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    Exam Review

    1. A nurse is caring for a postpartum client who recently had an indwelling urinary catheter removed. Which of the following findings indicates that the client is able to void effectively?
      A)The bladder is distended upon palpation.
      B)The client does not feel the urge to urinate.
      C)The uterus is displaced laterally.
      D)The fundus firms with massage.
    2. A nurse is assessing a client who is postpartum and is experiencing hemorrhagic shock. Which of the following findings should the nurse expect?
      A)Hypertension.
      B)Bradypnea.
      C)Tachycardia.
      D)Polyuria.
    3. A nurse is caring for a client who had a vaginal birth 4 hours ago and had a third-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 as 3 on a scale of 0 to 10.
      B)The client has a moderate amount of lochia rubra.
      C)The client's perineum is ecchymotic with moderate edema.
      D)The client's fundus is boggy and deviated to the right.
    4. A nurse is assessing a client who is at 38 weeks of gestation. Upon admission 2 hours 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's contractions persist with walking.
      B)The client reports urinary frequency.
      C)The client has increased blood-tinged vaginal mucus.
      D)The client's station is at -3 cm.
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    Exam Review

    1. A nurse is admitting a client who is at 39 weeks of gestation and who states, "My water broke on the way to the hospital.”. Which of the following actions should the nurse take first?
      A)Ask the client about the color of the fluid.
      B)Determine the fetal heart rate.
      C)Monitor cervical dilation.
      D)Obtain the client's vaginal pH.
    2. A nurse is providing information about newborn security to the parents of a newborn. Which of the following instructions should the nurse provide?
      A)Limit visitors to your immediate family.
      B)Send the newborn to the nursery while you are sleeping.
      C)Check identification badges of staff who enter your room.
      D)Remove your newborn's electronic monitoring band for bathing.
    3. A nurse is planning care for a client who is 1 hour postpartum and has preeclampsia without severe features. Which of the following actions should the nurse plan to take?
      A)Obtain a prescription for misoprostol.
      B)Administer an IV bolus of lactated Ringer's.
      C)Monitor for clonus.
      D)Restrict daily oral fluid intake.
    4. A nurse is caring for a client who is experiencing a postpartum hemorrhage. Which of the following actions should the nurse take?
      A)Give an IM injection of methylergonovine.
      B)Administer oxygen at 2 L/min via nasal cannula.
      C)Start an IV bolus of dextrose 5% in water.
      D)Assist the client to a knee-chest position.
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    Exam Review

    1. A nurse is using Naegele's rule to calculate the estimated due date of a client who reports that the first day of their last menstrual cycle was July 21st. Which of the following should the nurse document as the client's expected due date?
      A)April 14th.
      B)October 21st.
      C)April 28th.
      D)April 18th.
    2. A nurse is caring for a newborn who is large for gestational age and is 12 hours old. Which of the following laboratory tests should the nurse monitor based on the client's condition?
      A)Bilirubin.
      B)Glucose.
      C)White blood cell count.
      D)Arterial blood gases.
    3. 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)Soft grunting noises with respiration.
      B)Positive Babinski reflex.
      C)Pale blue hands and feet.
      D)Blood-tinged discharge from the vagina.
    4. A nurse is providing discharge instructions to a client who delivered a newborn via cesarean birth 4 days ago. The nurse should instruct the client to contact the provider for which of the following findings?
      A)The newborn sleeps 16 hours a day.
      B)The newborn has fewer than four wet diapers in 24 hours.
      C)The newborn has loose stools.
      D)The newborn's cord stump is still attached after 1 week.
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    Exam Review

    1. A nurse is teaching a new guardian about hunger cues in their newborn. Which of the following manifestations should the nurse include as early indications of hunger in newborns? (Select all that apply)(SATA)
      A)Consistent crying.
      B)Rooting reflex.
      C)Sucking motions.
      D)Hand-to-mouth movements.
      E)Babinski reflex.
    2. A nurse is caring for a client who is experiencing an amniotic fluid embolism during labor. Which of the following actions should the nurse take?
      A)Massage the client's fundus.
      B)Prepare to initiate cardiopulmonary resuscitation.
      C)Assist the client to empty their bladder.
      D)Apply oxygen at 2 L/min via nasal cannula.
    3. A nurse is assessing a newborn who has Erb-Duchenne palsy. Which of the following findings should the nurse expect?
      A)Difficulty sucking and swallowing.
      B)Absent Moro reflex in the affected extremity.
      C)Positive Babinski reflex.
      D)Cleft palate.
    4. 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)Initiate oxygen via nonrebreather to support patterned breathing.
      B)Administer a fluid bolus to the client.
      C)Give ondansetron IV to the client.
      D)Delay the epidural until the client is dilated to 7 cm. . .
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    Exam Review

    1. 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 rust-stained urine.
      C)A newborn who has nasal flaring.
      D)A newborn who has overlapping suture lines.
    2. A nurse is caring for a client who is at 37 weeks of gestation and reports a slow trickle of vaginal fluid for the past 12 hours. Which of the following diagnostic tests should the nurse anticipate?
      A)Speculum exam to test for fetal fibronectin.
      B)Vaginal swab for nitrazine testing.
      C)Urinalysis to determine protein content.
      D)Amniocentesis to determine fetal lung maturity.
    3. A nurse is providing teaching to 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)Taking antiviral medications will cure the condition.
      B)HSV-2 is not harmful to a developing fetus.
      C)Transmission to the newborn is higher if lesions are present at birth.
      D)Wear tight-fitting undergarments when lesions are present.
    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)Skin mottling.
      B)Thinning hair.
      C)Nipple inversion.
      D)Breast enlargement.
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    Exam Review

    1. A nurse is reviewing the medical record of a client who is requesting an oral contraceptive for birth control. The nurse should identify which of the following findings as a contraindication for the use of oral contraceptives for this client?
      A)Migraine with aura.
      B)Hypotension.
      C)Dysmenorrhea.
      D)History of ovarian cysts.
    2. A nurse in a clinic is caring for a client who is antepartum. The client expresses concern about preparing their preschooler for a new sibling. Which of the following responses should the nurse make?
      A)Avoid bringing your preschooler to prenatal visits.
      B)Move your preschooler from their crib to a bed the day before the baby comes home.
      C)Plan to spend individual time with your preschooler.
      D)Ensure that your preschooler sees you holding the baby during the initial encounter.
    3. A nurse is assessing a client who has a grade 2 placental abruption. Which of the following findings should the nurse expect?
      A)Fetal heart rate of 150/min with moderate variability.
      B)Painless vaginal bleeding.
      C)Soft abdomen.
      D)Heart rate 120/min.
    4. A nurse is caring for a client who is at 37 weeks of gestation and received a provider order for group B streptococcus beta-hemolytic culture. Which of the following statements should the nurse include in the teaching?
      A)Acyclovir will be prescribed if this test result is positive.
      B)This test will be repeated 24 hours after the initial test is done.
      C)Antibiotics will be administered before labor if this test result is positive.
      D)This test will require a blood specimen to be collected from a vein.
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