Maternal A
A nurse is reinforcing discharge teaching about methods to prevent engorgement during
lactation suppression with a client who is bottle feeding her newborn - correct answer I
will apply cold cabbage leaves to my breasts throughout the day
A nurse is caring for a newborn who is large for gestational age and is exhibiting
jitteriness - correct answer Check the newborns blood glucose level
A nurse is collecting data from a client who is 32 hr postpartum - correct answer Urine
output of 3,ooo mL in 24 hr
A nurse is collecting data from client who is primigravida and has hyperthyroidism -
correct answer Diaphoresis
A nurse is reinforcing teaching to a client who is breastfeeding a 6 day old newborn -
correct answer My baby should have at least one stool per day
A nurse is contributing to the plan of care for a client who has new prescription for
medroxyprogesterone - correct answer Instruct the client to increase calcium intake
while taking this medication
A nurse is caring for a client who is at 20 weeks of gestation and is in the clinic for a
routine prenatal visit. Based on the chart data, which of the following findings should the
nurse report to the provider - correct answer Fundal height 25 cm (9.8 in)
A nurse is monitoring a 1 hr old newborn for hypoglycemia. Select all that apply - correct
answer Hypothermia
Twitching
Tachypnea
A nurse is reinforcing teaching about food sources that are high in folate with group of
pregnant women. Which of the following foods should the nurse recommend to this
group as the best source of folate - correct answer 1/2 cup dried peas
A nurse in a providers office is reviewing laboratory results for a group of clients -
correct answer 1 hr oral glucose tolerance tset results of 145 mg/dL
A nurse is collecting data from a client who is at 9 weeks of gestation and reports
frequent episodes of nausea and vomiting - correct answer consume small, frequent
meals per day
A nurse is collecting data from a newborn who was born to a mother who had
gestational diabetes mellitus - correct answer Blood glucose 30 mg/dL
A nurse is caring for a client who has a new prescription for carbopost. Which of the
following adverse effects should the nurse monitor for and report to the provider -
correct answer Fever
, Maternal A
A nurse is reinforcing teaching with a client who has preeclampsia and is prescribed a
24 hr urine collection for protein - correct answer Discard the first urine specimen when
beginning the test
A nurse is reinforcing teaching aout newborn safety precautions with a group of a new
mother. - correct answer Crib slats should be no more than 6.4 cm (2 1/4 in) apart
A nurse is collecting data from a client who is in her second trimester. Which of the
findings should the nurse report to the provider - correct answer Frequent uterine
contractions
A client has just completed a nonstress test. The nurse notes 2 FHR accelerations of
15/min over a 20 min period, lasting at least 15 seconds. The nurse recognizes that this
indicates which of the following results - correct answer Reactive
A nurse is caring for a 12 hr old male newborn who was delivered from a breech
position. Which of the following findings should the nurse report to the charge nurse -
correct answer Skin appears jaundiced
nurse should report jaundice within the first 24 hrs of life to the charge nurse.
Physiologic jaundice can lead to severe cognitive disorders or hearing loss.
A nurse is caring for a client who is in labor and experiencing respiratory depression
following administration of an opioid. Which of the following actions should the nurse
take first - correct answer Check the clients oxygen saturation
first action the nurse should take using the process is to collect data. Therefore, the first
action the nurse should perform is to check the client's oxygen saturation.
A nurse in a providers office is caring for a client who is at 28 weeks of gestation and is
to start therapy using nifedipine. Which of the following information should the nurse
include when reinforcing teaching with this client - correct answer Change positions
slowly when taking this medication
The use of calcium channel blocker, such as nifedipine, can increase orthostatic
hypotension and dizziness
A client who is pregnant presents to the prenatal clinic with reports of frequent vomiting.
What additional finding should cause the nurse to suspect that this client is experiencing
hyperemesis gravidarum - correct answer Ketonuria
Persistent vomiting and ketonuria indicate development of hyperemesis gravidarum
A nurse is assisting with collecting data from a newborn who was born 2 hr ago and has
respiratory distress. Which of the following should the nurse report to the provider.
Select all that apply - correct answer Tachypnea- respiratory rate greater than 60/min
and is a clinical manifestation associated with respiratory distress in the newborn.
Coarse crackles- associated with respiratory distress.
A nurse is reinforcing discharge teaching about methods to prevent engorgement during
lactation suppression with a client who is bottle feeding her newborn - correct answer I
will apply cold cabbage leaves to my breasts throughout the day
A nurse is caring for a newborn who is large for gestational age and is exhibiting
jitteriness - correct answer Check the newborns blood glucose level
A nurse is collecting data from a client who is 32 hr postpartum - correct answer Urine
output of 3,ooo mL in 24 hr
A nurse is collecting data from client who is primigravida and has hyperthyroidism -
correct answer Diaphoresis
A nurse is reinforcing teaching to a client who is breastfeeding a 6 day old newborn -
correct answer My baby should have at least one stool per day
A nurse is contributing to the plan of care for a client who has new prescription for
medroxyprogesterone - correct answer Instruct the client to increase calcium intake
while taking this medication
A nurse is caring for a client who is at 20 weeks of gestation and is in the clinic for a
routine prenatal visit. Based on the chart data, which of the following findings should the
nurse report to the provider - correct answer Fundal height 25 cm (9.8 in)
A nurse is monitoring a 1 hr old newborn for hypoglycemia. Select all that apply - correct
answer Hypothermia
Twitching
Tachypnea
A nurse is reinforcing teaching about food sources that are high in folate with group of
pregnant women. Which of the following foods should the nurse recommend to this
group as the best source of folate - correct answer 1/2 cup dried peas
A nurse in a providers office is reviewing laboratory results for a group of clients -
correct answer 1 hr oral glucose tolerance tset results of 145 mg/dL
A nurse is collecting data from a client who is at 9 weeks of gestation and reports
frequent episodes of nausea and vomiting - correct answer consume small, frequent
meals per day
A nurse is collecting data from a newborn who was born to a mother who had
gestational diabetes mellitus - correct answer Blood glucose 30 mg/dL
A nurse is caring for a client who has a new prescription for carbopost. Which of the
following adverse effects should the nurse monitor for and report to the provider -
correct answer Fever
, Maternal A
A nurse is reinforcing teaching with a client who has preeclampsia and is prescribed a
24 hr urine collection for protein - correct answer Discard the first urine specimen when
beginning the test
A nurse is reinforcing teaching aout newborn safety precautions with a group of a new
mother. - correct answer Crib slats should be no more than 6.4 cm (2 1/4 in) apart
A nurse is collecting data from a client who is in her second trimester. Which of the
findings should the nurse report to the provider - correct answer Frequent uterine
contractions
A client has just completed a nonstress test. The nurse notes 2 FHR accelerations of
15/min over a 20 min period, lasting at least 15 seconds. The nurse recognizes that this
indicates which of the following results - correct answer Reactive
A nurse is caring for a 12 hr old male newborn who was delivered from a breech
position. Which of the following findings should the nurse report to the charge nurse -
correct answer Skin appears jaundiced
nurse should report jaundice within the first 24 hrs of life to the charge nurse.
Physiologic jaundice can lead to severe cognitive disorders or hearing loss.
A nurse is caring for a client who is in labor and experiencing respiratory depression
following administration of an opioid. Which of the following actions should the nurse
take first - correct answer Check the clients oxygen saturation
first action the nurse should take using the process is to collect data. Therefore, the first
action the nurse should perform is to check the client's oxygen saturation.
A nurse in a providers office is caring for a client who is at 28 weeks of gestation and is
to start therapy using nifedipine. Which of the following information should the nurse
include when reinforcing teaching with this client - correct answer Change positions
slowly when taking this medication
The use of calcium channel blocker, such as nifedipine, can increase orthostatic
hypotension and dizziness
A client who is pregnant presents to the prenatal clinic with reports of frequent vomiting.
What additional finding should cause the nurse to suspect that this client is experiencing
hyperemesis gravidarum - correct answer Ketonuria
Persistent vomiting and ketonuria indicate development of hyperemesis gravidarum
A nurse is assisting with collecting data from a newborn who was born 2 hr ago and has
respiratory distress. Which of the following should the nurse report to the provider.
Select all that apply - correct answer Tachypnea- respiratory rate greater than 60/min
and is a clinical manifestation associated with respiratory distress in the newborn.
Coarse crackles- associated with respiratory distress.
