charge nurse include as an
indication for the administration of Rh immune globulin?
A) Hyperemesis gravidarum
B) Rh-positive blood test results
C) Prescription for amniocentesis
D) Anemia
,Retake maternity actual
exam complete & graded
A+
Rh-positive blood test results
A nurse is assessing a client who is at 39 weeks of gestation and determines that
the fetus is in a left occipitoanterior position. On which of the following sites
should the nurse place the external fetal monitor to hear the point of maximum
impulse of the fetal heart rate?
A) LLQ
B) LUQ
C) RLQ
D) RUQ
A) LLQ
A nurse is assessing a full-term newborn. Which of the following findings should
the nurse report to the provider?
A) Temperature 36.5 degrees C (97.7 degrees F)
B) Blood pressure 80/50 mm Hg
,Retake maternity actual
exam complete & graded
A+
C) Respiratory rate 55/min
D) Heart rate 72/min
Heart rate 72/min
A nurse is performing an assessment for a newborn and notes breast tissue that
has a flat areola with no bud. The nurse should identify that this finding indicates
which of the following?
A) Decreased maternal hormones during pregnancy
B) Congenital anomaly
C) Preterm gestational age
D) Ambiguous secondary sex characteristics
Preterm gestational age
A nurse is reviewing the medical records of a client who had a vaginal delivery 3
hours ago. Which of the following findings place the client at risk for post-partum
hemorrhage? SATA
, Retake maternity actual
exam complete & graded
A+
A) History of uterine atony
B) Vacuum assisted birth
C) Labor induction with oxytocin
D) Normal weight
E) History of HPV
A) History of uterine atony
C) Labor induction with oxytocin
A nurse is caring for a client who has maternal hypotension following the
placement of an epidural. Which of the following actions should the nurse take?
A) Position the client in a knee-chest position
B) Give terbutaline subcutaneously
C) Apply oxygen via nonrebreather face mask
D) Administer a bolus infusion of lactated Ringer's
Apply oxygen via nonrebreather face mask
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