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The nurse is counseling a pregnant woman diagnosed with gestational
diabetes at 29 weeks' gestation. Which information should the nurse
discuss with the client? Select all that apply.
✓ Plan for weekly nonstress tests at 32 weeks.
✓ Obtain nutritional counseling with a dietitian.
The nurse provides dietary instructions to a pregnant woman regarding
food items that contain folic acid. Which food item should the nurse
recommend as a good source of folic acid?
✓ Spinach
The nurse is caring for a client with preeclampsia who is receiving an
intravenous (IV) infusion of magnesium sulfate. When gathering items to be
available for the client, which highest priority item should the nurse
obtain?
✓ Calcium gluconate injection
A pregnant client has been diagnosed with a vaginal infection from the
organism Candida albicans. Which finding should the nurse expect to note
when assessing this client?
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✓ Pain, itching, and vaginal discharge
The nurse is performing an assessment on a client seen in the health care
clinic for a first prenatal visit. The client reports February 9 as the first day
of the last menstrual period (LMP). Using Nägele's rule, what date later that
same year will the nurse relay as the client's due date? Fill in the blank.
Record your answer using 4 digits (mmdd).
✓ Correct Answer: 1116
The nurse is performing a measurement of fundal height in a client whose
pregnancy has reached 36 weeks of gestation. During the measurement
the client begins to feel
lightheaded. On the basis of knowledge of the physiological changes of
pregnancy, the nurse understands that which is the cause of the
lightheadedness?
✓ Compression of the vena cava
A pregnant client has been instructed on the prevention of genital tract
infections. Which client statement indicates an understanding of these
preventive measures?
✓ "I should wear underwear with a cotton panel liner."
The nurse is reviewing the results of the rubella screening (titer) with a
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pregnant client. The test results are positive, and the mother asks if it is
safe for her toddler to receive the vaccine. What is the nurse's best
response?
✓ "Your titer supports your immunity to rubella,
and it is safe for your toddler to receive the vaccine at
this time."
A clinic nurse is explaining to a client the changes in the integumentary
system that occur during pregnancy and should tell the client that which
change may persist after she gives birth?
✓ Striae gravidarum
A clinic nurse is instructing a pregnant client regarding dietary measures
to promote a healthy pregnancy. The nurse tells the client about the
importance of an adequate daily fluid intake. Which client statement
best indicates an understanding of the daily fluid requirement?
✓ "I should drink at least 8 to 10 glasses of fluid each day,
of which at least 6 glasses should be water."
A child with an autism spectrum disorder (ASD) is being admitted to the
hospital for diagnostic tests. Which room assignment is the most
appropriate for the child?
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✓ Private room
The labor and delivery room nurse has just received reports on 4 clients.
After reviewing the client data, the nurse should assess which client first?
✓ A client who has just received an intravenous loading
dose of magnesium sulfate to stop preterm labor
The nurse has developed a teaching plan for a client with hypertension
regarding the administration of prescribed medications. What is the
initial nursing action?
✓ Assess the client's readiness to learn.
A client with cancer is receiving intravenous morphine sulfate for pain.
When writing the plan of care for this client, the nurse should include
which action as the priority action?
✓ Monitor respiratory status.
The nurse is preparing to suction the airway of a client who has a
tracheostomy tube and gathers the supplies needed for the procedure. In
order of priority, which actions should the nurse take to perform this
procedure? Arrange the actions in the order that they should be
performed. All options must be used.
✓ 1) Place the client in a semi Fowler's position.
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