A nurse is providing teaching for a client who have
birth 2 hr ago about the facility policy for newborn
safety. Which of the following client statements
indicates an understanding of the teaching? -
....ANSWER...the person who comes to take my
baby's pictures will be wearing a photo identification
badge
A nurse is assessing a client who is at 36 weeks of
gestation. Which of the following findings should the
nurse report to the provider? - ....ANSWER...Report
of visual disturbances
,2|Page
A nurse is providing teaching to a client about the
physiological changes that occur during pregnancy.
The client is at 10 weeks of gestation and has a BMI
within the expected reference range. Which of the
following client statements indicates an
understanding of the teaching? - ....ANSWER..."I will
likely need to use alternative positions for sexual
intercourse".
A nurse is caring for a client who is anemic at 32
weeks of gestation and is in preterm labor. The
provider prescribed bethamethasone 12 mg IM.
Which of the following outcomes should the nurse
expect? - ....ANSWER...A reduction in respiratory
distress in the newborn
A nurse is caring for a client who is experiencing
preeclampsia and has a new prescription for IV
magnesium sulfate. Which of the following
medications should the nurse anticipate
administering if the client develops magnesium
toxicity? - ....ANSWER...Calcium Gluconate
A nurse is caring for a client who is at 30 weeks of
gestation and has a prescription for magnesium
sulfate IV to treat preterm labor. The nurse should
,3|Page
notify the provider of which of the following adverse
effects? - ....ANSWER...Respiratory rate 10/min
A nurse is caring for a client who is to receive
oxytocin to augment her labor. Which of the
following findings contraindicates the infusion of the
oxytocin infusion and should be reported to the
provider? - ....ANSWER...Late Decelerations
A nurse is teaching a client who is at 37 weeks of
gestation and has a prescription for a non-stress
test. Which of the following instructions should the
nurse include? - ....ANSWER..."You should press the
handheld button when you feel your baby move."
A nurse is assessing a newborn who was delivered
vaginally and experienced a tight nuchal cord. Which
of the following findings should the nurse expect? -
....ANSWER...Petechiae over the head
A nurse is transporting a newborn back to the
parent's room following a procedure. Which of the
following actions should the nurse take? -
....ANSWER...Verify that the parent's identification
band matches the newborn's identification band
, 4|Page
A nurse is creating a plan of care who is postpartum
and adheres to traditional Hispanic cultural beliefs.
Which of the following cultural practices should the
nurse include in the plan of care? -
....ANSWER...Protects the client's head and feet from
cold air
A charge nurse on a labor and delivery unit is
teaching a newly licensed nurse how to perform
Leopoid maneuvers. Which of the following images
indicates the first step of Leopoid maneuvers? -
....ANSWER...Picture of nurse palpating top of belly;
where bottom is
A nurse is developing a plan of care for a client who
has preeclampsia and is receiving magnesium
sulfate via a continuous IV infusion. Which of the
following interventions should the nurse include in
the plan? - ....ANSWER...Monitor the FHR continously
A nurse is assessing a client who is at 38 weeks of
gestation during a weekly prenatal visit. Which of the
following findings should the nurse report to the
provider? - ....ANSWER...Weight gain of 2.2 kg (4.8 lb)
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