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    Exam Review

    1. Which of the following actions should a nurse plan to take for a postpartum client who expresses a desire to follow traditional beliefs regarding the balance of yin and yang for postpartum care?
      A)Assist the client with showering twice daily.
      B)Provide the client with a warm beverage.
      C)Maintain a cool environment in the client's room.
      D)Apply a new ice pack to the client's perineal area every 4 hr.
    2. Which of the following information should a nurse include in the teaching to the parent of a 1-day-old newborn with a prescription for gavage feeding?
      A)Administer 20 mL per feeding.
      B)Feedings should be accompanied by nonnutritive sucking.
      C)Place the newborn in a supine position after feedings.
      D)Feedings may occur in clusters.
    3. Which of the following statements by the nurse is appropriate when reviewing a client's rubella titer of 1:8 at her second prenatal visit?
      A)Because rubella is a live vaccine, you will not be able to breastfeed your newborn.
      B)During your third trimester, you will need to repeat a blood test for the titer.
      C)You will need a rubella immunization at your next prenatal visit.
      D)Your titer indicates that you are susceptible to rubella.
    4. Which of the following actions should a nurse take for a newborn who has herpes simplex virus as a result of in utero transmission?
      A)Immediately bathe the newborn.
      B)Administer ampicillin IV.
      C)Withhold breastfeeding.
      D)Initiate contact precautions.
      E)The correct answer is: d) Initiate contact precautions.
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    Exam Review

    1. Which of the following complications should a nurse monitor the newborn for following delivery of a client who is at 35 weeks of gestation and has preterm premature rupture of membranes?
      A)Polycythemia
      B)Fractured clavicle
      C)Meconium aspiration
      D)Sepsis
    2. Which of the following information should a nurse plan to include when teaching a client about Sitz baths?
      A)Tell the client to tighten her gluteal muscles after she is in the bath.
      B)Inform the client to place the bag above the toilet bowl.
      C)Instruct the client to rinse after the bath with a clean towel.
      D)Instruct the client to remain seated in the bath for a minimum of 45 min.
    3. Which of the following statements should the nurse include in the teaching to the parents of a newborn about the critical congenital heart disease screening?
      A)To perform the test, I will collect a blood sample from your newborn's heel.
      B)The test will be performed when your newborn is between 6 and 12 hours of age.
      C)The test compares the oxygen saturation in your newborn's upper and lower extremities.
      D)It will take 1 to 2 weeks to obtain the results of your newborn's test.
    4. Which of the following risk factors should a nurse include when planning a class on postpartum depression for a group of clients who are pregnant?
      A)Postterm birth
      B)Middle class family income
      C)Unplanned pregnancy
      D)Working full-time outside the home
    Page 2 of 10

    Exam Review

    1. Which of the following statements by a client who is at 8 weeks of gestation and is Rh-negative indicates an understanding of the teaching about the Rho(D) immune globulin injection?
      A)I will need this injection if I have a miscarriage.
      B)I will need this injection when I am 12 weeks pregnant.
      C)I will need this injection to prevent preterm labor.
      D)I will need this injection after delivery if my baby is Rh-negative.
    2. Which of the following findings indicates that epidural treatment is effective for a client who is receiving it for continuous labor analgesia?
      A)The client has bladder distention.
      B)The client reports slight pressure with contractions.
      C)The client is unable to move their legs or feet.
      D)The client's systolic blood pressure decreases by 20 mm Hg.
    3. Which of the following interventions should a nurse include in the plan of care for a newborn who is to undergo a circumcision using a plastic bell device?
      A)Wash the circumcision site with mild soap and water 24 hr following the procedure.
      B)Take off the plastic bell 2 hr after the procedure.
      C)Monitor for bleeding every 15 min for the first hour.
      D)Remove the yellow drainage on the second postoperative day.
    4. Which of the following changes in the fetal heart rate (FHR) should a nurse report to the provider for a client who is in labor and receiving epidural analgesia?
      A)Early decelerations of the FHR
      B)FHR accelerations of 15/min for 15 seconds
      C)FHR increase to 150/min
      D)Prolonged period of absent FHR variability
    Page 3 of 10

    Exam Review

    1. Which of the following ages is the anticipated gestational age of the fetus for a client in active labor on December 26 who reports their last menstrual period was around April 1?
      A)42 weeks
      B)38 weeks
      C)39 weeks
      D)36 weeks
    2. Which of the following findings indicates the nurse should titrate the oxytocin infusion rate to 2 milliunits/min after the first 30 min for a client receiving 1 milliunit/min of oxytocin for labor induction?
      A)The client experiences spontaneous rupture of membranes.
      B)The cervical Bishop score is 2.
      C)The client's contractions palpate as mild.
      D)The monitor indicates contractions every 1 min.
    3. Which of the following actions should a nurse take for a client receiving epidural anesthesia who is hypotensive with decreased placental perfusion?
      A)Monitor the client's blood pressure every 30 min.
      B)Place the client in a knee-chest position.
      C)Administer oxygen via nasal cannula at 2 L/min.
      D)Administer lactated Ringer's 500 mL bolus.
    4. Which of the following statements should a nurse make when discussing the plan of care with a client at a 10-week prenatal visit diagnosed with a missed spontaneous abortion confirmed by ultrasound?
      A)It can be helpful to talk about your loss with others who have experienced a pregnancy loss.
      B)I have found that it is best to avoid seeing the fetal remains after the procedure.
      C)It is okay to feel some grief now, even though it is so early in the pregnancy for a loss.
      D)Once the fetus is passed, the provider will likely be able to determine what caused the pregnancy loss.
    Page 4 of 10

    Exam Review

    1. For which of the following clients should a nurse implement seizure precautions on an antepartum unit?
      A)A client who is at 28 weeks of gestation and has mitral valve stenosis.
      B)A client who is at 32 weeks of gestation and has a positive Kleihauer-Betke test.
      C)A client who is at 30 weeks of gestation and has cystic fibrosis.
      D)A client who is at 36 weeks of gestation and has severe chronic hypertension.
    2. Which of the following findings should the nurse recognize and document as an adverse effect of epidural analgesia for a client who is in labor?
      A)Polyuria
      B)Maternal temperature of 37.4° C (99.4° F)
      C)Hypotension
      D)Fetal heart rate 152/min
    3. Which of the following findings indicates a client who is in a trial of labor for vaginal birth after cesarean (VBAC) may be experiencing a uterine rupture?
      A)Palpation of the fetal presenting part in the cervical os.
      B)Severe bradypnea with a respiratory rate of 10/min.
      C)Observation of a sudden gush of amniotic fluid.
      D)Hypotension with a blood pressure of 85/40 mm Hg.
    4. Which of the following actions should a nurse plan to take for a client who is 1 hr postpartum and has preeclampsia without severe features?
      A)Administer an IV bolus of lactated Ringer’s.
      B)Obtain a prescription for misoprostol.
      C)Assess blood pressure twice daily.
      D)Assess for edema.
    Page 5 of 10

    Exam Review

    1. Which of the following clients should a nurse recommend that the provider see first when assessing four clients in a prenatal clinic?
      A)A client who is at 12 weeks of gestation and reports not having felt the fetus move.
      B)A client who is at 38 weeks of gestation and has 2+ deep tendon reflexes.
      C)A client who is at 36 weeks of gestation and reports blurred vision.
      D)A client who is at 28 weeks of gestation and has a fetal heart rate of 160/min via Doppler
    2. Which of the following vaccines should a nurse plan to immunize a client who is at 30 weeks of gestation with? (Select all that apply)(SATA)
      A)Diphtheria-acellular pertussis
      B)Varicella
      C)Human papillomavirus
      D)Measles, mumps, and rubella
      E)Inactivated influenza
    3. Which of the following interventions should a nurse implement first for a client who is at 38 weeks of gestation and has a nonstress test showing a series of late decelerations?
      A)Elevate the client's legs.
      B)Administer lactated Ringer's via IV bolus.
      C)Prepare the client for a cesarean birth.
      D)Place the client in a lateral position.
    4. Which of the following statements should a nurse include in vehicle safety education to the parents of a premature newborn?
      A)Place your newborn in a front-facing car seat in the back seat of the vehicle.
      B)Position the retainer clip at the level of your newborn's abdomen.
      C)You should secure your newborn's car seat at a 60-degree angle.
      D)Your newborn will need to have a car seat test prior to discharge.
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