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    Exam Review

    1. A nurse is assisting a client who is in labor to the bathroom when the client reports a sudden gush of fluid. The nurse observes an umbilical cord protruding from the client's vagina. Which of the following actions should the nurse take first?
      A)Assist the client into a knee-chest position.
      B)Administer oxygen 10 L/min via face mask.
      C)Apply an external fetal monitor on the client.
      D)Loosely wrap the cord with a saline-saturated towel.
    2. A nurse is collecting data from a client at a 6-week postpartum checkup. The client tells the nurse, "I am breastfeeding and would like to use a birth control pill.”. Which of the following statements should the nurse make?
      A)"Progestin-only birth control pills are preferred for contraception during lactation.”.
      B)"You do not need birth control pills as long as you are lactating.”.
      C)"Birth control pills are contraindicated for breastfeeding clients.”.
      D)"Taking birth control pills while breastfeeding can increase your risk for breast cancer.”.
    3. A nurse is administering a miconazole vaginal suppository to a client who has vaginal candidiasis. Which of the following actions should the nurse take?
      A)Insert the suppository 5 cm (2 in).
      B)Apply petroleum jelly to the suppository.
      C)Insert the suppository along the posterior vaginal wall.
      D)Assist the client into a prone position.
    4. A nurse is caring for a client who is 1 hour postpartum following a vaginal delivery and reports discomfort at the episiotomy site. Which of the following actions should the nurse take?
      A)Apply witch hazel compresses.
      B)Administer aspirin.
      C)Have the client use a warm pack.
      D)Instruct the client to sit on a soft pillow.
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    Exam Review

    1. A nurse is reinforcing teaching about laboratory testing with a client who is at 6 weeks of gestation. Which of the following statements should the nurse include?
      A)"You will have a group B strep culture at 36 weeks of gestation.”.
      B)"You will have a maternal serum alpha-fetoprotein screening at 6 weeks of gestation.”.
      C)"You will have a screening for gestational diabetes at 12 weeks of gestation.”.
      D)"You will have to produce a clean-catch urine specimen every 2 months.”.
    2. 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)Sedation.
      B)Fever.
      C)Diarrhea.
      D)Diuresis.
    3. A nurse is caring for a client in an antepartum clinic following a maternal serum alpha-fetoprotein screening. The nurse should recognize that an elevated alpha-fetoprotein level is suggestive of which of the following?
      A)Neural tube defects.
      B)Phenylketonuria.
      C)Trisomy 21.
      D)Hemophilia.
    4. A nurse is reinforcing teaching about safety precautions to take when driving a car with a client who is in the first trimester of pregnancy. Which of the following instructions should the nurse include in the teaching?
      A)Wear the lap belt high across the abdomen.
      B)Disable the vehicle's driver-side airbags.
      C)Move the seat as far away as possible from the steering wheel.
      D)Place the shoulder harness across the gravid uterus.
    Page 2 of 5

    Exam Review

    1. A nurse is collecting data from an adolescent who is postoperative following a cesarean birth and is receiving morphine for pain. Which of the following findings is the nurse's priority?
      A)BP 105/62 mm Hg.
      B)Urinary retention.
      C)Respiratory rate 11/min.
      D)Blurred vision.
    2. A nurse is reinforcing teaching with a newly licensed nurse concerning a client on a postpartum unit following a cesarean birth. Which of the following measures should the nurse include in the instructions to prevent thrombophlebitis?(SATA)
      A)Administer NSAIDs every 4 to 6 hr.
      B)Have the client ambulate as often as possible.
      C)Apply warm, moist packs to the client's lower legs.
      D)Apply elastic stockings before the client gets out of bed.
    3. A nurse is caring for a client in an antepartum clinic following a maternal serum alpha-fetoprotein screening. The nurse should recognize that an elevated alpha-fetoprotein level is suggestive of which of the following?
      A)Neural tube defects.
      B)Phenylketonuria.
      C)Trisomy 21.
      D)Hemophilia.
    4. A nurse is reinforcing teaching with a client who is at 18 weeks of gestation and requires an increased intake of iron. Which of the following foods should the nurse recommend as the best source of iron?
      A)Chicken breast.
      B)Carrots.
      C)Feta cheese.
      D)Apples.
    Page 3 of 5

    Exam Review

    1. A nurse is preparing to administer acyclovir 400 mg tablet PO three times per day. Available are 800 mg tablets. How many tablets should the nurse administer with each dose? (Round the answer to the nearest tenth. Use a leading zero if it applies. Do not use a trailing zero.)
    2. A nurse is reinforcing discharge instructions with a postpartum client about breastfeeding. Which of the following statements by the client indicates an understanding of the teaching?
      A)"I will increase my intake of vitamin K.”.
      B)"I will increase my potassium intake while breastfeeding.”.
      C)"I will maintain the same caloric intake as during pregnancy.”.
      D)"I will maintain adequate fluid intake to quench my thirst.”. . . .
    3. A nurse in a prenatal clinic is reinforcing teaching with a group of women about the use of acupressure to relieve discomfort during labor. Which of the following instructions should the nurse include in the teaching?
      A)Use light strokes on the abdomen with a rhythmic breathing pattern.
      B)Immerse yourself in a tub of warm water.
      C)Place tennis balls on the sacral area and lean against them.
      D)Recognize specific signals, respond, and relax.
    4. A nurse is caring for a client who is 12 hours postpartum and has an episiotomy. Which of the following actions should the nurse take?
      A)Instruct the client to apply warm packs to the perineum every 8 hours.
      B)Tell the client to apply antibiotic ointment to the perineal area four times per day.
      C)Explain to the client how to dry her perineum by wiping with toilet tissue after each void.
      D)Encourage the client to take a sitz bath twice per day.
    Page 4 of 5

    Exam Review

    1. 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 during long trips.
      B)Position the lap belt across your navel.
      C)Move your car seat forward, close to the steering wheel.
      D)Wear the shoulder harness snug across your stomach.
    2. A nurse is collecting data from a newborn who was delivered at 40 weeks of gestation. Which of the following is an expected finding when eliciting reflexes from the newborn?
      A)The newborn's fingers curl around the nurse's finger when placed in the newborn's palm.
      B)The newborn closes their eyes and keeps them closed when tapped on the forehead.
      C)The newborn turns their head away from the stimulus when their cheek is touched.
      D)The newborn's legs flex at the knees and hips when pressure is applied to the soles of the newborn's feet.
    3. A nurse is reinforcing teaching at a prenatal visit about the importance of adequate folic acid intake with a client who is at 12 weeks of gestation. Which of the following client statements indicates an understanding of the teaching?
      A)It will reduce my baby's risk of having a spinal cord defect.
      B)It will prevent my baby from bleeding.
      C)It will strengthen my baby's immune system.
      D)It will make my baby's bones strong.
    4. A nurse is assisting with the care of a newborn who has neonatal abstinence syndrome. Which of the following actions should the nurse take first?
      A)Auscultate the newborn's bowel sounds.
      B)Swaddle the newborn in blankets.
      C)Determine the newborn's respiratory rate.
      D)Weigh the newborn's wet diaper.
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