during labor. Which of the following findings should the charge nurse instruct the
staff nurses to report to the provider?
C. Absent early deceleration of fetal heart rate
2. A nurse is assisting the provider to administer a dinoprostone insert labor
for a client. Which of the following actions should the nurse take?
A. Place the client in semi-lower position for 1hr after administration
3. A nurse is planning to teach a group of clients who are pregnant about
breastfeeding after returning to work. Which of the following information should
the nurse include in the teaching?
B. "Breast milk can be stored in a deep freezer for 12 months."
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4. A nurse is caring for a 2-day-old newborn who was born at 35 weeks of
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gestation. Which of the following actions should the nurse take?
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D. Inset an orogastric decompression tube with low wall suction
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5. A nurse is providing teaching about terbutaline to a client who is
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experiencing preterm labor. Which of the following statements by the client
indicates an understanding of the teaching?
D. "This medication could cause me to experience heart palpitations."
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6. A nurse is caring for a newborn who is 6 hr old and has a bedside
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glucometer reading of 65 mg/dL. The newborn's mother has type 2 diabetes
mellitus. Which of the following actions should the nurse take?
B. Reassess the blood glucose level prior to the next feeding
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7. A nurse is teaching a prenatal class regarding false labor. Which of the
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following information should the nurse include?
D. "Your contractions will become temporarily regular."
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8. A nurse is assessing a client who is at 37 weeks of gestation. Which of the
following statements by the client requires immediate intervention by the
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nurse?
D. "It burns when I urinate."
9. A nurse is providing teaching about expected changes during pregnancy to
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a client who is at 24 weeks of gestation. Which of the following information
should the nurse include?
D. "You should expect your uterus to double in size."
10. A nurse is assessing a preterm newborn who is at 32 weeks of gestation.
Which of the following findings should the nurse expect?
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, D. Sparse lanugo
11. A nurse is reviewing the electronic medical record of a postpartum client.
The nurse should identify that which of the following factors places the client at
risk for an infection?
D. Meconium-stained fluid
12. A nurse in a provider's office is assessing a client at her first antepartum
visit. The client states that the first day of her last menstrual period was March
8. Use the Nagele's rule to calculate the estimated date of delivery. (use the
MMDD format with four numerals and no spaces or punctuation.)
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13. A nurse is planning care for a full-term newborn who is receiving
phototherapy. Which of the following actions should the nurse include in the plan
of care?
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B. Avoid using lotion or ointment on the newborn's skin
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14. A nurse is caring for a client who is experiencing preterm labor and has a
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prescription for 4 doses of dexamethasone 6 mg IM every 12-hr. Available is
dexamethasone 10 mg/mL. How many mL of dexamethasone should the nurse
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administer per dose? (Round the answer to the nearest tenth. Use a leading zero
if it applies. Do not use as trailing zero.)
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0.6
15. A nurse is caring for a client who is in labor and request nonpharmacological
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pain management. Which of the following nursing actions promotes client
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comfort?
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C. Assisting the client into a squatting position
16. A nurse is performing an initial assessment of a newborn who was delivered
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with a nuchal cord. Which of the following clinical findings should the nurse
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expect?
A. Facial petechiae
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17. A nurse is caring for a client who is receiving prenatal care and is at her 24-
week appointment. Which of the following laboratory tests should the nurse plan
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to conduct?
B. Blood type and Rh
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18. A nurse is assessing a newborn upon admission to the nursery. Which of the
following findings should the nurse expect?
C. Chest circumference 2 cm (0.8in) smaller than the head circumference
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