Nurse Moose
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    Exam Review

    1. A nurse is reviewing the facility protocol about newborn identification and safety with a new parent. Which of the following information should the nurse include?
      A)We will scan your baby's identification bracelet each time we check on him.
      B)You should check the identity of individuals who come to remove your baby from the room.
      C)We will match the bracelet on your baby with his footprint record each shift.
      D)Your baby will wear an electronic bracelet when he is out of your room.
    2. A nurse in an obstetric clinic is caring for four clients. The nurse should identify that an intrauterine device is contraindicated for which of the following clients?
      A)A client who has a history of gallbladder disease.
      B)A client who has a positive pregnancy test.
      C)A client who smokes one pack of cigarettes per day.
      D)A client who is nulliparous.
    3. A nurse is assisting with the care of a client who is in labor and has received nalbuphine hydrochloride. Which of the following manifestations should the nurse identify as an adverse effect of this medication?
      A)Fever.
      B)Diarrhea.
      C)Sedation.
      D)Diuresis.
    4. A nurse in a provider's office is collecting data from a client who is at 34 weeks of gestation and reports having a sudden gush of vaginal fluid. Which of the following manifestations is the priority?
      A)Maternal temperature 38.3°C (101°F).
      B)Fetal heart tones 98/min.
      C)Foul-smelling vaginal discharge.
      D)Amniotic fluid with meconium noted.
    Page 1 of 5

    Exam Review

    1. The nurse is collecting data from the client 24 hr later. How should the nurse interpret the findings?
      A)Moderate lochia rubra: Sign of potential improvement.
      B)Client reports decreased level of pain: Sign of potential improvement.
      C)Temperature 38.4°C (101°F): Sign of potential worsening condition.
      D)WBC count 15,000/mm³ : Sign of potential worsening condition.
    2. A nurse is assisting with the care of a client who is in labor and has an epidural infusion for pain management. The client's blood pressure is 80/40 mm Hg. Which of the following actions should the nurse take?
      A)Place the client in knee-chest position.
      B)Give a bolus of lactated Ringer's.
      C)Administer methylergonovine IM.
      D)Assist the client to empty her bladder.
    3. A nurse is reinforcing discharge teaching about home safety with a client who is postpartum. In which of the following positions should the nurse instruct the client to place their newborn in the crib?
      A)Supine.
      B)Left lateral.
      C)Right lateral.
      D)Prone.
    4. A nurse is collecting data from a newborn. The nurse should recognize that which of the following images demonstrates a positive Babinski reflex?
      A)Image showing toes fanning out when the sole is stroked.
      B)Image showing the newborn grasping a finger when the palm is touched.
      C)Image showing the newborn turning the head when the cheek is stroked.
      D)Image showing the newborn making stepping movements when held upright.
    Page 2 of 5

    Exam Review

    1. A nurse is contributing to the plan of care for a client who is postpartum and has mastitis. Which of the following actions should the nurse plan to take?
      A)Encourage the client to continue to breastfeed.
      B)Prepare the client for an abdominal sonogram.
      C)Encourage the client to wear a loose-fitting bra.
      D)Limit the client's daily fluid intake.
    2. A nurse is contributing to the plan of care for a newborn who requires phototherapy for hyperbilirubinemia. Which of the following interventions should the nurse recommend including in the plan?
      A)Reposition the newborn every 2 hours.
      B)Give the newborn 30 ml of distilled water after each feeding.
      C)Monitor the newborn's blood glucose level every hour.
      D)Apply a water-based ointment to the newborn's skin every 6 hours.
    3. A nurse is reinforcing teaching with a client about various contraceptive methods. Which of the following statements should the nurse include in the teaching?
      A)You will need to receive a medroxyprogesterone acetate injection once per month.
      B)Combined estrogen-progestin contraceptive pills cause longer periods.
      C)You will need to have your diaphragm replaced every 4 years.
      D)Oral contraceptives decrease the risk for endometrial cancer.
    4. A nurse is caring for a client who is at 9 weeks of gestation and reports nausea in the morning that continues until midafternoon. Which of the following actions should the nurse encourage the client to take?
      A)Eat dry, bland foods in the morning.
      B)Take an over-the-counter antacid.
      C)Increase intake of fresh fruits.
      D)Restrict fluids to 1,000 ml/day.
    Page 3 of 5

    Exam Review

    1. A nurse is reinforcing teaching with a client about common discomforts during the first trimester of pregnancy. Which of the following discomforts should the nurse include in the teaching?
      A)Tingling in the fingers.
      B)Round ligament pain.
      C)Urinary urgency and frequency.
      D)Perineal itching and pressure.
    2. A nurse is reinforcing teaching about car seat safety with a parent of a newborn. Which of the following statements by the parent indicates an understanding of the teaching?
      A)I can turn the car seat so it faces forward when my baby weighs 15 pounds.
      B)I will place a thick soft pad behind my baby's back.
      C)I should place my baby in the car seat at a 90-degree angle.
      D)I will place the retainer clip at the level of my baby's armpit.
    3. A nurse is reinforcing teaching about travel with a client who is pregnant. Which of the following instructions should the nurse include?
      A)Take a break and walk at least once every hour.
      B)Wear the shoulder harness snug across your shoulder.
      C)Position the lap belt across your hips.
      D)Move your car seat forward, close to the steering wheel.
    4. A nurse is assisting with the care of a client who is in labor and has received nalbuphine hydrochloride. Which of the following manifestations should the nurse identify as an adverse effect of this medication?
      A)Fever.
      B)Diarrhea.
      C)Sedation.
      D)Diuresis.
    Page 4 of 5

    Exam Review

    1. A nurse is caring for a client who inquires about available methods of contraception. Which of the following actions should the nurse take?
      A)Collect a dietary history.
      B)Assess the client's socioeconomic status.
      C)Perform unbiased teaching.
      D)Select the best method of contraception for the client.
    2. A nurse in an obstetric clinic is caring for four clients. The nurse should identify that an intrauterine device is contraindicated for which of the following clients?
      A)A client who has a history of gallbladder disease.
      B)A client who has a positive pregnancy test.
      C)A client who smokes one pack of cigarettes per day.
      D)A client who is allergic to latex.
    3. A nurse is collecting data from a client who is at 26 weeks of gestation and whose last appointment was 1 month ago. Which of the following findings should the nurse report to the provider?
      A)BP of 132/84 mm Hg.
      B)Double vision.
      C)Weight gain of 1 kg (2.2 lb).
      D)Pedal edema.
    4. A nurse is reinforcing teaching with a client who is at 24 weeks of gestation and has opioid use disorder. Which of the following statements should the nurse make?
      A)You will be prescribed methadone.
      B)You will be prescribed aripiprazole.
      C)You will be prescribed diazepam.
      D)You will be prescribed naloxone.
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