WITH QUESTIONS AND CORRECT ANSWERS
2026/2027 LATEST UPDATE WITH RATIONALES
A nurse is providing teaching for a client who is 2wks postpartum and has
mastitis. Which of the following instructions should the nurse include in the
teaching? - CORRECT ANSWER-Apply moist heat to the affected breast.
-The application of warm compresses prior to feeding or pumping promotes the
flow of the breast milk and assists to ensure complete emptying of the breast.
This is important to prevent the development of further complications such as
the formation of a breast abscess or chronic mastitis.
A nurse is admitting a client who is at 39wks of gestation and in active labor.
The client reports being positive for group B streptococcus (GBS) when
screened at 36wks of gestation. Which of the following actions should the nurse
expect to take? - CORRECT ANSWER-Administer IV antibiotic prophylaxis.
-To decrease the risk of the neonate contracting a GBS infection, it is
recommended that pregnant clients who test positive for GBS receive antibiotics
during labor.
A nurse is reviewing the results of a nonstress test for a client who is at 37wks
of gestation. Which of the following findings indicates a reactive nonstress test?
-
CORRECT ANSWER-Fetal heart rate (FHR) accelerations occur with fetal
movement. - A nonstress test measures the response of the FHR to fetal
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,movement. Accelerations of the FHR with fetal movement are a reassuring sign
of fetal well being.
A nurse is providing teaching about nifedipine for a client who is at 34wks of
gestation and has gestational HTN. For which of the following adverse effects
should the nurse instruct the client to notify the provider? - CORRECT
ANSWER-Irregular heartbeat. - Cardiac arrhythmia is a potential life-
threatening adverse effect of nifedipine. Therefore, the client should report an
irregular heartbeat to the provider.
A nurse is caring for a client who is at 30 weeks of gestation and observes the
client choking while eating lunch. The client is unable to speak or cough.
Identify the sequence of steps the nurse should take to clear the airway
obstruction. - CORRECT ANSWER-1. Stand posterior to the client.
2. Position arms under the client's axilla and across the client's chest.
3. Place thumb-side of a clenched fist to the client's mid-sternum area.
4. Initiate chest thrust to the client using a backward motion.
-If the client becomes unconscious, the nurse should perform CPR and activate
emergency medical services.
A charge nurse is teaching a newly licensed nurse about substance use disorders
during pregnancy. Which of the following statements by the newly licensed
nurse indicates an understanding of the teaching? - CORRECT ANSWER-
Encourage client who are prescribed methadone to breastfeed.
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, -The nurse should encourage clients who are prescribed methadone during
pregnancy to breastfeed their newborns to help with withdrawal symptoms.
A nurse is reviewing the laboratory report of a client who is at 31wks of
gestation and has gestation hypertension. Which of the following laboratory
results should the nurse report to the provider? - CORRECT ANSWER-Platelet
count 99,000/mm3. -A platelet count of 99,000/mm3, or thrombocytopenia, is
an indication of HELLP syndrome, a serious complication of gestational HTN.
A nurse is reviewing the laboratory report of a term newborn who is 24hrs old.
Which of
the following laboratory results should the nurse report to the provider? -
CORRECT
ANSWER-Glucose 35 mg/dL.
-Reference range is 40-45 mg/dL for a newborn who is 24hrs old.
A nurse is assessing a newborn who was born 15mins ago. Which of the
following actions should the nurse take? - CORRECT ANSWER-Count the
respiratory rate for 60 seconds.
-Newborn often have an irregular respiratory rate. Short periods of apnea, and
shallow respirations are expected findings for a newborn. The nurse should also
assess for symmetry of chest and abdominal movements during inhalation and
exhalation.
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