LATEST EACH VERSION CONTAINS 55 QUESTIONS
AND CORRECT ANSWERS |ALREADY GRADED A+
(SCORE 1292)
At 10-weeks gestation, a high-
risk multiparous client with a family history of Down syndrome is admitted for observation following
a chorionic villi sampling (CVS) procedure. What assessment finding requires immediate intervention?
- correct answer-A. Uterine cramping
A client states, "During the three months I've been pregnant, it seems like I have had to go to the bathr
oom every five minutes." Which explanation should the nurse provide to this client? - correct answer-
D. The growing uterus is putting pressure on the bladder.
The nurse assesses a male newborn and determines that he has the following vital signs: axillary tempe
rature 95.1 F, heart rate 136 beats/minute, and a respiratory rate 48 breaths/minute. Based on these find
ings, which action should the nurse take first? - correct answer-
C. Assess the infant's blood glucose level
An infant in respiratory distress is placed on pulse ox. The O2 sat is 85%. What is the priority nursing
intervention? - correct answer-B. Begin humidified oxygen via hood
When assessing a newborn infant's heart rate, which technique is most important for the nurse to use?
- correct answer-C. Count the heart rate for at least one full minute
The nurse prepares to administer an injection of vitamin K to a newborn infant. The mother tells the n
urse, "Wait! I don't want my baby to have a shot." Which response would be best for the nurse to mak
e? - correct answer-
B. Explore the mother's concerns about the infant receiving an injection of vitamin K
The nurse is teaching a new mother about diet and breastfeeding. Which instruction is most important t
o include in the teaching plan? - correct answer-A. Avoid alcohol because it is excreted in breast milk
Which nursing intervention best enhances maternal-infant bonding during the fourth stage of labor? -
correct answer-D. Encourage early initiation of breast of formula feeding
, A client at 8-
weeks gestation asks the nurse about the risk fora congenital heart defect (CHD) in her baby. Which re
sponse best explains when a CHD may occur? - correct answer-
D. The heart develops in the third to fifth weeks after conception
A client at 8-
months gestation tells the nurse that she knows her baby listens to her, but her husband thinks she is i
magining things. What information should the nurse provide? - correct answer-
B. The fetus in utero is capable of hearing and does respond to the mother's voice
A client at 25-
weeks gestation tells the nurse that she dropped a cooking utensil last week and her baby jumped in re
sponse to the noise. What information should the nurse provide? - correct answer-
B. The fetus can respond to sound by 24-weeks gestation
A woman whose pregnancy is confirmed asks the nurse what the function of the placenta is in early pr
egnancy. What information supports the explanation that the nurse should provide? - correct answer-
C. Secretes both estrogen and progesterone
Which
cardiovascularx findingsx shouldx thex nursex assessx furtherx inx ax clientx whox isx atx 20-
weeksx gestation?x -x correctx answer-A.x Decreasex inx pulsex rate
Ax 31-year-oldx womanx usesx anx over-the-
counterx (OTC)x pregnancyx testx thatx isx positivex onex weekx afterx ax missedx period.x Atx thex clinic,x thex client
xt
ellsx thex nursex shex takesx phenytoinx (Dilantin)x forx epilepsy,x hasx ax historyx ofx irregularx periods,x isx underx
str
essx atx work,x andx isx notx sleepingx well.x Thex client'sx physicalx examinationx andx ultrasoundx dox notx indicat
ex t
hatx shex isx pregnant.x Howx shouldx thex nursex explainx thex mostx likelyx causex forx obtainingx false-
positivex pregnancyx testx results?x -x correctx answer-B.x Usingx anx anticonvulsantx forx epilepsy
Whichx gastrointestinalx findingsx shouldx thex nursex bex concernedx aboutx inx ax clientx atx 2
8-
weeksx gestation?x -x correctx answer-A.x PICA
Duringx ax preconceptionx counselingx sessionx forx womenx tryingx tox getx pregnantx inx 3x tox 6x months,x whatx i
nf
ormationx shouldx thex nursex provide?x -x correctx answer-
B.x Makex surex tox includex adequatex folicx acidx inx thex diet
Whichx statementx byx ax clientx whox isx pregnantx indicatesx tox thex nursex anx understandingx ofx thex rolex ofx p
rot
einx duringx pregnancy?x -x correctx answer-A.x "Proteinx helpsx thex fetusx growx whilex Ix amx pregnant."