1. The nurse is planning discharge teaching for a client who had an
evacuation of
gestational trophoblastic disease (GTD) two days ago. Which
information is most
important for the nurse to include in this client's teaching plan?
- CORRECT ANSWER A. Oral contraceptive use for at least one
year.
2. The nurse is planning care for a client at 30-weeks gestation who is
experiencing
preterm labor. What maternal prescription is most important in
preventing this fetus from
developing respiratory distress syndrome?
- CORRECT ANSWER C. Betamethasone (Celestone) 12 mg deep
IM.
3. The nurse places one hand above the symphysis while massaging
the fundus of a
multiparous client whose uterine tone is boggy 15 minutes after
delivering a 7 pound 10
ounce infant. Which information should the nurse provide the client
about this fiding?
- CORRECT ANSWER B. Both the lower uterine segment and the
fundus must be massaged.
, 4. A pregnant woman in the first trimester of pregnancy has a
hemoglobin of 8.6 mg/dl and a hematocrit of 25.1%. What foot should
the nurse encourage this client to include in her diet?
- CORRECT ANSWER B. Chicken.
5. The newborn nursery admission protocol includes a prescption for
phytonadione
(Vitamin K1, AquaMEPHYTON) 0.5 mg IM to newborns upon admission.
The ampoule
provides 2 mg/ml. How many ml should the nurse administer?
- CORRECT ANSWER 0.3
6. The nurse is preparing to administer methylergonovine maleate
(Methergine) to a
postpartum client. Based on what assessment finding should the nurse
withhold the
drug?
- CORRECT ANSWER . Blood pressure 149/90.
7. A primigravida arrives at the observation unit of the maternity unit
because thinks is in
labor. The nurse applies the external fetal heart monitor and
determines that the fetal
heart rate is 140 beats/minute and the contractions are occurring
irregularly every 10 to
15 minutes. What assessment finding confirms to the nurse that the