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    Exam Review

    1. A nurse is caring for a client who is experiencing a postpartum hemorrhage. Which of the following actions should the nurse take?
      A)Give IM injection of methylergonovine.
      B)Assist the client to a knee-chest position.
      C)Administer oxygen at 2 L/min via nasal cannula.
      D)Start an IV bolus of dextrose water
    2. A nurse is teaching a client about potential adverse effects of oral contraceptives. For which of the following adverse effects should the nurse instruct the client to notify the provider immediately?
      A)Nausea
      B)Persistent headaches
      C)Breast tenderness
      D)Abdominal bloating
    3. A nurse is assessing a client who has a grade 2 placental abruption. Which of the following findings should the nurse expect?
      A)Soft abdomen
      B)Heart rate 120/min
      C)A fetal heart of 150/min with moderate variability
      D)Painless vaginal bleeding
    4. A nurse is providing discharge teaching to a new mother about newborn care. Which of the following statements by the client indicates an understanding of the teaching?
      A)1 will expect my baby's umbilical cord to fall off in a couple of weeks."
      B)1 will give my baby a tub bath once daily
      C)"I will place my baby on their side to sleep."
      D)1 will compress the bulb syringe after I place it in my baby's mouth.”
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    Exam Review

    1. A nurse is providing discharge teaching to a new guardian about car seat safety. Which of the following statements by the guardian indicates an understanding of the teaching?
      A)"I should place the car seat rear-facing until my baby is 12 months old."
      B)"I should position the retainer clip at the top of my baby's abdomen."
      C)"I should position my baby's car seat at a 45" angle in the car
      D)"I should place the harness snugly in a slot above my baby's shoulders."
    2. A nurse is reviewing the medical record of a client who had a vaginal delivery 3 hr ago. Which of the following findings place the client at risk for postpartum hemorrhage? (Select all that apply.)(SATA)
      A)Labor induction with oxytocin
      B)Newborn weight 2.948 kg (6 lb 8 oz)
      C)History of human papillomavirus
      D)History of uterine atony
      E)Vacuum-assisted delivery
    3. A nurse is caring for a client who is in active labor. The nurse notes late decelerations in the FHR on the fetal monitor tracing. Which of the following actions should the nurse take first?
      A)Palpate the client's uterus for tachysystole.
      B)Initiate internal FHR monitoring
      C)Assist the client to a left lateral position.
      D)increase the infusion rate of the maintenance IV fluid.
    4. A nurse is planning care for a client who is scheduled for an amniocentesis and is Rh negative. Which of the following actions should the nurse plan to take?
      A)Irrigate the insertion site with sterile water before the procedure.
      B)Administer Rh.(D) immune globulin after the procedure.
      C)Position the client in a left lateral position during the procedure
      D)Inform the client to be NPO for the procedure.
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    Exam Review

    1. A nurse is caring for a client who had a vaginal birth 4 hr ago and had a 3rd-degree perineal laceration with repair. The client has been unable to void since giving birth. Which of the following findings indicates the need for straight catheterization?
      A)The client rates perineal pain a 3 on a scale of 0 to 10.
      B)The client's fundus is boggy and deviated to the right
      C)The client has a moderate amount of lochia rubra
      D)The client's perineum is ecchymotic with moderate edema
    2. A nurse is caring for a full term client in labor who is prescribed continuous fetal monitoring. On examination, the nurse determines the client's membranes are intact. Which of the following assessment methods should the nurse implement?
      A)Transvaginal fetal Doppler probe
      B)External ultrasound transducer monitor
      C)DeLee Hillis fetoscope
      D)Internal fetal scalp electrode
    3. A nurse is caring for a client who is in the fourth stage of labor and received an epidural during labor. Which of the following actions should the nurse take before ambulating the client to the bathroom?
      A)Insert an indwelling urinary catheter.
      B)Evaluate deep tendon reflexes.
      C)Determine motor function of lower extremities.
      D)Administer meperidine hydrochloride IV.
    4. A nurse is reviewing the results of a biophysical profile for a client who is at 37 weeks of gestation. Which of the following findings indicates fetal well-being?
      A)Amniotic fluid index of 1 cm
      B)The fetus had four limb movements in 30 min.
      C)Nonreactive nonstress test
      D)The fetus had 20 seconds of sustained breathing movements in 30 min
    Page 3 of 16

    Exam Review

    1. A nurse is assessing a client following an amniocentesis. Which of the following findings should the nurse recognize as complications? (Select all that apply.)(SATA)
      A)Polyhydramnios
      B)Preterm labor
      C)Urinary tract infection
      D)Amnionitis
      E)Leakage of amniotic fluid.
    2. A nurse is caring for a client who is in active labor and requesting an epidural. Which of the following actions should the nurse take?
      A)Give ondansetron IV to the client.
      B)Administer IV fluid bolus to the client.
      C)Delay the epidural until the client is dilated to 7 cm.
      D)Initiate oxygen via nonrebreather to support patterned breathing
    3. A nurse is caring for four newborns. Which of the following newborns should the nurse assess first?
      A)A newborn who has subconjunctival hemorrhage of the left eye
      B)A newborn who has overlapping suture lines
      C)A newborn who has nasal flaring
      D)A newborn who has rust stained urine
    4. A nurse is assessing a client who is requesting a combined oral contraceptive (COC). Which of the following findings should indicate to the nurse that the client has a contraindication to COC use?
      A)The client drinks 240 mL (8 oz) of wine per day.
      B)The client is breastfeeding their 4-week-old newborn.
      C)The client weighs 115 kg (254 lb).
      D)The client is 25 years old.
    Page 4 of 16

    Exam Review

    1. A nurse is planning care for a client who is scheduled for a cesarean birth. Which of the following interventions should the nurse include in the plan of care?
      A)Insert an indwelling urinary catheter immediately following the procedure.
      B)Apply sequential compression devices prior to the procedure.
      C)Perform a surgical timeout while the client is in the preoperative holding area.
      D)Initiate oxytocin via continuous IV infusion prior to the procedure.
    2. A nurse is assessing a client who is at 38 weeks of gestation. Upon admission 2 hr ago the client had irregular contractions, was dilated 2 cm, and was at -1 cm station. Which of the following findings indicates progression in labor?
      A)The client reports urinary frequency.
      B)The client has increased blood-tinged vaginal mucus.
      C)The client's station is at 3 cm.
      D)The client's contractions ease with walking
    3. A nurse is caring for a client who is at 30 weeks of gestation. The nurse should plan to immunize the client with which of the following vaccines? (Select all that apply)(SATA)
      A)Inactivated influenza
      B)Human papillomavirus
      C)Measles, mumps, and rubella
      D)Varicella
      E)Diphtheria acellular pertussis
    4. A nurse is caring for a newborn 4 hours after their birth. Which of the following findings should the nurse report to the provider?
      A)Pale blue hands and feet
      B)Soft grunting noises with respiration
      C)Blood-tinged discharge from the vagina
      D)Positive Babinski reflex
    Page 5 of 16

    Exam Review

    1. A nurse is providing teaching with an antepartum client who has a new diagnosis of genital herpes simplex virus 2 (HSV-2). Which of the following information should the nurse include?
      A)HSV-2 is not harmful to a developing fetus.
      B)Wear tight-fitting undergarments when lesions are present.
      C)Transmission to the newborn is higher if lesions are present at birth.
      D)Taking antiviral medications will cure the condition.
    2. A nurse is caring for a client who is at 16 weeks of gestation and has hyperemesis gravidarum. Which of the following clinical findings should the nurse expect?
      A)Constipation
      B)Ketonuria
      C)Hypertension
      D)Polyhydramnios
    3. A nurse is assessing a newborn who was exposed to heroin during pregnancy. Which of the following findings should indicate to the nurse that the newborn is experiencing neonatal abstinence syndrome? (Select all that apply.)(SATA)
      A)High-pitched crying
      B)Tachypneic respirations
      C)Body tremors
      D)Extreme lethargy
      E)Decreased reflexes
    4. A nurse is teaching a client who is at 14 weeks of gestation about expected body changes during pregnancy. Which of the following manifestations should the nurse include in the teaching?
      A)Breast enlargement
      B)Skin mottling
      C)Nipple inversion
      D)Thinning hair
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