(NEW) | Revised Questions with Verified &
Correct Solutions | A Grade Study Guide
1. A nurse is performing a vaginal exam on a client who is in active
labor. The nurse notes the umbilical cord protruding through the
cervix. Which of the following actions should the nurse take?
Administer oxytocin to the client via intravenous infusion.
Apply oxygen at 2 L/min via nasal cannula.
Prepare for insertion of an intrauterine pressure catheter.
Assist the client into the knee-chest position.
2. A nurse is assessing a newborn who is 48 hr old and is
experiencing opioid withdrawals. Which of the following findings
should the nurse expect?
Hypotonicity
Moderate tremors of the extremities
Axillary temperature 36.1° C (96.9° F)
Excessive sleeping
, 3. A nurse is reviewing a client's medical record and notes that
the client is taking tamoxifen. The nurse should identify that
tamoxifen is used to treat which of the following conditions?
Non-Hodgkin's lymphoma
Endometriosis
Breast cancer
Polycystic ovary syndrome
4. A nurse is caring for a client who is receiving oxytocin to augment
labor. The client has an intrauterine pressure catheter and an
internal fetal scalp electrode for monitoring. Which of the following
is an indication that the nurse should discontinue the infusion?
Contraction frequency every 3 min
Contraction duration of 100 seconds
Fetal heart rate with moderate variability
Fetal heart rate of 118/min
5. A nurse providing dietary teaching for a client who is at 29 weeks of
gestation and has phenylketonuria. Which of the following suggested
foods should the nurse include in the teaching?
A peanut butter sandwich on wheat bread
A sliced apple and red grapes
, A chocolate chip cookie with a glass of skim milk
A scrambled egg with cheddar cheese
6. 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 report to the provider?
BUN 35 mg/dL
Hgb 15 mg/dL
Bilirubin 0.6 mg/dL
Hct 37%
7. A nurse is providing teaching about newborn safety to a client who is
being admitted for induction of labor. Which of the following client
statements indicate an understanding of the teaching?
"I will check the identication badge of anyone who removes my baby from
our room."
"I should include a photo of my baby along with any public birth
announcements to social media."
"I will allow my baby to sleep on the bed in my room when I am in the
shower."
"I should expect the nurses to carry my baby in their arms to the nursery."
8. A nurse is assessing a client who is at 31 weeks of gestation.
Which of the following findings should the nurse identify as an
indication of a potential prenatal complication?