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    Exam Review

    1. A nurse is providing teaching to a client who has fibrocystic breast changes and is experiencing breast discomfort during menstruation.Which of the following instructions should the nurse include?
      A)Increase your potassium intake.
      B)Increase your fluid intake to 3 liters per day.
      C)Refrain from consuming alcohol.
      D)Limit your daily intake of fiber.
    2. A nurse is planning care for a client who is breastfeeding and has mastitis.Which of the following interventions should the nurse include?(SATA)
      A)Instruct the client to wash their hands prior to breastfeeding.
      B)Teach the client about proper latching-on techniques.
      C)Encourage the client to alternate breastfeeding with formula feeding.
      D)Encourage the client to allow their nipples to air dry after feedings.
    3. A nurse is providing dietary teaching to a client who is at 29 weeks of gestation and has phenylketonuria.Which of the following food suggestions should the nurse include in the teaching?
      A)Peanut butter sandwich.
      B)Sliced apples.
      C)Glass of skim milk.
      D)Scrambled egg.
    4. A nurse is reviewing a laboratory report for a client who is at 33 weeks of gestation and has preeclampsia.Which of the following laboratory results should the nurse expect?
      A)BUN 30 mg/dL (10 to 20 mg/dL).
      B)Hgb 9.9 g/dL (11 to 16 g/dL).
      C)Serum uric acid 2.5 mg/dL (2.7 to 7.3 mg/dL).
      D)Casual blood glucose 228 mg/dL (less than 200 mg/dL).
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    Exam Review

    1. A nurse is assessing a client who is at 31 weeks of gestation and is receiving magnesium sulfate via continuous IV infusion for preterm labor.Which of the following findings should the nurse report to the provider?
      A)Respiratory rate 11/min.
      B)Deep tendon reflexes 2+.
      C)Urine output 30 mL/hr.
      D)Blood pressure 100/62 mm Hg. . .
    2. A nurse is caring for a client who is postpartum, has a deep-vein thrombosis, and is receiving heparin therapy via subcutaneous injections.Which of the following actions should the nurse take?
      A)Request a prescription for PRN aspirin from the provider.
      B)Massage the injection site thoroughly following administration.
      C)Instruct the client that they cannot breastfeed while receiving heparin.
      D)Administer the injection in the client's abdomen.
    3. A nurse is caring for a client who is postoperative following a mastectomy.The client expresses concern that they will no longer be attractive to their partner.Which of the following actions should the nurse take?
      A)Discourage the client from looking at their breasts.
      B)Recommend a support group for the client to attend.
      C)Tell the client you are sorry for how devastated they must feel.
      D)Tell the client to focus on their postoperative recovery for now.
    4. A nurse is admitting a client who is at 35 weeks of gestation and is experiencing mild vaginal bleeding due to placenta previa.Which of the following actions should the nurse plan to take?(SATA)
      A)Initiate continuous monitoring of the FHR.
      B)Administer a dose of betamethasone.
      C)Check the cervix for dilation every 8 hours.
      D)Request that the provider prescribe misoprostol PRN.
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    Exam Review

    1. A nurse is caring for a client who has a prescription for ibuprofen to treat postpartum cramping.Which of the following Questions should the nurse ask prior to administering the medication?
      A)Are you taking over-the-counter medications?
      B)Do you have a history of gastric problems?
      C)What kind of contraception will you be using?
      D)Are you being treated for high blood pressure? . . .
    2. A nurse is assessing a newborn who is 48 hours old and is experiencing opioid withdrawals.Which of the following findings should the nurse expect?
      A)Hypotonicity.
      B)Moderate tremors of the extremities.
      C)Axillary temperature of 36.1° C (96.9° F).
      D)Excessive sleeping.
    3. A nurse is reviewing the laboratory results of a newborn who is 32 hours old and has a cephalohematoma.Which of the following findings should the nurse expect as a result of this condition?
      A)White blood cell count of 35,000/mm³ (normal range: 9,000 to 30,000/mm³).
      B)Glucose level of 35 mg/dL (normal range: greater than 40 to 45 mg/dL).
      C)Bilirubin level of 14.0 mg/dL (normal range: 1.0 to 12.0 mg/dL).
      D)Platelet count of 350,000/mm³ (normal range: 150,000 to 300,000/mm³).
    4. A nurse is teaching the parent of a newborn about car seat safety.Which of the following statements should the nurse make?
      A)You should keep the car seat rear-facing until your baby is at least 2 years old.
      B)Position the retainer clip over the upper part of your baby's abdomen.
      C)You should place your baby in the car seat at a 90-degree angle.
      D)Place the shoulder harness straps in the slots an inch above your baby's shoulders.
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    Exam Review

    1. A nurse is caring for a client who is receiving oxytocin to augment labor.The nurse notes recurrent variable decelerations of the FHR.Which of the following actions should the nurse take first?
      A)Prepare the necessary equipment to initiate an amnioinfusion.
      B)Assist with performing a vaginal/speculum exam to check for a prolapsed umbilical cord.
      C)Discontinue the infusion of oxytocin.
      D)Provide instructions for the client about potential preparation for birth.
    2. A nurse is caring for a client who is pregnant for the fourth time.The client delivered two full-term newborns and had one spontaneous abortion at 10 weeks of gestation.The nurse should document the client's obstetrical history as which of the following?
      A)Gravida 3, Para 2.
      B)Gravida 3, Para 3.
      C)Gravida 4, Para 2.
      D)Gravida 4, Para 3.
    3. A nurse is teaching a pregnant client who is Rh-negative about Rh(D) immune globulin.Which of the following statements by the client indicates an understanding of the teaching?
      A)My partner is Rh-negative, I will not receive the shot.
      B)I will receive the shot after delivery if my baby is Rh-negative.
      C)I should not receive any immunizations for 3 months after the shot.
      D)This shot may be given after birth to protect future pregnancies.
    4. A nurse is assessing a newborn who is 48 hours old and has a maternal history of methadone use during pregnancy.Which of the following manifestations should the nurse identify as an indication of neonatal abstinence syndrome?
      A)Excessive high-pitched cry.
      B)Acrocyanosis.
      C)Respiratory rate of 50/min.
      D)Hyporeactivity.
    Page 4 of 11

    Exam Review

    1. A nurse is providing teaching to a group of clients about risk factors for ovarian cancer.Which of the following risk factors should the nurse include?
      A)Use of postmenopausal estrogen.
      B)History of breastfeeding.
      C)Previous use of oral contraceptives.
      D)History of breast cancer.
    2. A nurse is caring for a client who is in labor and has a diagnosis of group B streptococcus β-hemolytic infection.Which of the following medications should the nurse plan to administer?
      A)Ampicillin.
      B)Azithromycin.
      C)Ceftriaxone.
      D)Acyclovir.
    3. A nurse is caring for a client who gave birth 4 hours ago and is experiencing excessive vaginal bleeding.Which of the following actions should the nurse plan to take first?
      A)Elevate the client's legs to a 30° angle.
      B)Insert an indwelling urinary catheter.
      C)Massage the client's fundus.
      D)Initiate an infusion of oxytocin.
    4. A nurse is teaching the parents of a newborn how to care for their child's uncircumcised penis.Which of the following instructions should the nurse include?
      A)Retract the foreskin until you feel resistance.
      B)Use a cotton swab to clean under the foreskin.
      C)Apply petroleum jelly to the foreskin.
      D)Wash the penis once per day with soap and water.
    Page 5 of 11

    Exam Review

    1. A nurse on a postpartum unit is receiving a change-of-shift report for four clients.Which of the following clients should the nurse see first?
      A)A client who gave birth 1 day ago and needs Rh(D) immune globulin.
      B)A client who gave birth 3 days ago and reports breast fullness.
      C)A client who gave birth 12 hours ago and reports an increase in urinary output.
      D)A client who gave birth 8 hours ago and is saturating a perineal pad every hour.
    2. A nurse is admitting a client who is at 33 weeks of gestation and has preeclampsia with severe features.Which of the following actions should the nurse take?
      A)Restrict protein intake to less than 40 g/day.
      B)Initiate seizure precautions for the client.
      C)Initiate an infusion of 0.9% sodium chloride at 150 mL/hr.
      D)Encourage the client to ambulate twice per day.
    3. A nurse is caring for a client who is in active labor.The nurse notes early decelerations of the FHR on the fetal monitor tracing.Which of the following conditions causes early decelerations in the FHR?
      A)Fetal hypoxemia.
      B)Cord compression.
      C)Uteroplacental insufficiency.
      D)Head compression.
    4. A nurse is caring for a client who is in labor and has an epidural for pain control.Which of the following clinical manifestations is an adverse effect of epidural anesthesia?
      A)Polyuria.
      B)Hypertension.
      C)Pruritus.
      D)Dry mouth.
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