,
, A nurse is caring for a client who is in active labor and whose birth plan requests only
nonpharmacological pain relief strategies. Which of the following strategies should the
nurse offer as a form of cutaneous stimulations?
Counter pressure
A nurse is monitoring a newborn who is receiving phototherapy. The nurse should identify
which of the following findings as requiring intervention?
Weight loss 12% of birth weight
A nurse is assessing the respiratory status of a newborn who was born 2 hours ago. Which
of the following findings should the nurse identify as a manifestation of respiratory distress?
Expiratory grunting
A nurse in a providers office is caring for a client who is in the first trimester of pregnancy.
Which of the following psychological tasks should the nurse expect the client to accomplish
during this trimester?
Accepting the pregnancy
The parents of a child with phenylketonuria ask the nurse if their second unborn child could
have the same condition. The nurse should base the response on which of the following
inheritance patterns responsible for PKU?
Autosomal recessive
A nurse in an antepartum clinic is caring for a client who is at 24 weeks gestation. Which of
the following findings should the nurse report to the provider?
Frequent Headaches
A nurse is caring for a client who experienced a fetal loss. When initiating communication
with this client. Which of the following statements should the nurse make?
I’m here for you if you would like to talk
A nurse is assessing a client who is at 35 weeks gestation and has mild gestational
hypertension. Which of the following findings should the nurse identify as the priority?
480 mL urine output in 24 hours