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27. A nurse is caring for a client following an amniocentesis. The...

27. A nurse is caring for a client following an amniocentesis. The nurse should observe the client for which of the following complications?

Hyperemesis

         Proteinuria

         Hypoxia

         Hemorrhage

28. A nurse is planning care for a client who is receiving oxytocin by continuous IV infusion for labor induction. Which of the following interventions should the nurse include in the plan?

Increase the infusion rate every 30 to 60 min.

Maintain the client in a supine position.

Titrate the infusion rate by 4 milliunits/min.

Limit IV intake to 4 L per 24 hr.

29. A nurse is caring for a 2-day-old newborn who was born at 35 weeks of gestation. Which of the following actions should the nurse the nurse takes? (Click on the "Exhibit" Button for additional information about the newborn. There are three tabs that contain separate categories of date.)

 Administer nitric oxide inhalation therapy to the newborn

Insert an orogastric decompression tube with low wall suction.

Provide the newborn with an iron-rich formula containing vitamin B12 every 2 hr.

Measure the aadbominal circumference at the level of the newborn's umbilicus every 2 hr.

30. A nurse is caring for a client who is receiving oxytocin for induction of labor and notes late decelerations of the fetal heart rate on the monitor Tracing. Which of the following action should the nurse take?

         Decrease maintenance IV solution infusion rate.

         Place the client in lateral position.

         Administer misoprostol 25 mcg vaginally

         Administer oxygen via face mask at 2 L/min

31. A nurse is planning care for a client who is pregnant and has HIV. Which of the following actions should the nurse include in the plan of care?

         Instruct the client to stop taking the antiretroviral medication at 32 weeks of gestation.

         Use a fetal scalp electrode during labor and delivery.

         Administer a pneumococcal immunization to the newborn within 4 hr following birth.

         Bathe the newborn before initiating skin-to-skin contact

32. A nurse is preparing to administer methylergonovine 0.2 mg orally to a client who is 2 hr postpartum and has a boggy uterus. For which of the following assessment findings should the nurse withhold the medication?

   Blood pressure 142/92 mm Hg

         Urine output 100 mL in hr

         Pulse 58/min

         Respiratory rate 14/min

33. A nurse is reviewing laboratory results for client who is pregnant. The Nurse should expect which of the following laboratory values to increase?

         RBC count

         Bilirubin

         Fasting blood glucose

         Bun

34. A nurse is caring for a client who is experiencing preterm labor and has a prescription for 4 doses of dexamethasone 6 mg IM 12 hr. Available in dexamethasome 10 mg/mL. How mane mL of dexamethasome should the nurse administer per dose? (Round the answer to the nearest tenth. Use a leading zero if it applies. Do not use trailing zero.)

          mL.


         






35. A nurse is caring for four clients. For which of the following clients should the nurse auscultate the fetal heart rate during the prenatal visit?

A. A client who has an ultrasound that confirms a molar pregnancy

B. A client who has a crown-rump length of 7 weeks gestation

C. A client who has a positive urine pregnancy test 1 week after missed menses

D. A client who has felt quickening for the first time


36. A nurse is planning care for a full-term newborn who is receiving phototherapy. Which of the following actions should the nurse include in the plan of care?

A. Dress the newborn in lightweight clothing.

B. Avoid using lotion or ointment on the newborn skin.

C. Keep the newborn supine throughout treatment

D. Measure the newborn's temperature every 8hr

37. A nurse is receiving laboratory results for a term newborn who is 24 hr old. Which of the following results require intervention by the nurse?

A. WBC count 10,000/mm3

B. Platelets 180,000/mm3

C. Hemoglobin 20g/dL

D. Glucose 20 mg/dL

38. A nurse is assessing a client following an amniocentesis. Which of the following findings should the nurse recognize as complications? ( select all that apply).

A. Amnionitis

B. Urinary tract infection

C. Polyhydramnios

D. Leakage of amniotic fluid

E. Preterm labor

39. A nurse on a labor and delivery unit is receiving infection control standards with a newly licensed nurse. The nurse should instruct the newly licensed nurse to don gloves for which of the following procedures?

A. Assisting a mother with breastfeeding

B. Performing a newborn's initial bath

C. Administering the measles, mumps, rubella vaccine

D. Performing umbilical cord care

40. A nurse is providing teaching to a client who has mild preeclampsia and will be caring for herself at home during the last 2months of pregnancy . This of the following statements by the client indicates an understanding of the teaching.

A. "I will count baby's lacks every other day.

B. "I will alternate the arm use to check my blood pressure.

D. I will consume 50 grams of protein daily

41. A nurse is caring for four newborns. Which of the following newborns should the nurse assess first?

A. newborn who has nasal flaring

B. newborn who has subconjunctival hemorrhage of the left ey

C. A newborn who has overlapping suture lines

D. A newborn who has not rust-stained urine

42. A nurse is reviewing the electronic medical record of a postpartum client. The nurse should identify that which of the following factors paces the client at risk for infection.

A. Meconium - start fluid

B. placenta previa

C. Midline episiotomy

D. Gestational hypertension

43. A nurse is caring for a client who is 4hr postpartum and is experiencing hypovolemic shock. Which of the following actions should the nurse take?

A. Administer indomethacin

B. Insert a second using a 22 gauge IV catheter,

C. Insert an indwelling urinary catheter.

D. Administer oxygen at 4L/min via nasal cannula.

44. A nurse is teaching a client who is 28 weeks of gestation and not up-to date on current immunization. Which of the following immunizations should the nurse inform the client to anticipate receiving following birth.

A. Pneumococcal

B. Hepatitis

C. Human papillomavirus

D. Rubella


45. A nurse is caring for a newborn who is 24 hr old. Which of the following Laboratory findings should the nurse report to the provider?

A. Hgb 20 g/dL

B. Bilirubin 2mg/dL

C. Platelets 200 .000/mm3

WBC count 32.000/mm3

46. A nurse is caring for newborn who is 1 hr old and has a respiratory rate of 50/min, a heart rate of 130/min, and an auxiliary temperature of 36.1*C (97F). Which of the following actions should the nurse take?

A. Give the newborn a warm bath.

B. Apply a cap to the newborn head.

C. Reposition the newborn.

D. Obtain an oxygen saturation level

47. A nurse is planning care for a newborn who is scheduled to start phototherapy using a lamp. Which of the following actions should the nurse include in the plan?

A. Apply a thin layer of lotion to the newborn skin every 8 hrs.

B. Give the newborn 1oz of glucose water every 4 hrs

C. Ensure the newborn eyes are closed beneath the shield.

D. Dress the newborn in a thin layer of clothing during therapy

48. A nurse is caring for a client following a vaginal delivery of a term fetal demise. Which of the following statement should the nurse make?

A. "You can bathe and dress your baby if you'd like to."

B. "If you don't hold the baby it will make letting go much harder."

C. "You should name the baby so she can have an identity."

D. "I'm sure you will be able to have another baby when you're ready."

49. A nurse is providing teaching to a client who is at 38 weeks of gestation and has a prescription to receive misoprostol intravaginally. Which of the following statement should the nurse make?

A. "you will need to stay in a side-lying position for 30 minutes after each dose."

B. "You will receive an IV infusion of oxytocin 1 hour after your last dose."

C." You will receive a magnesium supplement immediately following therapy."

D." You will need to have a full bladder before the therapy begins."

50. A nurse is assessing a newborn who was born Postterm. Which of the following findings should the nurse expect?

A. Nails extending over tips of fingers

B. Large deposits of subcutaneous fat

C. Pale, translucent skin

D. Thin covering of fine hair on shoulders and back

51. A nurse is planning to teach a group of clients who are about breastfeeding after returning to work .Which of the following infection should the nurse include in the teaching?

A. "Thawed breast milk can be refrigerated for up to 72 hours."

B. "Breast milk can be stored in a deep freezer for 12 months."

C. Breast milk can be stored at room temperature for up to 12 hours."

D. "Thawed breast milk that is unused can be refrozen."

52. A nurse on postpartum unit caring for four clients. Which of the following clients should receive Rh,(D) Immune globulin to prevent Rh- is immunization?

A. An Rh negative mother who has an Rh- positive infant

B. An Rh -positive mother who has an Rh- negative infant

C. An Rh-positive mother who has an Rh- positive infant

D. An Rh- negative mother who has an Rh- negative infant

53. A nurse is caring for an infant who has signs of neonatal abstinence syndrome. Which of the following actions should the nurse take?

A. Provide a stimulating environment

B. Monitor blood glucose level every hr.

C. Intiate seizure precautions.

D. Place the infants on his back with legs extended.

54. A nurse is reviewing signs of effective breathing with a client who is 5 days postpartum. Which of the following information should the nurse include in the teaching?

A. "You should feel a tugging sensation when the baby is sucking.

B. You should expect your baby to have two to three wet diapers in 24hour period

C. "Your baby's urine should appear dark and concentrated".

D. "Your breast should stay firm after the baby breastfeeds".

55. A nurse is teaching a client who is at 41 weeks of gestation about a non stress test. Which of the following information should the nurse include in the teaching?

A. "This test will confirm fetal lung maturity ".

B. "This test will determine adequacy of placental perfusion".

C. "This test will detect fetal infection".

D. "This test will predict maternal readiness for labor".

56. A nurse on the labor and delivery unit is assessing four clients. Which of the following clients is a candidate for an induction of labor with misoprostol?

A.       A client who has active genital herpes

B.       A client who has gestational diabetes mellitus

C.       A client who has a previous uterine incision

D.       A client who has placenta previa

57. A nurse is monitoring a client who has preeclampsia and is receiving magnesium sulfate by continuous IV infusion. Which of the following findings should the nurse reports to the provider?

A. Blood pressure 148/94mm Hg

B. Respiratory rate 14mm

C. Urinary output 20 mL/hr

D. 2+deep tendon reflexes     

58. A nurse is caring for a client who is in the transition phase of labor and reports a pain level of 7 on a scale of 0 to 10. Which of the following actions should the nurse take?

A. Instruct the client to use effleurage

B. Apply counter pressure to the client sacral.

C. Assist the client with patterned-paced breathing.

D. Teach the client the technique of biofeedback.

59. A nurse is caring for newborn immediately following birth and notes a large amount of mucus in the newborn's mouth and nose. Identify the sequence the nurse should follow when performing suction with a bulb syringe. (Move the streps into the box on the placing them in the selected order of performance. Use all the streps.)

Assess the newborn for reflex bradycardia.

Compress the bulb syringe

Place the bulb syringe in the newborn's mouth.

Use the bulb syringe to suction the newborn's nose.

60. A community health nurse is providing education on gestational diabetes mellitus (GDM) to a group of clients who are pregnant when discussing risk factors, which of the following ethnicities should the nurse identify as having the lowest incidence of GDM?

A. Asian

B. Non-Hispanic White American

C. Hispanic

D. African American

61. A nurse is assessing a client who is at 37 weeks of gestation. Which of the following statement by the client requires immediate intervention by the nurse?

A. "It burns when I urinate

B. "My feet are really swollen today".

C. "I didn't have lunch today, but I have breakfast this morning".

D. "I have been seeing spot this morning"

62. A nurse is providing teaching about expected changes during pregnancy to a client who is at 24 weeks of gestation. Which of the following information should the nurse include?

A. "Your stomach will empty rapidly"

B. "You should expect your uterus to double in size"

C. "You should anticipate nasal stuffiness."

D. "Your nipples will become lighter in color".

63. A nurse is teaching a prenatal class regarding false labor. Which of the following information should the nurse include?

A. "your contraction will become more intense when walking"

B. "you will have dilation and effacement of the cervix"

C. You will have bloody show"

D. "Your contraction will become temporally regular"

64. A nurse is caring for a client who is receiving an epidural block with an opioid analgesic. The nurse should monitor for which of the following findings as an adverse effect of the medication?

A. Hypnosis

B. Polyuria

C. Bilateral crackles

Hyperglycemia

65. A nurse is caring for a client who is receiving prenatal care and is at her 24-week appointment. Which of the following laboratory tests should the nurse plans to conduct?

A. Group B strep culture

B.1-hr glucose tolerance test

c. Rubella titer

D. Blood type and Rh

66. A nurse is caring for a client who has bacterial vaginosis. Which of the following medication should the nurse expect to administer?

A. Metronidale

B. Fluconazole

C. Acyclovir

67. A nurse is caring for a client who is experiencing sore nipples from breastfeeding. Which of the following actions should the nurse take?

A. Place a snug dressing on the client's nipple when not breastfeeding.

B.Eusure the newborn's mouth is wide open before latching to the breast.

C. Encourage the client to limit the newborn's feeding to 10 min on each breast.

D. Instruct the client to begin the feeding with the nipple that is most tender.

68. A nurse is assessing a preterm newborn who is at 32 weeks of gestation. Which of the following finding should the nurse expect?

A.       Minimal arm recoil

B.       Popliteal angle of less than 90

C.       Creases over the entire sole

D.       Sparse lanugo

69. A nurse on a labor and delivery unit is providing teaching to a client who plans to use hypnosis to control labor pain. Which of the following information should the nurse include?

A. Focusing on controlling body functions

B. "Synchronized breathing will be required during hypnosis"

C. "Hypnosis can be beneficial in you practiced it during the prenatal period"

D. "Hypnosis does not work for controlling pain associated with labor".

70. A nurse is caring for client who is in active labor. Following epidural placement the nurse a maternal blood pressure of 98/58 mmHg and minimal FHR variability on the fetal monitor. Which of the following images indicates the action the nurse should take?

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