1. A nurse is reviewing the laboratory results of a 4-hr-old newborn. Which of the
following findings should the nurse report to the provider?
-Platelet count 120,000/mm3.
2. A nurse is collecting data from a newborn whose mother had gestational
diabetes mellitus. Which of the following findings should the nurse report to the
provider?
-Blood glucose 28 mg/dL.
3. A nurse is assisting in the care of a client during the active phase of labor. Which of
the following actions should the nurse take to promote the client's comfort?
-Have the client perform relaxing breathing techniques.
4. A nurse in an antepartum clinic is reinforcing teaching about how to prevent
supine hypotension with a client who is at 16 weeks of gestation. Which of the
following responses by the client indicates an understanding of the teaching?
-"I will lie on my left side with my head elevated on a pillow."
5. A nurse is planning to administer terbutaline to a client who is experiencing
preterm labor. Which of the following routes of administration should the nurse
plan to use?
-Subcutaneous.
6. A nurse is reviewing the medication administration record for a client who is
receiving nifedipine for gestational hypertension. The nurse should identify that
which of the following medications is contraindicated for use with nifedipine?
-Magnesium sulfate.
7. A nurse is reinforcing teaching about butorphanol tartrate with a client who is in
labor. Which of the following client statements indicates an understanding of the
teaching?
-This medication might make me dizzy.
8. A nurse is caring for a newborn who is receiving phototherapy. Which of the
following actions should the nurse take?
-Place an opaque mask over the newborn's eyes.
9. A nurse is caring for a newborn who is large for gestational age and is jittery. Which
of the following actions should the nurse take first?
-Check the newborns blood glucose.
, 10. A nurse in a maternal-newborn unit is caring for a newborn in the nursery. The
following findings should the nurse report to the provider?
-Platelet count 120,000/mm3.
2. A nurse is collecting data from a newborn whose mother had gestational
diabetes mellitus. Which of the following findings should the nurse report to the
provider?
-Blood glucose 28 mg/dL.
3. A nurse is assisting in the care of a client during the active phase of labor. Which of
the following actions should the nurse take to promote the client's comfort?
-Have the client perform relaxing breathing techniques.
4. A nurse in an antepartum clinic is reinforcing teaching about how to prevent
supine hypotension with a client who is at 16 weeks of gestation. Which of the
following responses by the client indicates an understanding of the teaching?
-"I will lie on my left side with my head elevated on a pillow."
5. A nurse is planning to administer terbutaline to a client who is experiencing
preterm labor. Which of the following routes of administration should the nurse
plan to use?
-Subcutaneous.
6. A nurse is reviewing the medication administration record for a client who is
receiving nifedipine for gestational hypertension. The nurse should identify that
which of the following medications is contraindicated for use with nifedipine?
-Magnesium sulfate.
7. A nurse is reinforcing teaching about butorphanol tartrate with a client who is in
labor. Which of the following client statements indicates an understanding of the
teaching?
-This medication might make me dizzy.
8. A nurse is caring for a newborn who is receiving phototherapy. Which of the
following actions should the nurse take?
-Place an opaque mask over the newborn's eyes.
9. A nurse is caring for a newborn who is large for gestational age and is jittery. Which
of the following actions should the nurse take first?
-Check the newborns blood glucose.
, 10. A nurse in a maternal-newborn unit is caring for a newborn in the nursery. The
