Answers Exam 2026
Following vaginal birth 2 hours ago a woman with preeclampsia is
experiencing a heavy flow as a result of a boggy uterus. It is determined that
she will require medication to reduce the amount of blood loss. Which
medication would the nurse anticipate administering?
A. Methylergonovine (Methergine)
B. Calcium gluconate
C. Oxytocin (Pitocin)
D. Labetalol (Normodyne)
C. Oxytocin (Pitocin)
A woman at 35 weeks of gestation with preeclampsia, has a seizure.
Immediately after the seizure, the nurse's priority action is to:
A. Evaluate FHR and pattern for signs of decreasing variability, late
decelerations, or bradycardia
B. Assess status of the maternal airway, respiratory effort, and pulse
C. Determine if membranes have ruptured and if the amniotic fluids contain
meconium
D. Prepare to increase the amount of magnesium sulfate being infused from
1g/hr to 2g/hr
B. Assess status of the maternal airway, respiratory effort, and pulse
,A nurse in a health clinic is reviewing contraceptive use with a group of clients.
Which of the following client statements demonstrates understanding?
A. "A water-soluble lubricant should be used with condoms."
B. "A diaphragm should be removed 2 hours after intercourse."
C. "Oral contraceptives can worsen a case of acne."
D. "A contraceptive patch is replaced once a month."
A. "A water-soluble lubricant should be used with condoms."
A nurse is instructing a client who is taking oral contraceptives about
manifestations to report to the provider. Which of the following manifestations
should the nurse include?
A. Reduced menstrual flow
B. Breast tenderness
C. Shortness of breath
D. Increased appetite
C. Shortness of breath
A nurse in an obstetrical clinic is teaching a client about using an IUD for
contraception.
Which of the following statements by the client indicates an understanding of
the teaching?
A. "An IUD should be replaced annually during a pelvic exam."
B. "I cannot get an IUD until after I've had a child."
C. "I should plan on regaining fertility 5 months after the IUD is removed"
D. "I will check to be sure the strings of the IUD are still present after my periods"
D. "I will check to be sure the strings of the IUD are still present after my periods"
,A nurse is teaching a client about potential adverse effects of implantable
progestins. Which of the following adverse effects should the nurse include?
(Select all that apply.)
A. Tinnitus
B. Irregular vaginal bleeding
C. Weight gain
D. Nausea
E. Gingival hyperplasia
B. Irregular vaginal bleeding
C. Weight gain
D. Nausea
, A nurse in a clinic is teaching a client about a new prescription for
medroxyprogesterone.
Which of the following information should the nurse include in the teaching?
(Select all that apply.)
A. "Weight fluctuations can occur."
B. "You are protected against STIs."
C. "You should increase your intake of calcium."
D. "You should avoid taking antibiotics."
E. "Irregular vaginal spotting can occur."
A. "Weight fluctuations can occur."
C. "You should increase your intake of calcium."
E. "Irregular vaginal spotting can occur."
A nurse is admitting a client who is in labor and has HIV. Which of the following
interventions should the nurse identify as contraindicated for this client? (Select all
that apply.)
A. Vacuum extractor
B. Oxytocin infusion
C. The use of forceps during delivery should be avoided due to the risk of fetal
bleeding
D. Cesarean birth
E. Internal fetal monitoring
A. Vacuum extractor
C. The use of forceps during delivery should be avoided due to the risk of fetal
bleeding
E. Internal fetal monitoring
Rationale: The use of a vacuum extractor should be avoided due to risk of
exposing the fetus to maternal blood. The use of forceps during delivery and
internal fetal monitoring should be avoided due to the risk of fetal bleeding.