OB Final Exam
A nurse in a health clinic is reviewing contraceptive use with a group of adolescent clients. Which of the following statements by an adolescent reflects an understanding of the teaching? A. "A water-soluble lubricant should be used with condoms" B. "A diaphragm should be removed 2 hrs after intercourse." C. "Oral contraceptives can worsen a case of acne." D. "A contraceptive patch is replaced once a month."
A. "A water-soluble lubricant should be used with condoms."
A nurse in a health clinic is reviewing contraceptive use with a group of adolescent clients. Which of the following statements by an adolescent reflects an understanding of the teaching? A. "A water-soluble lubricant should be used with condoms." B. "A diaphragm should be removed 2 hours after intercourse." C. "Oral contraceptives can worsen a case of acne." D. "A contraceptive patch is replaced once a month."
A. "A water-soluble lubricant should be used with condoms."
A nurse is conducting a home visit for a client who is 1 week postpartum and breastfeeding. The client reports breast engorgement. Which of the following recommendations should the nurse make? A. "Apply cold compresses between feedings." B. "Take warm shower right after feedings." C. "Apply breast milk to the pipes and allow them to air dry." D. "Use the various infant positions for feedings."
A. "Apply cold compresses between feedings."
A nurse is preparing to administer a vitamin k injection to a newborn. Which of the following responses should the nurse make to the newborn's mother regarding why this medication is given? A. "It assists with blood clotting." B. "It promotes maturation of the bowel." C. "It is a preventative vaccine." D. "It provides immunity."
A. "It assists with blood clotting."
A nurse in a clinic is caring for a client who is to be seen by the provider for a postoperative appointment following a salpingectomy due to an ectopic pregnancy. Which of the following statements by the client requires clarification? A. "It is good to know that I won't have a tubal pregnancy in the future." B. "The doctor said that this surgery can affect my ability to get pregnant again." C. "I understand that one of my fallopian tubes had to be removed." D. "Ovulation can still occur because my ovaries were not affected."
A. "It is good to know that I won't have a tubal pregnancy in the future."
A nurse educator in the labor and delivery unit is reviewing the use of chemical agents to promote cervical ripening with a group of newly hired nurses. Which of the following statements by a nurse indicates understanding of the teaching? A. "They are administered in an oral form." B. "They act by absorbing fluid from tissues." C. "They promote dilation of the os. D. "They include an amniotomy."
A. "They are administered in an oral form."
A nurse is teaching a newly licensed nurse how to bathe a newborn and observes a Bluish marking across the newborn's lower back. The nurse should include which of the following information in the teaching? A. "This is frequently seen in newborns who have dark skin." B. "This is a finding indicating hyperbilirubinemia." C. "This is a forceps mark from an operative delivery." D. "This is related to prolonged birth or trauma during delivery."
A. "This is frequently seen in newborns who have dark skin."
A nurse is providing discharge teaching for a nonlactating client. Which of the following instructions should the nurse include in the teaching? A. "Wear a supportive bra continuously for the first 72 hours." B. "Pump your breast every 4 hours to relieve discomfort." C. "Use breast shells throughout the day to decrease milk supply." D. "Apply warm compresses until milk suppression occurs"
A. "Wear a supportive bra continuously for the first 72 hours."
A nurse is providing care for a client who is at 32 weeks of gestation and who has a placenta previa. The nurse notes that the client is actively bleeding. Which of the following types of medications should the nurse anticipate the provider will prescribe? A. Betamethasone B. Indomethacin C. Nifedipine D. Methylergonovine
A. Betamethasone
A nurse on the postpartum unit is performing a physical assessment of a client who is being admitted with a suspected deep-vein thrombosis (DVT). Which of the following clinical findings should the nurse expect? (Select all that apply.) A. Calf tenderness to palpation B. Mottling of the affected extremity C. Elevated temperature D. Area of warmth E. Report of nausea
A. Calf tenderness to palpation C. Elevated temperature D. Area of warmth
A nurse is caring for a client who has gonorrhea. Which of the following medications should the nurse anticipate the provider will prescribe? A. Ceftriaxone B. Fluconazole C. Metronidazole D. Zidovudine
A. Ceftriaxone
A nurse is caring for a client who has gonorrhea. Which of the following medications should the nurse anticipate the provider will prescribe? A. Ceftriaxone B. Fluconazole C. Metronidazole D. Zidovudine
A. Ceftriaxone Ceftriaxone IM or doxycycline orally for 7 days is prescribed for the treatment of gonorrhea.
A nurse is caring for a client who is 1 hr postpartum following a vaginal birth and experiencing uncontrollable shaking. The nurse should understand that the shaking is due to which of the following factors? (Select all that apply.) A. Change in body fluids B. Metabolic effort of labor C. Diaphoresis D. Decrease in body temperature E. Decrease in prolactin levels
A. Change in body fluids B. Metabolic effort of labor
A nurse in a prenatal clinic is caring for a client who is in the first trimester of pregnancy. The client's health record includes this data: G3 T1 P0 A1 L1. How should the nurse interpret this information? (Select all that apply.) A. Client has delivered one newborn at term. B. Client has experienced no preterm labor. C. Client has been through active labor. D. Client has had two prior pregnancies. E. Client has one living child.
A. Client has delivered one newborn at term. D. Client has had two prior pregnancies. E. Client has one living child.
A nurse in a prenatal clinic is providing education to a client who is in he 8th week of gestation. The client states that she does not like milk. Which of the following foods should the nurse recommend as a good source of calcium? A. Dark green leafy vegetables B. Deep red or orange vegetables C. White breads and rice D. Meat, poultry, and fish
A. Dark green leafy vegetables
A nurse is caring for a client who is pregnant and is to undergo a contraction stress test (CST). Which of the following findings are indications for this procedure? (Select all that apply.) A. Decrease fetal movement B. Intrauterine growth restriction (IUGR) C. Postmaturity D. Placenta previa E. Amniotic fluid emboli
A. Decrease fetal movement B. Intrauterine growth restriction (IUGR) C. Postmaturity
A nurse is caring for a client who is pregnant and is to undergo a contraction stress test (CST). Which of the following findings are indications for this procedure? (Select all that apply.) A. Decreased fetal movement B. Intrauterine growth restriction (IUGR) C. Postmaturity D. Placenta previa E. Amniotic fluid emboli
A. Decreased fetal movement B. Intrauterine growth restriction (IUGR) C. Postmaturity
A nurse is discussing risks factors for UTI with a newly licensed nurse. Which of the following conditions should the nurse include in the teaching? (Select all that apply.) A. Epidural anesthesia B. Urinary bladder catheterization C. Frequent pelvic examination D. History of UTIs E. Vaginal birth
A. Epidural anesthesia B. Urinary bladder catheterization C. Frequent pelvic examination D. History of UTIs
A nurse is admitting a client who is in labor and has HIV. Which of the following interventions should the nurse identify as contraindicated for the client? (Select all that apply.) A. Episiotomy B. Oxytocin C. Forceps D. Cesarean birth E. Internal fetal monitor
A. Episiotomy C. Forceps E. Internal fetal monitoring
A nurse is admitting a client who is in labor and has HIV. Which of the following interventions should the nurse identify as contraindicated for this client? (Select all that apply.) A. Episiotomy B. Oxytocin infusion C. Forceps D. C/S E. Internal fetal monitoring
A. Episiotomy C. Forceps E. Internal fetal monitoring
A nurse is admitting a client who is in labor and has HIV. Which of the following interventions should the nurse identify as contraindicated for this client? (Select all that apply.) A. Episiotomy B. Oxytocin infusion C. Forceps D. Cesarean birth E. Internal fetal monitoring
A. Episiotomy C. Forceps E. Internal fetal monitoring
A nurse is caring for a client who has a prescription for magnesium sulfate. The nurse should recognize that which of the following are contraindications for use of this medication? (Select all that apply.) A. Fetal distress B. Preterm labor C. Vaginal bleeding D. Cervical dilation greater than 6 cm E Severe gestational hypertension
A. Fetal distress C. Vaginal bleeding D. Cervical dilation greater than 6 cm
A nurse is caring for a client who has been in labor for 12 hrs and her membranes are intact. The provider has decided to perform an amniotomy in an effort to facilitate the progress of labor. The nurse performs a vaginal examination to ensure which of the following prior to the performance of the amniotomy? A. Fetal enlargment B. Fetal life C. Fetal attitude D. Fetal position
A. Fetal enlargement
A nurse is caring for a client who is in labor. The nurse should identify that which of the following infections can be treated during labor or immediately following birth? (Select all that apply.) A. Gonorrhea B. Chlamydia C. HIV D. Group B streptococcus beta-hemolytic E. TORCH infection
A. Gonorrhea B. Chlamydia C. HIV D. Group B streptococcus beta-hemolytic
A nurse is caring for a client who is in labor. The nurse should identify that which of the following infections can be treated dring labor or immediately following birth? (Select all that apply.) A. Gonorrhea B. Chlamydia C. HIV D. Group B streptococcus beta-hemolytic E. TORCH infection
A. Gonorrhea B. Chlamydia C. HIV D. Group B streptococcus beta-hemolytic
A nurse is caring for a client who is in labor. The nurse should identify that which of the following infections can be treated during labor or immediately following birth? (Select all that apply.) A. Gonorrhea B. Chlamydia C. HIV D. Group B streptococcus beta-hemolytic E. TORCH infection
A. Gonorrhea B. Chlamydia C. HIV D. Group B streptococcus beta-hemolytic
A nurse is reviewing contraindications for circumcision with a newly hired nurse. Which of the following conditions are contraindications? (Select all that apply.) A. Hypospadias. B. Hydrocele C. Family history of hemophilia D. Hyperbilirubinemia E. Epispadias
A. Hypospadias. C. Family history of hemophilia E. Epispadias
A nurse is caring for ac leant who is postpartum. The nurse should identify which of the following findings as an early indicator of hypovolemia caused by hemorrhage? A. Increasing pulse and decreasing blood pressure B. Dizziness and increasing respiratory rate C. Cool, clammy skin, and pale mucous membranes D. Altered mental status and level of consciousness
A. Increasing pulse and decreasing blood pressure
A nurse is caring for a client who is pregnant and states that her last menstrual period was April 1st. Which of the following is the client's estimated date of delivery? A. January 8 B. January 15 C. February 8 D. February 15
A. January 8
A nurse in an antepartum clinic is assessing a client who has a TORCH infection. Which of the following findings should the nurse expect? (Select all that apply.) A. Joint pain B. Malaise C. Rash D. Urinary frequency E. Tender lymph nodes
A. Joint pain B. Malaise C. Rash E. Tender lymph nodes
A nurse in an antepartum clinic is assessing a client who has a TORCH infection. Which of the following findings should the nurse expect? (Select all that apply.) A. Joint pain B. Malaise C. Rash D. Urinary frequency E. Tender lymph nodes
A. Joint pain B. Malaise C. Rash E. Tender lymph nodes
A nurse is called to the birthing room to assist with the assessment of a newborn who was born at 32 weeks of gestation. The newborn's birth weight is 1,100g. Which of the following are expected findings in this newborn? (Select all that apply.) A. Lanugo B. Long nails C. Weak grasp reflex D. Translucent skin E. Plump face
A. Lanugo C. Weak grasp reflex D. Translucent skin
A nurse is performing a fundal assessment for a client who is 2 days postpartum and observes the perineal pad for lochia. She notes the pad to be saturated approximately 12 cm with lochia that is bright re and contains small clots. Which of the following findings should the nurse document? A. Moderate lochia rubra B. Excessive blood loss C. Light lochia rubra D. Scant lochia serosa
A. Moderate lochia rubra
A nurse is caring for a client who is at 14 weeks of gestation and has hyperemesis gravidarum. The nurse should identify that which of the following are risk factors for the client? (Select all that apply.) A. Obesity B. Multifetal pregnancy C. Maternal age greater than 40 D. Migraine headache E. Oligohydramnios
A. Obesity B. Multifetal pregnancy D. Migraine headache
A nurse in an infertility clinic is providing care to a couple who has been unable to conceive for 18 months. Which of the following data should be included in the assessment? (Select all that apply) A. Occupation B. Menstrual history C. Childhood infectious diseases D. History of falls E. Recent blood transfusions
A. Occupation B. Menstrual history C. Childhood infectious diseases
A nurse is caring for a client who is at 42 weeks of gestation and is admitted to the labor and delivery unit. During an ultrasound, it is noted that the fetus is LGA. The nurse reviews the prescription from the provider to begin an amnioinfusion. Which of the following conditions should the nurse plan to prepare an amnioinfusion? (Select all that apply.) A. Oligohydramnios B. Hydramnios C. Fetal cord compression D. Hydration E. Fetal immaturity
A. Oligohydramnios C. Fetal cord compression
A nurse is caring for a newborn who is preterm and has respiratory distress syndrome. Which of the following should the nurse monitor to evaluate the newborn's condition following administration of synthetic surfactant? A. Oxygen saturation B. Body temperature C. Serum bilirubin D. Heart rate
A. Oxygen saturation
A nurse educator on the postpartum unit is reviewing risk factors for postpartum hemorrhage with a group of nurses. Which of the following factors should the nurse include in the teaching? (Select all that apply.) A. Precipitous delivery B. Obesity C. Inversion of the uterus D. Oligohydramnios E. Retained placental fragments
A. Precipitous delivery
A nurse is caring for a client who has disseminated intravascular coagulation (DIC). Which of the following antepartum complications should the nurse understand is a risk factor for this condition? A. Preeclampsia B. Thrombophlebitis C. Placenta previa D. Hyperemesis Gravidarum
A. Preeclampsia
A nurse is administering magnesium sulfate IV to a client who has severe Preeclampsia for seizure prophylaxis. Which of the following indicates magnesium sulfate toxicity? (Select all that apply.) A. Respirations less than 12/min B. Urinary output less than 30 mL/hr C. Hyperreflexic DTR D. Decreased LOC E. Flushing and sweating
A. Respirations less than 12/min B. Urinary output less than 30 mL/hr D. Decreased LOC
A nurse is caring for a client who has mastitis. Which of the following is the typical causative agent of mastitis? A. Staphylococcus aureus B. Chlamydia trachomatis C. Klebsiella pneumonia D. Clostridium perfringens
A. Staphylococcus aureus
A nurse is caring for a client who reports indications of preterm labor. Which of the following findings are risk factors of this condition? A. UTI B. Multifetal pregnancy C. Oligohydramnios D. DM E. Uterine abnormalities
A. UTI B. Multifetal pregnancy D. DM E. Uterine abnormalities
A nurse is completing postpartum discharge teaching to a client who had no immunity to varicella and was given varicella vaccine. Which of the following statements by the client indicates understanding of the teaching? A. "I will need to use contraception for 3 months before considering pregnancy." B. "I need a second vaccination at my postpartum visit." C. "I was given the vaccine because my baby is O-Positive." D "I will be tested in 3 months to see if i have developed immunity."
B. "I need a second vaccination at my postpartum visit."
A nurse is reviewing discharge teaching with a client who has a UTI. Which of the following statements by the client indicates understanding of the teaching? (Select all that apply.) A. "I will preform peri care and apply a perineal pad in a back-to-front direction." B. "I will drink cranberry and prune juices to make my urine more acidic." C. "I will drink large amounts of fluids to flush the bacteria from my urinary tract." D. "I will go back to breastfeeding after i have finished taking the antibiotic." E. "I will take Tylenol for any discomfort."
B. "I will drink cranberry and prune juices to make my urine more acidic." C. "I will drink large amounts of fluids to flush the bacteria from my urinary tract."
A nurse is teaching a newly licensed nurse about neonatal abstinence syndrome. Which of the following statements by the newly licensed nurse indicate understanding of the teaching? A. "The newborn will have decreased muscle tone." B. "The newborn will have a continuous high-pitched cry." C. "The newborn will sleep for 2-3 hours after feeding." D. "The newborn will have mild tremors when disturbed."
B. "The newborn will have a continuous high-pitched cry."
A nurse in a prenatal clinic is caring for four clients. Which of the following clients' weight gain should the nurse report to the provider? A. 1.8 kg (4 lb) weight gain and is in her first trimester B. 3.6 kg (8 lb) weight gain and is in her first trimester C. 6.8 kg (15 lb) weight gain and is in her second trimester D. 11.3 kg (25 lb) weight gain and is in her third trimester
B. 3.6 kg (8 lb) weight gain and is in her first trimester
A nurse is providing care to four clients on the postpartum unit. Which of the following clients is at greatest risk for developing a postpartum infection? A. A client who has an episiotomy that is erythematous and has extended into a third-degree laceration B. A client who does not wash her hands between perineal care and breastfeeding C. A client who is not breastfeeding and is using measures to suppress lactation D. A client who has a cesarean incision that is well-approximated with no drainage
B. A client who does not wash her hands between perineal care and breastfeeding
A nurse on the postpartum unit is caring for four clients. Which of the following clients should the nurse recognize as the greatest risk for development of a postpartum infection? A. A client who experiences a precipitous labor less than 3 hr in duration B. A client who has premature rupture of membranes and prolonged labor C. A client who delivered a large for gestational age infant D. A client who has a boggy uterus that was not well-contracted
B. A client who has premature rupture of membranes and prolonged labor
A nurse in a clinic is caring for a group of female clients who are being evaluated for infertility. Which of the following clients should the nurse anticipate the provider will refer to a genetic counselor? A. A client whose sister has alopecia B. A client whose partner has von Willebrand disease C. A client who has an allergy to sulfa D. A client who had rubella 3 mo ago
B. A client whose partner has von Willebrand disease
A nurse is caring for a newborn who was born at 38 weeks of gestation, weighs 3,200 g, and is in the 60th percentile for weight. Based on the weight and gestational age, the nurse should classify this neonate as which of the following? A. Low birth weight B. Appropriate gestational age C. Small for gestational age D. Large for gestational age
B. Appropriate gestational age
A nurse is caring for a newborn. Which of the following actions by the newborn indicates readiness to feed? A. Spits up clear mucus B. Attempts to place his hand in his mouth C. Turns his head toward sounds D. Lies quietly with his eyes open
B. Attempts to place his hand in his mouth
A nurse is providing care for a client who is diagnosed with a marginal abruptio placentae. The nurse is aware that which of the following findings are risk factors for developing the condition? (Select all that apply.) A. Fetal position B. Blunt abdominal trauma C. Cocaine use D. Maternal age E. Cigarette smoking
B. Blunt abdominal trauma C. Cocaine use E. Cigarette smoking
A nurse is caring for a client who is receiving nifedipine for prevention of PTL. The nurse should monitor for which of the following manifestations? A. Blood-tinged sputum B. Dizziness C. Pallor D. Somnolence
B. Dizziness
A nurse is caring for a client who is receiving oxytocin for induction of labor and has an intrauterine pressure catheter (IUPC) placed to monitor uterine contractions. For which of the following contraction patterns should the nurse discontinue the infusion of oxytocin? A. Frequency of every 2 min B. Duration of 90 to 120 seconds C. Intensity of 60 to 90 mm Hg D. Resting tone of 15 mm Hg
B. Duration of 90 to 120 seconds
A nurse in the emergency department is caring for a client who reports abrupt, sharp, right-sided lower quadrant abdominal pain and bright red vaginal bleeding. The client states she missed one menstrual cycle and cannot be pregnant because she had an intrauterine device. The nurse should suspect which of the following? A. Missed abortion B. Ectopic pregnancy C. Severe preeclampsia D. Hydatidiform mole
B. Ectopic pregnancy
A nurse in the emergency department is caring for a client who reports abrupt, sharp, right-sided lower quadrant abdominal pain and bright red vaginal bleeding. The client states she missed one menstrual cycle and cannot be pregnant because she has an intrauterine device. The nurse should suspect which of the following? A. Missed abortion B. Ectopic pregnancy C. Severe Preeclampsia D. Hydatidiform mole
B. Ectopic pregnancy
A nurse is reviewing findings of a client's biophysical profile (BPP). The nurse should expect which of the following variables to be included in this test? (Select all that apply.) A. Fetal weight B. Fetal breathing movement C. Fetal tone D. Fetal position E. Amniotic fluid volume
B. Fetal breathing movement C. Fetal tone E. Amniotic fluid volume
A nurse is reviewing the health record of a client who is pregnant. The provider indicated the client exhibits probable signs of pregnancy. Which of the following findings should the nurse expect? (Select all that apply.) A. Montgomery's glands B. Goodell's sign C. Ballottement D. Chadwick's sign E. Quickening
B. Goodell's sign C. Ballottement D. Chadwick's sign
A nurse is teaching a client about potential adverse effects if implantable progestins. Which of the following adverse effects should nurse include? (Select all that apply.) A. Tinnitus B. Irregular vaginal bleeding C. Weight gain D. Breast changes E. Gingival hyperplasia
B. Irregular vaginal bleeding C. Weight gain D. Breast changes
A nurse is teaching a client about potential adverse effects of implantable progestins. Which of the following adverse effects should the nurse include? (Select all that apply.) A. Tinnitus B. Irregular vaginal bleeding C. Weight gain D. Breast changes E. Gingival hyperplasia
B. Irregular vaginal bleeding C. Weight gain D. Breast changes
A nurse is caring for a client who is in PTL and is scheduled to undergo an amniocentesis. The nurse should evaluate which of the following tests to assess fetal lung maturity? A. Alpha-fetoprotein (AFP) B. Lecithin / sphingomyelin (L/S) ratio C. Kleihauer- Betke test D. Indirect Coomb's test
B. Lecithin / sphingomyelin (L/S) ratio
A nurse is caring for a client who is in preterm labor and is scheduled to undergo an amniocentesis. The nurse should evaluate which of the following tests to assess fetal lung maturity? A. Alpha-fetoprotein (AFP) B. Lecithin/ sphingomyelin (L/S) ratio C. Kleihauer- Bette test D. Indirect coomb's test
B. Lecithin / sphingomyelin (L/S) ratio
A nurse is assessing a postpartum client for fundal height, location, and consistency. The fundus is note to be displaced laterally to the right, and there is Uterine atony. The nurse should identify which of the following conditions as the cause of the uterine atony? A. Poor involution B. Urinary retention C. Hemorrhage D. Infection
B. Urinary retention
A nurse is caring for a client who has suspected hyperemesis gravidarum and is reviewing the client's laboratory reports. Which of the following findings is a manifestation of this condition? A. HgB 12.2 g/dL B. Urine ketones present C. Alanine aminotransferase D. Serum glucose 114 mg/dL
B. Urine ketones present
A nurse is teaching a client who is breastfeeding and has mastitis. Which of the following responses should the nurse make? A. "Limit the amount of time the infant nurses on each breast." B. "Nurse the infant only on the unaffected breast until resolved." C. "Completely empty each breast at each feeding or use a pump." D. "Wear a tight-fitting bra until lactation has ceased."
C. "Completely empty each breast at each feeding or use a pump."
A nurse is reviewing a new prescription for ferrous sulfate with a client who is at 12 weeks of gestation. Which of the following statements by the client indicates understating of the teaching? A. "I will take this pill with my breakfast." B. "I will take this medication with a glass of milk." C. "I plan to drink more orange juice while taking this pill." D. "I plan to add more calcium-rich foods to my fit while taking this medication."
C. "I plan to drink orange juice while taking this pill."
A nurse is providing discharge teaching to the parents of a newborn regarding circumcision care. Which of the following statements made by a parent indicates an understanding of the teaching? A. "His circumcision will heal within a couple of days." B. "I should remove the yellow mucus that will form." C. "I will clean his penis with each diaper change." D. "I will give him a tub bath within a couple of days."
C. "I will clean his penis with each diaper change."
A nurse is caring for a couple who is being evaluated for infertility. Which of the following statements by the nurse indicated understanding of the infertility process? A. "You will need to see a genetic counselor as part of the assessment." B. "It is usually the woman who is having trouble, so the man doesn't have to be involved." C. "The man is the easiest to assess, and the provider will usually begin there." D. "Think about adopting first because there are many babies that need good homes."
C. "The man is the easiest to assess, and the provider will usually begin there."
A nurse in a prenatal clinic is caring for a client who is pregnant and experiencing episodes of maternal hypotension. The client asks the nurse what causes these episodes. Which of the following responses should the nurse make? A. "This is due to an increase in blood volume." B. "This is due to pressure from the uterus on the diaphragm." C. "This is due to the weight of the uterus on the vena cava." D. "This is due to increased cardiac output."
C. "This is due to the weight of the uterus on the vena cava."
A nurse is teaching a client who is pregnant about amniocentesis procedure. Which of the following statements should the nurse include in the teaching? A. "You will lay on your right side during the procedure." B. "You should not eat anything for 24 hours prior to the procedure." C. "You should empty your bladder prior tot he procedure." D. "The test is done to determine gestational age."
C. "You should empty your bladder prior to the procedure."
A nurse is teaching a client who is pregnant about the amniocentesis procedure. Which of the following statements should the nurse include in the teaching? A. "You will lay on your right side during the procedure." B, "You should not eat anything for 24 hrs prior to the procedure." C. "You should empty your bladder prior to the procedure." D. "The test is done to determine gestational age."
C. "You should empty your bladder prior to the procedure."
A nurse in a clinic is teaching a client about her new prescription for medroxyprogesterone. Which of the following information should the nurse include in the teaching? (Select all that apply.) A. "Weight loss can occur." B. "You are protected against STIs." C. "You should increase your intake of calcium." D. "You should avoid taking antibiotics." E. "Irregular vaginal spotting can occur."
C. "You should increase your intake of calcium." E. "Irregular vaginal spotting can occur."
A nurse in a clinic is teaching a client about her new prescription for medroxyprogeterone. Which of the following information should the nurse include in the teaching? (Select all that apply.) A. "Weight loss can occur." B. "You are protected against STI's." C. "You should increase your intake of calcium." D. "You should avoid taking antibiotics." E. "Irregular vaginal spotting can occur."
C. "You should increase your intake of calcium." E. "Irregular vaginal spotting can occur."
During ambulation to the bathroom, a postpartum client experiences a gush of dark red blood that soon stops. On assessment, a nurse finds the uterus to be firm,milling, and at the level of the umbilicus. Which of the following findings should the nurse interpret this data as being? A. Evidence of possible vaginal hematoma B. An indication of a cervical or perineal laceration C. A normal postural discharge of lochia D. Abnormally excessive lochia rubra flow
C. A normal postural discharge of lochia
A nurse is completing an assessment. Which of the following data indicate the newborn is adapting to extrauterine life? (Select all that apply.) A. Expiratory grunting B. Inspiratory nasal flaring C. Apnea for 10-second periods D. Obligatory nose breathing E. Crackles and wheezing
C. Apnea for 10-second periods D. Obligatory nose breathing
A nurse is caring for a newborn immediately following a circumcision using a Gomco procedure. Which of the following actions should the nurse implement? A. Apply gel foam powder the the site B. Place the newborn in the prone position C. Apply petroleum gauze to the site D. Avoid changing the diaper until the first voiding
C. Apply petroleum gauze to the site
A nurse is reviewing car seat safety with the parents of a newborn. Which of the following instructions should the nurse include in the teaching regarding car seat position? A. Front seat, rear-facing B. Front seat, forward-facing C. Back seat, rear-facing D. Back seat, forward-facing
C. Back seat, rear-facing
A nurse is preparing to administer prophylactic eye ointment to a newborn to prevent ophthalmia neonatorum. Which of the following medications should the nurse anticipate administering? A. Ofloxacin B. Nystatin C. Erythromycin D. Ceftriaxone
C. Erythromycin
A newborn was not dried completely after birth. Which of the following mechanisms should the nurse understand causes heat loss? A. Conduction B. Convection C. Evaporation D. Radiation
C. Evaporation
A nurse at an antepartum clinic is caring for a client who is at 4 months gestation. The client reports continued nausea and vomiting and scant, prune-colored discharge. She has experienced no weight loss and has a fundal height larger than expected. Which of the following complications should the nurse suspect? A. Hyperemesis gravidarum B. Threatened abortion C. Hydatidiform mole D. Preterm mole
C. Hydatidiform mole
A nurse at an antepartum clinic is caring for a client who is at 4 months of gestation. The client reports continued nausea and vomiting and scant, prune-colored discharge. She has experienced no weight loss and has a fundal height larger than expected. Which of the following complications should the nurse suspect? A. Hyperemesis gravidarum B. Threatened abortion C. Hydatidiform mole D. Preterm labor
C. Hydatidiform mole
A nurse is teaching a group of new parents about proper techniques for bottle feeding. Which of the following instructions should the nurse provide? A. Burp the newborn at the end of the feeding B. Hold the newborn close in a supine position C. Keep the nipple full of formula throughout the feeding D. Refrigerate any unused formula
C. Keep the nipple full of formula throughout the feeding
A nurse is providing discharge instructions to a postpartum client following a cesarean birth. The client reports leaking urine every time she sneezes or coughs. Which of the following intervention should the nurse suggest? A. Sit-ups B. Pelvic tilt exercises C. Kegel exercises D. Abdominal crunches
C. Kegel exercises
A nurse is taking a newborn to a mother following a circumcision. Which of the following actions should the nurse take for security purposes ? A. Ask the mother to state her full name B. Look at the name on the newborn's bassinet C. Match the mother's identification band with the newborn's band D. Compare name on the bassinet and room number
C. Match the mother's identification band with the newborns band
A nurse is reviewing formula preparation with parents who plan to bottle-feed their newborn. Which of the following information should the nurse include in the teaching ? (Select all that apply.) A. Use a disinfectant wipe to clean the lid of the formula can. B. Store prepared formula in the refrigerator for up to 72 hours. C. Place used bottles in the dishwasher. D. Check the nipple for appropriate flow of formula. E. Use tap water to dilute concentrated formula
C. Place used bottles in the dishwasher. D. Check the nipple for appropriate flow of formula. E. Use tap water to dilute concentrated formula
A nurse is caring for a client who had no prenatal care, is Rh- negative, and will undergo an external version at 37 weeks of gestation. Which of the following medication should the nurse plan to administer prior to the version? A. Prostaglandin gel B. Magnesium sulfate C. Rho(D) immune globulin D. Oxytocin
C. Rho(D) immune globulin
A nurse is instructing a client who is taking an oral contraceptive about danger signs to report to her provider. The nurse determines the client understands the teaching when the client states the end to report which of the following? A. Reduced menstrual flow B. Breast tenderness C. Shortness of breath D. Headaches
C. Shortness of breath
A nurse is instructing a client who is taking an oral contraceptive about danger signs to report to her provider. The nurse determines the client understands the teaching when the client states the need to report which of the following? A. Reduced menstrual flow B. Breast tenderness C. Shortness of breath D. Headaches
C. Shortness of breath
A nurse is providing discharge introductions for a client. At 4 weeks postpartum, the client should contact her provider for which of the following client findings? A. Scant, nonodourous white vaginal discharge B. Uterine cramping during breastfeeding C. Sore nipple with cracks and fissures D. Decreased response with sexual activity
C. Sore nipple with cracks and fissures
A nurse is caring for an infant who has a high bilirubin level and is receiving phototherapy. Which of the following is the priority finding in the newborn? A. Conjunctivitis B. Bronze skin discoloration C. Sunken fontanels D. Maculopapular skin rash
C. Sunken fontanels
A nurse manager is reviewing ways to prevent a TORCH infection during pregnancy with a group of newly licensed nurses. Which of the following statements by a nurse dictates understanding of the teaching? A. "Obtain an immunization against rubella early in pregnancy." B. "Seek prophylactic treatment if cytomegalovirus is detected during virus." C. "A woman should avoid crowded places during pregnancy." D. "A woman should avoid consuming undercooked meat while pregnant."
D. "A woman should avoid consuming undercooked meat while pregnant."
A nurse manager is reviewing ways to prevent a TORCH infection during pregnancy with a group of newly licensed nurses. Which of the following statements by a nurse indicates understanding of the teaching? A. "Obtain an immunization against rubella early in pregnancy." B. "Seek prophylactic treatment if cytomegalovirus is detected during pregnancy." C. "A woman should avoid crowded places during pregnancy." D. "A woman should avoid consuming undercooked meat while pregnant."
D. "A woman should avoid consuming undercooked meat while pregnant."
A nurse in an obstetrical clinic is teaching a client about using an IUD for contraception. Which of the following statements by the client indicates an understanding of the teaching? A. "An IUD should be replaced annually during a pelvic exam" B. "I cannot get an IUD until after I've had a child" C. "I should plan on regaining fertility 5 months after the IUD is removed." D. "I will check to be sure the strings of the IUD are still present after my periods."
D. "I will check to be sure the strings of the IUD are still present after my periods."
A nurse in an obstetrical clinic is teaching a client about using an IUD for contraception. Which of the following statements by the client indicates an understanding of the teaching? A. "An IUD should be replaced annually during a pelvic exam." B. "I cannot get an IUD until after I've had a child." C. "I should plan on regaining fertility 5 month after the IUD is removed." D. "I will check to be sure the strings of the IUD are still present after my periods."
D. "I will check to be sure the strings of the IUD are still present after my periods."
A nurse is reviewing postpartum nutrition needs with a group of new mothers who are breastfeeding their newborns. Which of the following statements by a member of the group indicates an understanding of the teaching? A. "I am glad I can have my morning coffee." B. "I should take folic acid to increase my milk supply." C. "I will online adding 330 calories per day to my diet." D. "I will continue my calcium supplements because I don't like milk."
D. "I will continue my calcium supplements because I don't like milk."
A nurse is caring for a client who is pregnant and undergoing a nonstress test. The client asks why the nurse is using an acoustic vibration device. Which of the following responses should the nurse make? A. "It is used to stimulate uterine contractions." B. "It will decrease the incidence of uterine contractions." C. "It lulls the fetus to sleep." D. "It awakens a sleeping fetus."
D. "It awakens a sleeping fetus."
A nurse in a clinic receives a phone call from a client who believes she is pregnant and would like to be tested in the clinic to confirm her pregnancy. Which of the following information should the nurse provide to the client? A. "You should wait until 4 weeks after conception to be tested." B. "You should be off any medications for 24 hours prior tot he test." C. "You should be NPO for at least 8 hours prior to the test." D. "You should collect urine from the first morning void."
D. "You should collect urine from the first morning void."
A nurse is caring for a client who is at 42 weeks gestation and in labor. The client asks the nurse what should she expect because her baby is postmature. Which of the following statements should the nurse make? A. "Your baby will have excess body fat." B. "Your baby will have flat areola without breast buds." C. "Your baby's heals will easily move to his ears." D. "Your baby's skin will have a leathery appearance."
D. "Your baby's skin will have a leathery appearance."
A nurse in labor and delivery is providing care for a client who is in preterm labor at 32 weeks of gestation. Which of the following medications should the nurse anticipate the provider will prescribe to hasten fetal lung maturity? A. Calcium gluconate B. Indomethacin C. Nifedipine D. Betamethasone
D. Betamethasone
A nurse is caring for a client who is receiving IV magnesium sulfate. Which of the following medications should the nurse anticipate administering if magnesium sulfate toxicity is suspected? A. Nifedipine B. Pyridoxine C. Ferrous sulfate D. Calcium gluconate
D. Calcium gluconate
A nurse is caring for a newborn immediately following birth. Which of the following nursing interventions is the highest priority? A. Initiating breastfeeding B. Performing the initial bath C. Giving a vitamin K injection D. Covering the newborn's head with a cap
D. Covering the newborn's head with a cap
A nurse is reviewing breastfeeding positions with the mother of a newborn. Which of the following positions should the nurse discuss? A. Over-the-shoulder B. Supine C. Chin-supported D. Cradle
D. Cradle
A nurse is completing a newborn assessment and observes small white nodules on the roof of the newborn;s mouth. This finding is a characteristic of which of the following conditions? A. Mongolian spots B. Milia spots C. Erythema toxicum D. Epstein's Pearls
D. Epstein's pearls
A nurse is assessing the reflexes of a newborn. In checking for the Moro reflex, the nurse should perform which of the following? A. Hold the newborn vertically under arms and allow one foot to touch table B. Stimulate the pads of the newborn's hands with stoking or massage C. Stimulate the soles of the newborn's feet on the outer lateral surface of each foot D. Hold the newborn in a semi-sitting position, then allow the newborn's head and trunk to fall backward
D. Hold the newborn in a semi-sitting position, then allow the newborn's head and trunk to fall backward
A nurse is reviewing discharge teaching with a client who has premature rupture of membrane at 26 wks of gestation. Which of the following instructions should the nurse include in the teaching? A. Use a condom with sexual intercourse. B. Avoid bubble bath solution when taking a tub bath. C. Wipe from the back to front when performing perineal hygiene. D. Keep a daily record of fetal kick counts.
D. Keep a daily record of fetal kick counts.
A nurse is reviewing care of the umbilical cord with the parent of a newborn. Which of the following instructions should the nurse include in the teaching? A. Cover the cord with a small gauze square. B. Trickle clean water over the cord with each diaper changes. C. Apply hydrogen peroxide to the cord twice a day. D. Keep the diaper folded below the cord.
D. Keep the diaper folded below the cord
A nurse on the postpartum unit is planning care for a client who has thrombophlebitis. Which of the following nursing interventions should the nurse include in the plan of care? A. Apply cold compresses to the affected extremity. B. Massage the affected extremity. C. Allow the client to ambulated. D. Measure leg circumferences.
D. Measure leg circumferences.
A nurse in a clinic is teaching a client of childbearing age about recommended folic acid supplements. Which of the following defects can occur in the fetus or neonate as a result of folic acid deficiency? A. Iron deficiency anemia B. Poor bone formation C. Macrosomic fetus D. Neural tube defects
D. Neural tube defects
A nurse is reviewing a new prescription for iron supplements with a client who is in the 8th week of gestation and has iron deficiency anemia. Which of the following beverages should the nurse instruct the client to take the iron supplements with? A. Ice water B. Low-fat or whole milk C. Tea or coffee D. Orange juice
D. Orange juice
A nurse is caring for a client who has a diagnosis of ruptured ectopic pregnancy. Which of the following findings is seen with this condition? A. No alteration in menses B. Transnational ultrasound indicating a fetus in the uterus C. Serum progesterone greater than the expected reference range D. Report of severe shoulder pain
D. Report of severe shoulder pain
A nurse is caring for a client who has a diagnosis of ruptured ectopic pregnancy. Which of the following findings is seen with this condition? A. No alteration in menses B. Transvaginal ultrasound indicating a fetus in the uterus C. Serum progesterone greater than the expected reference range D. Report of severe shoulder pain
D. Report of severe shoulder pain
A nurse is giving instructions to a mother about how to breastfeed her newborn. Which of the following actions by the other indicates understanding of the teaching? A. The mother places a few drops of water on her nipple before feeding B. The other gently removes her nipple from the infants mouth to break the suction C. When she is ready to breastfeed, the mother gently strokes the newborns neck with her finger D. When latched on, the infants nose, cheek, and chin are touching the breast
D. When latched on, the infants nose, cheek, and chin are touching the breast
