1.    A nurse in a provider's office is caring for a...

1.    A nurse in a provider's office is caring for a 20-year-old client who is at 12 weeks of gestation and requests an amniocentesis to determine the sex of the fetus. Which of the following responses should the nurse make?

a.    "we can schedule the procedure for later today if you'd like."

b.    "your provider will schedule a chorionic villus sampling to determine the sex of your baby."

c.     "you cannot have an amniocentesis until you are at least 35 years of age."

d.    "this procedure determines if your baby has genetic or congenital disorders." 

2.    A nurse is planning care for a newborn who has neonatal abstinence syndrome. Which of the following interventions should the nurse include in the plan of care?

a.    Increase the newborn's visual stimulation.

b.    Discourage parental interaction until after a social service evaluation.

c.     Weigh the newborn every other day.

d.    Swaddle the newborn in a flexed position.

3.    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 report to the provider?

a.    Urinary output 20 mL/hr

b.    Blood pressure 148/94 mm Hg

c.     2+ deep tendon reflexes

d.    Respiratory rate 14/min

4.    A charge nurse is teaching a group of staff nurse about fetal monitoring during labor. Which of the following findings should the charge nurse instruct the staff nurses to report to the provider?

a.    Fetal heart rate is 140/min

b.    Absent early deceleration of fetal heart rate 

c.     Contraction durations of 95 to 100 seconds

d.    Contraction frequency of 2 to 3 min apart

5.    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?

a.    Pulse 58/min 

b.    Blood pressure 142/92 mm Hg 

c.     Respiratory rate 14/min

d.    Urine output 100 mL in 3 hr

6.    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.    WBC count 32,000/mm3

b.    Bilirubin 2 mh/dL

c.     Platelets 200,000/mm3

d.    Hgb 20 g/dL

7.    A nurse is caring for a client who has active genital herpes simplex virus type 2. Which of the following medications should the nurse plan to administer?

a.    Gentamicin

b.    Penicillin

c.     Acyclovir

d.    Metronidazole

8.    A nurse on the postpartum unit is caring for four clients. For which of the following clients should the nurse notify the provider?

a.    A client who has a urinary output of 300mL in 8 hr

b.    A client who is receiving magnesium sulfate and has absent deep tendon reflexes

c.     A client who reports abdominal cramping during breastfeeding 

d.    A client who reports lochia rubra requiring changing perineal pads every 3 hr.

9.    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.    Apply oxygen via nonrebreather  face mask at 2 L/min

b.    Give terbutaline subcutaneously

c.     Position the client in a knee-chest position

d.    Administer a bolus infusion of lactated Ringer's.