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    Exam Review

    1. A nurse is assisting with the care of a client who was admitted to the postpartum unit.The client is diaphoretic, skin is clammy, pulse is rapid and strong, respirations are shallow.The client reports headache, nausea, and feeling weak.Which of the following actions should the nurse take?
      A)Administer oxygen.
      B)Offer an ice pack.
      C)Provide a warm blanket.
      D)Elevate the client’s legs.
    2. A nurse is assisting with the admission of a client who has hyperemesis gravidarum.Which of the following laboratory tests is the priority to complete?
      A)Serum bilirubin.
      B)Liver enzymes.
      C)CBC.
      D)Urinalysis for ketones.
    3. A nurse is caring for a client who had a vaginal delivery 4 hours ago and reports perineal pain of 6 on a scale of 0 to 10. Which of the following actions should the nurse take?
      A)Apply a corticosteroid cream to the perineal area twice daily.
      B)Increase the client’s fluid intake for 48 hours.
      C)Catheterize the client’s bladder.
      D)Offer an ice pack to the client during the first 24 hours.
    4. 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)Oral contraceptives decrease the risk for endometrial cancer.
      B)Combined estrogen-progestin contraceptive pills cause longer periods.
      C)You will need to receive a medroxyprogesterone acetate injection once per month.
      D)You will need to have your diaphragm replaced every 4 years.
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    Exam Review

    1. A nurse is reinforcing teaching about preventing mastitis with a client who is breastfeeding. Which of the following instructions should the nurse include?
      A)You should use a breast pump if you plan to return to work.
      B)Cover your breasts immediately after feedings.
      C)Wear an underwire bra between feedings.
      D)Wash your nipples with soap and water daily.
    2. A nurse is planning to administer Rh(D) immune globulin to a client who is postpartum.Which of the following actions should the nurse take?
      A)Verify that the newborn is Rh-negative.
      B)Verify that the client’s Coombs test is positive.
      C)Administer the medication within 72 hours after birth.
      D)Administer the medication into the client’s abdomen.
    3. A nurse is caring for a client who is pregnant and has a vaginal culture that is positive for chlamydia. Which of the following medications should the nurse plan to administer?
      A)Tetracycline.
      B)Acyclovir.
      C)Metronidazole.
      D)Amoxicillin.
    4. 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)Weight gain of 1 kg (2.2 lb).
      C)Pedal edema.
      D)Double vision.
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    Exam Review

    1. 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)Right lateral.
      B)Left lateral.
      C)Prone.
      D)Supine.
    2. A nurse in a provider’s office is reinforcing teaching with a client who is pregnant and is scheduled for a nonstress test.Which of the following statements should the nurse make?
      A)“You will not be able to eat or drink anything for 8 hours prior to the test.”.
      B)“You will press the provided button when you feel the baby moving during the test.”.
      C)“You will be required to lie flat on your back for the duration of the test.”.
      D)“You will receive medication through an IV line to stimulate contractions.”. .
    3. A nurse is reinforcing teaching about outpatient resources for a client who is recovering from a molar pregnancy.Which of the following statements by the client indicates an understanding of the teaching?
      A)“I will need home palliative services after I am discharged from the hospital.”.
      B)“I will need an amniocentesis within 1 month.”.
      C)“I will need to start chemotherapy immediately.”.
      D)“I will need to attend a support group when I get home.”.
    4. A nurse is checking the reflexes of a newborn.Which of the following actions should the nurse use to elicit the Babinski reflex?
      A)Place the newborn supine and apply pressure to the soles of the feet.
      B)Stroke upward on the lateral aspect of the sole of the newborn’s foot.
      C)Pull the newborn up by the wrist from a supine position.
      D)Touch the corner of the newborn’s mouth.
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    Exam Review

    1. 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 will place the retainer clip at the level of my baby’s armpits.”.
      B)“I should place my baby in the car seat at a 90-degree angle.”.
      C)“I can turn the car seat so it faces forward when my baby weighs 15 pounds.”.
      D)“I will place a thick, soft pad behind my baby’s back.”.
    2. A nurse in a prenatal clinic is reinforcing teaching with a client who is at 20 weeks of gestation and has a low calcium level.Which of the following foods should the nurse recommend the client increase in her diet?
      A)Avocados.
      B)Peanut butter.
      C)Yogurt.
      D)Long grain rice.
    3. 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)Weigh the newborn’s wet diaper.
      D)Determine the newborn’s respiratory rate.
    4. A nurse is reinforcing teaching about preterm labor with a client who is at 28 weeks of gestation.Which of the following statements by the client indicates an understanding of the teaching?
      A)“I should expect to feel pain in my upper right abdomen if I’m having preterm labor.”.
      B)“If I have contractions more often than every 10 minutes, I might be in preterm labor.”.
      C)“I can take a daily iron supplement to prevent preterm labor.”.
      D)“I might be experiencing preterm labor if walking stops my contractions.”. .
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    Exam Review

    1. A nurse is preparing to collect a specimen for newborn screening.Which of the following actions should the nurse take?
      A)Warm the newborn’s heel for 5 to 10 minutes before the puncture.
      B)Use a lancet to puncture the inner aspect of the newborn’s heel.
      C)Leave the newborn’s heel open to the air after the puncture.
      D)Apply an antiseptic to the newborn’s heel after collecting the specimen.
    2. A nurse is caring for a full-term newborn who is 1 day old.Which of the following laboratory findings should the nurse report to the provider?
      A)Hemoglobin 9.5 g/dL.
      B)White blood cell count 10,000/mm³.
      C)Glucose 60 mg/dL.
      D)Platelets 225,000/mm³.
    3. A nurse is collecting data from a client who is receiving epidural anesthesia.Which of the following findings indicates an adverse effect of this method of pain management?
      A)Hypertension.
      B)Tachypnea.
      C)Tachycardia.
      D)Fever.
    4. A nurse is collecting data on a newborn who is 1 day old.Which of the following findings is a manifestation of dehydration?
      A)Presence of acrocyanosis.
      B)Capillary refill greater than 3 seconds.
      C)Voided four times in the past 24 hours.
      D)Flat soft anterior fontanel.
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